JoKalsbeek
Expert
- Messages
- 5,980
- Type of diabetes
- I reversed my Type 2
- Treatment type
- Diet only
@JoKalsbeek Thanks for the advice. I thought that iron would have been included in the blood tests they did a month ago. They did say they would test for aenemia as well. I imagine further testing might follow later.
I think she is hypothesising that glucose could be high overnight to account for the H score of 100 rather than LCHF has brought levels down. She seems most interested in tests done before bedtime and breakfast. Certainly the earliest test of the day is the highest and before dinner the lowest.
I am unclear how to proceed if I am skipping breakfast as IF. I was told to do the test before where a nonexistent breakfast would have been. If I have understood correctly advice here; testing on waking before getting out of bed and showering, dressing etc is recommended in addition to one before breakfast.
Not all nurses/docs know anaemia influences HbA1c, but you could ask about those results. You're entitled to the numbers, so I do suggest you get a print-out or ask for online access, as there's usually a range to go alongside your own numbers. It kindof helps figuring stuff out. Also, if all of that is absolutely fine and there's no lack of iron messing things up, yet things are a bit iffy throughout the day, you might want to invest in a CGM. A Continuous Glucose Monitor would follow your ups and downs all day and all night for week or two. (Though I understand they may be a bit unreliable if you lie on them). It would paint a clearer picture, maybe? Could maybe explain what happens and why, especially combined with a food/drink diary.
Far as testing goes, a lot of people have feet-on-the-ground liver dumps. The moment their eyes open and they get up, their liver starts dumping, so just having the meter on the nightstand might be useful. Other than that, test before a meal and 2 hours after the first bite to see whether the meal was okay for you. You're looking for a rise of no more than 2.0 mmol/l. And as your nurse is requesting it, before bed. I know that's a whole lot of testing, but it will tell you more.