Hello, I'm new to forum and would like to introduce myself and ask advice, if possible, from experienced members.
I suffered a stroke last year and spent a week in hospital. During that time as you can imagine they took more blood than I thought possible and carried out test after test.
Anyway, my HBA1c levels came back as 46 and they told me I was pre-diabetic. This is where my confusion starts.
At the time I was on a Ketogenic diet, which basically means no carbs whatsoever. Before that over the summer I was on my normal diet of minimal carbs, no bread, rice, potatoes etc, very little sugar at all (the occasional ice-cream once a week). None in tea, coffee, cereal and drink very little fizzy drinks. I go to the gym (or did before my stroke), at least 4 times a week, and. My gym routine is roughly an hour or more of vigorous weights followed by around 20 minutes high intensity cardio. I was in the army for quite a long time when younger so know a little about keeping fit.
Here's the bad bit -- I smoke around 20/25 cigarettes a day (again I did pre-stroke). I'm now taking smoking aids to give up completely.
What else can I do to improve a diet where I was on minimal sugar and no carbs as it is?
JML - It could be helpful if you described your last day, or a typical day's eating and drinking, as we quite often find there can be a bit of confusion on terminology.
It'd also be useful what medications you are taking, as some meds, whilst great at doing the job they are designed to, can impact other aspects of our living patterns.
To be clear, I'm not suggesting you are doing anything wrong, just making sure we have as robust a starting point as we can, before folks start chipping in ideas for you.
If your hba1c was 46 when on a ketogenic diet, you should also consider the fact that you may be T1/LADA rather than T2. (Though if that diet included allbran/cereals it wasn't keto).
Many doctors assume T2 because of age, even though many people of your age and older actually have LADA, which is slow presenting T1 (basically your body gradually stops making insulin). Antibody GAD tests and a c-peptide test would probably clear up any confusion, though your doctor maty not be willing to do them until/unless your levels go higher.
@JLM2020 Hiw long have you been on statins as these have been known to increase BS levels? I started taking statins when first diagnosed with an hba1c of 48 but it increased to 54 within 6 months. When I came off statins, with my GPs consent, because of other side effects my hba1c reduced and has been at non diabetic levels for approx 7 years.
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