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Type 2 Normal HbA1c levels but still classed as diabetic

rainbow79

Well-Known Member
Messages
81
Location
England
Type of diabetes
Type 2
Treatment type
Diet only
Hello everyone, I was diagnosed with type 2 diabetes in July with a HbA1c reading of 52, was advised I could maybe reverse my diabetes if I lost some weight. I had my first 3 month diabetic check up and after loosing 4 stone my HbA1c reading is now 39 which is a normal non diabetic level but was told I will be a type 2 diabetic for life, very confused???
 
The confusion is what you have been told by your health care providers.
Yes you may be in non diabetic levels, but you will always be susceptible to being diabetic.
The phase you are in is controlled and that's where you need to be to be drug free and live your life as normal and healthy as possible.
Reducing carbs and sugars is the key to keeping your blood glucose levels in control.

I've tagged @daisy1 to give you the newcomers welcome information.
Have a read, there is some great information on there and the forum itself.
 
I've no doubt others will come in with comments but my understanding is that, although you've controlled your blood sugar (according to your HBA1c levels) - and that's a really good thing to have done, and long may it continue - the underlying reason that they were raised in the first place (sometimes genetic) may not have been rectified, and a tendency towards diabetes remains.

In other words, if (say) you start putting a lot of weight back on, your HbA1c will begin to climb again.

It always galls me to see some very overweight friends eating some very sugary things and wondering why they're not T2, whereas a (reasonably) Skinny Minnie like me is.
 
I think it depends on your particular GP Practice. A friend at work was diagnosed about a year before me and after he had an hba1c of 40 for a year he was told he was no longer diabetic - he was also, more worryingly, told he would not have to be tested anymore whereas my hba1c has come down from 41 in August last year to 36 this July and I'm still classed as diabetic and still have 6 monthly checks! I believe @Gezzabelle has been told she's no longer diabetic with an hba1c in the low 40s but I'm sure she will confirm this.
 
@rainbow79

Hello and welcome to the forum :) Have a read of this information we give to new members and follow it in order to keep your levels under control, diabetic or no longer diabetic. The diabetes can quickly come back as it is probably just dormant while your levels are good. Ask as many questions as you like and someone will help.

BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
My last Hba1c was 39, the comment from my GP was "keep on doing what you are doing" he definitely did not tell me I was no longer diabetic and could relax my diet.T2 diabetes may be reversible but that does not mean that it goes away, in my opinion the tendency towards it will always be in you and the best you can do is keep it in check.
 
I can confirm that I was told that I am no longer diabetic after getting my Hba1c down to non diabetic levels. I was told to go back to eating anything I wanted to but have the common sense to continue to eat low carb as anything other than that would put me back into diabetic numbers. The information we get is terribly confusing but the one common sense thing we know is...there is no cure for this condition. It's all about managing it and eating correctly is the only way. Regardless of any ''miracle'' that my nurse believes has happened...I will eat low carb for the rest of my life to avoid future complications.
 
My last HbA1c was 32 and I am still diabetic and will always be.

The only way to successfully manage the disease is to get your BG levels under control, then down to what are considered normal levels and then do everything you can to maintain them as normal.

If you think you are miraculously cured then try eating a loaf of bread, and see what that does for you.
 
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I was told my diabetes (T2) is for life ... yes I have my blood sugars in the normal range now .. also I can eat a pile of sandwiches without increasing my blood sugars .. yes I am still a diabetic .. but I do feel am in remission
Must add I don't like sandwiches anymore as I am so used to low carb .. high carb food is not as good as I remember it.
 
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