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Latest results. Not as expected

Brunneria said:
what numbers do you see when eating low carb/keto and the protein you consider to be problematic?
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Hello @Brunneria, welcome back. While consistently eating c.20-30g carbs daily, with a good deal of protein and fat which I have never measured, I can't get my A1c below 39. This of course puts me in the pre-diabetic category according to the American Diabetes Association, but not according to the WHO. As I am something of a disciple of Dr Bernstein I would like to see the much lower A1c he considers "normal", but I would be settle for 38 or lower. I can't get meaningful post-meal readings, as I suffer from gastroparesis (delayed stomach emptying). This means that I may often see a pronounced dip 2 hours after a meal, only to see my bg shoot up 4+ hours later. I also find that some kinds of exercise raise my bg.
 
Alexandra100 said:
I can't get meaningful post-meal readings, as I suffer from gastroparesis (delayed stomach emptying). This means that I may often see a pronounced dip 2 hours after a meal, only to see my bg shoot up 4+ hours later. I also find that some kinds of exercise raise my bg.
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Hi,

What sort of numbers are we looking at.? & where are you starting from BG wise..
 
Alexandra100 said:
Hello @Brunneria, welcome back. While consistently eating c.20-30g carbs daily, with a good deal of protein and fat which I have never measured, I can't get my A1c below 39. This of course puts me in the pre-diabetic category according to the American Diabetes Association, but not according to the WHO. As I am something of a disciple of Dr Bernstein I would like to see the much lower A1c he considers "normal", but I would be settle for 38 or lower. I can't get meaningful post-meal readings, as I suffer from gastroparesis (delayed stomach emptying). This means that I may often see a pronounced dip 2 hours after a meal, only to see my bg shoot up 4+ hours later. I also find that some kinds of exercise raise my bg.
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Have you had a formal diagnosis of gastoparesis, and have have you been able to ascertain the root cause of it? It's a very unpleasant condition.
 
DCUKMod said:
Have you had a formal diagnosis of gastoparesis, and have have you been able to ascertain the root cause of it? It's a very unpleasant condition.
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Fortunately my gastroparesis is fairly mild, certainly compared to what some people have to suffer, which seemingly can almost amount to life-threatening. Having said that, it can quite often happen that after a very few bites of a meal I feel absolutely full-up and if I continue to force food down I can end up most uncomfortable. I suppose the previous meal from hours before is still there undigested. This is not helpful to a person who is already very under-weight! The other problem I have already mentioned. It would be impossible for me to experiment with various foods to learn what does and doesn't spike my bg. Instead I just bear in mind my target of 20-30g carbs daily and assess foods on their carb content rather than on how they affect me personally.
As for diagnosis, I doubt very much if my GP has heard of gastroparesis. She certainly has never heard of LADA, and believes simply that if you are young it's T1 and if you're older it's T2. (If she also believed in the rule of thumb that if you're fat it's T2 and if you're thin it's T1, she'd be faced with a dilemma!)
I have researched possible treatments for gastroparesis, and apart from various yoga-type exercises which I have yet to try, the meds on offer sound potentially worse than the condition, at least at this stage. Since both gastro. and AF, from which I also suffer, can stem from damage to the vagus nerve due to high bgs, I am hoping that in the long term keeping my bg as low as I can may help both conditions. (Btw the AF was diagnosed by a cardiologist years ago, and I currently control it with meds.)
If you are in the UK, you will know that an A1c of 41 (my first known A1c result) does not qualify for a diagnosis of pre-diabetes, although it would in the US. However my GP does prescribe me the maximum dose of 2g Glucophage daily. My vascular surgeon said to me, "If you are taking Metformin then you are T2". It's strange how every medical professional thinks s/he knows all about diabetes, whatever their specialism.
I hope I am not going to get into trouble for derailing this thread. You did ask!
 
Alexandra100 said:
Fortunately my gastroparesis is fairly mild, certainly compared to what some people have to suffer, which seemingly can almost amount to life-threatening. Having said that, it can quite often happen that after a very few bites of a meal I feel absolutely full-up and if I continue to force food down I can end up most uncomfortable. I suppose the previous meal from hours before is still there undigested. This is not helpful to a person who is already very under-weight! The other problem I have already mentioned. It would be impossible for me to experiment with various foods to learn what does and doesn't spike my bg. Instead I just bear in mind my target of 20-30g carbs daily and assess foods on their carb content rather than on how they affect me personally.
As for diagnosis, I doubt very much if my GP has heard of gastroparesis. She certainly has never heard of LADA, and believes simply that if you are young it's T1 and if you're older it's T2. (If she also believed in the rule of thumb that if you're fat it's T2 and if you're thin it's T1, she'd be faced with a dilemma!)
I have researched possible treatments for gastroparesis, and apart from various yoga-type exercises which I have yet to try, the meds on offer sound potentially worse than the condition, at least at this stage. Since both gastro. and AF, from which I also suffer, can stem from damage to the vagus nerve due to high bgs, I am hoping that in the long term keeping my bg as low as I can may help both conditions. (Btw the AF was diagnosed by a cardiologist years ago, and I currently control it with meds.)
If you are in the UK, you will know that an A1c of 41 (my first known A1c result) does not qualify for a diagnosis of pre-diabetes, although it would in the US. However my GP does prescribe me the maximum dose of 2g Glucophage daily. My vascular surgeon said to me, "If you are taking Metformin then you are T2". It's strange how every medical professional thinks s/he knows all about diabetes, whatever their specialism.
I hope I am not going to get into trouble for derailing this thread. You did ask!
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Yes I did ask, and thank you for clarifying.

Moving forward, I would be obliged if you would not claim to have conditions for which you have not diagnosed - however much you feel you are correct. It is unhelpful and potentially dangerous.
 
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