Type 2 HbA1C from 51 to 77 in a year

If it isn't diet or lifestyle there are only two suspects left

1. Increasing insulin resistance
2. Decreased beta cell function in the pancreas

Do you exercise differently?

Carb creep! Wrong foods?
Have you had your cpeptide test done to see how much insulin you're producing?

Are you low carbing? As beta cells burn out we tend to need to reduce carbs

I guess my main question is what are you eating?

Hi. I'm surprised at the nurse. At that HBa1C level you must go onto medication (see NICE Diabetes Pathways). If you have excess weight then a low-carb diet is essential together with meds as well - typically that would be Metformin. The meds can always be reduced. If you don't have excess weight then suspect you are a T1 not T2. If so medication is essential and there are two tests for T1. If you don't already have a meter then do buy one. Your aim must be to get below around 53 mmol HBa1C as soon as you can.

Could be that your body is suffering from your carb intake.. could you try going lower than your 160g per day.. maybe to 100g then to 50g then to 20g and see if that helps. Maybe try lowering to each level for a month.
I follow a similar regime to you (no breakfast) but am ultra low carb.

netter said:

The nurse agreed to hold of medication and give me a 10 weeks to see how much I can control it myself.

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Do you have a glucose meter? It's nearly impossible to gain good control without one.

You could put your sandwich toppings on a large piece of lettuce instead of the bread. Or you could roll the meat and cheese or whatever you eat and eat it that way. No need for bread pasta rice type stuff. If it's peanut better and jelly, skip the jelly and eat the pb with a spoon. Does your dinner veg include root veggies? You coukd dump those and eat all above ground veg instead. There are loads of ways to reduce carbs.

Are you drinking sugary drinks?

I need to stay under 20 carbs a day. All from above ground veg, avocado and a few in nuts.

Sounds like your pancreas needs help. Either drastic low carb or meds or both. I second the get a meter!! When you see those high numbers it will help you think twice about bread and potato and such if you're eating them.

Low carbing , and I mean low should bring those numbers down fast as well as your weight.

netter said:

Hi yes have meter, will take readings every morning to track my progress and also pre post meals.

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great idea then you can see which foods cause your blood sugar to rise and you can avoid them in future..

Daibell said:

Hi. I'm surprised at the nurse. At that HBa1C level you must go onto medication (see NICE Diabetes Pathways). If you have excess weight then a low-carb diet is essential together with meds as well - typically that would be Metformin. The meds can always be reduced. If you don't have excess weight then suspect you are a T1 not T2. If so medication is essential and there are two tests for T1. If you don't already have a meter then do buy one. Your aim must be to get below around 53 mmol HBa1C as soon as you can.

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I'm agreeing with Daibell here, the DN should have at least put you on some form of medication at 77. I think the NICE guidlines say something about adding another form of medication at 58, and that's in addition to the patient already being on metformin. If your diet is the same and your weight hasn't changed then logically i'm thinking your condition has progressed in some way or the test was mucked up at the path lab that has done the HbA1c, which is possible but unlikely.

Ten weeks sounds way too long to get your BG down without medication, then again whats your diet like? Are you eating a lot more carbs? Suppose you go back in 10 weeks and there is no improvement or your results have gotten worse? that's a long time to have your levels this high and very dangerous I think. The whole idea is for your level to be controlled and way below this current 77 mark. I think your DN should have insisted you go on some form of meds and like others have suggested and done some more tests to see if you are T1

netter said:

I am eating the same way as I was last year, and my weight is the same, but my hbA1C has gone through the roof, from last year when I last had my blood test. The nurse agreed to hold of medication and give me a 10 weeks to see how much I can control it myself.
Any idea why it would suddenly become so worse?

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Has your medication changed from then until now? I'm thinking of non diabetes medication, such as statins, beta blockers, steroids, anti depressants etc, as these are linked with increasing your blood sugar