With more exercise than a regular day, I had to make sure I ate more food, especially carbohydrates, than on a regular day to keep on top of energy levels.  

I bought a mix of short and long-acting carbs so I could eat them throughout the expedition to help me manage my blood sugar levels. Some examples of snacks I bought were jelly sweets, cereal bars and brioches.  

I’ve found that eating some protein with carb-dense meals reduces a spike in my blood sugar, so I prioritized protein as well as carbs. I included ham, tinned tuna and chose cereal bars with higher levels of protein.  

It’s hard to include fruit and vegetables into your meals on an expedition. I took apples and fruit juice - which I could also use to treat hypos!.  

I made sure I kept well hydrated by drinking plenty of water. There are lots of water-carrying options – including water bladders and bottles.

For my bronze DofE, I used two hydration bladders – one containing water, and one containing Lucozade which I had little sips of throughout the day to help manage my blood sugar. However, on my silver DofE, I just had a bottle of each because I found the tubes of the hydration bladders annoying while walking.  

Bethany says that there’s a perception that diabetes is just “inject and get on with everything” but it’s so much more than that.

“It’s so much more complicated than anyone really understands. ‘How much insulin do I need to inject for this meal’, ‘have I actually remembered to inject?’ – those things are constantly in your mind. So much of what people with diabetes have to do is hidden. Even my husband who’s around me all the time doesn’t really see it and I think you can only truly ever understand it if you have it yourself.” 

The biggest misconception Bethany comes across and wishes people understood the truth about was the relationship between diabetes and food.

“I think the thing probably everyone would say is that question about ‘should you be eating that?’ or ‘why don’t you swap that for something lower carb?’ In our work chat we were talking about some fundraising work we’re doing for Diabetes UK and a presentation I’m giving. Someone just responded with ‘eat less sugar’ and while that’s obviously why we’re doing the presentation in the first place, it’s so frustrating to hear all the time. 

“I wish people understood how complicated and difficult it is, and how much it impacts on all aspects of your life. It’s not just about medication, it’s all the little things that are constantly on your mind. If my foot suddenly feels sore, should I go and get it checked just in case? Or if I’ve had a headache for a few days, do I need to get that checked?"

The biggest challenge for me with diabetes is resisting snacking. I’ll be good all day but then I sit in front of the telly, and it’s hard, but I try to stop myself.

I’m on the Metformin – the maximum amount. And I might have to go on insulin. But I’d love to get off the medication and get my blood sugar levels out of the diabetic range. I know I need to lose weight. And I’ve been on a reduced calorie diet and I'm also trying to reduce carbs.

I don’t know anyone with type 2 diabetes. So I do tend to crack on on my own although I might look at joining one of the Diabetes UK local support groups to connect with others with the condition.

On New Year’s Eve 2022 I had a wake-up call and decided I needed to make changes. I started to lose weight by exercising and following a healthier diet. This was three-and-a-half years after my initial diagnosis, but I was committed to making the changes.  
 
I looked at different types of diets and researched ways to put your type 2 diabetes into remission. I got the Carbs & Calorie Counter book from Diabetes UK and decided to do a low carbohydrate diet with a calorie intake of about 1,000 calories a day. What I missed the most was not having bread, and you pay so much more when you buy the low-carb bread. I now keep this in the freezer and treat myself to a few slices at the weekend.  
 
By August 2023, I had lost up to 4 stone and my blood test showed my HbA1c was 43mmol/mol without medication. I was pleased to be told by the diabetes specialist nurse that in eight-and-a-half months my diabetes was now in remission. My next review will be in six months’ time.  
 
For exercise, I started with chair yoga for seniors, which I found very beneficial – and anyone can do it. Then on YouTube I discovered an exercise programme, where the lady running the online classes was in her mid-fifties and she exercises with her mother who is in her eighties, so that really inspired me. I thought if her mother can do it, then I have no excuse. I also got myself an electronic treadmill a couple months ago, which I use regularly. 

I started reading up on type 2 diabetes and recognised how important it was to change my diet. As part of my research, I watched videos and lectures, and observed other people’s experiences. I decided to make changes overnight; I stopped eating certain foods, and completely changed my diet. Some people thought I was mad because it was so drastic, but I saw it as a crash course, initiated by me, to address my diabetes. Three months later, following another blood test, I had lowered my HbA1c from 59 to 40 and no longer needed any medication to lower my blood sugar levels.  
 
I am of South Asian origin, and we eat a lot of rice as part of our meals. I was also eating naan bread, and then on top of that more bread, as well as many cereals. I was basically eating a very high-carb diet, but at the time I didn’t realise the impact carbs were having on my body. 
 
My breakfast was usually cereal, which was often two bowls with a pint of milk meaning more sugar – it was quick and easy. Then lunch would be a sandwich and a couple of hours later, I would be hungry again, so I enjoyed a cake or similar in the afternoon. I realised my diet was basically all carbs.  At that time I didn’t really have an awareness of diabetes. As an educated man, I was intellectually sound but not about my body or health.  
 
I decided to join a gym and was there almost every day. A week after joining, I weighed myself and had lost a kilo. After four weeks I had lost 4 kilos in weight. Then the date came around to visit the doctor again. When she put me on the scales, she couldn't believe it. She said, “whatever you're doing just carry on doing it,” which was exactly what I did. I reduced my carb intake, I cut back on fatty foods and sugar, and introduced more vegetables into my diet. This became my new eating regime to help me with my weight loss.