T2 Diabetes 0n 20.9.19 15:50

[Russfam]

OMG never thought I would get this at my age 71, 72 Dec on 30th. Boy I have been through the mill awhile ago Auto-Immune Haptistis!!! Than 2016 Throat Cancer. I am in remission still under the hosp every 4 mths weight was 13 stone. Then got/have ( carn't spell inraglar) heart beat.

Now This bloody thing. 12.8 my weight is now!!! Glucose was (What does this mean (Hbl1e 10???) Now another another b..... pill oh happy day!!!!!!! Metformin 500 bd. My husband & I going to the Education on Monday 23 X 2 ETC ETC.

Now what Food wise????? small portions!!!! NO Butter, white bread, no paste?? I do not like brown stuff!!! No Fruit?

Please help this newbie if possible?

Lots of love Maggie xox

 

[Kaylz]

Sorry hba1c is an average of your blood glucose over the last 3 months, I see a 10 in the brackets, is that what yours was 10%?

As a type 2 it is better to follow a lower/low carb diet, so that means severely cut down on ANY bread, pasta/rice, potatoes, cereals etc

Some fruits aren't too bad but best sticking to the lower carb fruits such as raspberries, blackberries, strawberries

Also welcome to the forum 🙂 feel free to ask any questions you have
xx

 

[Russfam]

Hi there Kaylz, Yes she said it was 10... So this is not bad? I don't know how I lost the weight about 4 mths ago was 13 stone, now 12.8.. I just love Strawberries/raspberries, but not B/B. So Pasta Rice Is this Brown?
Today had 1 half of tuna and sweetcorn sandwich with Brown bread, no added sugar yogurt. & (Adverco).

18:00 have other half sandwich & same as above. This is my 1st day. So suppose tis is not the best meals today?

Thank you for your support love Maggie x

 

[Drummer]

Ah - sweetcorn is a grain - high carb, and although there are some low carb breads you have to seek them out - Livlife bread is 4 gm per slice, admitedly small ones - but brown bread is not inherently low carb - quite the reverse.
Watch out for no added sugar - they can be high in the sugars from fruit and may be thickened with starch - look for the amount of carbs on the back - the front of the packaging can be misleading.
Chose fruit which is low in fructose - I get frozen berries and look for the lowest carb mixtures, or blackberries or raspberries and eat them with cream.
Butter is fine, so is most cheese if not mixed with things containing carbs - I have seen dried cranberries for instance, which bumped up the carbs considerably.
I got down to normal numbers eating two meals a day, usually something with a huge salad and then a stir fry in the evening - though I would usually have berries and cream after steak and mushrooms.

 

[Kaylz]

Sorry my lovely I was getting my tea

10% is quite high, the measurements have changed although some still use a % but in the new measurement that would equate to 86mmol/mol which I think then equates to an average blood sugar of around 13.3mmol which is quite high, the aim is for between 4-7mmol throughout a day

Pasta/rice, bread is all carbs so isn't the best in a Type 2's diet and many choose to eliminate them in order to get good control of their blood sugars

Are you testing your blood sugars at all?
xx

 

[novonord]

advise trying to cut carbs to 100-130gm a day- use slow carbs in lentils, black eyed beans etc, porridge better than other cereals, have to substitute fat for carbs if weight is falling off too fast and get on a statin until LDL drops to 2.3 or less, watch your blood pressure#
advances occurring all the time the fda has just approved the first oral GLPagonist, semaglutide for type 2 - could be a major advance

 

[CathyB]

Hi and welcome, the diet changes take. While to get used to but it’s SO worth it! We are all different so checking your blood glucose against your meals is a great way to work out what is right for you, test before your meal and again 2 hours after and aim for a rise of no more than 2, otherwise adapt, tweak and try again. I don’t miss pasta, potatoes or rice now, yet they were every meal for me. Bread was something I couldn’t give up so I now have LivLife bread, low carb and tasty as toast or a sandwich but allows me to stay around 100 carbs a day.

 

[novonord]

just been watching a presentation by National diabetes tsar, Professor Kar who seems to be intimating that the NICE guidelines for type 2 are:
make sure the diabetes isn't another type eg slow onset type 1 or genetic at the outset

achieve weight loss if possible which may put it into remission at the outset by increasing activity
means finding a diet that is acceptable/tolerable and sticking to it so the weight doesn't go back on, tendency is to fall off the wagon in this regard after 2 years and start putting weight back on...

if that fails then metformin

if the glucose HbA1c rises then add in SGLT2 drug or earlier introduction if there is any heart failure or kidney problem

the next line is GLP1 drug,

then insulin if indicated depending on level of frailty and HbA1c target.