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Frustrating stuck on cusp pre diabetes any advice

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Woolypaul

Newbie
Messages
3
Location
London
Type of diabetes
Type 2
Treatment type
Diet only
Hi all great resource here got me from 70 hbac1 to 36 hbac1 in 3 months about two yrs ago but also did v low cal diet for 8 weeks also.

now two years later still quite strict circa 60 to 70 g carbs a day

just got hbac1 back 42

dr not bothered too much, I’d imagine if I ate as before with carbs it be 80 so I never really think diabetes gone just asleep awaiting awakening by carbs lol

anyone stubbornly stuck on a number like this any tips.
im still circa 17 stone 5 ft 10 do lots of steps but thinking best way forward is to do more cardio exercise and try loose more weight as I really want keep below 40.

I EAT CIRCA 2300 calls a day yet struggle to loose weight which is bit odd for my weight etc
thanks Paul
 
Woolypaul said:
Hi all great resource here got me from 70 hbac1 to 36 hbac1 in 3 months about two yrs ago but also did v low cal diet for 8 weeks also.

now two years later still quite strict circa 60 to 70 g carbs a day

just got hbac1 back 42

dr not bothered too much, I’d imagine if I ate as before with carbs it be 80 so I never really think diabetes gone just asleep awaiting awakening by carbs lol

anyone stubbornly stuck on a number like this any tips.
im still circa 17 stone 5 ft 10 do lots of steps but thinking best way forward is to do more cardio exercise and try loose more weight as I really want keep below 40.

I EAT CIRCA 2300 calls a day yet struggle to loose weight which is bit odd for my weight etc
thanks Paul
Click to expand...
Hi @Woolypaul ,
What sort of things are you eating?
Would you be able to reduce carbs further?. And/ or try intermitent fasting?
 
I seem stuck. I reduced from a maximum of 50 to 40 gm of carbs a day and saw no change from Hb1c of 42 after a year.
I can't really offer any advice, as I suspect that although there is some connection between high carb diet and high Hba1c, it seems that it is not a direct one.
 
I had a higher A1C on the test before last - went up from 'normal range' to pre-diabetic. But I'd has over a month just before test suffering from a stomach bug - antibiotics not quite eliminating it over several bouts. So I was not concerned. Back in normal range again at latest test.
It isn't just food which affects Blood Glucose, there are around 40 other things as well as food, but food has the greatest effect.
 
ncorbuk said:
....
The biggest problem i see with a no carb/keto diet is that yes it can bring BG levels back down to normal but you will most likely become more insulin resistant as some people often find out. It is like a party trick on the body, and who knows how long the same trick will keep on working for.

You want to improve insulin sensitivity so some carbs should help, exercise, lose weight/fat, eat clean, try supplements/medication(consult doctor) that improve insulin sensitivity in cells, etc.
Click to expand...

I'm in a similar situation to @catinahat: T2 for over nine years, and eating a low carb/ketogenic style diet since diagnosis. HbA1cs at pre-diabetic levels 3 months later, and currently 7 years now without meds. If that's basically a party trick, I'm all for it, as it appears to be working too without any need for extra carbs or supplements.
 
ncorbuk said:
Are you taking metformin? eating clean along with metformin ig would improve insulin sensitivity whilst keeping BG down, sure you are taking medication but may help push BG/Insulin sensitivity in the right direction? And studies show metformin increases longevity in non diabetics and diabetics lol.

The biggest problem i see with a no carb/keto diet is that yes it can bring BG levels back down to normal but you will most likely become more insulin resistant as some people often find out. It is like a party trick on the body, and who knows how long the same trick will keep on working for.

You want to improve insulin sensitivity so some carbs should help, exercise, lose weight/fat, eat clean, try supplements/medication(consult doctor) that improve insulin sensitivity in cells, etc.


(1)


(2)


(3)


Citations:
(1) https://pubmed.ncbi.nlm.nih.gov/10576523/
(2) https://pubmed.ncbi.nlm.nih.gov/18728386/
(3) https://www.health.harvard.edu/blog/is-metformin-a-wonder-drug-202109222605
Click to expand...
All well and good but as I have CKD I think I shall give Metformin a miss and my doctor and the NICE guidelines agree.
 
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