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Hba1c

yule1yule

Newbie
Messages
3
Location
SOUTH YORKSHIRE
Type of diabetes
Type 2
Treatment type
Tablets (oral)
RECENTLY BEEN IN HOSPITAL Hba1c IN NOVEMBER 2014 WAS 15.2 THEN IN JANUARY 2015 IT WAS 14.6 I AM ON SITAGLIPTIN + METFORMIN SR MY Hba1c TODAY IS 11.3 IS THIS IN THE NORMAL RANGE ? WHAT IS THE ACCEPTABLE LEVEL PLEASE ? THANKYOU FOR ANY HELP
 
Under 6 is the upper of the normal range. Your numbers are very high still and I suggest you look at your diet to help you bring them down.
 
Hello and welcome to the forum.
You need to cut out bread ,pasta,rice,cakes ,sweets,from your diet and in a few days your readings will go down.
Its a way of eating for life,but you soon get used to it.
I eat one slice of bread a day.
 
I think saying under 6 is the upper range of normal is a little harsh. To be in the lower 6s is fine, this equates to having an average 7mmol/l to 7.5mmol/l, which in my book is ok. I'm still striving to get my HBA1c down from 6.7, but I'm not beating myself up about it.
 
I think saying under 6 is the upper range of normal is a little harsh.


I'm sorry they asked what is normal
MY Hba1c TODAY IS 11.3 IS THIS IN THE NORMAL RANGE

All I did was state that under 6 is the upper limit of the normal range. I said nothing about what would be acceptable and what is acceptable to you may not be acceptable to me or anyone else; acceptability is a rather personal thing.

@yule1yule can you give us an idea of what you eat and drink in a day and will may be able to provide you with some pointers to help you bring your numbers down.
 
RECENTLY BEEN IN HOSPITAL Hba1c IN NOVEMBER 2014 WAS 15.2 THEN IN JANUARY 2015 IT WAS 14.6 I AM ON SITAGLIPTIN + METFORMIN SR MY Hba1c TODAY IS 11.3 IS THIS IN THE NORMAL RANGE ? WHAT IS THE ACCEPTABLE LEVEL PLEASE ? THANKYOU FOR ANY HELP
Hi & Welcome to the forum, it's quite daunting at first and a lot of information to take in but it will get easier.

Those number you will be able to get down, but we really need to know what you are eating on a typical day so we can guide you.

The medications will not lower your sugars on their own, you will have to adjust what you eat as well and some moderate exercise.

I am tagging @daisy1 who will come along with a long list of information we give to all new members.

Look forward to hearing back from you.

Neil
 
@yule1yule

Hello and welcome to the forum :)

Here is the information we give to new members and I hope you will find it useful. You need especially to look at the diet and carbs sections to help bring your levels down. Ask all the questions you need to and someone will be able to 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 over 140,000 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

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

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

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 bloodglucose 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.
 
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