High Hb1ac but normal fasting

[Stay healthy]

If you're vegetarian then you presumably still eat eggs and dairy? That gives you a lot more low carb options than vegan, but vegan is still possible.

The critical thing is how insulin resistant she is. If she's insulin resistant then low carb seems like a good idea, because her body can't cope with carbs and insulin just makes things worse. But if the issue is lack of insulin then insulin is her best friend and is really not the end of the world. (I've been taking it for 51 years and though there are aspects of T1 I hate, hello hypos, insulin has kept me alive and well and I am a big fan.)

We do eat dairy so yes bit more options. she is insulin deficient which presumably means her pancreas are not generating enough insulin for the food she is eating.

 

[EllieM]

We do eat dairy so yes bit more options. she is insulin deficient which presumably means her pancreas are not generating enough insulin for the food she is eating.

I am puzzled as to what her diabetic team are saying about her levels. If they know she is low carbing and they say she is insulin deficient then I would have thought that they would offer her insulin? (Disclaimer, I am not a doctor).

But really, you need more testing to ensure the levels predicted by those hba1cs are real. (But the increase is not a good sign).

Good luck.

 

[Lamont D]

If your better half had pancreatitis when young, does she get regular blood panel tests?
Is her Hba1c tests fasting?

Is her insulin deficiency because of insulin resistance or due to the pancreatitis?

If you doctor is stumped about what is going on, and even what type she is, then surely your doctor should refer her to a specialist endocrinologist.

And I know what a rare endocrine condition is about.

Stay safe.

 

[Stay healthy]

I am puzzled as to what her diabetic team are saying about her levels. If they know she is low carbing and they say she is insulin deficient then I would have thought that they would offer her insulin? (Disclaimer, I am not a doctor).

But really, you need more testing to ensure the levels predicted by those hba1cs are real. (But the increase is not a good sign).

Good luck.

yep we should do more testing. starting today and her post meal glucose reading is not great.

 

[KK123]

yep we should do more testing. starting today and her post meal glucose reading is not great.

What did she eat?, I do hope we don't sound too nosy, it's just because we may be able to help with some adjustments based on our own experiences. x

 

[Stay healthy]

If your better half had pancreatitis when young, does she get regular blood panel tests?
Is her Hba1c tests fasting?

Is her insulin deficiency because of insulin resistance or due to the pancreatitis?

If you doctor is stumped about what is going on, and even what type she is, then surely your doctor should refer her to a specialist endocrinologist.

And I know what a rare endocrine condition is about.

Stay safe.

i am not sure what's the main reason but we were told "she is insulin deficient and not dependent yet and should make some lifestyle changes" (at the time of diagnosis in 2017)

What did she eat?, I do hope we don't sound too nosy, it's just because we may be able to help with some adjustments based on our own experiences. x

sure. She had a chickpea curry. her reading was 11 mmmol/mol

 

[KK123]

i am not sure what's the main reason but we were told "she is insulin deficient and not dependent yet and should make some lifestyle changes" (at the time of diagnosis in 2017)

sure. She had a chickpea curry. her reading was 11 mmmol/mol

Thank you, I'm guessing if the ingredients included onions too, etc, or other veg as well as the chickpeas, it sounds like it was too carby for her, or the sauce itself is likely to have carbs in it too. It sounds delicious and 'healthy' but the end result of 11 depends on how far from the start result it was (more than 2mmol between the two figures and it's deemed as too many carbs for her to cope with). BUT, please remember we are only guessing really, if she is LADA (late onset type 1) then no amount of low carbing is going to be enough on its own. I think you are now doing exactly the right thing by testing at meal times as that way you will hopefully know whether it's the food or something else and until you know that, it's difficult to know whether it actually can be controlled with diet or not. Does your wife count the carbs in her meals, again if you don't know the carb count of a meal you won't know whether she's eating low carb (as you think) or not. x

 

[searley]

Hi ,
My wife is T1 without taking any insulin. Her Hb1ac came back as 83 and 88 over the last 6/7 months. Her fastings (she does occasionally) come normal I.e below 7 in the morning. She has no problems as such but we are anxious that with consistent high Hb1ac something might be missing? She is on blood pressure medication (ramipril) and her blood pressure seems to be normal now. She is eating less carbs and does regular excercise so we were hoping for better Hb1ac but opposite seems to be coming. Any ideas why high Hb1ac please ?? Many thanks

Fasting is pretty irrelevant it’s what’s happening the rest of the day

If she is starting the day on 7 then eating it will go higher

So you need more tests through the day even something like a libre sensor might give more insight

 

[Circuspony]

Insulin deficient in 2017 probably means more insulin deficient in 2021. She really needs a new c-peptide test because she's stressing her pancreas if it can't produce the insulin her body needs.

 

[Hannah Robyn]

lentils/beans/chickpeas are really healthy foods for the average person- it's just important to note that they have carbs, so are probably not good for someone who is not on insulin. Tofu and edamame beans are much lower in carbs, so maybe you could try replacing the lentils/chickpeas with those instead and see what her readings are like?

If or when your other half gets on injected insulin, she will be able to eat those chickpeas/lentils again and just dose a bit of insulin for them.