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Pre-diabetes - surprised initial reaction
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<blockquote data-quote="KennyA" data-source="post: 2573134" data-attributes="member: 517579"><p>Hi Peter, and welcome to the forums. Your HbA1c is actually at the top end of "normal". Normal is a reading of 38-42, meaning that almost all non-diabetic people fall inside that range. Attached graph shows this. There is a little bit of variance in the test, maybe by one or two points, so you could be lower or higher. If your previous readings have all been (say) 38, then it's more likely perhaps to be a real rise. </p><p></p><p>One of the rules on this forum is that we can't attempt to diagnose or give medical advice, so I won't be doing that. However a lot of us here have similar experiences of being unable to tolerate a lot of carbohydrates in food: unfortunately for us the official "healthy eating advice" for the last thirty years or so has been to base meals on carbohydrate. I used to do that. After a long delay I was eventually diagnosed as having T2 and by reducing carbohydrates in diet I was able to quickly reduce my blood glucose level, get rid of almost all the symptoms, and lose weight. </p><p></p><p>It may be that you currently eat a lot of carbs - in root veg, bread, pasta, rice etc in what are usually termed "healthy " foods. Unfortunately if you are in fact becoming insulin resistant (which is T2 essentially) then carbohydrate will not be processed properly by your system and the glucose will remain in your bloodstream. Why some people develop this problem and others don't is "not fully understood" as they say.</p><p></p><p>Other things as well as food can affect BG levels - for example stress, illness, activity, ambient temperature etc. You might be able to identify something that might have had an impact. </p><p></p><p>In your shoes I would ask for another test in six months. The HbA1c works off a rough average of the last three months (because that's how long red blood cells live) and you might find that the next test results in a 38 or 39. On the other hand, if it's gone up, many of us have returned to normal BGs very quickly through a low carb lifestyle.</p></blockquote><p></p>
[QUOTE="KennyA, post: 2573134, member: 517579"] Hi Peter, and welcome to the forums. Your HbA1c is actually at the top end of "normal". Normal is a reading of 38-42, meaning that almost all non-diabetic people fall inside that range. Attached graph shows this. There is a little bit of variance in the test, maybe by one or two points, so you could be lower or higher. If your previous readings have all been (say) 38, then it's more likely perhaps to be a real rise. One of the rules on this forum is that we can't attempt to diagnose or give medical advice, so I won't be doing that. However a lot of us here have similar experiences of being unable to tolerate a lot of carbohydrates in food: unfortunately for us the official "healthy eating advice" for the last thirty years or so has been to base meals on carbohydrate. I used to do that. After a long delay I was eventually diagnosed as having T2 and by reducing carbohydrates in diet I was able to quickly reduce my blood glucose level, get rid of almost all the symptoms, and lose weight. It may be that you currently eat a lot of carbs - in root veg, bread, pasta, rice etc in what are usually termed "healthy " foods. Unfortunately if you are in fact becoming insulin resistant (which is T2 essentially) then carbohydrate will not be processed properly by your system and the glucose will remain in your bloodstream. Why some people develop this problem and others don't is "not fully understood" as they say. Other things as well as food can affect BG levels - for example stress, illness, activity, ambient temperature etc. You might be able to identify something that might have had an impact. In your shoes I would ask for another test in six months. The HbA1c works off a rough average of the last three months (because that's how long red blood cells live) and you might find that the next test results in a 38 or 39. On the other hand, if it's gone up, many of us have returned to normal BGs very quickly through a low carb lifestyle. [/QUOTE]
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