Newly diagnosed diabetes

Is this a PCP or did you get referred to an ENDO? In my experience, PCPs don’t always have newly-Dx’d T2s use a meter initially. They try to see if lifestyle changes help without focusing on the daily numbers. Some patients hyperfocus on the in-the-moment number without understanding it. ENDOs will always want the patient to use a meter or CGM. Not saying either is right or wrong, just 2 different approaches. Also if you are T2 it is possible insurance won’t cover a CGM unless you are on insulin but it should cover a finger-stick meter.
I agree with how our general practitioners are not as well versed as the ENDO's are. I started my diabetes journey with my general doctor and didn't see an ENDO until after my thyroid removal. The difference in care, options and skill is pretty darn amazing. Recommend going that route very highly for anyone who can do so.
 
I have been dealing with diabetes as a caretaker for my husband for the past 8 years, before that he did things his way and took advice from people he worked with. My advice would be: 1) See an endocrinologist as they specialize in metabolic disorders which is diabetes and get a good podiatrist. Feet are overlooked and neuropathy is a big danger with diabetes. My husband has had a partial toe amputation due to the fact that even without neuropathy diabetics do not heal well. 2) Have a cheat day. A cookie, piece of cake, something sweet that you miss. It actually helps with cravings and has helped my husband keep his sugars under control. His drs. all actually approved this as it keeps cravings under control. 3) Start seeing an eye dr. and getting checked for retinopathy. My husband ignored the warnings and is slowly going blind because the damage was too extensive when I found out about the referrals. Caught early it is easier to treat.

My one advice with meds - watch out for metformin and have kidney function blood work at least once a year. My husband is now in stage 3 kidney disease and his cardiologist took him off metformin. Kidney damage is a known side effect, my dad and my BIL both had kidney issues from metformin.

Diabetes is scary but can be managed with the proper medical intervention in place. Good luck
 
OP. i know once you once you get DXed you do have it for life but once you get yiur #s in control I’m assuming then that lowers your risk of anything. Am I right in that
 
OP. i know once you once you get DXed you do have it for life but once you get yiur #s in control I’m assuming then that lowers your risk of anything. Am I right in that
Not a doctor, but it should lower your risks of SOME things (diabetes complications), but not "anything".
 
I’ve been reading a lot on what I can eat by doing searches and I’ve been reading a lot of conflicting info.
One place I read says cheese is ok then says it’s bad.
I’ve always heard potatoes are bad yet some places I’ve read says it’s ok.
Also just curious as to opinions on what we had for supper the other night.
Steak. Half of baked potato with I can’t believe it’s not butter. Very little. Salad dressing. Sautéed mushrooms and onions. And water. Just wondering
 
I’ve been reading a lot on what I can eat by doing searches and I’ve been reading a lot of conflicting info.
One place I read says cheese is ok then says it’s bad.
I’ve always heard potatoes are bad yet some places I’ve read says it’s ok.
Also just curious as to opinions on what we had for supper the other night.
Steak. Half of baked potato with I can’t believe it’s not butter. Very little. Salad dressing. Sautéed mushrooms and onions. And water. Just wondering
You have to take the meals as a whole and not just as the pieces. I was told that my goal should be 75 grams of carbs per meal. Depending on what else was included, your meal looks a little light on carbs. Steak is none, most salad is none, mushrooms are usually none. Sauteed onions are 10 per cup, figure maybe a half cup on a steak. A large potato is 60, so half that is 30. I figure you're at 40-50 depending on what all was in your salad.

There are almost no foods that are just out, except fully leaded soda. But cheese is a very low carb snack.
 
I have been dealing with diabetes as a caretaker for my husband for the past 8 years, before that he did things his way and took advice from people he worked with. My advice would be: 1) See an endocrinologist as they specialize in metabolic disorders which is diabetes and get a good podiatrist. Feet are overlooked and neuropathy is a big danger with diabetes. My husband has had a partial toe amputation due to the fact that even without neuropathy diabetics do not heal well. 2) Have a cheat day. A cookie, piece of cake, something sweet that you miss. It actually helps with cravings and has helped my husband keep his sugars under control. His drs. all actually approved this as it keeps cravings under control. 3) Start seeing an eye dr. and getting checked for retinopathy. My husband ignored the warnings and is slowly going blind because the damage was too extensive when I found out about the referrals. Caught early it is easier to treat.

My one advice with meds - watch out for metformin and have kidney function blood work at least once a year. My husband is now in stage 3 kidney disease and his cardiologist took him off metformin. Kidney damage is a known side effect, my dad and my BIL both had kidney issues from metformin.

Diabetes is scary but can be managed with the proper medical intervention in place. Good luck
OP, You need to read and re-read this post. This is the reality of diabetes--the partial amputation, the kidney disease, the impending blindness. I would bet you anything that, if Tazdev3225 could turn back time, she would smack her husband upside the head (figuratively) 20 years ago, if she could. Now, she has to care for him while his body slowly fails. NOBODY WANTS THIS FOR YOU!

As to your meal, it's impossible for us to say definitively. Portion size is important--a serving of protein is 3 oz., or about the size of your fist. Not all salads are created equal. On and on--you need to learn for yourself how to gauge what you can have--it's trial and error, kind of like with the meds. Nobody on here is claiming to have a success-only journey in their approach to diabetes.

