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diabetic register query

G

Gardengnome

Well-Known Member
Messages
134
Location
uk
Type of diabetes
Don't have diabetes
Treatment type
Diet only
Dislikes
going to a gym
I read on the forum about someone who reduced their HbA1c from 58 to 38 in 3 months and they were told that if in another 3 months they could reduce it to 32 they would be taken off the register.
My question is this: I am not diabetic but 3 years ago had a health check and was found to have high blood pressure. sometime later I discovered that the HbA1c taken as part of the check had been 42 yet nobody had said anything to me, they just focussed on the blood pressure. I was alarmed and they gave me another test expecting it to be lower as I had altered my life style somewhat in regard to the blood pressure. It was exactly the same but they said not to worry I wasn't diabetic - "Just watch your diet" I was told. No instructions, just watch it !!
About a year later I had another test, for the blood pressure drugs I think, and this time it was 39. So I am wondering, why was the forum reader still considered a diabetic with an A1c of 38 and not eligible for removal from the register until it dropped to 32? Where do I stand with a reading of 39, and more to the point where did I stand with a reading of 42?
 
If someone had high enough HBA1c results to be classed as a diabetic then even if they reduce their levels to high normal (e.g. 39), they're still prone to be diabetic - the original trigger will still be there, so I imagine they'd need to be able to have firm evidence that they can both reduce and keep their levels well down into the non diabetic level for their status to be changed. They may still need to have regular eye and foot checks.

HBA1c results can fluctuate so levels that are just about normal or just about pre diabetic means you're still in a potential diabetes danger zone, and need to take care. With your results, I think you'd be wise to carry with your new lifestyle, and to watch your carbohydrate sonsumption, to best avoid going any higher. What's going on with your glucose is the only important thing for you to be concerned about - this other member is likely to have a very different medical history so their condition may well need to be treated quite differently.

My results have come down from a definite diabetic level and have hovered between 40 and 43 for the last 2 and a half years, which to me suggests I've hit my diabetes hard over the head, but it's definitely not dead yet. :D

Robbity
 
My last hba1c was 36, down from 41, but I was told once as diabetic always a diabetic. A colleague at work was taken off the register only after 1 year so I think a lot depends on the policy of your GP surgery and how much funding they can get for having diabetics, albeit well controlled, on their books.
 
Hi all, I am the person refered to in the original query and all of the above are spot on. 42 to 48 is pre-diabetic so maybe that is why they didn't push the extra stress of saying you were borderline pre-diabetic when they were more concerned with your blood pressure issue.

Every case of diabetes is individual to each person who has it and certainly we all have are own differing health issues. This is why it is always imperative that we involve our healthcare professionals in what we do. They are there to help you so use them and quote the various successes and use the fact that it may result in you not being a drain or reliant on NHS resources if you resolve it. That seemed to work for me.

I think I personally was extremely fortunate to spot VLCHF almost immeditely after diagnosis and adopt it. I fancy I had probably not been diabetic too long either which also helps.

I would advice everyone, diabetic or not, to seriously consider their carb intake and would even go as far to suggest they consider a ketogenic diet without being diabetic. I've yet to find a negative aspect to my health from going into ketosis. It has reduced my weight improved the quality of my cholesterol managed my BG and gotten me off medication too.

I do suspect it will be more difficult when I have to maintain my weight when I have lost all of the excess weight but I'll cross that bridge when I get to it.

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The "once a diabetic always a diabetic" is not strictly true as they may find a cure and they may find ways of nullifying diabetes via its control that it won't be an issue. Yes once you have been diabetic you are deemed succeptible to raised BG but you won't every suffer it if you're managing it unless damage was caused before you managed to correct and control it.
It's like saying we all have cancer because we all have cancer cells lying dormant in us which is a far to sweeping statement and simply not the case.

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