Type 2 HbA1c has skyrocketed

Mscmhs1

Active Member
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35
I’m absolutely devastated.

Today I’ve gotten my HBA1C result and it’s 76mmol/mol.

June 2020: 56
October: 47
February 2021: 51
July: 76.

I’ve always been a big alcohol drinker and I’ve cut that out completely (which has seen improved liver results).

I’ve tried improving my diet or so I thought.

Although I have been at home so much more than normal (working, living etc).

In getting my results I have been told this is a dangerous level. And whilst I know that, how significant is a 76mmol result?

I’m aware that diabetes is diagnosed from 48mmol. But is my result at the high end of dangerous. I’m so scared now.
 

bulkbiker

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19,575
Type of diabetes
Type 2
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Diet only
I was diagnosed at 87 mmol/m was that dangerous..?
Possibly but no real idea.

What/how have you "improved your diet" the results would suggest otherwise.
 

LittleGreyCat

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4,245
Type of diabetes
Type 2
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Tablets (oral)
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Diet drinks - the artificial sweeteners taste vile.
Having to forswear foods I have loved all my life.
Trying to find low carb meals when eating out.
If you tell us what you currently eat we might be able to offer constructive advice.
 

Mscmhs1

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In truth, I don’t have any specific trends or patterns.

My biggest vices have been alcohol, fizzy drinks/ juices and bread.

I have tried really hard to cut those out. Alcohol I haven’t touched for two months. Fizzy drinks I have had but less so.

Typically of a day, I tend to not eat much during the day. I rarely have breakfast or dinner. I do have ADHD and the meds I take are an appetite suppressant.

But of an evening when it starts to wear off I have an evening meal. Frequently with meat (and sometimes processed). That wouldn’t warrant this though so can only assume it’s snacking. I hadn’t even realised how much I do that.

I’m clearly eating unconsciously or without thought.

My GP has told me before now that i don’t need medication and can reverse it but that’s when the result was much lower. Is that still a possibility?
 

EllieM

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But of an evening when it starts to wear off I have an evening meal. Frequently with meat (and sometimes processed). That wouldn’t warrant this though so can only assume it’s snacking. I hadn’t even realised how much I do that.

It really depends on what the snacks are. Fizzy drinks are very carby unless you drink the sugar-free (coke zero etc) ones. Is it possible that you're having more drinks with carbs since you gave up the alcohol?

Plenty of people use diet to reduce their levels to normal from levels of 76, but I'd suggest you have a good look at what you're eating and see if some extra carbs have crept in since February.
 

LaoDan

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Messages
992
Type of diabetes
Type 2
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Diet only
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The term “new normal “
Use your meter to prevent things from getting out of hand. Just a couple pokes a week for maintenance
 

Mscmhs1

Active Member
Messages
35
Use your meter to prevent things from getting out of hand. Just a couple pokes a week for maintenance

I haven’t got anything. I’m not on medication or have a meter. I have trialled the Abbott one months back.

Maybe time to reinvest!
 
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Mscmhs1

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It really depends on what the snacks are. Fizzy drinks are very carby unless you drink the sugar-free (coke zero etc) ones. Is it possible that you're having more drinks with carbs since you gave up the alcohol?

Plenty of people use diet to reduce their levels to normal from levels of 76, but I'd suggest you have a good look at what you're eating and see if some extra carbs have crept in since February.

I’m going to start keeping a food diary I think!
 
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lovinglife

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Messages
4,578
Type of diabetes
Type 2
Treatment type
Diet only
I’m absolutely devastated.

Today I’ve gotten my HBA1C result and it’s 76mmol/mol.

June 2020: 56
October: 47
February 2021: 51
July: 76.

I’ve always been a big alcohol drinker and I’ve cut that out completely (which has seen improved liver results).

I’ve tried improving my diet or so I thought.

Although I have been at home so much more than normal (working, living etc).

In getting my results I have been told this is a dangerous level. And whilst I know that, how significant is a 76mmol result?

I’m aware that diabetes is diagnosed from 48mmol. But is my result at the high end of dangerous. I’m so scared now.
Lots of good advice so won’t add to that, regarding the snacking it’s very very easy to snack unconsciously. A food diary is a good idea but you’ve still got to be conscious of what your eating and remember to write it down.

