How many limiting carbs can a Type 2 without any medication take in a meal (Breakfast, lunch, and dinner, no snacks)?

CatsFive said:

In the UK and many other countries, the HbA1c blood test determines if one is T2. In the UK, 48 or more is T2 and pre-diabetes is 42-47. For most of us it was nothing to do with blood glucose levels. No test is completely accurate / repeatable, so the NICE guidelines include:

"If the person is asymptomatic, do not diagnose diabetes on the basis of a single abnormal HbA1c or plasma glucose result. Arrange repeat testing, preferably with the same test, to confirm the diagnosis."

https://cks.nice.org.uk/topics/diabetes-type-2/diagnosis/diagnosis-in-adults/

I was asymptomatic, I had a repeat blood test. And I get a repeat test every 6 months which is how I know 56 has turned into 44.

We have no idea how you were diagnosed unless it's in one of your other posts, but it's crucial to realist that:
1) No test is completely accurate / repeatable
2) We are all individuals and react to what we eat differently.

If you lose sight of these two facts you will tie yourself in knots trying to achieve perfection, when what you need to do is find what is 'good enough'. I still eat more carbs than many people here do, but in general I don't eat rice, potatoes, pasta, cous cous etc. with my evening meal That's done the trick for me.

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CatsFive said:

In the UK and many other countries, the HbA1c blood test determines if one is T2. In the UK, 48 or more is T2 and pre-diabetes is 42-47. For most of us it was nothing to do with blood glucose levels. No test is completely accurate / repeatable, so the NICE guidelines include:

"If the person is asymptomatic, do not diagnose diabetes on the basis of a single abnormal HbA1c or plasma glucose result. Arrange repeat testing, preferably with the same test, to confirm the diagnosis."

https://cks.nice.org.uk/topics/diabetes-type-2/diagnosis/diagnosis-in-adults/

I was asymptomatic, I had a repeat blood test. And I get a repeat test every 6 months which is how I know 56 has turned into 44.

We have no idea how you were diagnosed unless it's in one of your other posts, but it's crucial to realist that:
1) No test is completely accurate / repeatable
2) We are all individuals and react to what we eat differently.

If you lose sight of these two facts you will tie yourself in knots trying to achieve perfection, when what you need to do is find what is 'good enough'. I still eat more carbs than many people here do, but in general I don't eat rice, potatoes, pasta, cous cous etc. with my evening meal That's done the trick for me.

Click to expand...

Resurgam said:

If all is going well the testing after eating will show both how the meal suited you plus your progress towards normal numbers.
I altered my meals until I was seeing under 8mmol/l at the 2 hour point, and kept to the same meals - but then I saw that my numbers were going down little by little. I assume that my metabolism was recovering as it was no longer under stress from too many carbs.
I still check from time to time and these days see under 7 at the two hour test.

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KennyA said:

It seems that it's being suggested in your graphs that 70-99mg/dl (3.9 to 5.6 mmol/l) is somehow a "normal" blood glucose range. I disagree - it's well below normal. I would suggest there's something off in a system that indicates these are high blood glucose figures.

Secondly you can't read directly across from the fingerprick readings to the long-term HbA1c results. They measure different things in different ways. In the UK anyway people are almost invariably diagnosed on the basis of the HbA1c which gives an estimate of BG over a three month period, rather than fingerprick tests which are subject to fluctuations and testing bias (you don't have any information for the periods when you didn't test).

In my opinion, fingerprick readings are most useful not for "seeing how high you go" but for assessing how quickly and efficiently your insulin responses dealt with the carbs (and resulting glucose) in what you ate. This is why the usual advice is to test before eating and at the +2hr point after eating. This gives you a baseline and therefore you can make an assessment of how well you dealt with the carbs in what you ate. Ideally you should be back close to baseline after the two hours. The "peak" figure is of little use as non-diabetic people also experience a similar peak after eating carb - the difference is that non-diabetics will see a dependable and rapid return to baseline.

My fingerprick blood glucose readings range (in the past week) between 4.3 and 5.6mmol/l . I am in T2 remission, and my last HbA1c was 34 (or 5.3%) . So there's not a great deal of difference between our readings, but I'm not being told that my readings are high, because they're not.

I'm attaching a blood glucose profile of nearly 3,000 non-diabetic people almost all of who fall into the standard UK 38-42mmol/mol (or 5.6%-6.0%) range.

It seems to me that you are possibly being encouraged to aim for blood glucose figures that are rarely seen in non-diabetic people. Perhaps somebody has something to sell?

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