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Confused

HappyWife

Member
Messages
5
Type of diabetes
Prediabetes
Treatment type
I do not have diabetes
Hi, I was just diagnosed (mid October) as prediabetic after a standard health check up. My docs called to give me the news. I have been asked no other questions about lifestyle etc or tested again to see if it was an error. I am fit, healthy, don't drink or smoke and I eat a really good diet. It was only yesterday that the diabetes clinic called to tell me about the classes I need to attend for the next 10 month's and that my level is 46. What does this even mean? Is It high? Does my prediabetes diagnosis explain why I am always exhausted, have a lot of headaches and blood pressure high? I don't know, beacause my doc hasn't addressed any of these questions. It was at my request when I made an apt to discuss my blood pressure that I asked if it was all linked. I still don't have an answer. I'm due to have a blood pressure monitor next week. Feeling really in the dark and confused as the 10 monthly sessions feel very serious, but doc seems to be unconcerned. Thanks in advance for any replies
 
Hi, I was just diagnosed (mid October) as prediabetic after a standard health check up. My docs called to give me the news. I have been asked no other questions about lifestyle etc or tested again to see if it was an error. I am fit, healthy, don't drink or smoke and I eat a really good diet. It was only yesterday that the diabetes clinic called to tell me about the classes I need to attend for the next 10 month's and that my level is 46. What does this even mean? Is It high? Does my prediabetes diagnosis explain why I am always exhausted, have a lot of headaches and blood pressure high? I don't know, beacause my doc hasn't addressed any of these questions. It was at my request when I made an apt to discuss my blood pressure that I asked if it was all linked. I still don't have an answer. I'm due to have a blood pressure monitor next week. Feeling really in the dark and confused as the 10 monthly sessions feel very serious, but doc seems to be unconcerned. Thanks in advance for any replies
Hi, and welcome,

You're in the prediabetic range, but at the top end, so that's not good. The things you mention could very well be caused by or tied to prediabetes, (actually it is more than likely; google metabolic syndrome). So yes, this is serious, but hopefully you can stave off becoming a full-fledged T2 yet.

You mention a "good" diet, but everything you think you know goes out the window when you get this diagnosis. A prediabetic or T2 can't process glucose out of their bloodstream efficiently anymore, contrary to healthy people. (Don't feel bad, it's mostly genetics at work here. Though meds like statins can contribute too.) There's loads of insulin, but you've become insulin resistant, so it doesn't do what it should anymore. Here's the thing; almost all carbohydrates turn to glucose once ingested. So if you cut the carbs, your bloodglucose will go down, and your HbA1c will go back into the normal range, where you want it to be. Carbs are one of three macronutrients; the others are fat and protein. Cut one, up the others, to avoid deficiencies in vitamins, minerals etc. So... Ditch bread, potatoes, pasta, rice, corn, cereal/porridge, fruit (save for berries, avocado and tomatoes), and up the intake of things like meat, fish, above-ground veggies/leafy greens, olives, cheese, butter (proper butter), eggs, full fat greek yoghurt, extra dark chocolate (in moderation). Probably feels counter-intuitive, as there's a lot of fat in there, but it's how quite a few of us got our T2 under control, got cholesterol and weight down, tackled non-alcoholic fatty liver disease and whatnot. Check www.dietdoctor.com or Dr. Jason Fung's books for more in-depth information. Or just ask questions here. (Just keep in mibd we're not medical proffessionals)

Other than that, a glucose meter would be a good purchase. Check bloods before a meal and 2 hours after first bite. If it goes up more than 2.0 mmol/l, that meal was carbier than your body could process. It is an invaluable tool when it comes to figuring out what agrees with you and what doesn't, plus, when you know where you're starting from, you'll be able to see where you're headed!

In any case, it is a lot to take in, but you're not diabetic yet, and you can still tackle this before it gets out of hand. Yay, hope!!!
Good luck!
Ps: @daisy1 has a very useful infosheet for newcomers. She'll be right along.
 