A thing I did way back when was set a rule that if I wanted to eat anything and I mean ANYTHING AT ALL even a square of chocolate I could have it but only at the dining room table and set a full place setting for everything- place mat, plate, cutlery, glass of water then wash it up immediately and put it away, I soon realised how much stuff was going in my mouth and snacking became too much hassle I really made me very aware and to this day we all still take our meals round the table - no sofa eating or aimless snacking
 

VashtiB

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2,285
Type of diabetes
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I think an investment in a meter would be a great place to start. Food logging is also a good idea but for me best done along with testing your levels.

Once you have your meter you can work out what foods are contributing to your increased levels. If you find certain foods that you like are causing it look for alternatives. An obvious easy one is diet fizzy drinks. There are also alcohol options.

Good luck and let us know how you go.
 
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muzza3

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Diet only
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Cauliflower pretending to be rice and any vegetable pretending to be pasta
Agree with @VashtiB testing is the way you get control and make decisions on what foods and drinks affect your levels. It is in my opinion the best way to get started on a path to return your levels to normal. Start testing and post your results and ask as many questions as you need as this forum is a great resource. Also if the fizzy drinks you mentioned are not sugar free then change that straight away
 
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lucylocket61

Expert
Messages
6,435
Type of diabetes
Type 2
Treatment type
Diet only
In truth, I don’t have any specific trends or patterns.

My biggest vices have been alcohol, fizzy drinks/ juices and bread.

I have tried really hard to cut those out. Alcohol I haven’t touched for two months. Fizzy drinks I have had but less so.

Typically of a day, I tend to not eat much during the day. I rarely have breakfast or dinner. I do have ADHD and the meds I take are an appetite suppressant.

But of an evening when it starts to wear off I have an evening meal. Frequently with meat (and sometimes processed). That wouldn’t warrant this though so can only assume it’s snacking. I hadn’t even realised how much I do that.

I’m clearly eating unconsciously or without thought.

My GP has told me before now that i don’t need medication and can reverse it but that’s when the result was much lower. Is that still a possibility?
unfortunately, your reply is too vague for me to make helpful suggestions. Can you give an idea of what your daily food and drink looks like.
 

Mscmhs1

Active Member
Messages
35
unfortunately, your reply is too vague for me to make helpful suggestions. Can you give an idea of what your daily food and drink looks like.

I’m sorry for the lack of clarity. It isn’t that I’m intentionally trying to be vague. It’s just difficult for me to typify what I consume on a given day because it’s so sporadic and I haven’t yet established specific trends or patterns to my eating habits that I am aware of.

I’ll try to provide in-depth info below.

For context: I’m male, aged 37, 5ft 6in tall and I currently weight about 14 stone (90kg). I have a BMI of 33.

According the the NHS, my ideal body weight is between 8st 3lbs and 11st 2lbs, with the latter seeming more appropriate.

In April 2020, my mother passed away at 56 from epilepsy related complications. Sadly, due to her own personal challenges, we had been estranged in the decade leading up to her death. After she passed away, to try to understand her better, I requested access to see her medical records. They made for grim reading. I learned that she had been in very poor health and was extremely overweight.

Ever since she passed away, its really played on my mind and made me think of my own health and mortality. I now, more than ever, recognise the desperate need to change whilst it’s still within my power to do so and before it’s too late. I appreciate I sound very dramatic, but I now have more awareness of the urgency of that and don’t want history repeating itself.

So, as it stands, I’m around 2.5 stone overweight. In all honesty, I hadn’t ever really thought of that as being a huge amount. Nothing that a quick, short diet wouldn’t resolve, I kept telling myself year after year.

But as a small framed guy, it was becoming harder to ignore how my lifestyle was negatively impacting my health. For example, every time I move, even just slowly or leisurely - I sweat profusely. My heart rate goes sky high, my heart smashes through my chest and I feel light headed.

I can only assume these issues are weight related as tests and assessments haven’t been able to establish any other cause and I think my GP is just too polite to tell me!

Regarding my eating habits, I guess it’s important to say before getting to that, that I take a daily 60mg daily dose of Lisdexamfetamine for ADHD, following a year long titration process with a specialist nurse.

Aside from treating ADHD, Lisdexamfetamine is also prescribed to people with binge eating disorders, although that isn’t applicable to me. From the moment of taking it upon waking and until it starts wearing off (around 6/7pm), it totally suppresses my appetite. Because of that, I often go the whole day without anything more than a few cups of coffee. After it’s worn off though, my appetite returns with a vengeance.

Because I only need to take it on days i’m working or studying (I study a masters in Mental Health Science), I sometimes skip taking it. On these days I have a normal appetite. This fluctuation makes
It harder for me to understand my own eating habits and trends.

