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Rising HBA1C

G

Gus77

Member
Messages
10
Hi everyone,

I was hoping someone could help. I was diagnosed as type 2 diabetic just over 3 years ago. I have had ok blood sugars until a spike a year ago. I have since been really strict with my intake of any sugars. I still eat some carbs but 3 meals per day, no snacking. I have lost weight and exercise every week - high intensity, and walk most days. My HBA1C has risen from 63mmol to 72mmol in 4 months. Even though I have been the best I’ve ever been. Has anyone else experienced a rise like this?
 
Welcome to the forum Gus77
When you say you have some carbs, what does that mean, how many?
Can you give us some examples of what your meals are, and are you taking any medication for your diabetes.
And do you have a glucose meter
Sorry to ask so many questions but it really will help people to make some useful suggestions
 
Thanks so much for your reply. I have brown toast for breakfast. Something light for lunch - hummus and carrots or a small sandwich, again brown bread. And freshly cooked meal each night with basmati rice or pasta. No biscuits, cakes, chocolate etc. No added sugar or sugar in drinks. Very little fruit, mostly veg. No fruit juice.
I currently take 25mg of Jardiance in the morning and 2000mg Metformin in the evening. I feel really deflated. I know I could cut back more on the carbs but I struggle with 2 children and having to prepare separate meals. Any help would be greatly received!
 
Gus77 said:
Thanks so much for your reply. I have brown toast for breakfast. Something light for lunch - hummus and carrots or a small sandwich, again brown bread. And freshly cooked meal each night with basmati rice or pasta. No biscuits, cakes, chocolate etc. No added sugar or sugar in drinks. Very little fruit, mostly veg. No fruit juice.
I currently take 25mg of Jardiance in the morning and 2000mg Metformin in the evening. I feel really deflated. I know I could cut back more on the carbs but I struggle with 2 children and having to prepare separate meals. Any help would be greatly received!
Click to expand...
I have a blood sugar monitor and currently my blood sugar is 14.7 3 hours after eating. I had gestational diabetes in both my pregnancies where I was on 4 insulin injections a day to control my blood sugar. I’m now worried I’m headed in the same direction again.
 
Gus77 said:
Thanks so much for your reply. I have brown toast for breakfast. Something light for lunch - hummus and carrots or a small sandwich, again brown bread. And freshly cooked meal each night with basmati rice or pasta.
Click to expand...
Bread, rice, pasta - will be high in carbs ... carrots may of may not cause a problem. Maybe look for some low carb options you can all eat ? maybe something like dietdoctor.com - you don't need to pay ;)
 
Gus77 said:
Thanks so much for your reply. I have brown toast for breakfast. Something light for lunch - hummus and carrots or a small sandwich, again brown bread. And freshly cooked meal each night with basmati rice or pasta. No biscuits, cakes, chocolate etc. No added sugar or sugar in drinks. Very little fruit, mostly veg. No fruit juice.
I currently take 25mg of Jardiance in the morning and 2000mg Metformin in the evening. I feel really deflated. I know I could cut back more on the carbs but I struggle with 2 children and having to prepare separate meals. Any help would be greatly received!
Click to expand...
Hi Gus77
In my amateur opinion I think there's of 2 possible things going on.
The first is that you are in fact a slow starting LADA (late onset type 1). Have a read around the forum under that heading and just keep it in mind. The hint for me was weight loss and increasing bg. I may be wrong but there are tests that may or may not help.
Secondly you might just have the bodily makeup that really doesn't like carbs in any shape or colour. Whether this is genetic, or a result of what your mother ate when pregnant with you, or what you were fed as a child (or any other T2 theory) is immaterial as the solution is the same, (and you did not cause it!).

