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<blockquote data-quote="Paul_" data-source="post: 2666800" data-attributes="member: 578575"><p>All sounds good, in my opinion you're doing all the right things, many of which mirror the overall approach I took at a high level to reduce my hba1c.</p><p></p><p>When you're riding high with blood glucose levels, my understanding of various articles (and input from other members here) is that your body kind of acclimatises to those higher BG levels. It thinks it needs levels that high to sustain normal function. As such, as your levels drop due to diet and lifestyle improvements, your liver gets the signal to dump glucose into your system to top you back up. That's also why I originally said there's little you can do to directly improve waking BG readings. It takes time for your body to acclimatise to the lower BG state, realise it doesn't need to boost your levels with liver dumps, and for everything to settle down. Even on keto levels of carb intake for 5 months now, my waking readings are still often anywhere between 6 and 8 mmol (higher end when my inconsistent/unpredictable dawn phenomenon rears its head). The rest of the time I'm between 4.5 and 5.5 before and after meals now, having lost a significant amount of weight and maintained keto levels of carb intake for 5 months. On the way to where I am though, I saw results like you're seeing, where they dip down some days, but then go up. My advice here is that if you look at your results, the averages are coming down week on week, so look back again in 2-3 weeks and you'll hopefully see the same compared to the numbers you're currently getting. I get it though, I'm not the patient "wait and see in a couple of weeks" type either!</p><p></p><p>Basically, my post here is just a long way of saying don't get disheartened and keep at what you're doing!</p></blockquote><p></p>
[QUOTE="Paul_, post: 2666800, member: 578575"] All sounds good, in my opinion you're doing all the right things, many of which mirror the overall approach I took at a high level to reduce my hba1c. When you're riding high with blood glucose levels, my understanding of various articles (and input from other members here) is that your body kind of acclimatises to those higher BG levels. It thinks it needs levels that high to sustain normal function. As such, as your levels drop due to diet and lifestyle improvements, your liver gets the signal to dump glucose into your system to top you back up. That's also why I originally said there's little you can do to directly improve waking BG readings. It takes time for your body to acclimatise to the lower BG state, realise it doesn't need to boost your levels with liver dumps, and for everything to settle down. Even on keto levels of carb intake for 5 months now, my waking readings are still often anywhere between 6 and 8 mmol (higher end when my inconsistent/unpredictable dawn phenomenon rears its head). The rest of the time I'm between 4.5 and 5.5 before and after meals now, having lost a significant amount of weight and maintained keto levels of carb intake for 5 months. On the way to where I am though, I saw results like you're seeing, where they dip down some days, but then go up. My advice here is that if you look at your results, the averages are coming down week on week, so look back again in 2-3 weeks and you'll hopefully see the same compared to the numbers you're currently getting. I get it though, I'm not the patient "wait and see in a couple of weeks" type either! Basically, my post here is just a long way of saying don't get disheartened and keep at what you're doing! [/QUOTE]
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