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Possible Type 2 for my mum

R

ROE100

Well-Known Member
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77
I was wondering if anyone could suggest some thoughts on the situation re my mum.

Quick History:
Aged 84 suffered heart attack in Feb-25
In theory before the heart attack no other issues expect a bladder/bowel movements which has been their for many years and lives with it my taking mainly pain releif medication and diet (no strongly flavoured foods). Plus moving hi-hatus (not spelt correctly) hernia which effectors quanitity of food eaten
Slightly - i mean slight overweight in her opinion but I never saw it.
Since heart attack lots of drug changes that were causes issues and affecting the bladder/bowels
but currently now all drugs seem to be working. which does include a statin

She has just got a call to say her HB1C is 51 - all previous ones she has had were below 41.

She advise she had a finger prick before they did a HB1C and it was 4.3 (she has earing issues so may have missed heard the number) so think I need to take this with a pinch of salt.

So how does she tackle this 51 - the issue she has is she has lost weight recently - understand you may think possible Type 1 but since her heart attack she has struggled to eat so pretty sure her weight loss is down to this rather than possible Type 1 (yes I'm Type 1 with no familiy history diagnose back in the 80's), I will suggest C-peptide though.

But how does she get weight back on and with little appetite for food (only eats a side plate of food for each meal). Any suggestions plus any thoughts of what should be asked at the diabectic appointment - I am going with her but I don't want to hi-jack her appointment with my strong views of the NHS eatwell plate and statins.

Thanks in advance of any thoughts on the situation.

Roe
 
At 84 with multiple underlying health conditions and problems eating, I wouldn't overly worry about an hba1c of 51.

There are two reasons to be worried about high BG. The first is symptoms affecting quality of life (recurring thrush, thirst, waking up to wee multiple times a night etc.) Not an issue she likely has with her hba1c only just over the diabetes threshold.
The second is complications from many years of high BG. Her numbers aren't very high from a diabetes point of view, and while I wish her many more happy years, it isn't that likely she'll live to a 110 to give her time to develop complications with slightly raised numbers.

If a family member of mine would be in this situation and struggling to eat, I'd be happy for them to eat whatever takes their fancy to sustain them.

Do you have a medication list? Is she on steroids like prednison or dexamethason perhaps? This would explain the sudden jump in hba1c.
 
Antje77 - thanks for your reply - and what you have said this is where we are thinking - of happy for her to eat whatever takes their fancy.

Yes she has a long list of medications but pretty sure none are steroids but will have another check espcially on some recent changes.

Roe
 
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