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insulin

steph81170

Well-Known Member
Messages
93
Type of diabetes
Prediabetes
Can anyone help, please:
I have been following a strict low carb/high(healthy) fat way of eating for 2 years ever since been diagnosed as being pre-diabetic. (I do not take any drugs). Since then, my HBA1C has been 41 whenever I've been tested. Just recently, regular finger prick tests (2 hours post eating) have been creeping up to high fives and low sixes - my way of eating remains the same. I mentioned this to my GP yesterday who said that my body "is running out of insulin" - regrettably I didn't ask her to explain. Does this mean it is inevitable that I will need to take insulin when the 'diet' way of controlling things no longer works?
 
Had you been monitoring your finger prick tests beforehand?
With an HbA1c of 41 you aren't even pre diabetic but maybe you've been having a bit of carb creep? This may be causing the slightly elevated blood sugar readings..
Unfortunately your GP sounds a bit "T2 is a chronic progressive disease" type who aren't often correct (unless we follow the advice they give!).
 
Yes, I have been monitoring for the past two years. I have a feeling that 'stress' (hate that word but . . .) may be playing a part. So from what you say - 41 is acceptable?
 
steph81170 said:
Yes, I have been monitoring for the past two years. I have a feeling that 'stress' (hate that word but . . .) may be playing a part. So from what you say - 41 is acceptable?
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If you're ok with it then its fine .... personally I'd want a bit more of a "comfort margin" so would try to reduce carbs a bit more?
But as you say stress can play a part too...so that may be worth addressing.
 
bulkbiker said:
If you're ok with it then its fine .... personally I'd want a bit more of a "comfort margin" so would try to reduce carbs a bit more?
But as you say stress can play a part too...so that may be worth addressing.
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OK, will do. Thanks for your advice.
 
steph81170 said:
OK, will do. Thanks for your advice.
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If your GP really thinks your body is "running out of insulin" then they should have suggested a c-peptide test to see what your endogenous production is like.. then at least you'd know.
 
bulkbiker said:
If your GP really thinks your body is "running out of insulin" then they should have suggested a c-peptide test to see what your endogenous production is like.. then at least you'd know.
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Oh - OK - I wonder if I can be brave enough to ask for that next time I go!!
 
'Running out of insulin' with your super HbA1c result. Wow. I'd say that was unlikely.
 
steph81170 said:
Feeling confused now as to what is 'acceptable' and what is not!!
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In T2 world 42-47 mmol/m is "pre-diabetes"
48 mmol/m and more is full T2.
Your 41 is bubbling under the pre-diabetes level.
It's ok but in your shoes I'd be trying to get it lower to get some "wiggle room".
However in the grand scheme of things it is at the very top end of "normal".
Hope that helps? What was your HbA1c when you were diagnosed?
 
It does, help - thank you!
HBA1C was 42 when first diagnosed.
 
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