Conflicting information

Peachbelle

Member
Messages
6
Type of diabetes
Type 2
Hiya
I was diagnosed with type 2 diabetes yesterday after my fasting blood was 7.1 and went up to 12.4 after glucose. I have had no symptoms and this was only picked up after annual bloodwork suggested my hba1c was 45. I went to the doctor yesterday and she does not want to put me on any medication, just to test my blood every day for 3 months, she is referring me to a dietician and ultrasound and we'll go from there.
I went to the nurse this morning to get my testing kit and she said that I am prediabetic as my hba1c number is 42 and I had only had one fasting blood glucose test so nothing to compare it to. she also said my age (mid 30s) would suggest prediabetes
While I am happy my doctor is taking such a proactive role in treating my diabetes without medication to start with, I am also very worried about having type 2 diabetes and I know prediabetes can be turged around with diet and exercise
 

TorqPenderloin

Well-Known Member
Messages
1,599
Type of diabetes
Type 1
Treatment type
Insulin
Yes, there is a strong chance (but not always) that you can reverse prediabetes (and even type 2 diabetes) through lifestyle intervention/changes.

Unfortunately, there's nothing magical about a "Prediabetes" diagnosis versus a "Type 2" diagnosis. The two are differentiated by a1c results and it sounds like you're right on the edge. I say that because in your last sentence it almost seemed as if you considered the two to be complete separate diseases. Also, your age has nothing to do with whether or not you have prediabetes or type 2 diabetes.

If it were me, I'd interpret it as a wake-up call and be glad it was caught early.
 

walnut_face

Well-Known Member
Messages
1,748
Type of diabetes
Type 2
Treatment type
Diet only
While I am happy my doctor is taking such a proactive role in treating my diabetes without medication to start with, I am also very worried about having type 2 diabetes and I know prediabetes can be turged around with diet and exercise
Welcome @Peachbelle i will tag @daisy1 who will post some very useful info, please read it, and ask any questions you want.
The proactive role rests with you, the sooner you start the better, but you will have to be careful for the rest of your days
 

Brunneria

Guru
Retired Moderator
Messages
21,889
Type of diabetes
Type 2
Treatment type
Diet only
Hi and welcome.

There are various ways to diagnose T2, and different NHS staff with different training histories tend to favour one or the other.
Glucose tolerance tests diagnose you at over 11 at 2 hrs (or they did when I took mine a few years ago) = you are diabetic
HbA1cs diagnose you pre-diabetic at 42-47 = you are just pre-diabetic.
random blood glucose tests can also be used, and if high, they may result in a diagnosis of diabetes.

So, in a way, both your doc and your nurse are 'right'.

BUT (and it is a huge 'but') and HbA1c is simply a rough measure of what your average blood glucose has been for the last 2-3 months. It doesn't track the highs or the lows...

Whereas, your glucose tolerance test puts you firmly in the Diabetic Corner, since it shows that your body is not handling glucose well enough to be non-diabetic.

Hope that made sense? (I have a non-diabetic HbA1c , but I am most definitely still a type 2 diabetic, because if I eat carbs, my blood glucose spikes for the skies. But since I don't eat carbs regularly, my HbA1c reflects my nice steady blood glucose levels, and I don't 'look' diabetic)

Personally, I would take the doc's diagnosis as the important one, because it tells you more. I mean, so what if your average bg is at the high end of normal? It is what happens when you eat, when your blood glucose spikes to harmful levels that is important.

Have a good read of Daisy's info when she posts it - it will give you some excellent advice on how to iron out those high blood glucose levels after eating. :)
 
Last edited:

Peachbelle

Member
Messages
6
Type of diabetes
Type 2
Thanks guys for clearing that up for me, I was just so confused and the nurse was so dismissive of the type 2 diagnosis. either way I will have to make serious changes to my diet and sort myself out with exercise (my bmi is 27.5 so need to get that into a healthy range)
I've been treating my body like a dustbin the past few years and I guess it's caught up with me.
When I tested by blood this morning it was 5.8 so at least it's going in the right direction :)
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@Peachbelle

Hello Peachbelle and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. It contains advice about carbs and levels and a link to the Low Carb Program which you might like to join. Ask as many questions as you want and someone will be able to help.


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 well over 220,000 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

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.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

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 blood glucose 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.
 

Liam1955

Master
Messages
10,964
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Anti-Gay People, Self Centre People, Two Faced People and Bad Language.
@Peachbelle - Hello and Welcome to the Forum :). If you have any questions no many how daft you may think they are? Just ask. There will always be someone to answer them.
 
  • Like
Reactions: Humblebee

andcol

Well-Known Member
Retired Moderator
Messages
3,176
Type of diabetes
I reversed my Type 2
Treatment type
I do not have diabetes
Thanks guys for clearing that up for me, I was just so confused and the nurse was so dismissive of the type 2 diagnosis. either way I will have to make serious changes to my diet and sort myself out with exercise (my bmi is 27.5 so need to get that into a healthy range)
I've been treating my body like a dustbin the past few years and I guess it's caught up with me.
When I tested by blood this morning it was 5.8 so at least it's going in the right direction :)
Welcome.

Your BMI isnt high at 27.5 and a fasting of 5.8 isn't bad at all so well done you and your team for picking this up early. In fact many would die for that fasting figure. Your HbA1c indicates that you only need to make small changes to your lifestyle

Can you tell us what the ultrasound is for? Are they looking to see if you have fatty liver?

Are they doing any other tests like GAD tests? Do you take statins or steroids as both of these can induce T2? I ask these because at your age and BMI (although not absolutely unknown) T2 is fairly unusual but ethnicity also plays a role in this
 
  • Like
Reactions: Liam1955

Peachbelle

Member
Messages
6
Type of diabetes
Type 2
Welcome.

Your BMI isnt high at 27.5 and a fasting of 5.8 isn't bad at all so well done you and your team for picking this up early. In fact many would die for that fasting figure. Your HbA1c indicates that you only need to make small changes to your lifestyle

Can you tell us what the ultrasound is for? Are they looking to see if you have fatty liver?

Are they doing any other tests like GAD tests? Do you take statins or steroids as both of these can induce T2? I ask these because at your age and BMI (although not absolutely unknown) T2 is fairly unusual but ethnicity also plays a role in this
I'm having the ultrasound because of my age just to be sure there's nothing going on, while I do have a family history of t2 I'm a lot younger than other members of my family when they were diagnosed.
I'm not taking any other medication, I was having stomach issues relating to mild ibs so the doctor ordered bloods which flagged my blood sugar
 
  • Like
Reactions: Liam1955