HB1Ac has increased from 45 to 46 in two months.

HSSS said:

As already identified the cold medication as well as any underlying infection may have raised levels. The extra carbs at dinner could just be enough to be bumping the overall average up a little, as could the hi low bread (not actually that low btw just a bit lower than normal bread) as grains are a major trigger for some of us and the low carb snack bars are almost as bad for me as any other type according to my meter.
I have to maintain really low bordering on keto levels of carbs in order to stay still on my hb1ac. Others can manage more. Perhaps you, sadly, are in the first group more than the second.

I eat double cream and soft cheese whipped up thickly with vanilla or peppermint essence and a little erythritol (Safe for me bgl wise) as my main sweet treat and fat filler, and a little 85% chocolate. Sadly the more we feed the sweet cravings (even with bgl safe methods) the more our brains crave them. It’s a constant battle for me too to not get back into that cycle, so in that sense total abstinence is easier than moderation

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PNJB said:

Saur, maybe you are over anxious about your (excellent) results, which the WHO regard as pre-diabetic. 48 is the point at which it considers diabetes to be out of control. Keep on with the controlled diet. My own HbA1c was 66 mm/m three months ago (out of control), and was down to 41mm/m (pre-diabetic)yesterday by dint of controlled diet, so keep up the good work.

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PNJB said:

Saur, maybe you are over anxious about your (excellent) results, which the WHO regard as pre-diabetic. 48 is the point at which it considers diabetes to be out of control. Keep on with the controlled diet. My own HbA1c was 66 mm/m three months ago (out of control), and was down to 41mm/m (pre-diabetic)yesterday by dint of controlled diet, so keep up the good work.

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Norfolkmell said:

You are doing ok, a rise of 1 is minuscule. Low carb works so stick with it. Infections, stress, not sleeping all affect your BG. Is there a huge difference between your before meals and two hours after? Mine can go up to 9 from 6 two hours after but at 4 hours after will usually be back to the before results.
Check the labels of lozenges and cough mixture. Should I need cough medicine I always ask the chemist for Simple Linctus it's sugar free and is the basic recipe for most other cough medicines but before the sugar and flavourings are put in to make it taste nicer, it is always much much cheaper. Haven't needed it recently but years ago Boots would sell you a litre at a time but I don't think they do that now. But it came in useful with three of us at home.
Keep low carbing it is the answer.

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Alexandra100 said:

There is a lot of controversy about artificial sweeteners and some research suggests they may be bad for our micro-biomes. However the evidence for the harmful effects of sugar and starch for those of us with impaired glucose tolerance is imo far far stronger. I am obliged to eat VLC (20-30g carbs daily). I too am only human and I have decided that it is worth the risk to have something satisfyingly sweet at the end of a meal.

I have discovered that most artificial sweeteners available over the counter do raise bg, and many are even cut with up to 50% sugar!!! Erythritol seems not to raise bg for most people here, including me. It has a texture like castor sugar but it is somewhat less sweet. For me a portion of Total 5% fat Greek yoghurt sprinkled with erythritol is a great treat. I also like Slim rice, rather expensive but currently on offer at Holland & Barratt. I eat it every daywith ground linseed, erythritol and double cream!
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I have not been able to find erythritol in supermarkets. Unfortunately it is expensive. I buy it over the internet from Pink Sun: https://www.pinksun.co.uk/erythritol My go-to for sweetening herb tea is saccharine. This is extremely cheap, very sweet, and the little tubes are conveniently portable. I buy mine from Home Bargains. The other sweetener that doesn't raise bg is Stevia. I have not tried it, but many here like it best. But beware - over the counter it is often adulterated with elements that do raise bg.

NB I do not have any financial interest in the above recommendations.

My heartfelt advice to @Saur or anyone trying to follow a low carb path is ALWAYS LOOK AT THE LABEL. Even if the product is prescribed by a Dr or sold in a chemist or marketed as containing less sugar. Turn it over and check how many grammes of carb per 100g.

Good luck!

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Daphne917 said:

We are all individuals and, like everything, the number of carbs and their effect on BS differ depending on which snack bar you have and the person consuming it - I have tried a few and, through testing, know which ones I can eat. I also have about 5 diet drinks per week and, again, they don’t affect my BS.

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Alexandra100 said:

You may be able to shave off a few g carbs by changing to Total 5% fat Greek yoghurt. It is the lowest carb yoghurt that is readily available.

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Norfolkmell said:

Plenty of carb free or low carb bread recipes on diet doctor to experiment with, I'm trying waffles tomorrow morning.

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