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Readers Respond: Getting Started With Your Diabetes Management

Responses: 14


Updated March 30, 2009

Have you had type 2 diabetes for a while? Have you got your diabetes management under control? What practical advice would you give someone who was just diagnosed?

Can some one help diabete#2

I just turn 50 right on my 9/22/08 diabetes#2. my dad is the same he is in control I am still not in control Istill needhelp
—Guest Kenneth Marron

Never Give up

I Have been diagnosed with type 2 diabetes for a yr. I now have my diabetes under control with a low carb diet and a total of wt. loss of 109 lbs. I feel great and exercise regularly.I am 49 yrs.old and feel 30.I am in better health now than possibly when I was in my 30's.

Managing A Diabetes Diagnosis

About three years ago, I was diagnosed with Type 2 diabetes at age 56, after being healthy my entire life. After getting past the initial shock of the diagnosis, I got excellent guidance from the medical team that was provided to me by my family doctor, including a diabetic nurse, dietician, and a neurologist. I also did a lot of reading to understand my condition and what I could do about it. This led me to take several important actions and behavior changes which have allowed me take ownership of my situation and keep my condition under control without medication for the past three years: 1) Watching very carefully what and how much I eat. I have substantially eliminated from my diet foods that are high in starch, nearly all refined sugar, and high in animal fats, and I eat lots more vegetables and fruits. 2) I exercise much more regularly, trying to get at least 30 minutes or more exercise nearly every day, and more on weekends. 3) Reducing and controlling my weight.
—Guest Tom

How I control my Type 2

I stay at Atkins Induction levels of 20-25 net carbs a day. My last A1C was 5.1, and most of my readings are in the 90's. For me this works! Hugs, Gracie

Diabetes Management

Learn to count carbohydrates, reading the labels on packaged foods is a way to start. Carbohydrates are what raises your blood glucose, so limiting the carbohydrates you eat also limits how much your glucose goes up after a meal. Join a diabetes forum, you will learn more about diabetes than you ever dreamed, and will make lots of friends with people in a similar situation. Knowledge Effort = success In my case, 80 grams of Carbohydrate a day, which is half of what I was eating, has resulted in 40 pounds of weight loss, an average A1c of 5.02 last year, and an average glucose of 93. Best wishes


I have been type2 diabetic for over 32 years. I just last year lost the end of one of my toes. I try to control my diabeties with oral meds and 2 kinds of insulin. I pray a lot and test my sugar levels a lot.Sometimes I don't control it.I know that is very wrong. It's just overwhelming sometimes. I pray for a cure.

Managing Diabetes

My husband was diagnosed with Type 2 Diabetes almost four years ago, at age 30, and was prescribed medication. He'd led a sedentery lifestyle and was overweight at the time. He took the diagnosis seriously. He cut out potatoes (they affect him the most) and really watched his starches and completely cut out sweets, while adding some exercise. Recently the meds weren't working effectively and he was told to quickly lose more weight or insulin was in his future. He lost five pounds and was taken off the Bisoprolol, a beta blocker he'd been taking for high blood pressure for eight years. His sugar has been absolutely normal again! He takes Janumet and Metformin. He has been able to add a few sweets to his diet, but hasn't taken the chance with potatoes. His advice: check with your doctor if you take beta blockers for a prolonged period of time, as they are prone to increase blood sugar. And take the diagnosis seriously. It could save your life and keep you off insulin.
—Guest vickiesteward

good info except bad diet advice

Generally, test your blood glucose 2 hours after eating to guide your dietary approach. Most diabetics who test and "eat to his/her meter" find they cannot eat fruit, starches, sugars or grains (whether whole or not) -- a few may be able to eat more than 30 carbs a day. Following the Dr. Bernstein's Diabetes Solution plan (www.diabetes-book.com), and using metformin, I have maintained BG readings under 100 and reversed about all diabetic damage (that took about 6 months), dropped most other meds, and lost about 50 pounds. Eating whole grains and/or fruit gave me BG readings of 300 -- a sure way to bring on the worst diabetic complications. Low carb is easier and healthier!
—Guest Dallee