Hi, I was just diagnosed (mid October) as prediabetic after a standard health check up. My docs called to give me the news. I have been asked no other questions about lifestyle etc or tested again to see if it was an error. I am fit, healthy, don't drink or smoke and I eat a really good diet. It was only yesterday that the diabetes clinic called to tell me about the classes I need to attend for the next 10 month's and that my level is 46. What does this even mean? Is It high? Does my prediabetes diagnosis explain why I am always exhausted, have a lot of headaches and blood pressure high? I don't know, beacause my doc hasn't addressed any of these questions. It was at my request when I made an apt to discuss my blood pressure that I asked if it was all linked. I still don't have an answer. I'm due to have a blood pressure monitor next week. Feeling really in the dark and confused as the 10 monthly sessions feel very serious, but doc seems to be unconcerned. Thanks in advance for any replies

Hello @HappyWife
and welcome to the forum!

I'm only tagging @daisy1 , for your firs welcome- , and info-pack at first.
I will at this time leave your questions to people that are more fluent in English than what I am, and if no one answers soon, then I'll be back for some chat with you...
 
Hi, and welcome,

You're in the prediabetic range, but at the top end, so that's not good. The things you mention could very well be caused by or tied to prediabetes, (actually it is more than likely; google metabolic syndrome). So yes, this is serious, but hopefully you can stave off becoming a full-fledged T2 yet.

You mention a "good" diet, but everything you think you know goes out the window when you get this diagnosis. A prediabetic or T2 can't process glucose out of their bloodstream efficiently anymore, contrary to healthy people. (Don't feel bad, it's mostly genetics at work here. Though meds like statins can contribute too.) There's loads of insulin, but you've become insulin resistant, so it doesn't do what it should anymore. Here's the thing; almost all carbohydrates turn to glucose once ingested. So if you cut the carbs, your bloodglucose will go down, and your HbA1c will go back into the normal range, where you want it to be. Carbs are one of three macronutrients; the others are fat and protein. Cut one, up the others, to avoid deficiencies in vitamins, minerals etc. So... Ditch bread, potatoes, pasta, rice, corn, cereal/porridge, fruit (save for berries, avocado and tomatoes), and up the intake of things like meat, fish, above-ground veggies/leafy greens, olives, cheese, butter (proper butter), eggs, full fat greek yoghurt, extra dark chocolate (in moderation). Probably feels counter-intuitive, as there's a lot of fat in there, but it's how quite a few of us got our T2 under control, got cholesterol and weight down, tackled non-alcoholic fatty liver disease and whatnot. Check www.dietdoctor.com or Dr. Jason Fung's books for more in-depth information. Or just ask questions here. (Just keep in mibd we're not medical proffessionals)

Other than that, a glucose meter would be a good purchase. Check bloods before a meal and 2 hours after first bite. If it goes up more than 2.0 mmol/l, that meal was carbier than your body could process. It is an invaluable tool when it comes to figuring out what agrees with you and what doesn't, plus, when you know where you're starting from, you'll be able to see where you're headed!

In any case, it is a lot to take in, but you're not diabetic yet, and you can still tackle this before it gets out of hand. Yay, hope!!!
Good luck!
Ps: @daisy1 has a very useful infosheet for newcomers. She'll be right along.

THX, for answering, and sorry for me being slow - I also did tag "daysy", but that was before I noticed you already had answered... :happy:
 
Hi, I was just diagnosed (mid October) as prediabetic after a standard health check up. My docs called to give me the news. I have been asked no other questions about lifestyle etc or tested again to see if it was an error. I am fit, healthy, don't drink or smoke and I eat a really good diet. It was only yesterday that the diabetes clinic called to tell me about the classes I need to attend for the next 10 month's and that my level is 46. What does this even mean? Is It high? Does my prediabetes diagnosis explain why I am always exhausted, have a lot of headaches and blood pressure high? I don't know, beacause my doc hasn't addressed any of these questions. It was at my request when I made an apt to discuss my blood pressure that I asked if it was all linked. I still don't have an answer. I'm due to have a blood pressure monitor next week. Feeling really in the dark and confused as the 10 monthly sessions feel very serious, but doc seems to be unconcerned. Thanks in advance for any replies

Your like me 6 weeks ago. I read this Web site like a sponge and applied it straight off. There are a few bumps to get over as you adjust but nothing a clear head and a positive view cannot summount.

