Confused?

Messages
6
Type of diabetes
Prediabetes
I had my annual blood test this week and my results came back as 43. Previously, last year I had two tests, one at 41 then the next at 42 so obviously rising.

I read on the internet that you aren't classed as diabetic until you are 46?
Yet my doctor says the cutoff is 42. Can anyone clarify?
 

Ross.Walker

Well-Known Member
Messages
291
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
sprouts, evil things
hello
Bad news
You have the signs that you are disposed to this illness.

Good news, 43 is not awful, it can be improved with a some lifestyle changes and diet. This could keep you in the prediabetic range for a long time or lower it to reduce the risk. The benefits do outweigh the long term effects of not changing.

NHS statement and link below. Seems the doc is being cautious / diligent, please take the opportunity to protect yourself, if you go onto meds then concider it as protecting, caring, being kind to your pancreas.

"An HbA1c level of 6.5% (48mmol/mol) or above indicates type 2 diabetes.
Although there's no fixed point to indicate when someone has pre-diabetes, a UK expert group has recommended that an HbA1c level of 6-6.4% (42-47 mmol/mol) would indicate that a person has a high risk of developing diabetes"

http://www.nhs.uk/Conditions/Diabetes-type2/Pages/Diagnosis.aspx
 
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Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
Yes, you are pre-diabetic and at risk of becoming a full blown diabetic, so please do not wait for that to happen. The sooner you start to take control of your blood sugars the easier it is.

I'll tag @daisy1 who provides excellent information to all newcomers. Do read it and take note of the role of carbohydrates (not just sugar) and follow the links she gives. It is all very useful stuff.

Your best tool will be a glucose meter, so do consider buying one. This will help you formulate a suitable eating plan.
 

Jamesuk9

Well-Known Member
Messages
504
Type of diabetes
Prediabetes
Treatment type
Diet only
Yes, please be proactive... I tested 5.6 a1c after a fasting anomaly of 6.7. My doctor advised that I was fine and carry on you're not diabetic.

I never accept anything without research and bought a meter and started testing. I clearly have issues and am going all out to try and correct this. Already lost 20lbs and lower my BMI to 22.5, hasn't had much effect on my numbers but I feel so much healthier.

Dont be complacent, I have learned that doctors won't advise you on where to go from there but will happily drop the bomb at your next test.

Good luck.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@Alisonjayne12345

Hello Alison Jayne and welcome to the forum :) To help you, here is the basic information we give to new members and I hope you will find it useful. It gives advice on carbs and a link to the Low Carb Program which you could join. Ask as many questions as you like and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 220,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
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Messages
6
Type of diabetes
Prediabetes
Thank you all for your input. My husband has just been diagnosed with a score of 51 which has been rising over the last couple of years, the doctors said he has probably been diabetic for at least two years, undiagnosed.

He is a strong willed person and has taken this whole thing seriously to heart. He is following a low carb high fat diet and has been very strict. He has already lost 21lbs in two months.
I unfortunately am a potatoe/bread carb lover so doubt I could follow his lead as stringently. I am trying to think of things to eat rather than bread and potatoes but am finding it hard going!
I also don't know if I have to immediately cut all carbs or can I have the odd treat as in shepherds pie with mash or battered fish etc?

Do I have to go full on from the start?
 

sally and james

Well-Known Member
Messages
1,093
Type of diabetes
Family member
Treatment type
Diet only
Do I have to go full on from the start?
The important thing is not to slide backwards, aka "carb creep". Some people have to do things all in one go, one large dramatic gesture, others like to work slowly towards something.
I successfully gave up smoking (a very long time ago) by cutting down slowly, starting with "never in the morning" and "not on Mondays" and progressing from there. It worked for me. Cutting down carbs, for me, who isn't diabetic, was a bit more muddled and less planned, but the slow way is what I, personally, would tend to recommend - less shock for your body and your life in general.
Sally
 
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Resurgam

Expert
Messages
9,875
Type of diabetes
Treatment type
Diet only
I just stopped eating high carb foods the moment I was diagnosed, except to check with very small amounts that they would raise my blood glucose levels if I knew that they stopped me losing weight - I did about four things and gave up - every one put up my levels for about 16 hours. I did go a bit dizzy after a while - my body was signalling a hypo just because it was used to being hyper - so I ate tiny amounts of fruit - like four grapes, and it faded, then had to repeat and repeat until my metabolism adjusted, and then I was off and running, weight dropping, and so were my blood glucose levels.
It would be nice to have baked potatoes again - but I can't eat them any more. I don't want to be ill, so I eat other things, like cauliflower. If it kept me healthy I'd eat frogspawn, to be honest - but there's a lot of things far pleasanter which are still low carb, and I love my feet and my eyesight far more than any carbohydrate in the world.
 
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CherryAA

Well-Known Member
Messages
2,171
Type of diabetes
Type 2
Treatment type
Diet only
Thank you all for your input. My husband has just been diagnosed with a score of 51 which has been rising over the last couple of years, the doctors said he has probably been diabetic for at least two years, undiagnosed.

He is a strong willed person and has taken this whole thing seriously to heart. He is following a low carb high fat diet and has been very strict. He has already lost 21lbs in two months.
I unfortunately am a potatoe/bread carb lover so doubt I could follow his lead as stringently. I am trying to think of things to eat rather than bread and potatoes but am finding it hard going!
I also don't know if I have to immediately cut all carbs or can I have the odd treat as in shepherds pie with mash or battered fish etc?

Do I have to go full on from the start?

Shepherd's pie with cauliflower and broccoli mash is excellent. I have served that at dinner parties and people just think its particularly tasty mashed potatoes ( steam half a caul plus a head of broccoli, mash it as you would potato, add salt, butter and cream to taste - store in the fridge and add 100g portions any time you want to eat mashed potatoes, or spoon onto of your mince and onion, sprinkle with grated cheddar and maybe paprirka and grill - stupendous .

I love battered fish, so I've had that now and again, I generally go for a long walk to get it, eat it out, have a long walk back, avoid the chips but add on mayonaise and vinegar and a bit of ketchup - I savour every mouthful of the delicious batter - so far its not done anything more than take me up from 6 to 9 for about half an hour which frankly is worth it a tiny portion of chips stolen from someone else with salt and vinegar and I'm done- beware the curry sauce though !
 
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