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A1C jumped after reversal - should I be worried?
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<blockquote data-quote="Andydragon" data-source="post: 2440367" data-attributes="member: 521079"><p>I would disagree with the doctor here partially as from personal experience, dropping the weight hasn’t led me to being able to eat what I want, anything high carb and it shows in my blood levels. I had a pastie, 2 hours later bloods in the 11s and it took most of the day for the levels to drop. Although sweet foods like cakes and the spike and drop are much more rapid. I think it’s the fats and carbs combined in certain foods that cause a much more longer spike</p><p></p><p>for below 7, well, that’s really for you to decide. Personally I want below 42 (6%) as that’s the cut off in the UK for pre diabetes. Anything above 48 (6.5%) would mean diabetic, and I definitely don’t want that</p><p></p><p>regardless, the hba1c you quote is a small uptick and not necessarily a sign that it is in the wrong direction of travel</p><p></p><p>but if you increase carbs, it will probably go up, by how much and how much is acceptable is a personal thing</p><p></p><p>It’s why I don’t use the word reversal, as it’s not. I am and likely always will be T2 even if my blood tests show I am not but I am in a similar position now, starting to notice higher bloods but have also not been as good at the lower carbs (stress eating) and unfortunately even with lower carbs than ever before, it has an impact. I’m still okay, but it is a lifelong change. For me that isn’t keto, but I do need realistically low (<130g a day) carbs but also distributed through meals.</p><p></p><p>There does seem a real tipping point where carbs cause an issue for me, I’m finding about 40g a meal is probably okay, more and it causes an issue. But it’s also variable depending on heat, pain(after gym) or feeling unwell or cause it’s a Tuesday… sometimes food has no impact, other times it does. This condition can be so annoyingly random. Hence testing to the meter (I can’t afford cgm and I’d probably not like what I see)</p><p></p><p>but that’s I test</p></blockquote><p></p>
[QUOTE="Andydragon, post: 2440367, member: 521079"] I would disagree with the doctor here partially as from personal experience, dropping the weight hasn’t led me to being able to eat what I want, anything high carb and it shows in my blood levels. I had a pastie, 2 hours later bloods in the 11s and it took most of the day for the levels to drop. Although sweet foods like cakes and the spike and drop are much more rapid. I think it’s the fats and carbs combined in certain foods that cause a much more longer spike for below 7, well, that’s really for you to decide. Personally I want below 42 (6%) as that’s the cut off in the UK for pre diabetes. Anything above 48 (6.5%) would mean diabetic, and I definitely don’t want that regardless, the hba1c you quote is a small uptick and not necessarily a sign that it is in the wrong direction of travel but if you increase carbs, it will probably go up, by how much and how much is acceptable is a personal thing It’s why I don’t use the word reversal, as it’s not. I am and likely always will be T2 even if my blood tests show I am not but I am in a similar position now, starting to notice higher bloods but have also not been as good at the lower carbs (stress eating) and unfortunately even with lower carbs than ever before, it has an impact. I’m still okay, but it is a lifelong change. For me that isn’t keto, but I do need realistically low (<130g a day) carbs but also distributed through meals. There does seem a real tipping point where carbs cause an issue for me, I’m finding about 40g a meal is probably okay, more and it causes an issue. But it’s also variable depending on heat, pain(after gym) or feeling unwell or cause it’s a Tuesday… sometimes food has no impact, other times it does. This condition can be so annoyingly random. Hence testing to the meter (I can’t afford cgm and I’d probably not like what I see) but that’s I test [/QUOTE]
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