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Please help

Lorimia

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3
I wonder if someone can help. I have been diagnosed as a diabetic following a fasting blood sugar of 6.5 however my hba1c was 5.8. I requested another test to be sure and I had an oral glucose tolerence test which was 11.2 (measured 2 hours after a 75g glucose load).
Does this mean I have 'crossed the threshhold' Of diabetes and there is no turning back? Can I, through diet and lifestyle, change to being a non- diabetic? I am eating a low fat low carb diet and am upping my exercise level. I am 52 and have no diabetic symptoms (the original blood test that revealed this was a random test taken when I visited the doctors for an unrelated health issue).
 
Hi Lorimia

Welcome to the forum.

I've never had a GTT but I belive they are hoping you will return <8 2 hours after so the reading of 11.2 is high and does suggest you are indeed diabetic.

The HBA1c test is however <6.5% therefore non-diabetic,The fasting BG level of 6.5 suggest pre-diabetic.

So, Advice - treat yourself as diabetic and keep re-testing. Do you have weight to lose? This helps a lot with insulin resistance. As it will improve if you lose weight (if you need to ).

You are in a very lucky position that many people out there are not. you are not processing sugars and carbs as efficiently as you could be, but you now know about it.

You can get on top of it now and you should improve the situation but I would say you will always need to be aware of your food and Bg reads. Even if you have caught it in the pre-diabetic stage to ignore it will only lead to problems in years to come.

Hope this helps.

Mary x
 
Thanks for the very quick response and advice Mary. I suppose I am a bit concerned about being labelled and the effect it has. I am now being treated differently by the health professionals I come in contact with - I feel I am being processed - stuck on a register - not a person anymore, just a 'diabetic patient'. It is not a nice feeling. I would like to come off the register if I could.
 
Wow! You're on the borderline of borderline from the look of it! Or of pre-diabetes as its known now. The OGTT says over 11.1 is diabetic rather than pre-diabetic and you were 11.2
Hba1c was at a level many of us strive to achieve.
Good news is that you've caught your condition very early so you should hopefully find it comparatively easy to manage it with a few adjustments to diet and exercise. I wouldn't worry about being classed as diabetic-unless you go onto serious drugs it won't affect your driving licence etc, although you would have to declare it on things like health and travel insurance.
As Mary said, wether you're diabetic or pre, the changes to diet need to be the same and permanent.
 
Good advice - thank you. I thought I was being sensible with my diet and lifestyle though - some of us are just unlucky I guess
 
You probably were being sensible in a non-diabetic world, but now you'll need to cut down on those starchy carbs a bit. Here's some info I've given people in the past that they found useful, some of it may be useful to you:-
. In general terms you will need to reduce the total number of carbohydrates you eat per day. All carbohydrates turn to sugar when we eat them, and no type 2 diabetic on diet only, or on diet and metformin only, can control their blood sugars (BGs) without controlling their carb intake. Even those on strong medication normally choose to control their carb intake to keep the level of medication they take down. The total number of carbs per day you can eat depends on how advanced your diabetes is. It’s perhaps worth starting at about 50% of normal levels for a non-diabetic then adjusting up or down according to how you get on. That’s 150 grams of carbs per day for a man, 125 for a woman. You can read the total carb content of food under “nutritional info” on the packet or wrapping, or look it up on the internet for loose food. Just google “carb content..”
You also need to stop or reduce the bad carbs; that is the starchy ones that make your BG go up quickly.
So obviously no sugar or glucose! But also no white bread, white rice, pasta, flour products like pastry, cake and batter. You can eat a little basmati rice, wholewheat pasta or the tri-color pasta fusilli ones in small quantities. Boiled new potatos are OK but not old pots mashed, boiled or in their jackets. (Roast is not so bad, the fat slows their absorption and conversion to glucose in the blood) Amongst other veg, parsnips are about the worst for BG, and carrots not great but ok in smaller amounts.
Multi grain bread (not wholemeal) is not SO bad, but lots of us eat Burgen soya and linseed bread from tescos and sainsburys, although all bread should be in limited amounts.
All fruit has carbohydrates, and needs to be included in the amounts of carbs you eat in a day. For most people, bananas are about the worst for pushing our BG up and berries (like strawberries, raspberries etc) are the least bad.
No sweeties!
Exercise is important. I tend to exercise about an hour after eating when I know my BG will be peaking. This helps to bring it down quicker and further. I do ten minutes hard work on an exercise machine, but you could run up and down stairs for ten minutes or go for a brisk walk.
Returning to types of food and quantities of carbs - you can only find out how many you can eat by testing. Some people test before and after eating, on waking (fasting test) and before bed but the key to me is testing 2 hours after eating. If your BG is above, say, 7.8 at that stage, you need to cut down on the carb content the next time you have that meal. Test after various different meals and you soon get to see a pattern of what you can and can’t eat, and in what quantities. You can then reduce your testing. I said “below, say, 7.8” because NICE guidelines are below 8.5 but most of us think that’s a little high. 7.8 is the max. level at 2 hours after eating that a non-diabetic normally gets to so is perhaps a better target. Some then set progressively lower targets.
Do ask lots of questions; there is normally an answer on here. The more you get to learn about your diabetes, the better it will be.
Good luck!
 
I had my Gtt results on Friday first reading - fasting - was 6.2 but after two hours and my 75gms of glucose I was 14 plus. Mind you my first fasting glucose test was 6.9 which led to the doctor requesting the GTT but having read this great forum I had made changes to my diet and cut down on carbs for the last week. Now I wait to see diabetic nurse on 21st May. Anyone have any tips for less nightime trips to the loo and need for fluids please? Been worse since I have changed diet but no pain no gain I reckon!
 
Hi Blondage,

What you're describing sound more like symptoms of high BG, as you bring them down it should improve, if not mention it to the nurse/doc

Mary x
 
Thanks Mary,

Any tips for evening meal to get them lower. Porridge with soya milk for breakfast slice rye bread with half a small avocado lunch and fish with stir fry - no heavy dressings dinner and few nuts I between if peckish or sugar free jelly. That is an average menu for my day. Any supplements that might help? Thanks
 
the fish stir fry and nuts sound in theory fine. However, do you test 2 hours after every meal? It's the only way to know for definate how each meal is affecting you.

Eg nuts - i'm fine with them but I believe some people are affected with certain ones ( can't remeber which ones - sorry) but it wouldn't really matter cos you may be ok with them (whatever they are lol).

What was in the stir fry - some veggies are higher carb than others just as some fruit are higher carb than others.

I cant eat porridge for breakie or even a slice of bread for lunch. I have chicken salad for lunch and thought I would jazz it up a bit with some beetroot, it was a no-no, sent me over the 8.5 (although I aim for 7.8 nowadays).

Some people can tollerate more carbs later in the day , some people can handle them in the morning.

I had quiche with salad for lunch today 2 hrs later 6.5 some people can only dream of pastry (i only dream of bread lol )

What I am getting at is Diabetes is a very very individual condition. you need to eat to your meter and eliminate what sends your BG up. By doing that your HBA1c will come down beautifully, if it doesn't your body needs help from some meds.

the nightime wee frequency could also be a UTI?

mary x
 
Early days for me Mary re testing - I haven't seen anyone since the diagnosis two days ago so not at the testing regime yet. Pretty sure it is diabetes and menopause working their magic at night to keep me awake. I had put a number of the symptoms down to menopause in fact pretty much all of them! Shows that education is really needed out there! Very drawn to giving the Newcastle diet a go to at least get my system spring cleaned. Nurse on 21 st earliest appointment so guess will be given some testing guidelines then. X
 
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