I was in the hospital for 2 weeks in November (not directly related to diabetes--I had 2 foot surgeries). I was on their "low carb" meal plan--I couldn't order meals with more than 4 1/2 of their point system. Every day at lunch and dinner, I had their vegetable soup--it was good, and I like soup; I also had sugar-free pudding as a dessert/treat. Because I chose those items, I could have a burger with all the toppings, but not the baked fries. I would have gone over my limit. But, to me, the soup and pudding were a better choice. Another patient could have made totally different choices, and that's fine (they weren't getting my pudding, though!). My point is, you need to learn to make the choices that work FOR YOU. I never felt hungry or deprived--well, except when my second surgery was delayed--twice--and on both those days, I couldn't have anything by mouth until the surgery was cancelled, late afternoon. But, the nurses set me up with tea and peanut butter and crackers, until they could get a real meal delivered.
 
As a T2, the best advice I can give you is to eat to your meter and find out what spikes you and what doesn't. Try everything.

We're all different and what spikes one person may not even cause a blip with someone else. I can have rice, some people can't. I can have corn and carrots, some can't. This disease affects us all in a different way and there is no one way to eat that's right for everyone.
 
My DH has type 2 as well, and went through all the feels. There's just a lot of trial and error in seeing what foods affect you most, which substitutions don't make you feel deprived, etc. He definitely kept a journal for a while (great idea!) and takes Metformin (because Ozempic bothered his system, but that doesn't.)


I followed this Instagram creator:
IMG_7005.jpeg
for a while to get meal and snack ideas.


Generally, make sure to have some protein and fiber with your carbs to balance them out and slow down blood sugar effects.


A few of DH's favorite substitutions I can think of are:
  • "chaffles" (lots of recipes on line)
  • Breyer's Carb Smart vanilla ice cream
  • Sun Chips (we especially like the Garden Salsa)
  • pie made with a store-bought walnut or pecan crust (instead of graham cracker) sugar-free jello pudding, and sugar-free Cool Whip

He hates walking, but if you enjoy it, one of the best things you can do is take a short walk right after meals!
 
Funny thing about the meter. When I talked to the RN she said as long I was metformin I didn’t need a meter. To be honest I’m not thrilled with the dr or her RNs.
Another point we on a getaway and ate at Cracker Barrel. On the menu there was chicken and dumplings with a carrot which meant it was 15 grams of carbs.
So I thought I’d give it a try. I couldn’t eat it at all. It was nasty. Reminded me of mushy heavy noodles.
They were really nice and let me get a different entree.
 
My dh was officially diagnosed as diabetic a few months ago. His A1C is just slightly over. He was put on Jardiance.

He downloaded the Weight Watchers app and listed himself as diabetic. He started walking and lifting weights 4-5 days a week. He pretty much completely cut out soda and is much more careful about eating chips (his weakness) He has never been a sweets eater.

We have 2 very active teenage boys (soccer player and cross country track) They train for these sports year round. I did not want to cut carbs completely because they still need and want them. The other night I made salmon, rice, and roasted veggies. Dh just took a small portion of rice. On spaghetti night I will sometimes make us spaghetti squash or he will fix himself else (usually salmon and sautéed spinach) sometimes he will eat the spaghetti. I already buy the Raos sauce which has much less than sugar than other brands I started buying bagel thins instead of regular bagels. Little changes like that help.
 
He downloaded the Weight Watchers app and listed himself as diabetic.
I re-joined WW after being diagnosed with T2 about 18 months ago, and I find the app very helpful. The diabetes setting adjusts point values based on carbs as well as other nutrients - for instance, a raw apple is zero points for a non-diabetic but 3 points for me. And it made me realize that I’m not just allowed carbs, I need them. I especially like being able to scan the UPC code on a food package and get a points value - it’s surprising what foods hide sugar in them!

In regard to getting a meter, I was surprised to find that I didn’t need a prescription for the meter or the testing supplies. So I got one and started testing just my fasting level each morning. Between the meter and the WW app (which helped me lose 50 pounds, and I’m still losing), my HgbA1c is now only a tenth of a point over normal.
 
I haven't seen anyone mention this - but find someone to teach you how to properly lift weights and start a strength training regime 3-4 days a week. It increases your insulin sensitivity and helps reduce your blood sugar. And it is great for you long term. It doesn't have to be heavy lifting.
 
Between the meter and the WW app (which helped me lose 50 pounds, and I’m still losing), my HgbA1c is now only a tenth of a point over normal.

Great! My A1c came down also when I lost weight (just 30 pounds, not 50) so that I was just a tenth of a point over normal after I completed the Diabetes Prevention class, and both my instructor and my doctor told me that as long as I continued the new healthier eating, my A1c would continue to come down. Well, I did continue, but it didn't continue to come down. But I haven't given up!
 
Another point we on a getaway and ate at Cracker Barrel. On the menu there was chicken and dumplings with a carrot which meant it was 15 grams of carbs.
So I thought I’d give it a try. I couldn’t eat it at all. It was nasty. Reminded me of mushy heavy noodles.
I'm not sure where you get the 15 -- Cracker Barrel states that entree is 53 grams of carbs. You need to pay attention to serving/portion size when looking up food items online or on an app. Be sure it's closest to what you are actually eating (or considering on a menu). At restaurants that can be tricky because they have their own recipes but some apps are better than others. Again be aware of what is listed for the portion (i.e. 1 tsp of carrots vs 1 cup of carrots).

Dumplings are basically dough. They also are not necessarily "better" than pasta or bread. Personally I'm not a fan of dumplings.
 
I saw it on the menu at Cracker Barrel. There was a carrot and then at the bottom it said what that meant. I even had to look again to show hubby. Oh well the dumplings were lousy and the server was nice enough to let me pick something else. I took a country fried steak which I’m sure was super bad but I was starved.
Today is the big day to find out what I have to do.
I’ll be glad to get some answers. I haven’t eaten or slept good the last couple of days.
 
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