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Type 2 Newly diagnosed . Similar profile ?

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Winnie-the-Pooh

Well-Known Member
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Diagnosed 10 days ago with

A1c 7.5
Fasting blood sugar 153

After one full week keto diet and exercise, Fasting blood sugar dropped to 80.
A1c did not change much (7.3) . I understand it’s weighted average over 3 months. So maybe it’s early.

Then I started metformin 3 days ago.
After one day of it, (twice daily 500 mg metformin XR), I did blood tests again.
After only one day , fasting blood sugar dropped to 71. At the same time (same sample), C peptite was 0.9. And insulin was less than 2 . I understand these three things have to be proportional. That is, low BG, low c peptite and so low insulin .


I’m almost 43 yrs old. I’m petite. My BMI is now 26 . Part of it was fat belly since childhood, but I did laser liposuction . I put on some weight after laser lipo suction so my weight did not change . Otherwise I’m petite . No belly fat now. No other major disease .

String family history of diabet 2 ( sister , aunts, uncle s, and their children). Only one cousin has lada. She got it when she was 35. Others are type 2. My sister got type 2 when she was almost my age. Now after 10 yrs , she is still controlled with metformin and diet. I was born with very low weight (1.5 kg). I understand that increases the risk for diabetes.


What do u think ? Lada or type 2 ? Still waiting antibody tests .

How was ur A1c at time of diagnose ? How it changed with diet ? How much it drops after diet and metformin ? Can you tell me about ur A1c and other tests at time of diagnosis .

Anyone similar to my profile ?

Lots of thanks ️
 
Going keto will have very quickly dropped your bs as your results have shown. That's an impressive start! Well done!

Putting on weight around your waist can be a symptom of t2 rather than a cause which I found very helpful to know!
 
We tend to use mmol here so for others ease 7.5% is 58.5mmol. https://www.diabetes.co.uk/hba1c-units-converter.html
153 = 8.5
80=4.4
71 =3.9
https://www.diabetes.co.uk/blood-sugar-converter.html

Metformin takes a while and doesn’t do a huge amount in comparison to going keto which works fast to reduce numbers significantly. Hb1ac will take more than a week to show any real change as you realised. If you intend to stick to keto it looks like it’ll do the job on its own without the metformin. You might want to discuss this option with your dr.

BMI isn’t a great measure but 26 is just over normal and into overweight so I assume petite refers to height rather than overall size (sorry to be blunt). I’m not sure how lipo affects you in terms of belly fat (visceral fat) as that’s about metabolism and sucking it out won’t have changed that. However excess weight is just as a much a symptom as a cause and not all type 2 are overweight. Some are really still quite slender.

im not very familiar with c peptide results so will wait for others that have had this and insulin tested.


Edit to add: sorry forgot to say well done on the great reductions using diet.
 
Thank you to both of you for prompt reply .

This information us very useful .

My belly fat was gone after lipo suction . But yes , I was thin with belly fat

How was ur results early in diagnosis?
 
One thing I’ve found is that there is no real comparison, we truly are all different. I’m a classic T2, no question about that. I was very over weight at diagnosis. My logs show pre-diabetic and then quickly non-diabetic BG numbers right off the bat, all with 500mg Metformin and a massive and immediate change in my exercise. I also semi started low carb, and cut all sugar. My highest FBG was 117, and with two weeks I never saw over 100.

And tests 2 weeks after diagnosis show C peptide of 2.0 ng/ml (there are two measures used around the world so not sure what your .9 represents) and FBG of 94.

My A1 c at diagnosis?? 11.8%..., random BG of 389...
 
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Thanks walking girl and everyone . I just started using my Dexcom G6 .

Walking girl , 0.9 is BG/ml but my FBG at the same time was 71. Very low .
 
If you look in the signatures of each post some people, including me, add their numbers. I started pretty close to you at 55mmol and within 3 months at next retest had low prediabetic numbers. Our starting point is not so high compared to many but I seem stubbornly to not go below mid to low 40’s unlike others who manage to get back to the 30’s whilst eating more carbs than me. It’s very individual.

Everyone is different. I firmly believe there are different factors at play in different people causing the issue. For some it’s visceral fat, others genetics, others diet, chronic long term stress, other conditions and medications all in varying proportions too.

Out of interest why do you think it’s anything other than type 2? If it is t2 then many in here manage like your sister on just diet and exercise and (as yet) haven’t progressed, deteriorated or ended up on insulin as historically was assumed we all would! But then they fed us carbs and tried to get drugs to do all the work so not surprising really eh?

I under some do their insulin test in response to a meal rather than fasting because as you say if bgl is very low then it’s seems reasonable insulin would be too.
 
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Winnie-the-Pooh said:
Thank you to both of you for prompt reply .

This information us very useful .

