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Confused

belscrib

Member
Morning all, Diagnosed as type2 about 2 and half years ago via a glucose tolerance test of 12 but my hba1c is always good and am not taking any medication, last hba1c 41 ! Have spoken to a nurse re this and she says Im lucky and it will catch up with me and 'you are diabetic'. I am confused ! Thanks for any thoughts on this.
 
Did they ever do any other testing????

But I would get a meter, it's a nice thing to have anyway and not that expensive. That way you could start doing morning fasting levels and 2-3 hours after you eat and you would know if you are having any issues.
 
Hi and welcome to the forum belscrib! Can I ask, did you change your diet following the glucose test which you were diagnosed by?
 
Hi and welcome to the forum belscrib! Can I ask, did you change your diet following the glucose test which you were diagnosed by?
Hello Rachox, thanks for your reply, after original diagnosis did everything correct, ate well, lost weight etc but (oh dear!)
I have not been good at all for few months now and still have hba1c at 41, think I'm in a funny/denial stage even 2 years on. I work in a doc surgery - not clinical and have had comments of you are'nt diabetic with hba1c so good, so it does get confusing. thanks for listening
 
Did they ever do any other testing????

But I would get a meter, it's a nice thing to have anyway and not that expensive. That way you could start doing morning fasting levels and 2-3 hours after you eat and you would know if you are having any issues.
Hello, thanks for replying. I was sent to a diabetes education course with specialist nurse and was told the same thing as my practice nurse. I have got a meter which I have rarely used as always is normal result, did test first thing was 6.7. I get very shaky when I need food. thanks for listening to my moaning!
 
Morning all, Diagnosed as type2 about 2 and half years ago via a glucose tolerance test of 12 but my hba1c is always good and am not taking any medication, last hba1c 41 ! Have spoken to a nurse re this and she says Im lucky and it will catch up with me and 'you are diabetic'. I am confused ! Thanks for any thoughts on this.
 
If you get shaky when you need food, is that due to your blood glucose dropping low?
If so that might indicate reactive hypoglycemia - if you react by eating high carb foods you could get into a 'ping pong' situation where you are going through the same cycle of reaction to how you act, rather than calming down the response by carb reduction overall.
The low levels could then mean that your Hba1c looks fine because it is an average - the average of 49 and 51 is 50, but it is also the average of 40 and 60, 30 and 70 and 99 and 1 - so you might be having wild swings, but it is not shown by a Hba1c test.
 
If you get shaky when you need food, is that due to your blood glucose dropping low?
If so that might indicate reactive hypoglycemia - if you react by eating high carb foods you could get into a 'ping pong' situation where you are going through the same cycle of reaction to how you act, rather than calming down the response by carb reduction overall.
The low levels could then mean that your Hba1c looks fine because it is an average - the average of 49 and 51 is 50, but it is also the average of 40 and 60, 30 and 70 and 99 and 1 - so you might be having wild swings, but it is not shown by a Hba1c test.[/QUOT

Thanks make perfect sense, will certainly take this on board.
 
Can I ask what a normal day of meals you eat are? Cereal,porridge,breads,rice,wheats,potatoes in your usual meals?
 
Can I ask what a normal day of meals you eat are? Cereal,porridge,breads,rice,wheats,potatoes in your usual meals?
Hi, usually weetabix, some type of cereal, not sugary, skimmed milk. lunch, have one warburton brown thin with spread and fish/beef paste, sometimes cheese. tomatoes, carrot sticks, fruit. Dinner , salad with cheese, tuna, meat, egg, one slice wholemeal bread or meat with veg few dry roast pots, fish few chips, don't eat pasta, white bread. snack on popcorn, some low fat/low sugar snacks, water and diet drinks. I admit to eating very poorly at the moment but levels never get very high, ( when I actually test them). I do feel better when I am eating better (of course) but blood levels never really high any time. The low figures puzzle me. ps. I am always hungry.

Thanks for listening.
 
Hmmm....thought others would have replied by now.

My Type2 story,got an A1c 37,Doc said we will watch it.Year later 41.We will watch....I missed the next year,year after that 76! Now if Doc had told me how many in the higher levels around pre diabetes convert to full diabetes,and had recommended LCHF and dump all those carbs (AKA Sugars),and all the added and hidden sugars I could have skipped the whole diabetes rigamarole from the get go.

I love my Dr,great Dr,but he follows what the mainstream and what he was taught to dictate his care plan.Which isnt such a good plan we are now finding out.:(

OK,I did diet,and got back into normal range.Then I kept hearing radio commercials...'cure' your diabetes.Like a dummy I thought I was cured,quit testing,ate some carbs again,ate packaged foods loaded with sugars and carbs...and guess what? A1c 89!

So this time I am very good living the LCHF lifestyle that fortunately for me has put me into non diabetic range.I do have slight neuropathy in feet that also dang lucky for me in 4 months is also making slow but very steady progress.I expect full recovery,no reason it shouldnt continue to heal.

