Totally agree with what you are saying and I apologise if I was a little careless in how I phrased my original question, I was just looking for options that would provide me with a like for like experience. I fully appreciate not everyone can achieve remission no matter how hard they try and for those of us that can, we should never really take "remission" for granted we do not know if or when things might change. I feel I am very fortunate to have achieved remission, it now says so on my blood results so it must be trueAnd some of us no matter how much weight we lose or how low we keep our carbs never achieve remissionwhilst it’s a goal it’s not the be all and end all - I’m 13 years in started out on insulin for a short while along with Gliclizide and metformin, morbidity obese. To date dropped a LOT of weight reduced and then stopped all meds apart from metformin,
I am in remission? No
Am I successful? Yes
Simplest, easiest and free is to start building up a regime of exercises like squats, sit ups, press-ups. Nice and private at home. Lots of you tube videos to follow if you wantregards real exercise, I have always avoided too strenuous activity partly because I think I am too old to exhibit myself in a gym. I
I guess I must miss some peaks somewhere.
Yes I've used two of these diet plans in the past, low cal and my normal keto/low carb - not planning of looking at bariatric surgery any time soon though, as at 56 kilos I don't think I would be eligible somehow.there are 3 known ways to get into remission namely bariatric surgery, low cal 800 for 12 weeks or low carb /keto (it is a spectrum ranging from 'prescription strength' keto to 130g carb daily).
It is reckoned that those who did the 800 kcal Newcastle diet then had to keep their calories lower than 2000 in order to maintain their remission/weight loss if they continue to eat a Eatwell Plate/Med diet volume of carbs.
As others have indicated the carb tolerance of each individual is going to vary based on your amount of muscle (correlates with sex and age generally) and activity level.
Some people also continue with metformin though this isn't then remission technically. on the basis that is a safe drug that does help with IR in the context of a low carb diet.
I am not even going to mention the stomach surgery option as that is an extreme option with serious downsides which may still fail!
You are exemplar @ultradad, you have seen my FBGs when I post them on the FBG some chat thread, they aren't bad but they cannot compare with yours. if I eat a lot of protein and my numbers go up.Went all out on LCHF diet (20 grams of carbs or less most day) and ended up at 11.10 stone (lost over 5 stone) and looked like i was still going to keep loosing weight. Had to up my carbs to 50 grams daily and got my weight back to 12.10 stone and bloods seem ok so i am happy with that. I just go for a walk with the dogs now and again
Biggest problem right now is the cost of living, having to cut out things and finding cheaper cuts of meat mean my diet is limited to chops, burgers, roast chicken and a bit of steak when i see it cheap. Lucky i only eat twice a day and some cheap ass snacks spread through the day to make my carbs up
I am sure I can find lots of excuses not to do this but I take your point - squats for goodness sake and sit ups, gosh! Maybe I will have to pay a visit to Joe Wicks online. Seriously its something to aim for. My hubby had me clambering over rocks the other day when we were out walking. We decided to try to walk from one local beach to another and we had to go around a head point - its not much he said, just a few rocks to get over to get over and once around the point it will be beach. So about a quarter of a mile later having had to scale rocks which I had to lever myself down from they were so high we finally managed to get to the other side. It was a really good work out though - still counting bruises. LOL.Simplest, easiest and free is to start building up a regime of exercises like squats, sit ups, press-ups. Nice and private at home. Lots of you tube videos to follow if you want
Thought about that but surely anemia would show up in blood results?Not necessarily. There are a number of medical conditions (eg anaemia) that can make hba1cs not reflect your actual blood sugar results.
There's a whole list of conditions. You could ask for a fructosamine but I suspect your GP wouldn't agree to it (given that 40 is technically not even prediabetic).Thought about that but surely anemia would show up in blood results?
Yes I know what you mean, I felt insulted that it should be suggested that I would be diabetic just because of my shape. My brother is also diabetic he is TOFI I at his heaviest he has only ever been 10 and a half stone. Bet they didn't suggest monitoring to him,Sensible decision in my opinion.
I wonder just what it would take for people who state that we should measure this or weigh that, to realise that there are several different shapes to normal healthy humans, and it is quite usual for otherwise lean people to carry weight around the waist, just as others can have lean waists but carry weight across shoulders, upper back or thighs and bums.
Just read the article, interesting I see that taking vitamin C tablets can affect HbA1c. I have been taking these throughout the pandemic. Hmm....There's a whole list of conditions. You could ask for a fructosamine but I suspect your GP wouldn't agree to it (given that 40 is technically not even prediabetic).
Reasons for Elevated A1C Without Diabetes | Lymphatic & Endocrine system articles | Body & Health Conditions center | SteadyHealth.com
It'll also be out if your red blood cells live an unusually long or short time..
Just read the article, interesting I see that taking vitamin C tablets can affect HbA1c. I have been taking these throughout the pandemic. Hmm....
Thanks for the suggestion, I actually did this last July when the estimated HbA1c was 34 but I didn't take note of time in range but it was quite a high percentage. I actually remember lowing the thresholds to between 3 and 7 as not being on any medication I do not have hypos. Because I know my readings seem to record lower than actuals, I simply add around 5 points to the estimated reading as a rough guide. Sure enough my HbA1c for that year was 39.Maybe take advantage of Abbott's libre free trial for diabetics to use a libre for a fortnight to see what your time in range is? I personally (disclaimer am T1 and not a doctor) would believe cgm readings over a hba1c, though in my case the hba1c results have always been pretty similar to those predicted by my reader.