My belly fat was gone after lipo suction . But yes , I was thin with belly fat

How was ur results early in diagnosis?
Click to expand...
Just to note liposuction removes sub cutaneous fat but not visceral fat. The latter is a marker of your body's inability to deal well with carbohydrates and your own personal fat threshold may be low for genetic reasons and as you've identified, being born prematurely. You seem to be doing the right things to get rid of rhe excess glucose/visceral (liver and pancreatic fat) and should keep on with it as it seems from your results that your body is responding.
I think the difficulty is in your expectation of what someone with type 2 diabetes should be like i.e. the common perception that type 2 diabetics are fat and that it is this that causes their diabetes whereas in reality many type 2 s are slim and the ones that are not have a metabolic disorder that encourages them to store fat around their middles with that fat being a marker of the problem and not a maker.
I hope you are feeling better with lower blood sugars ?
 
Winnie-the-Pooh said:
Thanks walking girl and everyone . I just started using my Dexcom G6 .

Walking girl , 0.9 is BG/ml but my FBG at the same time was 71. Very low .
Click to expand...

C Peptide is generally reported as ng/mL (nanograms per milliliter) or nmol/L (nonomols/liter). I don’t know what BG/ml represents. I assume you mean ng/mL? If so, .9 should be in the the normal range - though your report will show the reference range.

Hope you get your answer on T2 v LADA soon.
 
Walking Girl said:
C Peptide is generally reported as ng/mL (nanograms per milliliter) or nmol/L (nonomols/liter). I don’t know what BG/ml represents. I assume you mean ng/mL? If so, .9 should be in the the normal range - though your report will show the reference range.

Hope you get your answer on T2 v LADA soon.
Click to expand...

Thanks , still waiting for the results
I’m taking 500 mg metformin, twice a day . My blood sugar is mostly around 80 , except after meal that can go up to 90 or at times at most 100 after a big keto dinner ( tonight I had some blueberries in my salad , plus mushroom , walnuts , cucumber, cheese, some bbq meat , and green leaves ). My BG after one hour went to 99.

What is supposed to be a good blood sugar ? I often feel so weak and lack of energy is interfering with my daily life .
 
At 80 (4.4mmol) your bloods are excellent. https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

I’m not convinced it’s the metformin but more your diet and at those levels I personally wouldn’t be taking it.

weak and lacking in energy sounds like you might not be eating enough. Have you increased fats in balance with reducing carbs? You still need energy and if it’s not from carbs it needs to be fats or proteins. Also make sure you have electrolytes as these are replaced more quickly when eating low carb.

Do you self test? next time you feel wobbly just take a quick check and see what your numbers are. It’s possible they are dropping a little low and making you feel off too. Especially if your body has adapted to higher numbers.
 
Thanks HSSS. I have a Dexcom G6 so I know my BG real time . I will check with my doc if I can reduce my meds.

I wish I could eat more fat but my HDL, cholesterol and lipid is also high ( have family history too). So cannot eat fat , cannot eat carb , cannot eat sugar Nothing left but protein and veggies . I think I need more chicken or stake in my salad ! Just badly want a . Wish the stores were more inclusive and had diabetic friendly yummy stuff specially Christmas time ! We should campaign for more inclusive grocery stores and bakeries . I just got diabetes dark chocolate though . Might eat a small piece on some days ...
 
Winnie-the-Pooh said:
Thanks HSSS. I have a Dexcom G6 so I know my BG real time . I will check with my doc if I can reduce my meds.

I wish I could eat more fat but my HDL, cholesterol and lipid is also high ( have family history too). So cannot eat fat , cannot eat carb , cannot eat sugar Nothing left but protein and veggies . I think I need more chicken or stake in my salad ! Just badly want a . Wish the stores were more inclusive and had diabetic friendly yummy stuff specially Christmas time ! We should campaign for more inclusive grocery stores and bakeries . I just got diabetes dark chocolate though . Might eat a small piece on some days ...
Click to expand...

Hi Winnie, just to mention anything sold as 'diabetes chocolate' or similar is still likely to be full of carbs. Always check the ingredients. Also, I am not sure you can go for long on just veg and protein but good luck to you. x
 
Winnie-the-Pooh said:
I wish I could eat more fat but my HDL, cholesterol and lipid is also high ( have family history too). So cannot eat fat , cannot eat carb , cannot eat sugar Nothing left but protein and veggies . I think I need more chicken
Click to expand...

please please read at least some of the thread
https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/
the info and the links in there will demonstrate that avoiding fats due to cholesterol is such a broken theory and the science just doesn’t support it nor do many prominent cardiologists. Those of us that have eaten high fat (in reality that sometimes just means NOT low fat rather than actual blocks of lard) or higher fat have more often than not lowered our cholesterol readings, especially the more concerning trigs. Hdl is supposed to be high. Ratios have more relevance than total numbers if you still believe in measuring cholesterol anyway. Mine have certainly improved when eating a lot more saturated fats as it was in fact the carbs doing the damage not the fats.
 
Interesting !

Imagine a magical low carb scone , with butter and sugar free blueberry jam . I think now the bottleneck here is the low carb scone ! Is there anything that can replace flour safely ?
All I think about is food
I never ate large quantities but I was such a foodie prior to diabetes . It’s so hard!
 
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