A Quiet Celebration And A Question

liarsdance · Jul 18, 2018

Well, I've just had a review with my Diabetes Nurse. I was hoping for a significant drop in that HbA1c – and I wasn't disappointed; it was back in normal range at 35! My DN said she had never seen such a speedy and significant drop before. And it also seems (and I'm not sure why) that after an initial HbA1c of 52 in mid April this year, a confirmation HbA1c of 48 a fortnight later, my GP did not code me as anything - neither T2 or Pre diabetic. And now two months later, I still have not even been coded – except perhaps as 'Just another older fat female trying her best'... Does this happen often?

Anyway, the bottom line is that in 3 months I have lost 12kg and reduced my HbA1c from 52 to 35 - and I'm delighted. I've done this by eating no more than 20g carbs a day, 16:8 daily IF and daily walking and with no medication. Of course, the real hard work is still ahead of me - a lot more weight to come off and to keep my blood sugars low. In some ways I see this odd coding issue as positive, but at the same time, it changes nothing for me. I am clearly not able to tolerate a 'lot' of carbs and am feeling so good in other ways (arthritic wrist and knee pain gone, indigestion and heartburn gone) with my keto/low carb life and slowly losing weight, so have no intention of returning to my old way of eating. I will be going back in another 3 months and again at 6 months.

Do you know, I think I might celebrate with a couple of hard boiled eggs and some spinach...
~Heath

Guzzler · Jul 18, 2018

Fantastic Result! Good on'ye!

Canvaspic · Jul 18, 2018

Very impressive drop. A great result for all your hard work.

Freema · Jul 18, 2018

liarsdance said:
Well, I've just had a review with my Diabetic Nurse. I was hoping for a significant drop in that HbA1c – and I wasn't disappointed; it was back in normal range at 35! My DN said she had never seen such a speedy and significant drop before. And it also seems (and I'm not sure why) that after an initial HbA1c of 52 in mid April this year, a confirmation HbA1c of 48 a fortnight later, my GP did not code me as anything - neither T2 or Pre diabetic. And now two months later, I still have not even been coded – except perhaps as 'Just another older fat female trying her best'... Does this happen often?

Anyway, the bottom line is that in 3 months I have lost 12kg and reduced my HbA1c from 52 to 35 - and I'm delighted. I've done this by eating no more than 20g carbs a day, 16:8 daily IF and daily walking and with no medication. Of course, the real hard work is still ahead of me - a lot more weight to come off and to keep my blood sugars low. In some ways I see this odd coding issue as positive, but at the same time, it changes nothing for me. I am clearly not able to tolerate a 'lot' of carbs and am feeling so good in other ways (arthritic wrist and knee pain gone, indigestion and heartburn gone) with my keto/low carb life and slowly losing weight, so have no intention of returning to my old way of eating. I will be going back in another 3 months and again at 6 months.

Do you know, I think I might celebrate with a couple of hard boiled eggs and some spinach...
~Heath

wow well done.... and conratulations what a great character doing only 20 grams of carbs daily... send you my respect

rosco 2 · Jul 18, 2018

Congratulations, it’s a tough road to walk but clearly has had great outcome for you. I suggest...caution to the wind and all that, a lovely omelette with Parmesan and a glass of decent red wine!

DCUKMod · Jul 18, 2018

liarsdance said:
Well, I've just had a review with my Diabetic Nurse. I was hoping for a significant drop in that HbA1c – and I wasn't disappointed; it was back in normal range at 35! My DN said she had never seen such a speedy and significant drop before. And it also seems (and I'm not sure why) that after an initial HbA1c of 52 in mid April this year, a confirmation HbA1c of 48 a fortnight later, my GP did not code me as anything - neither T2 or Pre diabetic. And now two months later, I still have not even been coded – except perhaps as 'Just another older fat female trying her best'... Does this happen often?

Anyway, the bottom line is that in 3 months I have lost 12kg and reduced my HbA1c from 52 to 35 - and I'm delighted. I've done this by eating no more than 20g carbs a day, 16:8 daily IF and daily walking and with no medication. Of course, the real hard work is still ahead of me - a lot more weight to come off and to keep my blood sugars low. In some ways I see this odd coding issue as positive, but at the same time, it changes nothing for me. I am clearly not able to tolerate a 'lot' of carbs and am feeling so good in other ways (arthritic wrist and knee pain gone, indigestion and heartburn gone) with my keto/low carb life and slowly losing weight, so have no intention of returning to my old way of eating. I will be going back in another 3 months and again at 6 months.

Do you know, I think I might celebrate with a couple of hard boiled eggs and some spinach...
~Heath

A big well done from me liarsdance.

Rachox · Jul 18, 2018

Very well done!
Just a thought though if you haven’t been coded as diabetic which, with initial results of 52 and 48 I feel you should have been, you might miss out on automatic recalls for eye checks feet checks etc...

Bluetit1802 · Jul 18, 2018

Brilliant result @liarsdance . Congratulations and well done.