Simple swaps and a bit of preparation don't need a huge amount of work. You just eat whatever you were having with the bread and pasta and rice, but more of it and more green veg. For example spaghetti bol for the family, but your sauce is served on cabbage, they have chips served on the side, you have ready salad or microwave veg. You keep easy eating things ready in the fridge, hard boiled eggs are excellent low carb fillers, cook 6-12 on a Sunday and that will see you through the week. Ditto chicken drumsticks, ham and cheese.
Keep nuts and olives handy to grab. Look up 90 second bread recipes.

There's loads of other ideas and support. Do keep posting
 
MrsA2 said:
Hi Gus77
In my amateur opinion I think there's of 2 possible things going on.
The first is that you are in fact a slow starting LADA (late onset type 1). Have a read around the forum under that heading and just keep it in mind. The hint for me was weight loss and increasing bg. I may be wrong but there are tests that may or may not help.
Secondly you might just have the bodily makeup that really doesn't like carbs in any shape or colour. Whether this is genetic, or a result of what your mother ate when pregnant with you, or what you were fed as a child (or any other T2 theory) is immaterial as the solution is the same, (and you did not cause it!).

Simple swaps and a bit of preparation don't need a huge amount of work. You just eat whatever you were having with the bread and pasta and rice, but more of it and more green veg. For example spaghetti bol for the family, but your sauce is served on cabbage, they have chips served on the side, you have ready salad or microwave veg. You keep easy eating things ready in the fridge, hard boiled eggs are excellent low carb fillers, cook 6-12 on a Sunday and that will see you through the week. Ditto chicken drumsticks, ham and cheese.
Keep nuts and olives handy to grab. Look up 90 second bread recipes.

There's loads of other ideas and support. Do keep posting
Click to expand...
I really appreciate you taking the time to reply and all the wonderful tips. I’ll have a look at the posts about LADA, thank you so much again.
 
I agree with the others, it's carbs we need to be aware of, bread, rice, pasta are all high carb and will cause your levels to rise.
The colour of the bread or pasta makes little difference to the amount of glucose it releases when digested.
You may think that your brown bread sandwich is healthy but bread is usually somewhere between 15 to 20g of carbs a slice, possibly 30 to 40g total carbs in your sandwich.
Cake, biscuits or bread, is all the same, your body can only see the carbs.
Use your meter to test your meals, check your levels just before you eat, and again 2hrs later, if they have risen by more than 2mmol, then there were too many carbs in that meal for you to process.
 
Yes, LADA is a possibility - so is a severe case of insulin resistance, which is my own situation. According to the Swedes, about 15% of type twos are of this category.

How do you know? Your medical professionals absolutely need to test you more broadly, and the simplest one, as mentioned above, is the C-peptide, which is a way for them to see how much insulin your body is producing. If it is heaps, or normal (as my own insulin production fluctuates between), consistently, then you probably, as mentioned above - are very high carb intolerant, as it produces a strong insulin response, which causes a cascade of problems in your blood glucose regulation system, as our bodies aren't built, if you like, to have high levels of insulin (due to high levels of glucose), especially not for long periods. Which is why insulin resistant cells kick in. If it goes on too long, as my own did, it can unfortunately cause longterm damage to our precious blood glucose regulation system, most probably at cell level. Which is the conclusion I came to myself, my blood glucose not being so responsive to weight loss any more.

But you don't need to get into the nitty gritty of diabetes yourself - that is absolutely what medical professionals do, and do well - find the right diagnosis.
 
catinahat said:
I agree with the others, it's carbs we need to be aware of, bread, rice, pasta are all high carb and will cause your levels to rise.
The colour of the bread or pasta makes little difference to the amount of glucose it releases when digested.
You may think that your brown bread sandwich is healthy but bread is usually somewhere between 15 to 20g of carbs a slice, possibly 30 to 40g total carbs in your sandwich.
Cake, biscuits or bread, is all the same, your body can only see the carbs.
Use your meter to test your meals, check your levels just before you eat, and again 2hrs later, if they have risen by more than 2mmol, then there were too many carbs in that meal for you to process.
Click to expand...
Thank you for your reply. I didn’t think to test before and after to see what causes the rise. I’m going to have to knuckle down and work out what I can and can’t eat. It seems me and carbs cannot be friends.
 
