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Pre diabetic trying keto and IF couple questions pls
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<blockquote data-quote="ianf0ster" data-source="post: 2323065" data-attributes="member: 506169"><p>Hi @exmpoortom and welcome to the forum.</p><p>Here is my best attempt at answering your questions:</p><p></p><p>1. It is a fairly arbitrary threshold between 'pre-diabetes' and Type 2 diabetes. The moderators tend not to agree with me but I consider the Type2 designation to be merely the point at which the risk of diabetic complications (blindness, amputations etc.) is high enough for doctors to take it seriously. Different countries can have slightly different ranges for 'pre-diabetes' as well as different measurement systems. In my opinion most people with 'pre-diabetes' will progress to Type 2 diabetes if neither they nor their doctor takes some action.</p><p></p><p>2. & 3. 'Cure', 'Remission' , 'Reversal' are all fairly contentious words with regard to Type2 diabetes. Some people (very few indeed) have claimed to gave 'cured' Type 2 Diabetes such that they can now eat the same old garbage that they ate before their T2 diagnosis. Personally I'm doubtful of such claims, though they may be correct for anything up to a few years or so. </p><p>In my opinion when a poor way of eating causes metabolic disease, then you may well be able to reverse it by eating better, but reverting to eating the same old garbage will ultimately bring on the metabolic disease again.</p><p></p><p>Remission/ control such that the person no longer meets the criteria for Type 2 diabetes or pre-diabetes, is certainly possible and has been achieved by many people (several thousands if you apply fairly relaxed criteria), using a few different methods. For many/most who do it using the Low Carb 'Way Of Eating' approach, this appears sustainable over decades.</p><p></p><p>4. I'm not familiar with that particular testing machine. In the UK we measure Blood Glucose in mmol/L - millimoles per litre (in the USA, Germany and some other countries it is measured in mg/dL - milligrams per decilitre). What constitutes a 'good' number depends very much upon when the blood is tested since readings vary considerably depending upon when they are taken, what the last meal eaten was, when that meal was eaten, plus exercise, infection, medications etc. etc.</p><p>The Fasting blood glucose number is the trickiest of all, so personally I only measure something that I can control - which is the effect of a meal on my BG. <strong>I aim for an increase of no more than 2.0 mmol/L from just before a meal to 2hrs after 'first bite'</strong> . Though the actual profile of BG after a meal over the next minutes/hours depends upon many factors including the time of day, how long the meal took, how many carbohydrates were eaten, whether they were eaten near the start of the meal or towards the end etc.</p></blockquote><p></p>
[QUOTE="ianf0ster, post: 2323065, member: 506169"] Hi @exmpoortom and welcome to the forum. Here is my best attempt at answering your questions: 1. It is a fairly arbitrary threshold between 'pre-diabetes' and Type 2 diabetes. The moderators tend not to agree with me but I consider the Type2 designation to be merely the point at which the risk of diabetic complications (blindness, amputations etc.) is high enough for doctors to take it seriously. Different countries can have slightly different ranges for 'pre-diabetes' as well as different measurement systems. In my opinion most people with 'pre-diabetes' will progress to Type 2 diabetes if neither they nor their doctor takes some action. 2. & 3. 'Cure', 'Remission' , 'Reversal' are all fairly contentious words with regard to Type2 diabetes. Some people (very few indeed) have claimed to gave 'cured' Type 2 Diabetes such that they can now eat the same old garbage that they ate before their T2 diagnosis. Personally I'm doubtful of such claims, though they may be correct for anything up to a few years or so. In my opinion when a poor way of eating causes metabolic disease, then you may well be able to reverse it by eating better, but reverting to eating the same old garbage will ultimately bring on the metabolic disease again. Remission/ control such that the person no longer meets the criteria for Type 2 diabetes or pre-diabetes, is certainly possible and has been achieved by many people (several thousands if you apply fairly relaxed criteria), using a few different methods. For many/most who do it using the Low Carb 'Way Of Eating' approach, this appears sustainable over decades. 4. I'm not familiar with that particular testing machine. In the UK we measure Blood Glucose in mmol/L - millimoles per litre (in the USA, Germany and some other countries it is measured in mg/dL - milligrams per decilitre). What constitutes a 'good' number depends very much upon when the blood is tested since readings vary considerably depending upon when they are taken, what the last meal eaten was, when that meal was eaten, plus exercise, infection, medications etc. etc. The Fasting blood glucose number is the trickiest of all, so personally I only measure something that I can control - which is the effect of a meal on my BG. [B]I aim for an increase of no more than 2.0 mmol/L from just before a meal to 2hrs after 'first bite'[/B] . Though the actual profile of BG after a meal over the next minutes/hours depends upon many factors including the time of day, how long the meal took, how many carbohydrates were eaten, whether they were eaten near the start of the meal or towards the end etc. [/QUOTE]
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