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Can hba1c be too low?

Discussion in 'Type 2 Diabetes' started by pavlosn, Dec 15, 2014.

  1. tim2000s

    tim2000s Type 1 · Expert
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    I think the reason a lot of people don't stick to the guideline levels is because they find it very hard. If you look at the lifestyle changes that you've made and how disciplined you really have to be, it should be no real surprise that many simply don't have what it takes to stick to what's needed.
     
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  2. kimbo1962

    kimbo1962 Type 2 · Well-Known Member

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    Wow! Pavlos! What a great in-depth post! I need to com back and read more later as obviously the "too low" theory is very much of interest to me right now!! Busy morning but I will come back later
     
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  3. Kezzer4321

    Kezzer4321 Type 2 · Well-Known Member

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    To be honest I wasn't given any guidelines. I was given a bad photocopy about diabetes and a loan of an NHS booklet about the complications of diabetes. I was told the medication would lower my BS and that I should try and loose weight by eating to the eat well plate. The dietician I saw, told me to buy everything low fat, and that a third of every meal should be carbs.more if I could manage it. I was told I didn't have to cut out sugar - that I could eat biscuits cakes etc in moderation... I have never been offered any kind of course and no other information has ever been provided to me by my doctors. I was put straight on to metformin straight away.

    However my sister who was diagnosed after me and lives in a different area had completely different treatment. Her doctor has sent her and her husband on several courses and her doctors gave her 6 months to try to manage her diabetes with diet and exercise alone. They had a support group which my sister and sometimes her husband attended. Where people talked about their diabetes, issues and successes - and where they were given advice on what to eat and how to exercise. They were also encouraged to buddy up on the exercise for motivation. Although LCHF wasn't particularly recommended - those that were successful in lowing their BS, seemed to drift this way and therefore enouraged the other newer members to do so.

    Therefore until the difference in treatment available to people based on where you live is rectified, it is no wonder that some people, myself included at the time, don't take diabetes as serious, or don't understand the implication of badly managed diabetes. I know I didn't. It was only when I saw the liver specialist, who was blunt with the truth and I hit rock bottom, did I seek alternative help.
     
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  4. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    Sounds extremely familiar.
     
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  5. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    I think the main reason is that it is impossible for 90% of type 2 diabetics to keep their blood sugar at normal levels while eating the officially recommended "healthy" high carb/low fat diet. The only way most of us on this forum have succeeded doing it is by ignoring the official dietary advice.
     
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  6. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    Not really.
    Working with the HCP to refine the diet is a good way.
     
  7. dannyw

    dannyw Type 1 · BANNED

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    You appear to be the exception rather than the rule.
     
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  8. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    Must be my easygoing, amicable personality.
     
  9. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    That's why I used the word "most" and not "all" (duh!). Also, I think it's the rare exception that a dietician, nurse or doctor will accept a low carb or a very low carb diet/high fat diet as being healthy and encourage a type 2 diabetic to try it. If the recommended high carb/low fat diet does not work, the next step is drugs.
     
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  10. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    I don't low carb remember?
    Or as you say (duh!)
    Many that's why I work with my HCP, as I accept it works as well, rather than insist there is only one possible recommended diet?
     
  11. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    So you disagree that the only way most of us on this forum have succeeded doing it is by ignoring the official dietary advice?
     
  12. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    I keep saying it, I'll only speak for me, if you decide you can talk for others, that's down to you.
     
  13. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    This started off as a very interesting thread. I'm getting bored now.
     
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  14. jack412

    jack412 Type 2 · Expert

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    I'm Ok with my Dr, he's right behind me with the LCHF and is very pleased with my progress, one of the lucky ones I guess, or it could be that he's aussies and a long way from NHS :)
    though out dietitians went to the same school
     
  15. jack412

    jack412 Type 2 · Expert

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    doug, 30% is low carb and 30% is high fat to most
     
  16. jack412

    jack412 Type 2 · Expert

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  17. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    I know, you keep claiming I'm LCHF.
    I'm good to advise on that diet my way if you agree?
     
  18. jack412

    jack412 Type 2 · Expert

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    do what you like, just don't say you don't do low carb....it's not a good balance of fat and carb, one should be higher and the other lower, it seems it doesn't matter which with some diets. IMO from what I have read I would say it's messing with you blood fats and looking at CVD
     
  19. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    Good BMI,
    good fasting BG
    good HbA1c
    goood weight,
    good trigs, LDL, HDL,

    I'd say I'm ok on a low GI/GL diet.
     
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  20. tim2000s

    tim2000s Type 1 · Expert
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    I have decided that the best diet is 50% alcohol and the rest can come from other stuff. Or is there an issue with that?
     
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