Also. Sounds counter intuitive but the doctors info may well be wrong re diet etc. Mine was.
The improvement in my well being was instant.

2 points.
It's not your fault.
You will wonder why you eat so much junk just a couple of weeks in. (one you realise how hollow the actual nutrients from carbs are) .

Embrace the lifestyle and see it as a turning point to change and you will be a better you.

Daisy will give you the full sp.
 
Wow! What a comprehensive response, and so quickly. Thank you very much. Really useful info. Sorry, had difficulty logging in to reply to you. Thainks again
 
my level is 46. What does this even mean? Is It high?
Welcome to the forum @HappyWife. I know you will be shocked and worried right now, but in a way you are fortunate to have been told you are pre-diabetic now so you can take action to avoid becoming fully diabetic.
I wasn't told I was in the pre-diabetic range until the year before I became fully Type 2 diabetic, and even then it wasn't explained what that meant.

Below 42 on the HbA1c (IFCC) scale is non-diabetic, 42-47 is pre-diabetic, and 48 and above is diabetic. So you are on the border of becoming diabetic. But it's not inevitable, you can lower your blood glucose levels by changing what you eat. Obviously you need to cut out sugary foods and drinks, but you also need to avoid or limit as much as possible starchy carbohydrates like bread, potatoes, pasta and rice. Starchy carbs turn to glucose in our bodies so aren't good for Type 2 diabetics.

Have a read round the forum to see how this works and ask any questions you want. The people on here are friendly and supportive and you will get a lot of good advice.

Edit: Below your avatar you are shown as 'Insulin dependent Type 2'. You should change your description to 'Pre-diabetes' as posters can be reluctant to give advice to people on insulin. You can change your description by clicking on your avatar, going to 'personal details', clicking on the 'prediabetes' description then on 'Save'.
 
Last edited:
@HappyWife
Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you want and someone will 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 235,000 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 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.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
Thanks for the really useful info. Updated my info now thanks, didn't have all options on signing up. I seem to be having a few IT issues with the site today!
 
welcome here happy wife, it is hard to say why we develop diabetes, maybe it differs from one person to the other, in some families it is inherited, maybe some get it from pollution, and a lot of people maybe get it from the medications they take for other diseases.
your high blood pressure, do you take any medication for that ? does that medication on rare occasions lead to diabetes ?
http://www.diabetesincontrol.com/drugs-that-can-affect-blood-glucose-levels/

but maybe you are in the lucky position that you can reverse your pre-diabetes by just changing the way you eat and also maybe lower your blood pressure by exercising and looking at food choices..

80-90% dark chocolate ray and beetroot, garlic and kale, green veggies and cottage cheese, tomatoes,no-smoking all help lower blood pressure
so try changing fruits with cherry tomatoes and a little handful of nuts (the tomatoes are high in potassium which is in middle levels amounts well for lowering blood pressure.. many with high blood pressure do eat too little potassium on a daily basis, it is dangerous to take it in in very high amounts in tablets, so try to go for the foods kinds with high amounts of potassium and eat some of the foods every day..
but because you are pre-diabetic you need to eat very little amounts of fruits, but berries are a much better choice and also loaded with potassium.
exercise is good for preventing diabetes in some people, and at the same time good against high blood pressure, the long joyful walks are just as fine as many other kinds of exercise, all this is my personal ideas for the two conditions and not in any way a doctors advice

https://www.mayoclinic.org/diseases...ure/in-depth/high-blood-pressure/art-20046974
 
