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A1C won't go down

V

vmjagtap

Newbie
Last 4 months I did below,
1. Intermittent fasting 16/8
2. Normal meal at lunch but keto meal at dinner. By 3 pm my blood sugar is near 100.
So 21 hours my blood sugar is below 100.
3. Daily exercise and sports

Still my A1C is refused to go down. It did from 6.3 to 6.2.
Is this common? What I should be doing to take A1C below 5?
 
Lots of options/combinations
1. Go lower carb/keto/carnivore
2. Increase fasting time (time restricted eating)
3 introduce longer fasts (fasting)
4 increase exercise
5 medication
6 use continual bg testing to see if your finger pricks are missing peaks
 
Hi @vmjagtap and welcome to the forums.

I'm not sure why you want to go below 5%? (Below 6% I can understand).

Figure - PMC

Hemoglobin A1c (HbA1c) levels play an important role in diagnosing, screening, and monitoring the treatment of diabetes. Our study aims to determine whether a relationship exists between HbA1c levels and age and gender in Turkish adults who have not ...
pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov

Daibell said:
Sounds like you should be having some diabetes meds?
Click to expand...
@vmjagtap is prediabetic with an hba1c of 44mmol/mol ? (https://www.diabetes.co.uk/hba1c-units-converter.html )
 
vmjagtap said:
Last 4 months I did below,
1. Intermittent fasting 16/8
2. Normal meal at lunch but keto meal at dinner. By 3 pm my blood sugar is near 100.
So 21 hours my blood sugar is below 100.
3. Daily exercise and sports

Still my A1C is refused to go down. It did from 6.3 to 6.2.
Is this common? What I should be doing to take A1C below 5?
Click to expand...
Hi and welcome. Thing about reducing carb: keto is a level of carb intake that induces dietary ketosis - which is when the body uses bodyfat for fuel. Ketones are a product of this and will be picked up by using keto stix to test pee.

The problem is that a "keto meal" (whatever that is) plus a "normal meal" might not when taken together be low enough carb to induce ketosis or to lower the amount of glucose entering your system. In practical terms: some meat and cheese and a hard boiled egg for dinner is practically zero carb. However, if you have pie, chips, and gravy for lunch that is going to be a meal high enough in carbs to ensure you're not going to be anywhere near ketosis for a couple of days at least.

My experience over the last five years has been that anything over around 40g carb per day (not per meal) is enough to stop ketosis. That's approximately 2 slices of bread. You need to think of your food intake in terms of the whole day - one low carb meal might achieve nothing if your carb intake is high elsewhere.
 
I tried to lose weight fasting 22 hours a day - and I did lose some, but my HbA1c actually went up.
My regime which had given me almost normal HbA1c was eating at about 12 hour intervals.
 
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