On the days I make a conscious effort, I might eat a few boiled eggs for breakfast around 8am, followed by canned soup around 12pm. I will then have an evening meal around 6pm which will normally be fish or chicken/turkey breast with vegetables.

On bad days, I skip food entirely until the evening. I might order a takeaway or eat bad or processed food (sausage and chips, chicken Kiev’s etc) and might snack on crisps, chocolate, orange juice and then wine later.

I’d say my three main vices are fizzy drinks/fruit juices, white break and alcohol. Not so much these days but I have been known to drink a full 2 litre of Coke (not diet) or large carton of orange juice. I can also eat half a loaf of white break in a day. This has been much reduced lately in trying to change my eating patterns.

Of course, I’m very aware that all of those things are bad for health. I think I’ve just buried my head in the sand. I don’t think I’ve even been consciously aware of just how much of that bad stuff I must in a day or over a number of days.

Truthfully, I thought that the likely culprit was alcohol. I have been a big drinker from a young age and have drank excessively for the last 25 years (red wine mainly). During lockdown particularly, I was getting to the point of having a bottle every night, sometimes two. This caused liver-related health issues on top of everything else.

I had perhaps naively assumed it any weight gain and high blood sugar was due to the sugar in the wine etc. So, logically, I thought that if I cut out alcohol, any future HbA1c test would improve somewhat.

Today marks 50 days since I decided to take an extended break from drinking alcohol and the first HbA1c result I’ve had following this is the highest I’ve had to date. The good news is though that my liver is back in good shape and within healthy ranges!

So, whilst alcohol does me no favours, my July 2021 HBA1C shows I need to be more conscious and aware of what I’m eating. My health issues can only be because of my weight. This recent score of 76 has really scared, embarrassed and shocked me so I’m going to be making a food diary going forward. That’s the only way I can say for sure what’s going in!

Even writing this post has disgusted me and made me open my eyes!

Since I got diagnosed this time last year, I’ve not once had chance to sit down with my GP (due to Covid) to understand what it all means. She just said to me that I just needed to make some lifestyle changes and could reverse it.

Whilst I know that what I need to do is common sense ie less in more out by cutting the ****, move more, less carbs etc, other than that I feel fairly in the dark. I tried a Libre 2 for a few weeks some some months back and many of the readings were out of recommended range. Yet, just before that, I’d gone from 56 to 47 in my HbA1c so clearly had been doing something right somewhere? I didn’t quite understand (and still don’t) the reading variations, what they should be, what makes it spike (though whenever I had alcohol it rose significantly).

I’m at an “enough is enough” point now. I’ve got to take my head out of my backside and wake up and stop being in denial (not that I’d even realised that I clearly was!)

Last Sunday (25/6/21), I decided to try Huel shakes as meal replacements. Admittedly, when it comes to finding what works for me, I’m like a rabbit in the headlights. I get completely overwhelmed by all the information, especially as much of it is conflicted.

But in regards to Huel, I’d done a fair bit of homework about its purported benefits etc over previous months but I had been out off by the price. Yet, I read lots of different (independent) articles detailing their nutritional value and how they are good for diabetics as they (arguably) help to maintain good blood sugar levels. I thought this would help me as I’d then know specifically everything I was consuming and the nutritional values etc. Aside from one slip up where I had pizza one evening in the week, as of today, I have lost about 6lbs.

This has been such a wake up call to me that even after a week, where my enthusiasm would normally be waning, I feel just as committed to change once and for all.

Going forward, I’ll set myself small goals to work towards so it seems it’s realistic for me to achieve and then repeat it. Hopefully, within a 6 months I can reach my ideal weight and turn around my health for good.

Losing the weight is just half of the challenge though. I still need that good understanding of my blood sugar levels etc to manage it going forward and I’ll be putting as much effort into this as losing the lbs.

I’m really sorry. I completely rambled on this post but wanted to try to be as clear and detailed as I could.
 

MrsA2

Expert
Messages
5,664
Type of diabetes
Type 2
Treatment type
Diet only
Eating only once day can be a good thing for bg.. it just depends on what you eat. You need to make sure that your one meal is low carb, satisfying and has a good lot of protein and fat in it.
There are threads on here on it . Search for OMAD.
There are apps you can use to calculate carbs and other macros in what you eat. Carb Manager is one, there are others
Well done on kicking the alcohol, now its the fizzy drinks and white bread to go. There are some low carbs bread available in supermarkets , but watch the portions, ingredients and cost. I find it easier just to omit bread altogether