AloeSvea said:
Yes, LADA is a possibility - so is a severe case of insulin resistance, which is my own situation. According to the Swedes, about 15% of type twos are of this category.

How do you know? Your medical professionals absolutely need to test you more broadly, and the simplest one, as mentioned above, is the C-peptide, which is a way for them to see how much insulin your body is producing. If it is heaps, or normal (as my own insulin production fluctuates between), consistently, then you probably, as mentioned above - are very high carb intolerant, as it produces a strong insulin response, which causes a cascade of problems in your blood glucose regulation system, as our bodies aren't built, if you like, to have high levels of insulin (due to high levels of glucose), especially not for long periods. Which is why insulin resistant cells kick in. If it goes on too long, as my own did, it can unfortunately cause longterm damage to our precious blood glucose regulation system, most probably at cell level. Which is the conclusion I came to myself, my blood glucose not being so responsive to weight loss any more.

But you don't need to get into the nitty gritty of diabetes yourself - that is absolutely what medical professionals do, and do well - find the right diagnosis.
Click to expand...
Thank you so much. This is really interesting. I am going to have a call with the Diabetic nurse today, hopefully. I just really want to know what is going on. My fasting BG was 8.8 this morning. I had these numbers in my pregnancy’s.
 
Gus77 - If you want to persist with your sandwiches, and I don't blame you for that in the slightest!, perhaps have a try HERE

I used to have the loaves, but now just stick with the rolls. Each one is only 2.2g carbs, and they are quite large.
When I have lunch I have 2 boiled free-range eggs and manage to slice the rolls into 4 slices.
I toast them, add plenty of butter and it's one of the tastiest, low carb, nutritious lunches!
Hungry yet? :)
(Cut the butter down to a smear if you need less fat. But I don't!)

I buy 4 packs of 4 at a time, that's about £21 delivered. One roll a day usually.
Sometimes they offer 20% off via email.
They are not particularly cheap of course, but for the sake of having way less carbs, it's a good trade off.

(UK of course! Might be a bit extravagant to ship to the states).

Good luck.
 
Jo_the_boat said:
Gus77 - If you want to persist with your sandwiches, and I don't blame you for that in the slightest!, perhaps have a try HERE

I used to have the loaves, but now just stick with the rolls. Each one is only 2.2g carbs, and they are quite large.
When I have lunch I have 2 boiled free-range eggs and manage to slice the rolls into 4 slices.
I toast them, add plenty of butter and it's one of the tastiest, low carb, nutritious lunches!
Hungry yet? :)
(Cut the butter down to a smear if you need less fat. But I don't!)

I buy 4 packs of 4 at a time, that's about £21 delivered. One roll a day usually.
Sometimes they offer 20% off via email.
They are not particularly cheap of course, but for the sake of having way less carbs, it's a good trade off.

(UK of course! Might be a bit extravagant to ship to the states).

Good luck.
Click to expand...
Ooh, interesting! I am definitely interested in these.
 
Jo_the_boat said:
Gus77 - If you want to persist with your sandwiches, and I don't blame you for that in the slightest!, perhaps have a try HERE

I used to have the loaves, but now just stick with the rolls. Each one is only 2.2g carbs, and they are quite large.
When I have lunch I have 2 boiled free-range eggs and manage to slice the rolls into 4 slices.
I toast them, add plenty of butter and it's one of the tastiest, low carb, nutritious lunches!
Hungry yet? :)
(Cut the butter down to a smear if you need less fat. But I don't!)

I buy 4 packs of 4 at a time, that's about £21 delivered. One roll a day usually.
Sometimes they offer 20% off via email.
They are not particularly cheap of course, but for the sake of having way less carbs, it's a good trade off.

(UK of course! Might be a bit extravagant to ship to the states).

