Diagnosis Day
Allied pages:
What to Eat Until You Get Your Meter.
Test, Review, Adjust
When To Test. One-hour or Two-hour?
I had two options here. A chat about my own D-day, or some ideas for people reading here who just got the news.
I’ll leave the chat for some other time.
So, you’ve just found out you have type 2 diabetes? Or Impaired Glucose Tolerence? Or Pre-diabetes? Or the doctor said "you’ve got a touch of sugar" or something similar?
And you’re in shock?
Why me?
Well, I don’t really have an answer for that. To me it seemed bloody unfair. Why me? And I railed against the world for a while – but then I decided to get on with it. Because I can’t change the past, and how do I correct the mistake of choosing the wrong grand-parents? Particularly as I liked mine:-)
So my first suggestion to any newly diagnosed person reading this is the most important one of all:
It’s NOT your fault. Take a deep breath, sit back, and relax.
Forget the hype and the TV ads about obesity (10-15% of type 2’s are normal or underweight at diagnosis), lifestyle, whatever – that’s in the past, even if it was relevant, and there’s not a damn thing you can do about it.
OK – so you’ve got a flawed glucose/insulin system. I don’t care what label they put on it, or what stage you’re at – what matters is what you intend to do about it. So first, the good news. Unless you’ve been diagnosed at a very late stage, this is a slow-moving disease – you have time to learn, time to correct things, and time to improve your health for a long-term future. And there is more good news: nearly every person I’ve met who used this diagnosis as a kick-start to get fitter and healthier has improved all sorts of other aspects of their health at the same time.
What to do next? I’ll give some detailed ideas based on what I did in the next post. But there are some general points first. In everything I say, I assume that anyone reading here will always be seeing their doctor on a regular basis, be taking the medicines prescribed by their doctors, and checking any suggestions here with their doctors.
However, never forget that the person who will be most affected by poor advice from any source will be you – not me, not your doctor, but you. In my opinion, more than nearly any other condition, the success of management of diabetes depends on the diabetic. So, while your medics can advise and prescribe – it’s your decisions and your actions that will decide your future.
In broad terms, this is the plan, in addition to anything the docs prescribe:
1. If you are overweight – lose it. I’ve posted some ideas on what I did as my Weight Loss Cooking and Eating Plan
2. Obtain a blood glucose test meter. Until you do, here are some tips on What to Eat Until You Get Your Meter.
3. Learn how to test your blood glucose (BG). I’ve posted some hints on painless testing methods as Painless Pricks
4. Use those tests to adjust your menu to get those blood glucose numbers into the non-diabetic range. I've given some ideas on how to do that in the next post titled Test, Review, Adjust
5. Add at least half an hour of moderate exercise to your day. That’s a minimum, not a maximum. If that’s a new activity for you, start easy and work up slowly – but do it.
6. Later, as your diet for optimum weight and optimum BG’s starts to work, review it and adjust to ensure you aren’t missing anything vital.
There’s more – but that’s enough to start with. So stop reading, go and have a glass of wine or a diet soda and think about something else for a while:-)
And remember my sig:
Alan, T2, Australia
Everything in Moderation - Except laughter
Nutrition Syllogism
2 hours ago

19 comments:
Hi Alan...
I have been an insulin diabetic for about 3 years now, and have not been able to get control or get real answers about what to do, etc. You are a GODSEND, this has helped me so much in just a short time, given me great ideas and tips, ESPECIALLY with a REAL goal to aim for readings wise. I am not up on all the terminology even, but I will be reading your blog frequently, and maybe posting to it with how I am doing.
THANK YOU THANK YOU THANK YOU!!!
Thanks for the kind words Vickie, I hope it helps.
I'll just repeat my words of caution from the top of the page - I'm not a doctor, just a patient, so if in doubt check first.
Best wishes, Alan
Hiya Mate
Found this from your postings in the newsgroups. good to see another Aussie being the voice of reason and solid advice.
Great stuff keep it up
Hi,
Great page! I am glad I checked it out. I will be back soon!
Cindy
Great Page Allan. Thanks for all you do to contribute your knowledge. Have a wonderful weekend!
Emily Broccoli :-)
Hi Allan
This sure is a great page with lots of helpful info for the much needy Diabetics. Do keep your spirits going
My best wishes to you.
PremLata
Just had to post. You read Terry Pratchett?!! He is a scream.
Do you have a gold suit (can you tell I'm in the middle of Making Money)
Your diabetes info. is priceless in value. Sorry this diverges.
I adore P. G. Wodehouse as well.
xanthra
(from the ADA D2 board)
G'day xanthra
No gold suit I'm afraid:-)
I caught Terry Pratchett from my son; he started the Terry Pratchett Appreciation Society at Melbourne University about 20 years ago and I've been hooked ever since.
I'm afraid PG Wodehouse whooshed by me...
Thanks for the appreciation. I hope you get some benefit out of the blog.
Oh my gosh, I would hug you if I could. Thank you so much for saying, "It's not your fault, forget the TV ads about obesity. . ." I am overweight and that has been on my mind. Finding your blog is such a blessing!
Leslie
WoW! so very glad I found you! This is new to me and I was just in a spin over it. Who ME! T2 not me!!!...Haven a heck of a time re-thinking my life and how to even start I will be back. thank you for takeing the time to write this stuff. Beth, Upton wyoming
Hi Alan,Thank you for all the positive information.It has given me a boost.I have just spent a week in the hospital,a prob with my heart now,So I've been kind of down in the dumps.Its hard trying to controll my sugar,carbs and salt and cholesteral.I've always been a big eater,so dieting is not easy for me.So again,thx for all the positive thinking,Barb
Much of what was said is beautiful info for a newbie in type 2.