Long story short,seriously consider taking charge now instead of letting diabetes possibly catch you unaware.Only downside,give up carbs and sugary junk foods.Upside,lose weight and bypass the diabetes altogether.If you get lucky...the LCHF meal plans dont work for everyone folks here can tell you.But it does work for a whole lot of us. :)

Oh,and the hungry? Eating the fats instead of carbs helps with that too,at least for lots of us.Good luck and best wishes for you going forward.
 
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Hmmm....thought others would have replied by now.

My Type2 story,got an A1c 37,Doc said we will watch it.Year later 41.We will watch....I missed the next year,year after that 76! Now if Doc had told me how many in the higher levels around pre diabetes convert to full diabetes,and had recommended LCHF and dump all those carbs (AKA Sugars),and all the added and hidden sugars I could have skipped the whole diabetes rigamarole from the get go.

I love my Dr,great Dr,but he follows what the mainstream and what he was taught to dictate his care plan.Which isnt such a good plan we are now finding out.:(

OK,I did diet,and got back into normal range.Then I kept hearing radio commercials...'cure' your diabetes.Like a dummy I thought I was cured,quit testing,ate some carbs again,ate packaged foods loaded with sugars and carbs...and guess what? A1c 89!

So this time I am very good living the LCHF lifestyle that fortunately for me has put me into non diabetic range.I do have slight neuropathy in feet that also dang lucky for me in 4 months is also making slow but very steady progress.I expect full recovery,no reason it shouldnt continue to heal.

Long story short,seriously consider taking charge now instead of letting diabetes possibly catch you unaware.Only downside,give up carbs and sugary junk foods.Upside,lose weight and bypass the diabetes altogether.If you get lucky...the LCHF meal plans dont work for everyone folks here can tell you.But it does work for a whole lot of us. :)

Oh,and the hungry? Eating the fats instead of carbs helps with that too,at least for lots of us.Good luck and best wishes for you going forward.
Can I ask what a normal day of meals you eat are? Cereal,porridge,breads,rice,wheats,potatoes in your usual meals?
Hello,
Thanks very much for the advice and am certainly going to give it a try. Feels strange tho as I have always tried to keep fats low! Of course low fat sometimes means high sugar, almost feel like I need a degree in diet! Anyhow I am looking the LCHF diet up and going to get going, is this also the keto diet? I hope that your neuropathy continues to improve for you and thanks again for the good advice.
 
Hello,
Thanks very much for the advice and am certainly going to give it a try. Feels strange tho as I have always tried to keep fats low! Of course low fat sometimes means high sugar, almost feel like I need a degree in diet! Anyhow I am looking the LCHF diet up and going to get going, is this also the keto diet? I hope that your neuropathy continues to improve for you and thanks again for the good advice.

The point about low carb diets is that you need to replace the energy you have removed by losing carbs with something else so fat is the obvious thing as it doesn’t affect blood sugars. I eat between 30 - 50g carbs per day. I don’t go over board on fat but just use full fat versions of cheese, yoghurt etc... and I cook with olive oil or butter, but you will need to experiment with testing to see what suits you. Keto is just a very low carb version, generally accepted as under 20g/day.
Here’s a link you might find helpful:
https://www.dietdoctor.com/low-carb
 
Can I just confirm other than one single high glucose tolerance test (not repeated or confirmed?) you have never had a reading or test beyond prediabetic? Even when eating carbs regularly? How much did you lose and have you kept it off? Weight loss alone does improve some people significantly.

What lead to the GTT? Were you otherwise unwell or on other medications that was limited to that time ?

Now don’t get me wrong having regular prediabetic readings aren’t to be ignored and low carb eating will help prevent them rising. And RH does sound possible on the face of it. Best thing is to check if you are actually going low when getting these odd shakes feelings and see what that says.
 
Hello,
Of course low fat sometimes means high sugar, almost feel like I need a degree in diet! Anyhow I am looking the LCHF diet up and going to get going
Its amazing how fast and how much you will learn about diet.How some veggies like cauliflower and broccoli have such low carbs can eat good sized portions,stuff like that I have with my big meal,dinner,so Im not hungry later.Ive had days where I didnt sleep,up late and overindulged and still sugars are OK,just blows my mind how it works.And the fat thing.I buy fatty ribs,grind fatty minced meats and make fatty breakfast style sausage patties,you should gain wt,right? Nope,you lose.And they are tasty and they are cheaper than lean meats.Gotta love it!

The point about low carb diets is that you need to replace the energy you have removed by losing carbs with something else so fat is the obvious thing as it doesn’t affect blood sugars. I eat between 30 - 50g carbs per day. I don’t go over board on fat but just use full fat versions of cheese, yoghurt etc... and I cook with olive oil or butter, but you will need to experiment with testing to see what suits you. Keto is just a very low carb version, generally accepted as under 20g/day.
Here’s a link you might find helpful:
https://www.dietdoctor.com/low-carb
I like to buy cheaper hunks of meat on sale that havent had the fat trimmed off,and cut into steaks.Seems wickedly indulgent yet works on our metabolism,YUMM!Pretty cool!
 
The cereal, bread, popcorn, chips, are all things I would have avoided even before diagnosis as I never felt right eating high carb foods.
 
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