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Type 2 high HA1C level?

wanipuk

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hi, there I have just had my blood tests done for my HA1C level it came back as 77 mmol/mol. is this high or near normal? I have not seen my specialist yet and not going to for months if it is high what kind of damage will this cause. I am really worried about this im type 2 been diabetic 2 years on metformin insulin 3x day and also dapagliflozin. my sugars currently run between 8.5-15 mmol

Please help!!
 
I agree that 77 is quite high but it is not irreversible. You can do some things to lower that A1c and improve your well being, things like diet and moderate excercise can have a great impact on your blood glucose levels/A1c. Because you are on insulin you must take care about your approach to changing your lifestyle and you must inform your GP/DN about those changes.
 
the green area is in the non-diabetic area..

if you try to count your grams of carbs daily in total then go for getting under 1250 grams daily , you may be able to get much lower blood glucose numbers and HbA1c

if you don´t do that already.. ???
 
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I dont anything diet wise at all just keep eating some sugery stuff and also sugar free stuff it's really all to confusing for me I also have a rare heart condition so that also makes me a bit confused sometimes regarding trying to understand stuff
 
If your blood sugars are as high as that (over 48 means you are diabetic and remember that an Hba1c is a sort of average) then there will be damage but insidious damage. Noticeable damage will manifest itself as erectile dysfunction, numb patches of skin with possible pins and needles feeling, peeing a lot and possibly drinking a lot. Worse damage could result from the fact that a wound will be slow to heal with the possibility of infection etc.

Well you did ask.

Since you obviously have a meter then the best thing to do is to use it to find out why you are running so high. It isn't possible to give an insulin user advice on diet since altering your diet will alter your insulin requirements and unless you know exactly what you are doing it could be dangerous.
 
Hi @wanipuk, looking at your history it seems you have raised a similar question on and off for a while now. It must have been difficult for you initially, particularly as you were diagnosed wrongly as type 1, then subsequently re-diagnosed type 2.

Because you are asking again, it seems that none of the advice has worked for you, or for some reason you haven't been able to benefit from it. Perhaps if you could find the words to explain why you haven't been successful with the advice given before, this would help people to guide you towards looking for an approach that would be better suited for you. As you know, any suggestions or advice about diet changes that you are considering following would need to be discussed with your HCP before acting on because you are insulin-dependent.
 
ok so iv had more bloods done recently and i got this back in my results Haemoglobin A1c level - IFCC standardised 51 mmol/mol is this my ha1c level? if so it must have come down which is a good thing right as at the beginning of this post it was 77mmol???!
 

Yes, that is your HbA1c. Well done, that is a great reduction.
 
If the date on the HbA1c test of 77 was 2 or 3 months ago, and the one of 51 is recent, then there is no reason to doubt it. The main thing is to try to figure out why; these things don't usually happen "on their own." Has your drug regimen changed during that time (you mentioned "metformin insulin 3x day and also dapagliflozin")? Your diet? Your lifestyle? Did your doctors give any explanation for the improvement in HbA1c?

Well done, by the way!

(Edited moments later to improve ordering of questions.)
 
Well IV started that dapagliflozin 3 months ago and also lost a stone and half in 3 months as well so I guess it's all of that that has helped it x
 
wanipuk said:
Well IV started that dapagliflozin 3 months ago and also lost a stone and half in 3 months as well so I guess it's all of that that has helped it x
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The weight loss would certainly have helped! Congratulations, that is an excellent result. Just keep doing whatever you're doing now, it's obviously working! Just one point of confusion for me, are you currently injecting insulin?
 
Yes 3 times a day as well as Metformin twice a day and the dapagliflozin also people in UK units please what should by keytone normal reading be isit 0.0? And at what reading should I start to get worried and seek help?
 
wanipuk said:
Yes 3 times a day as well as Metformin twice a day and the dapagliflozin also people in UK units please what should by keytone normal reading be isit 0.0? And at what reading should I start to get worried and seek help?
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Ketones above 1.5 is dangerous. I was advised to call the diabetic nurse straightaway.

I also recommend do not eat anymore bread, potatoes, rice, pasta, noodles, cakes, ice cream, sauces, chocolates, and processed meats with lots of hidden sugars and carbohydrates.

Always look out for the food labels and watch out the carbohydrates and sugar content.

Adapt to low carb high fat diet.

Healthy fats are lean meats, walnuts, salmon, olive oil, cold pressed rapeseed oil, lots of vegetables.

Join the low carb program

https://www.lowcarbprogram.com/
 
Cutting out all those foods when on insulin can be quite dangerous, you might get hypo's real quick when not correctly adjusting your insulin. So please don't do so without consulting a professional.
And congratulations with your reduced hba1c, good work!
 
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