Good luck.
Click to expand...
I have been eating these for a while - don't expect bread, but close enough for most purposes.
 
Your line "it seems me and carbs cannot be friends" is hitting the nail right on the head.
Rather than think bread etc, think what it's made of FLOUR. That is the problem really.
Provided you are not Gluten intolerant, the bread i make is very good, even the rest of the family like it, although they're banned.

180g Vital wheat gluten
20g Coconut flour, optional i find the bread toasts very well with this added.
50g Oat fibre
80g Ground Golden flax meal, buy seeds and whizz in a food processor,(cheaper)
1 tsp Xantham gum, or 1 tbsp Psyllium husk,(either optional)
4 tbsp Erythritol
7g sachet of dried yeast.
1tsp salt
40g butter
2 Eggs
216ml warm water
1tsp honey

Either use a bread maker if you have one, or a stand mixer if not.
Bread maker large loaf, medium crust, basic bread.

Put dried yeast in a jug, with the honey and warm water, when you have a froth on the top it's ready

Place salt in the bottom
put all other dry ingredients on top
Whisk the eggs and add with the yeast mixture.

If stand mixer, mix with dough hook for 5 min's, shape into a roll like a large sausage. Place in a 2lb loaf tin.
Allow to prove until doubled in size, usually about 1 -2 hours.
Bake at 180°C for about 40 min's.

Less than 3g Carbs a slice, and they're large slices.
It seems abit of a phaff, but believe me, sandwiches are definitely still on the menu.
 
ajbod said:
Your line "it seems me and carbs cannot be friends" is hitting the nail right on the head.
Rather than think bread etc, think what it's made of FLOUR. That is the problem really.
Provided you are not Gluten intolerant, the bread i make is very good, even the rest of the family like it, although they're banned.

180g Vital wheat gluten
20g Coconut flour, optional i find the bread toasts very well with this added.
50g Oat fibre
80g Ground Golden flax meal, buy seeds and whizz in a food processor,(cheaper)
1 tsp Xantham gum, or 1 tbsp Psyllium husk,(either optional)
4 tbsp Erythritol
7g sachet of dried yeast.
1tsp salt
40g butter
2 Eggs
216ml warm water
1tsp honey

Either use a bread maker if you have one, or a stand mixer if not.
Bread maker large loaf, medium crust, basic bread.

Put dried yeast in a jug, with the honey and warm water, when you have a froth on the top it's ready

Place salt in the bottom
put all other dry ingredients on top
Whisk the eggs and add with the yeast mixture.

If stand mixer, mix with dough hook for 5 min's, shape into a roll like a large sausage. Place in a 2lb loaf tin.
Allow to prove until doubled in size, usually about 1 -2 hours.
Bake at 180°C for about 40 min's.

Less than 3g Carbs a slice, and they're large slices.
It seems abit of a phaff, but believe me, sandwiches are definitely still on the menu.
Click to expand...
Thank you, I’ll try this!
 
If you have 1lb loaf tins you can always split it into 2 loaves. It freezes well, so you can also slice it and freeze with grease proof paper between slices. You can toast it straight from the freezer if necessary.
I prefer my toast with a thick layer of butter and loads of Marmite. Or miss the Marmite and have a couple of boiled eggs, or poached eggs on toast. Just a shame i can't have Branston baked beans.
 
Gus77 said:
My HBA1C has risen from 63mmol to 72mmol in 4 months. Even though I have been the best I’ve ever been. Has anyone else experienced a rise like this?
Click to expand...

We know that beta cells continue to be under stress trying to combat elevated glucose levels.
Were you to achieve non-diabetic levels, through diet, exercise or meds it can allow them to rest.
Basically your insulin motor is running 24/7 trying to reduce your glucose levels, your insulin sensitivity can suffer over time & the beta cells themselves can become dormant.
As you have lost weight & exercise the only avenue left is to attack your carb intake drastically.
You could also order a fasting insulin/c-peptide test at your doctors to rule out other types.
Good luck
 
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