Thanks. Really useful info. I don't have meds for BP at the mo, that's what they are investigating at the moment. No other meds taken either. I don't drink sugary drinks, don't eat sugary foods but rarely, eat berries mainly over other fruit and always have a lot of green leafy veg. In fact we grow most of our own veg and berries. I run 3 times a week and am under 27.5 mins for 5k now. Don't drink or smoke either. I'm in the normal BMI range and have a 26 in waist. I don't seem to be hitting the triggers so it's very interesting to me. A lot of friends and colleagues have been really surprised by the diagnosis as they see me as being really healthy. Goes to show, you don't know what's happening under the surface! Thanks again for your help and advice. This forum is really interesting and informative.
 
I am jealous of your 27.5 mins for 5K - I have consistently (four times now) given up at various stages of Couch to 5K before I've even found out what my 5K time might have been!

But, in other respects we are quite similar - not fitting general stereotypes for T2 - as I hovered around those prediabetes numbers for quite a while until I skyrocketed as a direct result (and it really was a direct result) of an overload of biscuits in a bout of depression. And then it became a weird ongoing circle of feeling tired and run down and comfort eating to try to feel better and I'm not sure what was cause and what was effect now. But anyway - yes, it can all be managed by tweaking what you eat, and it it does happen to people who are apparently healthy.

I had a very odd situation recently when I was the only person in the waiting room, and the dr came out, looked at me, then went away again. Then reappeared a few mins later and said "Sorry [smallbrit], I didn't recognise you." Seeing as I'd be very impressed if he did know me among the many, many patients at the practice, I can only assume that he was looking for a person to give a T2 update to - and I didn't fit the (stereotypical) bill of whoever he thought he was looking for.
 
The human body is indeed fascinating.

A 5k walk is just as long as a 5k run!

So with you not being in the typical trigger areas for T2, do they understand how yours has developed?

Someone mentioned genetics, though none of my immediate family have been diagnosed with it.

Definatly a wake up call for me!
 
I am in the 'high risk' factors or at least those that are listed now, as I had gestational diabetes at age 30, and more importantly am half-South Asian descent. My mother and my aunt (fully South Asian descent) were stick thin (I'm thinnish, but the stick bit wouldn't apply...) both developed insulin-dependent diabetes in their 30s (this was 50 years ago, so we assumed it was type 1 but have no facts now), and rapidly lost their hearing at the same age.

I say 'listed now' because knowledge aboout diabetes is always evolving. My hearing was constantly tested as a young child, because doctors placed more importance on that being an inherited issue, but I didn't start going deaf until my mid-20s. But no one thought I was at risk for diabetes. Now they're both linked as being inherited, and inherited together; the gene for that - MIDD - was found in the early '90s. I had no idea what that was until about 6 months ago, but part of it is that I should not use metformin, which is often prescribed for T2s.
 
I am jealous of your 27.5 mins for 5K - I have consistently (four times now) given up at various stages of Couch to 5K before I've even found out what my 5K time might have been!

But, in other respects we are quite similar - not fitting general stereotypes for T2 - as I hovered around those prediabetes numbers for quite a while until I skyrocketed as a direct result (and it really was a direct result) of an overload of biscuits in a bout of depression. And then it became a weird ongoing circle of feeling tired and run down and comfort eating to try to feel better and I'm not sure what was cause and what was effect now. But anyway - yes, it can all be managed by tweaking what you eat, and it it does happen to people who are apparently healthy.

I had a very odd situation recently when I was the only person in the waiting room, and the dr came out, looked at me, then went away again. Then reappeared a few mins later and said "Sorry [smallbrit], I didn't recognise you." Seeing as I'd be very impressed if he did know me among the many, many patients at the practice, I can only assume that he was looking for a person to give a T2 update to - and I didn't fit the (stereotypical) bill of whoever he thought he was looking for.

Wow 27min for 5k that is some pace. I go with walking. Did a 7k walk in 1h 4 min tonight. A rather tepid 45 minutes for 5k. Ti's walking though.
 
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