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Pre-Diabetes since mid July

rhubarb73 said:
You are doing really well. Keep going. Well done.
You’re still new to this so still in physical, mental and emotional adjustment phase. So it will feel hard sometimes, but as the numbers tumble towards healthy, the good days will outnumber the bad ones. You’re in control now, there will be bumps in the road but I detect a strong sense of determination- you’ll be Ok.
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Thanks. I was on this forum 2 years ago and my Dr didn't see any signs of Pre Diabetes but I had my doubts. My problem is I've always been a carb muncher eating the hidden sugars in every form of convenience food. Couple that with soft drinks with sweeteners that increase insulin. It wasnt until I had a nervous breakdown and a uniary tract information wiped away all my autistic coping mechanisms (aspergers type here hello) that I developed a fresh look at life and found sweet foods to be .... well too SWEET! I can't even eat chocolate since it reacts badly in my mouth and gives me a horrible taste. When I was younger I literally was so picky with food.

Glad im not a slave to food any more. I eat purely to keep energized.

I think my only regret is not being able to enjoy a nice cup of Tea but time will tell. Lost 2 lbs in the last 48 hours. Going fast all the way to 12 noon and then break it with a light breakfast today .... something to do with eating 600g of Spinach unknowingly yesterday. Frozen Spinach hides its mass.

The outcome isn't going to be pleasant ....... part of KETO i guess ..... being bloated and then running to the bathroom screaming ..... get out the way!
 
Alexandra100 said:
Agreed. So as I am extremely thin and my bgs have not improved all that much even though I am now eating literally almost no carbs, and taking the maximum dose of Glucophage, I deduce that I am probably pre-LADA and lacking insulin. Or, Jenny Ruhl considers that there are skinny T2s who lack insulin. How far I may also be insulin resistant I don't know. I am very enthusiastic abut low carb, but it simply isn't enough in my case.
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Thanks Alexandra, for reminding me you don't need the weight lost and possibly pre-LADA. I had forgotten ;) Yes, as you point out, my post probably won't apply to you.
 
TheFloppyOne said:
caffeine just makes me ill. Tea has caffeine in it. for that reason i dont touch it.
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Alexandra100 said:
I don't know if you like the spicy tea sold under the name "Chai"? If so, you might enjoy the Yogi brand "Classic" tea. It contains no caffeine whatsoever and personally I love the taste. Rather expensive, but a great treat.
https://www.hollandandbarrett.com/shop/product/yogi-tea-classic-organic-cinnamon-spice-tea-60086880
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Not bad. Similar to US Brand Teeccinno but much cheaper.
https://teeccino.com/product/dandelion-dark-roast-herbal-coffee-tea-bags-2/
 
Alexandra100 said:
I'm going to try and get my GP to send me for a C-peptide test.
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Update: I saw my GP this morning. She is only allowed to send me for a C-peptide test if I am suffering from uncontrollable hypos. She suggested I get one done privately but my enthusiasm for this waned when I found out that it would cost me £159.25.
 
Bluetit1802 said:
Hypos or hypers? Hypers would make more sense to me.
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Hypos. If you read the NICE guidelines, they are extremely preoccupied with hypos. However I found this:

"1.1 Diagnosis and early care plan
Diagnosis
1.1.1 Diagnose type 1 diabetes on clinical grounds in adults presenting with hyperglycaemia, bearing in mind that people with type 1 diabetes typically (but not always) have one or more of:
  • ketosis
    rapid weight loss
  • age of onset below 50 years
  • BMI below 25 kg/m2
    personal and/or family history of autoimmune disease. [new 2015]
  • 1.1.2 Do not discount a diagnosis of type 1 diabetes if an adult presents with a BMI of 25 kg/m2 or above or is aged 50 years or above. [new 2015]

1.1.3 Do not measure C‑peptide and/or diabetes‑specific autoantibody titres routinely to confirm type 1 diabetes in adults. [new 2015]

1.1.4 Consider further investigation in adults that involves measurement of C‑peptide and/or diabetes‑specific autoantibody titres if:
  • type 1 diabetes is suspected but the clinical presentation includes some atypical features (for example, age 50 years or above, BMI of 25 kg/m2 or above, slow evolution of hyperglycaemia or long prodrome)
    or
    type 1 diabetes has been diagnosed and treatment started but there is a clinical suspicion that the person may have a monogenic form of diabetes, and C‑peptide and/or autoantibody testing may guide the use of genetic testing
    or
  • classification is uncertain, and confirming type 1 diabetes would have implications for availability of therapy (for example, continuous subcutaneous insulin infusion [CSII or 'insulin pump'] therapy). [new 2015]

  • 1.1.5 When measuring C‑peptide and/or diabetes‑specific autoantibody titres, take into account that:
  • autoantibody tests have their lowest false negative rate at the time of diagnosis, and that the false negative rate rises thereafter

  • C-peptide has better discriminative value the longer the test is done after diagnosis

  • with autoantibody testing, carrying out tests for 2 different diabetes‑specific autoantibodies, with at least 1 being positive, reduces the false negative rate. [new 2015]"
 
Alexandra100 said:
1.1.4 Consider further investigation in adults that involves measurement of C‑peptide and/or diabetes‑specific autoantibody titres if:
  • type 1 diabetes is suspected but the clinical presentation includes some atypical features (for example, age 50 years or above, BMI of 25 kg/m2 or above, slow evolution of hyperglycaemia or long prodrome)
    or.......................
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So do you feel you fall into that category? Are you going to push for the test, with that quote from NICE?
 
Bluetit1802 said:
So do you feel you fall into that category? Are you going to push for the test, with that quote from NICE?
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I suppose I do score as being over 50 and also showing a slow evolution of hyper-glycaemia. However I think my GP is constrained by local rules which seem to override Nice recommendations. I don't know anything about how this works. Also I suspect they would all say that I don't suffer from hyper-glycaemia - yet.
 
Alexandra100 said:
Good idea, I'll bear it in mind for next summer.
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My surgery refused to fill a vial for me on the grounds they weren't insured, in case anything went wrong. I was, however, given the details of a local private GP who would draw the blood for me at negligible cost. I never made it as other events overtook me (ended up in hospital for unrelated episode)
 
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