Advice welcome

Emerald14

Well-Known Member
Messages
71
Hello everyone
Today I went to see the nurse re my fasting glucose tolerance test, my result was 10.9. She said that the range was 7.00 - 14 and over 14 you are in the diabetes range. However on the hand out leaflet she gave me it says anything over 11.1. She says I am pre diabetis but it looks like am only .2 away from it.
My other results are fasting glucose 6.4 and HbA1c 45. I came away with no diet sheet and just told brown bread, rice and pasta. And will have next tests in 12 months.
Do you think I am pre diabetic but only just?
I have ordered a code free meter from Amazon and hope to learn from here.
Any advice or suggestions most welcome.
 

Spiker

Well-Known Member
Messages
4,685
Type of diabetes
Type 1
Treatment type
Pump
So she diagnosed you as prediabetic, but didn't give you any advice at all? Or just no diet advice?
 

Totto

Well-Known Member
Messages
2,831
Type of diabetes
Type 2
Treatment type
Diet only
Avoid bread of any colour, rice and pasta, potatoes and of course anything with sugar in it. Brilliant you got yourself a meter as this is immensely helpful.

I do LCHF, that is Low Carb High Fat and this keeps my bg normal without medication. All carbs turn into glucose so best not to have them, while fat only fills you up without any bad effects on bg.

https://www.dietdoctor.com/lchf
https://www.dietdoctor.com/diabetes
 

Madbazoo

Well-Known Member
Messages
209
Type of diabetes
Type 2
Treatment type
Diet only
Hello everyone
Today I went to see the nurse re my fasting glucose tolerance test, my result was 10.9. She said that the range was 7.00 - 14 and over 14 you are in the diabetes range. However on the hand out leaflet she gave me it says anything over 11.1. She says I am pre diabetis but it looks like am only .2 away from it.
My other results are fasting glucose 6.4 and HbA1c 45. I came away with no diet sheet and just told brown bread, rice and pasta. And will have next tests in 12 months.
Do you think I am pre diabetic but only just?
I have ordered a code free meter from Amazon and hope to learn from here.
Any advice or suggestions most welcome.
The important figure is your HbA1c. Its OK but if you follow her advice on diet you may not see the improvement you want.

You have however taken a big step forward in getting yourself a meter. You will soon be able to see the effects of the food you are eating on your BS levels.

Look at the forums on Low Carb High Fat for more guidance on what to eat. Step up your exercise and you will soon see those levels dropping.




Type 2. Was out of control till I found this forum. Low Carb and testing saved me. Glucophage 1 per day down from 4. HBa1c down to 36
 
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SueKen

Well-Known Member
Messages
80
Type of diabetes
Treatment type
Diet only
hi Emerald,
What's your weight like? if you can afford to lose a few pounds it would be good to focus on that, especially if you have any extra around your middle.
But see this as an early warning sign for you to take control, and hopefully you will stay as prediabetic.
Sue
 
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Emerald14

Well-Known Member
Messages
71
Thank all for your advice and links. I didn't realise the hba1c was the important figure. Since the GTT I have tried the LCHF and have lost 5lb in about ten days.
No spiker, she didn't give much advice at all except lose weight and measured my waist size. And took bp. Am 11st 4lb. I did find out from her tho that unknown to me my fasting bg was 6.6 in jan 2013 but had been missed by the trainee GP at the time so basically I've wasted 16 months when I could have been working to get levels down. She also said most pre diabetes eventually leads to type 2.
In your opinion do you think most type2s are insulin resistant or is it that not enough insulin is available?


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Daibell

Master
Messages
12,650
Type of diabetes
LADA
Treatment type
Insulin
HI. Yes, avoid the things your DN said to have in your diet unless you want to make your pre-diabetes become full blown diabetes. In general T2s are insulin resistant and to some extent overweight. Eventually they may lose some insulin generation capacity. A percentage of 'T2' are mis-diagnosed T1s and will be slim and have failing insulin production. There are always exceptions but it sounds like you are on the way to being a T2, but adjusting the diet may make all the difference. Yes, the HBa1C is a very useful measure together with your own meter readings.
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
^Hi Emerald and welcome to the forum :)

Although you have not been diagnosed diabetic, I think it could be helpful to you to read this information. Basically you need to reduce the carbs you eat and this will give you lots of information about them.


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 100,000 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.
 

jack412

Expert
Messages
5,618
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Thank all for your advice and links. I didn't realise the hba1c was the important figure. Since the GTT I have tried the LCHF and have lost 5lb in about ten days.
No spiker, she didn't give much advice at all except lose weight and measured my waist size. And took bp. Am 11st 4lb. I did find out from her tho that unknown to me my fasting bg was 6.6 in jan 2013 but had been missed by the trainee GP at the time so basically I've wasted 16 months when I could have been working to get levels down. She also said most pre diabetes eventually leads to type 2.
In your opinion do you think most type2s are insulin resistant or is it that not enough insulin is available?


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next time you see her, tell her that no doubt most of her clients do, but she is wrong about most pre-diabetics becoming diabetic, only 33% or 1/3 go on to diabetes, I tried to google the aussie site but this is close enough, you just have to trust me on the 1/3 of pre-diabetics
http://exerciseismedicine.org/pdfs/D115preDiabetes.pdf
Several major studies
have shown that if people with
pre-diabetes lose weight, exercise
on a regular basis, and improve their
diets, most can avoid being diagnosed
with type 2 diabetes in the future.
 
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Totto

Well-Known Member
Messages
2,831
Type of diabetes
Type 2
Treatment type
Diet only
Thank all for your advice and links. I didn't realise the hba1c was the important figure. Since the GTT I have tried the LCHF and have lost 5lb in about ten days.
No spiker, she didn't give much advice at all except lose weight and measured my waist size. And took bp. Am 11st 4lb. I did find out from her tho that unknown to me my fasting bg was 6.6 in jan 2013 but had been missed by the trainee GP at the time so basically I've wasted 16 months when I could have been working to get levels down. She also said most pre diabetes eventually leads to type 2.
In your opinion do you think most type2s are insulin resistant or is it that not enough insulin is available?


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Not enough insulin. Normal people with insulin resistance have pancreases that cope, diabetics have poor pancreases. Insulin resistance is common, both in diabetics and normal people. The failing pancreas is often hereditary, the more diabetic genes you have the faster the beta cells in the pancreas will pack in.

This site is a mine of information on diabetes:
http://www.phlaunt.com/diabetes/index.php
 

Emerald14

Well-Known Member
Messages
71
Thank you all for taking the trouble to reply. I know so much more already in these last 24 hours.
Am hoping my meter will be delivered in the morning and I can make a start. I feel much more positive about everything now thanks to everyone's advice, comments, suggestions and links. Cheers!


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