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HbA1c increase

Discussion in 'Diabetes Complications' started by Foligno, Mar 26, 2019.

  1. Foligno

    Foligno Type 2 · Newbie

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    Hi all
    I was called in to my GP following HbA1c reading of 74 yesterday. I was previoulsy averaging 48 - 54 range. The change has accured over the last 6 months (last test). I'd stopped using my monitor & have been following a 'very' relaxed vegan diet. By this I mean eating high end carbs & not checking my sugar intake. I had noticed excessive night sweating & extreme fatigue-low mood & poor cogitions, so the result was not, if being honest, a complete shock. My diabetic nurse informed that I may need to take additional medication to my usual prescribed Metformin 500 mg 3 daily. But advised that I try life-style & diet change over the next 6 months, to see if things improve. A previous GP advised that I take 2 x 500 mg tablets in the morning & 1 x 500 mg tablet in the evening. But the nurse recommended that I take the tablets morning, lunch & evening with meals. I have been neglecting the middle of the day, eating when absolutey hungery as opposed, adhering to a set meal routine (breakfast, lunch, super), consequence of busy-stressful work schedule. I am now finding that my bm levels are averaging 9-11 mmols. I have started to strictly monitor my diet & even after eating just a one small whole meal toast spread with half an advocado, for breakfast, I noticed that my bm morning pre-meal read was already high at 9.8 mmols (morning) and post meal (2 hrs ) read 10.6 mmols. My BMI is around 29.9. My diabetic nurse has booked me in for a GP medical review in a few weeks time . I would prefer to avoid adding additional medication, but l also recognise that I need to get better control of my diabetes. Does anyone have any advise on how to reverse increasing bm tread via lifestyle & diet? Recommendation regards vegan-diabetic cook books? Or does increasing bm reads indicate an inevitable decline without additional medication.
    Thanks & best wishes Michael
     
  2. bulkbiker

    bulkbiker Type 2 · Master

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  3. Mel dCP

    Mel dCP Type 1 · Well-Known Member

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    Check out the "Vegan Keto Made Simple" group on Facebook - loads of ideas on there for some lovely food that won't smash either your ethics or your blood sugars. There's tons of info in the pinned post :)
     
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  4. Foligno

    Foligno Type 2 · Newbie

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    Thanks both much appreciated.
    I shall check out your recommendation
     
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  5. Antje77

    Antje77 LADA · Moderator
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  6. Rachox

    Rachox Other · Type 2 - well controlled. Moderator.
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    Hi foligno and welcome! I can’t help with your enquiries about low carb and Veganism but wanted to comment on the spacing of Metformin tablets. I started on one with each of my three meals, but I kept forgetting the lunch time one. My GP suggested two at breakfast and one at evening meal. This I did and there was no change to my lunchtime readings. Metformin doesn’t have an immediate effect on blood sugars it has a cumulative effect. So maybe just run this passed your HCPs to stay as you are if you don’t want or have time for lunch.
     
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  7. bulkbiker

    bulkbiker Type 2 · Master

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    Here's another that you may find helpful
     
  8. daisy1

    daisy1 Type 2 · Legend
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    @Foligno
    Hello Michael and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.


    BASIC INFORMATION FOR NEW MEMBERS

    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 147,000 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 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.
     
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