HBa1c as diagnosis

Cas40

Member
Messages
18
Type of diabetes
Treatment type
Diet only
Hi
I was diagnosed in May when my HBa1c was 50. I was left for four months to try and diet control and when I was retested my HBa1c was 38. I bought a monitor today and glucose is fine both before and two hours after eating. I am being left again and retested in April next year. This time I will have a test where I have a glucose solution. Is it possible that HBa1c could reflect three months of a really poor diet rather than diabetes in some cases?
I still intend to be sensible but think there's a possibility I have the wrong diagnosis.
Wishful thinking?
Thank you for your help.
 
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callyandy

Well-Known Member
Messages
3,394
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi
I was diagnosed in May when my HBa1c was 50. I was left for four months to try and diet control and when I was retested my HBa1c was 38. I bought a monitor today and glucose is fine both before and two hours after eating. I am being left again and retested in April next year. This time I will have a test where I have a glucose solution. Is it possible that HBa1c could reflect three months of a really poor diet rather than diabetes in some cases?
I still intend to be sensible but think there's a possibility I have the wrong diagnosis.
Wishful thinking?
Thank you for your help.


Hi @Cas40, I was diagnosed with HbA1c of 51/7% 4 weeks ago, long story, but I'm about to start a NHS sponsored diabetes prevention programme where (as I understand it) pre-diabetic people try to lower their blood glucose levels through diet (Low Carb High Fat) and exercise/lifestyle changes. I went on the induction (30 September) when I was diagnosed, but the chap who interviewed me encouraged me to attend the programme anyway with the hope that my levels would fall to prediabetic, and maybe further.

Lots of waffle from me, and no results yet, but reading the many success stories out there, it seems that diet etc can lead to blood glucose levels falling, and staying low.

I'm not clear as to whether the 51 you were tested at gives a definitive diabetes diagnosis, others will have an opinion and the medical answer to that. I will however, congratulate you on your achievement so far. I hope you continue to stay safe and well.

I've tagged the wonderful @daisy1 to ask her to forward you some information and useful links which may help you find some more answers, also jump about the various forums and see where you land, people are very generous with their information and you answer may be out there.

Again, welcome, and well done!:)
 

GrantGam

Well-Known Member
Messages
2,603
Type of diabetes
Type 1
Treatment type
Insulin
Is it possible that HBa1c could reflect three months of a really poor diet rather than diabetes in some cases?
I still intend to be sensible but think there's a possibility I have the wrong diagnosis.
Wishful thinking?
Thank you for your help.
Unfortunately no...

Your BG has been elevated for a prolonged period (thus reflected in your A1c), and this has likely been caused by your body becoming resistant to the insulin you are producing.

Please do not take this the wrong way, as I'm speaking generally here... But it's more likely that many years of poor diet has resulted in your Hba1c being in the diabetic range rather than the prior three months alone. There are also other factors such as genetics, obesity and exercise/overall fitness.

It's very difficult to word the above without coming across offensive, but have my reassurance that I'm not intending to:)
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
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Cruelty towards animals.
@Cas40

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. It contains advice on carbs and blood sugar levels and a link to the Low Carb Program which you could try. Ask as many questions as you want and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 210,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Messages
6,107
Type of diabetes
Type 2
Treatment type
Diet only
I still intend to be sensible but think there's a possibility I have the wrong diagnosis.
Wishful thinking?
Wishful thinking indeed. We all go through it at first. No, not me guvnor, you've got the wrong bloke, honest. It's called denial.
The truth of the matter is the Hba1c is an indication of your blood glucose levels for some weeks prior to the test and they are too high. This is potentially damaging to your health. This is what diabetes is and you have it.

Happily, having a close look at your diet and exercise can control it but so far there are no reports of anyone actually being cured and going back to their old ways.
 
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Prem51

Expert
Messages
7,393
Type of diabetes
Type 2
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Tablets (oral)
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*
@Cas40 I was diagnosed as T2 with a lower HbA1c reading than you, at 49. I reduced that to 44 by my 3 month retest. I was in denial too, and still am a bit.
I feel that my bs was probably a bit higher because of statins and hayfever, and I was comfort eating and self-medicating with alcohol because of depression at the time. But I was in most of the 'at risk' groups, and had a pre-diabetic reading the previous year. I would like to think that the diagnosis was wrong but I accept that it was correct and I will have to be careful about what I eat now.
It does take a bit of time to come to terms with that diagnosis, but we have to if we are to deal with the condition.
 

Chasida

Well-Known Member
Messages
76
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Pubs/clubs
Mine was also fine both before, and two hours after eating BUT someone told me to check after just ONE hour and I was always high! Anything from 9.9 to 11.3 so it was a shock! Have you tested after an hour at all? You might spike high, just like me!
Hi
I was diagnosed in May when my HBa1c was 50. I was left for four months to try and diet control and when I was retested my HBa1c was 38. I bought a monitor today and glucose is fine both before and two hours after eating. I am being left again and retested in April next year. This time I will have a test where I have a glucose solution. Is it possible that HBa1c could reflect three months of a really poor diet rather than diabetes in some cases?
I still intend to be sensible but think there's a possibility I have the wrong diagnosis.
Wishful thinking?
Thank you for your help.
 

Ross.Walker

Well-Known Member
Messages
291
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
sprouts, evil things
hello

So I suspect that the answer you want is that it will all be OK. If your HBa1c is now 38 after a change to your diet and lifestyle then bloody well done to you, that is awesome, and you should be OK.
What you are is, diabetic but you are managing it. If you can sustain this discipline you will do well as you are not "stressing" your body now, but go back to your old diet and that HBa1c result will head upwards again.

Does that make sense? I am in the same boat as you , I am a diabetic, I manage it, I will behave for a long healthy life. It is a bit odd when the news hits, but you can do anything you want to do.
 
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Geordie_P

Well-Known Member
Messages
849
Type of diabetes
Type 2
Well, see how the glucose test goes. I'm in a similar boat to you; I was diagnosed with fasting bg of 13.2. When I went back a week or two later to discuss the results with my doctor, we did a quick test and it was 5.9; I asked could I still be pre-diabetic, he said he doubted it, but then he wouldn't have believed I could get a 5.9 either, so I should keep doing what I'm doing and get another venous blood test for lab results at the end of November. I've lost about 25lbs since then, and my fasting bg is consistently 3.3, and two hours after my evening meal is 4.9. That's with no medication.
Now, I don't disagree with the comments above- I especially like what Ross said- if we take care of ourselves we can be healthy again, (I like my new lifestyle anyway), but if we go back to the bad old ways, our bodies won't be able to handle it.
The thing is though, I'm still going to get checked out properly to see if I'm still 'full-on' diabetic, and I think you can too. I'd say it's more a case of being thorough than wishful thinking per se.