Ryhia, forgive me if I have missed it, but do you know what your lipids scores actually are? Do you have any medical history of cardiovascular disease? Is there cardiovasculr disease in your close blood family?
My total cholesterol is always high, but my breakdowns are excellent. At one stage, my GP wanted to refer me to the Lipid Clinic, but the total dropped again.
When I took part in cardiac research, I was dreading the conversation about my lipids, but they were supremely unconcerned - due to my breakdowns.
I'm not saying your doctors are wrong in anything, but just wondered where their specific concerns lie.
I usually eat my last meal around 5:15 with another cup of tea around 9:00. I may have a glass of wine or other alcohol on occasion which I need to cut out as it interferes with my glucose levels. I try not to snack but if I need to I will have a couple or three nuts or a square or two of 100% chocolate. In the hot weather I have been drinking slimline tonic fairly late at night. I usually don't deliberately fast during the day. sometimes if we are out and miss lunch I can mess things by having something to eat when I get in. This generally has a knock on effect on my glucose levels making them higher than I would like at my next meal. If I decide to delay eating until my next regular mealtime, I find I am really hungry for my evening meal and then about an hour later I am ravenous again. And yes I have tried drinking water. Not sure if I just do not eat enough having missed a meal or my brain is not comfortable with 2 meals a day who knows.@Ryhia you seem to have the food aspects nailed, and are looking at increasing exercise, but what about the third leg of the stool? The time between food, better known as fasting or time restricted eating.
Many people swear this helps the bgs, and therefore their hba1c
When you you usually have your meals? Are there snacks in between perhaps?
Apologies for the long post.
When I started eating low carb my cholesterol levels rose to 6.7, I thought this was the result of losing weight but the next blood results showed my total cholesterol to be at 10.00. Of course everyone panicked including myself. My ratios were good though except my HCP was only interested in my LDL levels. I was referred to the lipid clinic, where they undertook more blood tests including looking at my Apob and my Lipoprotein (a). Whilst I don't like my high levels my ratios are fine and putting the info through the report tool at Cholesterolcode.com I was in the lowest risk. When I pointed out how good my ratios were I was told it didn't matter as LDL was too high. I refused the statins that were offered. Since then every time I have a blood draw people panic and so this has caused me a great deal of stress and even depression. Of course stress also puts up cholesterol. I did manage to get my levels down somewhat probably through chance and also a bit of fiddling. Eating certain foods just before a blood draw. However this last time I just couldn't be bothered to try to change things so my cholesterol had gone back to the high levels. Because the lipid clinic had referred me back to my GP with the recommendation to change my diet and introduce statins, I was called into the surgery. Having discussed things, my GP finally offered to put a note on my record to say I have not be hassled about my bloods however he does believe that having high LDL is a cardio vascular risk but said it was up to me what I did about it. It still felt quite a hollow victory though as I still have questions I have no answers for and the elevated Apob is a little disturbing. You asked about my cholesterol breakdown, I last had my lipid bloods taken in June, one set by the hospital and one set through the doctors surgery - the hospital ones were delayed so the surgery took them again I have not received the full set of blood results from the hospital, just the basic breakdown which showed 8.8 total cholesterol trigs 0.7, HDL 2.2 giving a non HDL of 6.6 and a calculated LDL of 6.3. The breakdown of the bloods taken at surgery were serum cholesterol 9.6, trigs 0.8, HDL 2.1 LDL 7.5. Non HDL Cholesterol level 7.5. Bloods were taken a couple of weeks apart I was also not very well with an ear infection when my bloods were taken at the surgery so don't know if this would have affected the result. My blood results using my own tester after the experiment I undertook showed Chol 6.01, HDL 150 TG ,76 LDL 4.17 Chol/HDL 4.0 HDL/LDL 2.8 bloods, My own cholesterol tester does measure a little lower than bloods taken venously.
You asked about family health, my father died of heart issues he was 78, two of my siblings have had heart attacks so there are risk factors there. Maybe statins might be a good idea although I know others on this forum would adamantly disagree.
Can I ask, what are your oppositions to statins? I have been prescribed them but my cholesterol levels are nowhere near as high as you mention Rhyia. I was reluctant but started anyway on the further advice of the diabetes nurse. Now I’m unsure again reading this thread?
Sadly Doctors still do not get the message that ketosis is fat burning, and that means more lipids in the blood. Cholesterol's purpose is simply as bulk transport of lipids to where it is needed. A low carb diet, or a fasting diet will give periods when fat burning takes place naturally. So if you fast for your lipid panel blood test then you are probably pushing up the cholesterol levels.I am so jealous of you,if I could tolerate 150-200gms carbs a day pretty sure that would resolve my cholesterol problem but I am not even close I generally only eat between 30 and 50 gms a day and eating 50gms caused my HbA1c to rise a couple of points. I am not even sure what 150 gms of carbs even looks like as for years prior to diagnosis I was eating the recommended diet, i..e. the Eatwell plate or struggling to lose weight. I know now that the problems with weight was insulin resistance building up. I thought after 3 years in remission my insulin resistance would not have been so impactful but this does not appear to be the case. I am still struggling to get levels down after my short experiment. To be honest I also felt yuck eating so many carbs and only managed to keep to 95gms for a couple of days. As soon as I dropped the to around 60gms carbs my cholesterol started to rise. So higher carbs seem to resolve my issue but I think my body won't be able to cope.
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