Draft page — we'd love your thoughts. Does this make sense? Is anything missing or not quite right? Please let your diabetes nurse or dietitian know.

Weymouth & Portland · Diabetes Team

Diabetes is quiet.
Until it isn't.
Here's what helps.

One of the most common things people say after a diabetes diagnosis is: I feel fine. And that is often true. Diabetes does not always make you feel unwell — especially at first.

But it is working quietly in the background. And what you do now, before you feel any different, is when it matters most.

This page is for anyone living with diabetes or pre-diabetes in Weymouth and Portland. Whether you were diagnosed recently or have been living with it for years, there is always more available to you.

Back to Weymouth & Portland PCN

Type 2 diabetes is one of the most manageable long-term conditions there is — what you do in everyday life matters more than any medication.

01
Understand your diabetes

Diabetes is different for everyone. Understanding yours is the first step to living well with it.

02
Day to day

Small, sustainable habits make a real difference. Not perfection — just a direction of travel.

03
Live well alongside it

Diabetes is lifelong. Living well with it means it fits around your life, not the other way round.

Understand your diabetes

Diabetes is not the same for everyone — a bit like a glasses prescription. What works for someone else may not be right for you. These short videos are a good place to start.

What is your HbA1c?

Your HbA1c is a measure of your average blood glucose over the past two to three months. It is one of the most useful tools you have for understanding how your diabetes is doing — but many people are never quite sure what it means.

Glucose is the type of sugar in your blood. Unlike a blood glucose reading taken at a single moment, the HbA1c gives a longer picture. It is the number your care team uses to understand whether your diabetes is well supported, and to make decisions about your care. Knowing your own number, and what it means for you, puts you more in the picture.

What does the number mean?

48
For most people with Type 2 diabetes, an HbA1c of 48 mmol/mol or lower is the general target — especially in the first eight years after diagnosis and if you are not on insulin or gliclazide.
53
If you are taking medication that can cause low blood glucose (such as gliclazide or insulin), a slightly higher target of 53 mmol/mol is often used to reduce the risk of hypos.
58
An HbA1c above 58 mmol/mol is a signal that your diabetes may benefit from more support — whether through changes to lifestyle, medication, or both. Your practice nurse will discuss this with you.

These are general guides, not fixed rules. If you have had diabetes for a long time, are older, or have other health conditions, your target will be individual to you. Your practice nurse will tell you what your target is. If you are not sure, just ask.

Has your GP told you your blood glucose is a bit high?

This section is for people who have not yet been diagnosed with diabetes. If you are already living with diabetes and your GP has said the same thing, the information about small changes and support further down this page applies to you too.

Pre-diabetes, or non-diabetic hyperglycaemia, means your blood glucose is above normal but not yet in the diabetic range. It is not a diagnosis of diabetes — and it does not have to become one.

More than 6,000 people across Weymouth and Portland are in this position. Small changes at this stage make a real difference. Ask your GP or practice nurse whether you are eligible for a free NHS prevention programme.

  • Reducing refined carbohydrates and increasing movement helps most people
  • Losing a modest amount of weight if that is right for you significantly lowers risk
  • A free NHS programme may be available to support you — ask at your practice
Free · Diabetes UK
Type 2 diabetes prevention

Practical information and tools to help you understand pre-diabetes and reduce your risk, including healthy eating guidance, a risk checker, and NHS prevention course information.

Day to day

Living with diabetes involves a lot of small decisions every day. The goal is not perfection. It is finding an approach that works for your life and that you can sustain long term.

Blood glucose

Know your numbers

Most people with Type 2 diabetes are not prescribed blood glucose monitoring equipment. Your HbA1c, measured at your regular review, is the main number to follow. It gives a picture of how your blood glucose has been over the past two to three months — more useful than any single reading.

