Hi
@woollygal.
You seem to be a bit frustrated with your progress.
Your Hba1c has improved a lot since eighteen months ago.
And you are due another reading, and I suspect it will be lower again, which is progress, slowly but surely getting lower, and you must feel the benefits of your efforts so far.
I know after diagnosis it is really hard to get the understanding of what is happening to you. Knowledge is key and I found I had to get to know, so I could get my life back.
So, I read and learned about how food effects me and the mere fact that so called healthy foods and the basic nutritional needs, such as bread, cereals , rice, spuds were making me really ill, because of too much insulin being created by insulin.
Insulin is a hormone created to help glucose give you energy and the only other way to get energy is creating ketones because your carb intake is too low, so you go into ketosis. That is natural.
However insulin is not the only hormone that effect the hormonal balance upon eating.
The blood is adapting all the time to how your hormonal imbalance responds to every event that occurs every day. Then you have to take into account age, other conditions, medical history and culture, ethnicity and environment.
What I'm getting to, is like a lot of things in life, it is an individual condition, what works for me, won't work for you. The treatment for you has to be tailored to you. And the only one who can do this is you.
Only by testing, testing and more testing will give you the answer to how to be as healthy as possible. We give advice, and try to help, but like me, low carb at 50g is too much, so is 30g, so is 20g, the highest I can tolerate is about 10g of carbs per meal, but even then, it is not helping trying to keep my blood glucose levels from spiking, if I have a cold, or having a bad day and my stress and anxiety levels are high. Then that 10g of carbs will not stop having the reaction that I don't want.
It took me a good six months to get my balance right for me. Because of tastes and intolerance and particularly my lactose intolerance, the good fats had to be upped because I couldn't get fat from dairy. I had to adjust my protein and my veg, to get that balance.
I do hope this helps.
There could be many reasons why you are .not doing as well as you want to. Maybe you could find out what it is. But you must remain positive, because in the scheme of things, you have done well and from wanting to do well, the motivation is there.
Stay positive.
Stay safe.