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Diabetes, life and all that - personal diary
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<blockquote data-quote="pavlosn" data-source="post: 682789" data-attributes="member: 22572"><p>Just wait a few years and if those global warming scientists are right you may get your wish.</p><p></p><p>Unfortunately, if they are right, all we have to look forward to is desertification. :-(</p><p></p><p>Your nurse is happy with your sugars because according to NHS guidelines an a1c of 7,5 is the upper limit for a diabetic under good control. It is still a diabetic A1c and you should be able to bring it down further into the pre-diabetic ( 6- 6,5) or even non diabetic range (under 5,9).</p><p></p><p>I fear that you will not be able to achieve this if you follow you nurse's advise not to test your bloods and eat healthy, which I am sure she interprets as eat lots of carbs.</p><p></p><p>My latest A1c was 5,2%. Like many on this forum I managed to get this result by testing in order to educate myself on the effect different meals have on my glucose levels and adjust my next meal accordingly.</p><p></p><p>I test before and two hours after each meal and sometimes take additional counts at one hour after each meal.</p><p></p><p>I have a number of personal rules I follow to decide if a meal was right for me or whether it needs adjusting.</p><p></p><p>The first, and this is the only one I followed at the beginning when my levels were still working their way down gradually from a higher starting point on diagnosis, is that my levels 2 hours after a meal should not be more than 2mmol of my level immediately before the meal. If I failed to hit this target then that would mean that I would need to adjust this meal next time I had it by reducing carbohydrates until I did manage to stay within the 2 mmol limit.</p><p></p><p>Once my levels came down to normal levels I set myself the following upper limits for my glucose levels:</p><p>- fasting or before a meal 6 mmol</p><p>- one hour after a meal 7,8 mmol</p><p>- two hours after a meal 6,7 mmol</p><p>These limits are considerably below the limits recommended by NICE followed by the NHS and are non diabetic limits. In fact the aim is to maintain sugars in the non diabetic range for as long as possible so as to minimize the risk of diabetic complications. The limit of 7,8 mmol at one hour is not arbitrary; there are studies that show that above this level damage to our internal organs begins to occur.</p><p></p><p>I do not know when you were diagnosed or how experienced a diabetic you are.</p><p></p><p>Irrespective, my advise is that you do not buy in to the NHS dogma that diabetes is an inevitably degenerative condition, that t2s do not need to self test their bloods, and that lots of carbs are good for diabetics. They are not, they turn into glucose which we can not process properly our levels rise and this poisons our bodies.</p><p></p><p>In my opinion your nurse is right about one thing and that is that you should not worry too much about hypos, as you are only on Metformin.</p><p></p><p>It's not the lows that you should be concerned about its the highs.</p><p></p><p>Pavlos</p></blockquote><p></p>
[QUOTE="pavlosn, post: 682789, member: 22572"] Just wait a few years and if those global warming scientists are right you may get your wish. Unfortunately, if they are right, all we have to look forward to is desertification. :-( Your nurse is happy with your sugars because according to NHS guidelines an a1c of 7,5 is the upper limit for a diabetic under good control. It is still a diabetic A1c and you should be able to bring it down further into the pre-diabetic ( 6- 6,5) or even non diabetic range (under 5,9). I fear that you will not be able to achieve this if you follow you nurse's advise not to test your bloods and eat healthy, which I am sure she interprets as eat lots of carbs. My latest A1c was 5,2%. Like many on this forum I managed to get this result by testing in order to educate myself on the effect different meals have on my glucose levels and adjust my next meal accordingly. I test before and two hours after each meal and sometimes take additional counts at one hour after each meal. I have a number of personal rules I follow to decide if a meal was right for me or whether it needs adjusting. The first, and this is the only one I followed at the beginning when my levels were still working their way down gradually from a higher starting point on diagnosis, is that my levels 2 hours after a meal should not be more than 2mmol of my level immediately before the meal. If I failed to hit this target then that would mean that I would need to adjust this meal next time I had it by reducing carbohydrates until I did manage to stay within the 2 mmol limit. Once my levels came down to normal levels I set myself the following upper limits for my glucose levels: - fasting or before a meal 6 mmol - one hour after a meal 7,8 mmol - two hours after a meal 6,7 mmol These limits are considerably below the limits recommended by NICE followed by the NHS and are non diabetic limits. In fact the aim is to maintain sugars in the non diabetic range for as long as possible so as to minimize the risk of diabetic complications. The limit of 7,8 mmol at one hour is not arbitrary; there are studies that show that above this level damage to our internal organs begins to occur. I do not know when you were diagnosed or how experienced a diabetic you are. Irrespective, my advise is that you do not buy in to the NHS dogma that diabetes is an inevitably degenerative condition, that t2s do not need to self test their bloods, and that lots of carbs are good for diabetics. They are not, they turn into glucose which we can not process properly our levels rise and this poisons our bodies. In my opinion your nurse is right about one thing and that is that you should not worry too much about hypos, as you are only on Metformin. It's not the lows that you should be concerned about its the highs. Pavlos [/QUOTE]
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