Insulin ain't so bad

I've been diagnosed Type II since 1997 and over the years was prescribed metformin, then added Avandia and glyburide, desperatly seeking to avoid insulin. November 2007, I landed in hospital (unrelated to diabetes) and my doc took me off Avandia and glyburide and put me on insulin. I now use a Novalog pen for mealtime and Lantus before bedtime, plus testing at least four times a day and I have been in near perfect control since. I also walk 10,000 steps a day (yes,I have a job - I walk at my breaks and noonhour) and on days when I eat right and get my steps in, I don't even need the Novalog insulin. Bottom line, my A1c has been below 6.5 since January 2008, and I have never felt better. I'm getting ready to walk my first 10K this year - as soon as summer comes to Anchorage.

Diabetes Management

Diagnosed 6 months ago. With doctor's referrals, I have attended numerous classes to educate myself. All along, I had been modifying diet, but more so now. Trying, but not always sucessful in increasing physical fitness because of problems with knees. I do not drive; I live in large city, therefore, I walk whenever I can. I am taking 500 mg Metformin 2X days. I am 54 years old.


I was diagnosed with type 2 about ten years ago. My cardiologist, also my primary care physician, had been warning me. He prescribed metformin. I went home and did some basic research. The concensus was to loose 15%. I had ballooned to ca. 245 on a 6'4" frame. That took two phases, the first 15 pounds was relatively easy, portion control and meal standardization were critical. Also returned to my Mother's guidance, take a bite, chew it and then pick up the fork and take another. A small scale was of great assistance in calibrating my perception of what a portion should be. I tested after every meal for six months or so. This established 'standard meals'. I know for example that a certain meal will result in an acceptable rise in blood glucose at the two hour point. Therefore testing now is only after fasting, i.e., before the morning coffee. This orientation process was accelerated when a minor scrape on my shin became infected leading to an 1800 calorie hospital diet.
—Guest Jeff O'Byrne

How I cope

It takes alot of effort to keep on track with the control of Diabetes management. First off I have to have time for myself to write or be creative. This is a must ,for one can get bogged down in the mire of food and what I can have or not have. also , the sleep factor is very important and the rest is sometimes interrupted by if I ate wrong that evening. Exercise is essential and not everyone has the place to get that and it takes effort to keep going when you think,ah, I will do it tomorrow. The eating when you have limited amount of money for groceries is hard to deal with as well. You know you need to eat more vegs and fruits and that will help you more than you know.. it may be easier to eat the things that are quicker, but you pay for the way you will feel when you do eat the wrong things. It is a balance of eating, exercise ,taking time to talk ,or laugh or be with others and also being creative , so all you do not think about is the diabetes!
—Guest carla altland

Beating Diabetes! We Did!

We beat diabetes! After 25 years of suffering the effects of diabetes and going to doctors my husband beat type 2 diabetes with a low carb lifestyle and exercise. He had neuropathy in both feet, couldn't walk more than 100 feet without resting, weighted 275 pounds, his highest HA1c was 11, on 43 units of insulin a night and was also taking metformin, diuretics, etc. After we began a program of lifestyle change, he lost 80 pounds within 9 months, came off of insulin in 2 months, walks 2 miles every day, neuropathy is now only minimal, his last HA1c was 6.5. Doctor takes him off medication every time he goes. Best part is he feels like a new person. We began this journey 7 years ago. It continues today. Don't let anyone fool you -- low carb diets and exercise work and work better than anything. We have no medical background - we only share what we did and tell you to take the information to your doctor. Diabetes can be beaten. Dr. Bernstein: Diabetes Solutions is best book.

Get on with it!

I am a 42 year male and have been dealing with Type II diabetes for the last two years. Actually, I ignored the signs for so long that I have actually been living with it for much longer. It took me a year to get my diabetes under
—Guest TimK

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