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Good or bad?....confused

Gezzabelle

Gezzabelle

Well-Known Member
Messages
1,332
Location
West Midlands
Type of diabetes
Type 2
Treatment type
Other
Just had my latest review and my HbA1c was 41mmol/mol............the nurse said that isn't good and that it is at the very top end of 'good' so therefore I am at high risk of my pre diabetes going bad ways. I have looked on various conversion charts and it appears to be 5.9 on the old scale. Have I got it wrong or missed something? She is so unhappy with it she told me to drink more fluids...exercise more....eat lots more wholegrain products...brown bread, rice, pasta, cereals....jacket potatoes...sweet potatoes ...plus bread rolls and scones!! Lots of fruit too.....ummm all of which is toxic to me and would send my sugar levels through the roof and they wouldn't come down for hours. She is going to check it again in 6 months along with my cholesterol which she says is also too high at 6.2...(a drop of .2 on last time )
 
You aren't even prediabetic, you are at the top end of normal - so I'd advise that you do NOT eat rice bread pasta cereals - of any sort type or colour, avoid potatoes of any sort, all baked goods other than specifically low carb ones and eat only small amounts of berries as part of meals. That way you should lower your blood glucose and have good ratios of the various blood lipids.
That nurse is dangerous.
 
Resurgam said:
You aren't even prediabetic, you are at the top end of normal - so I'd advise that you do NOT eat rice bread pasta cereals - of any sort type or colour, avoid potatoes of any sort, all baked goods other than specifically low carb ones and eat only small amounts of berries as part of meals. That way you should lower your blood glucose and have good ratios of the various blood lipids.
That nurse is dangerous.
Click to expand...
2 years ago I presented with an HbA1c of 6.5....was told I was type 2....doctor then decided I wasn't diabetic at all in his wisdom and told me to go home eat broccoli and drink red wine! The debate since then as to my diabetic state or not has been ongoing. I eat LCHF and got my levels down but that sent my cholesterol up and of course they say LCHF is wrong and doesn't work! Any advice I get from my gp surgery always leaves me totally confused. I will just go on eating LCHF and see what the next test shows up. It is scary the lack of advice and the wrong advice that gets given out. She told me they have changed the limits now so my reading of 41 was way too high and that I am at high risk.....confused.com lol
 
Have you HbA1c results gone up from previously? If so maybe that's why she's carrying on at you? BUT you're a fair way off actually being diabetic, which is where you'd end up if you took her advice. So just carry on as you are - eating the foods you know are safe.

Robbity

PS I think we both posted at the same time - so my question's answered.
 
Robbity said:
Have you HbA1c results gone up from previously? If so maybe that's why she's carrying on at you? BUT you're a fair way off actually being diabetic, which is where you'd end up if you took her advice. So just carry on as you are - eating the foods you know are safe.

Robbity
Click to expand...
HbA1c was previously 40.2 a year ago.....they told me to stop eating fat as my cholesterol was too high. (I had been eating LCHF) I cut the fat but still ate low carb and put on a stone in weight :( Considering I had been eating badly for months due to my husband being seriously ill I think the tiny rise from 40.2 to 41 is to be applauded not criticised and pounced on. If I eat a bad high carb meal like pie and chips which is a once in a blue moon treat, my BG goes up to 18.0 and takes 8 hours to come down....which according to the nurse is fine and perfectly normal :***:
 
They like to see a downward trend, I got a big telling off when I went from 35-42 and she totally lost it when I said I should start testing again. It must mess with the graphs or something.

This is real life though and you know the effort you put in.
 
Gezzabelle said:
She is so unhappy with it she told me to drink more fluids...exercise more....eat lots more wholegrain products...brown bread, rice, pasta, cereals....jacket potatoes...sweet potatoes ...plus bread rolls and scones!! Lots of fruit too.....ummm all of which is toxic to me and would send my sugar levels through the roof and they wouldn't come down for hours.
Click to expand...

She is the one who is confused for advising you to eat more carbs...

Gezzabelle said:
If I eat a bad high carb meal like pie and chips which is a once in a blue moon treat, my BG goes up to 18.0 and takes 8 hours to come down....which according to the nurse is fine and perfectly normal :***:
Click to expand...

It is great that you have been monitoring your glucose levels and is fully carbs aware. With the glucose response and clearance that you have mentioned, these are typically for those of us who have been diagnosed. A normal response is rarely above 8 mmol and would return to < 6mmol within another 2 hours or so...
 
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