In my own case (unlike wife) I was diagnosed but per docs Im so borderline that my efforts to lose weight are paying off.
Though its been thru 70pds in 11 months I have 100 to go..(was 350 at my worse and 330 at visit to doc 2 months later).
For me it is weight and lifestyle.
But like everybody have the same fustrations and stress's.
Its always good to read what others go thru and learn so that we can learn in addition.
My only real gripe is hearing, you can get the meter free, which is true, but its not the meter that matters but the strips.
I could care less about the meter cost as its one time.
Strips for wife & me are what matter and I find decent strips at unbelievably low cost at Walmart.
Meter: $8 strips at most $32 for 100.
Alternative I liked:
Meter free
strips: $125 for 100.
Forget that I would rather buy the meter and manually track stuff (I am a computer buff so pc access would be cool, but Im not paying to get whats needed (not yet).
Alan
I have very much enjoyed reading yous blogs! I commend you for your directness. I am noticing that the writers who are knowledgeable do two things in their initial writings - they make the statement "Its Not Your Fault", and "The Past Can't be Changed". The wording may vary and the order presented, but they are wanting to put the reader at ease. Once this is accomplished, the reader is more likely to absorb what is needed to help them.
Continue the good cause, you have earned my support. I appreciate your inclusion of other writers about diabetes.
Bob (arrived here via your link in dLife) Thanks
Alan
I appreciate finding your site. I too have CLL, high chloestrol, and now have been diagnosed as prediabetes (and I am very active and slender)all compliments of my grandparents. I found some information about those with CLL that get diabetes it is often called diabetes 1.5 or Latent Autoimmune Diabetes (LAD). Apparently it mimics type 2 and then turns to type 1. I am in shock and can't believe this keeps happening to me. My cancer Dr. didn't evern tell me what I needed to begin doing. I was a little surprised. Do you suggest to start blood monitoring in the pre-stage as well. I will be following youf blog regularly. Mary
Hello Mary.
You wrote "I found some information about those with CLL that get diabetes it is often called diabetes 1.5 or Latent Autoimmune Diabetes (LAD). Apparently it mimics type 2 and then turns to type 1."
I think that information is flawed. You can read more about LADA here: http://www.diabetesmonitor.com/lada.htm It is actually a late-developing form of type 1; unfortunately some doctors mis-diagnose it as type 2 in the early stages. As far as I am aware there is no link between LADA abd CLL. What was your source?
Ask your doctor for a clear diagnosis of your own diabetes.
Most of the people I met with diabetes on the ACOR CLL list were type 2; some had Prednisone-induced diabetes which is similar to type 2. You might find it valuable to join the CLL list; this is their "Help" page: http://cll.acor.org/help.htm
Another useful CLL source is the CLL Forum: http://www.cllforum.com/
Yes, I do believe you should start applying "Test, test, test" at the pre-diabetes stage. The earlier the better. Just possibly that may mean that you never go past that stage.
I wish to disagree with the notion that regarding Type 2 diabetes "It's not your fault". Reading the history of Type 2 you find little mention of it until sugar and refined flour became widely available to the average person. This happened in the late 19th century, say approximately 125 years ago. Until then Type 2 was seen only among the wealthy who did use copious amounts of sugar and other refined carbs. The same observation is made when Bushmen and other primitives "move to town" and gain access these refined carbs. Diabetes explodes among them.
Now, I guess that you can say its "not their fault" because they were not warned about refined carbs. Or you can say refined carbs do not matter, then include more refined carbs in your diet and see what happens regarding progression. Alan, do you have an opinion regarding this idea?
On "it's not your fault" I have an opinion but I think I'll leave it to a later post to go into a lot more detail.
Suffice to say that I concur with Jenny's assessment in the link I provide and that I consider your historical reference can be seen from both sides of that argument. It becomes a debate about the chicken and the egg. Did obesity cause the diabetes or is there a genetic or similar cause for both obesity and diabetes? Does that gene lead to first a tendency to obesity which may then trigger the other aspects of diabetes? The answer is that nobody knows yet.
I agree that obesity is a growing problem in Western Society (no pun intended); I also agree that the changes in availabilty and promotion of processed carbs over the past century have been part of that problem. But I don't agree that obesity is proven to be causative of diabetes nor do I see diabetes as a self-inflicted condition.
Hi there. I am lost. Just got diagnosed last week. I had a fasting blood sugar (though I told the doc that I had nearly a cup of milk that morning) of 113. She then ran the other test and it was 6.3....just past the 3-6 normal range.
She put me on metaformine 1,000 mg pills times 2 per day (so 2,000 mg). I have not begun them yet. Her nurse called me today asking if I wanted to be on Byetta instead. Threw me for a loop!
I am now researching what I should do, WHAT I should eat to be ok and lose weight, and try and make an informed decision on picking a drug. I sorta wish my Doc didn't give me an option.... I now question the whole thing.
Any insight would be helpful!
G'day Anon
I have a feeling I may have replied to you on the ADA forum just now. You gave a bit more detail there, so rather than repeat the reply here I'll give a link back to that thread.
http://community.diabetes.org/n/pfx/forum.aspx?tsn=19&nav=messages&webtag=adatype2&tid=31060
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