However, I agree with @Rachox . You need to press for a diabetic coding if you want to have all the care-pathway stuff such as regular blood tests, eye screening, foot checks etc. particularly the eye screening as they use the codes to recall you each year.

Christina0308 · Jul 18, 2018

Super results, very well done

liarsdance · Jul 18, 2018

Rachox said:
Very well done!
Just a thought though if you haven’t been coded as diabetic which, with initial results of 52 and 48 I feel you should have been, you might miss out on automatic recalls for eye checks feet checks etc...

thanks for that; I'll discuss with my GP

liarsdance · Jul 18, 2018

Bluetit1802 said:
Brilliant result @liarsdance . Congratulations and well done.

However, I agree with @Rachox . You need to press for a diabetic coding if you want to have all the care-pathway stuff such as regular blood tests, eye screening, foot checks etc. particularly the eye screening as they use the codes to recall you each year.

thanks for the advice; I'll discuss with my DN/GP

Dark Horse · Jul 18, 2018

Agree with @Rachox and @Bluetit1802 re the coding. Because type 2 is slow onset, people can have had it for years before diagnosis during which time damage can occur. Diabetic retinopathy is thought to mirror the diabetic control occurring a couple of years prior and can worsen following a sudden improvement in control. For this reason, the national guidance is that once someone has had a definite diagnosis of diabetes, they should continue to have eye screening for life, even if they are in remission. Efficient recall of patients for screening relies on them being coded correctly.

liarsdance · Jul 18, 2018

Christina0308 said:
Super results, very well done

thank you!

liarsdance · Jul 18, 2018

Dark Horse said:
Agree with @Rachox and @Bluetit1802 re the coding. Because type 2 is slow onset, people can have had it for years before diagnosis during which time damage can occur. Diabetic retinopathy is thought to mirror the diabetic control occurring a couple of years prior and can worsen following a sudden improvement in control. For this reason, the national guidance is that once someone has had a definite diagnosis of diabetes, they should continue to have eye screening for life, even if they are in remission. Efficient recall of patients for screening relies on them being coded correctly.

thank you - I will explore this.

liarsdance · Jul 18, 2018

Guzzler said:
Fantastic Result! Good on'ye!

thank you!

liarsdance · Jul 18, 2018

Canvaspic said:
Very impressive drop. A great result for all your hard work.

thank you!

shelley262 · Jul 18, 2018

liarsdance said:
Well, I've just had a review with my Diabetic Nurse. I was hoping for a significant drop in that HbA1c – and I wasn't disappointed; it was back in normal range at 35! My DN said she had never seen such a speedy and significant drop before. And it also seems (and I'm not sure why) that after an initial HbA1c of 52 in mid April this year, a confirmation HbA1c of 48 a fortnight later, my GP did not code me as anything - neither T2 or Pre diabetic. And now two months later, I still have not even been coded – except perhaps as 'Just another older fat female trying her best'... Does this happen often?

Anyway, the bottom line is that in 3 months I have lost 12kg and reduced my HbA1c from 52 to 35 - and I'm delighted. I've done this by eating no more than 20g carbs a day, 16:8 daily IF and daily walking and with no medication. Of course, the real hard work is still ahead of me - a lot more weight to come off and to keep my blood sugars low. In some ways I see this odd coding issue as positive, but at the same time, it changes nothing for me. I am clearly not able to tolerate a 'lot' of carbs and am feeling so good in other ways (arthritic wrist and knee pain gone, indigestion and heartburn gone) with my keto/low carb life and slowly losing weight, so have no intention of returning to my old way of eating. I will be going back in another 3 months and again at 6 months.

Do you know, I think I might celebrate with a couple of hard boiled eggs and some spinach...
~Heath

Wow well done you and in a short time too, hoping you enjoy eating the new way as well as appreciating the good health impacts. I’ve now been eating low carb - initially under 20g of carb - and now that I’m in maintenance under 30g of carb for around 11 months and enjoy it so much I really can’t imagine going back to higher carb it suits me and it works.
Please accept a congratulatory hug and pat on the back from me you’re doing really brilliant. Ps I would agree that would be a good idea to get coded so that an eye is kept on you and you can monitor how things are going.

Goonergal · Jul 18, 2018

That’s great news @liarsdance - no need to celebrate quietly, full entitlement to shout loudly! Congratulations!

liarsdance · Jul 18, 2018

shelley262 said:
Wow well done you and in a short time too, hoping you enjoy eating the new way as well as appreciating the good health impacts. I’ve now been eating low carb - initially under 20g of carb - and now that I’m in maintenance under 30g of carb for around 11 months and enjoy it so much I really can’t imagine going back to higher carb it suits me and it works.
Please accept a congratulatory hug and pat on the back from me you’re doing really brilliant. Ps I would agree that would be a good idea to get coded so that an eye is kept on you and you can monitor how things are going.

Thank you! This forum has been so supportive

liarsdance · Jul 18, 2018

Goonergal said:
That’s great news @liarsdance - no need to celebrate quietly, full entitlement to shout loudly! Congratulations!

Thank you!

A Quiet Celebration And A Question

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