Ask for your HbA1c result at every review — it is yours to know Ask what it means and whether the trend is heading in the right direction If you do monitor at home, patterns over time matter more than individual readings
Food

Food that works for you

There is no single diet that works for everyone with diabetes. Managing diabetes is not about avoiding sugar entirely — it is about understanding how different foods affect your blood glucose, and finding an approach you can sustain.

Reducing refined carbohydrates helps most people Small, sustainable changes beat big overhauls Specialist dietitian support is available locally
Movement

Movement and blood glucose

Physical activity can help to lower blood glucose. It does not have to be intense — even a short walk after eating makes a difference. The best movement is the kind you will actually do.

A 10-minute walk after meals helps lower blood glucose NHS guidelines suggest 150 minutes of moderate activity a week — but starting is what matters most LiveWell Dorset can help you find what suits you
NHS physical activity guidelines →
Medication

Medication and lifestyle together

Medication and everyday choices work together, not instead of each other. Taking medication as prescribed, even on days when you feel well, is part of how diabetes is kept well supported.

Take it as prescribed, even on good days Tell your team about any side effects Your practice nurse is your first point of contact

Under 40 and living with diabetes?

The number of younger people being diagnosed with Type 2 diabetes is rising. Being diagnosed under 40 carries a higher risk of complications compared to later-life diagnosis — but it also means you have more time, and more opportunity, to make changes that matter. Your practice nurse can make sure you are getting the right support for your age and circumstances.

Live well alongside it

Diabetes is a lifelong condition. Living well with it means it fits around your life — your work, your relationships, your circumstances. Your ability to focus on it will vary over time, and that is normal.

Wellbeing

Diabetes distress is real

Feeling overwhelmed, frustrated, or worn down by the demands of managing diabetes is a recognised and very common experience. It is not a failure. It is a known part of living with a long-term condition, and it is worth talking about.

Mention it to your practice nurse or GP Steps 2 Wellbeing offers free NHS talking therapies No GP referral needed for Steps 2 Wellbeing
Self care

Sleep matters more than you might think

Poor sleep raises blood glucose, makes it harder to lose weight, and affects your health and how you feel generally. Caring responsibilities, work, and stress are all real — the point is not to add another thing to feel bad about. But if sleep is a persistent problem, it is worth mentioning at your next review.

If you are frequently woken by snoring, gasping, or feeling unrefreshed even after a full night, ask your GP about sleep apnoea — it is more common in people with diabetes and is very treatable.

Steps 2 Wellbeing includes support with sleep SleepStation offers NHS-backed cognitive therapy for insomnia — ask your GP for a referral
Remission

Remission is possible for some

For some people with Type 2 diabetes, remission — where blood glucose returns to a normal range without medication — is achievable. It is not the right goal for everyone, but it is worth knowing it exists.

Ask your GP about the Path to Remission programme Available via NHS Dorset
Learn more

Diabetes UK Learning Zone

Videos, guides, and practical tools covering every aspect of living with diabetes. A good place to return to at different stages.

diabetes.org.uk · Free

You are not on your own

Your practice nurse or GP is your first stop for diabetes queries. You also have access to local specialist support across all the GP surgeries in Weymouth and Portland.

When to contact your GP or practice nurse

  • Blood glucose that will not come down despite your usual approach
  • New or worsening foot problems — do not wait
  • Changes in your vision
  • Unexplained weight loss or fatigue
  • Your HbA1c results are continually rising, especially above your individual target — if the surgery has not already been in touch. If you do not know your target, ask your nurse
  • Diabetes that is stopping you coping day to day
  • If you are struggling emotionally, call NHS 111

About hypoglycaemia (hypos)

Most people with Type 2 diabetes are not at risk of hypos. Hypos are mainly a risk if you take gliclazide or insulin. If you are on either of these, it is worth knowing the signs: shaking, sweating, confusion, or feeling suddenly unwell. The TREND hypo guide explains what to do. Contact your GP if hypos are frequent or severe.

Call 999 or go to A&E if someone is in immediate danger or you are very worried that waiting is not safe.