Hello, there is more and more evidence that bmi alone is not that good of a indicator in you are in danger of getting diabetes. What is much more important is how your fat is stored, and where gets deposited. So you can for instance have a bmi of 19, well inside the normal range, and be diabetic, but you can also have a bmi of over 40 and have perfectly good sugars and cholesterol. I know people of both types. And you cannot se on people what kind of fat they have, you need a magnetic resonance scanner, but there is loads of examples in the medical literature.Hi folks,
I have been "pre diabetic for 20+ years and recently had a full range of bloods taken, fasting.
The sugar one came back as a figure of 7, I don't know which test they did though as looking on here I see there can be a couple, yes?
I have had to go back for further samples, the hbA1c and another for my kidneys as something was up there too.
Does this mean I have now definitely turned diabetic?
Explains why the Optician told me two months ago that I have they early stages of Cataracts.
It is rife in my fathers side of the family and so have been resigned to the fact that I would succumb at some point, but I am annoyed at the same time as don't eat sugary stuff anyway, watch my carbs (to a degree) and am far from overweight and exercise regularly.
I actually went to the Doctors about something completely different and am amazed that this has snuck up on me without me sussing out the symptoms.
Hey Chillijo, You have done rather well to stay pre diabetic for 20 years, assuming you haven't been actively low carbing in that time.
Not entirely sure what your figure of 7 is, Assuming it is your fasting blood in mmol/l then it still barely ties you in the pre diabetic range, but your HbA1c will give us a more definitive picture.
Either way given your weight is ok and you exercise regularly as you say, I'm sure you will control this with some dietary adjustments.
All lthe best
Daks
Hello, there is more and more evidence that bmi alone is not that good of a indicator in you are in danger of getting diabetes. What is much more important is how your fat is stored, and where gets deposited. So you can for instance have a bmi of 19, well inside the normal range, and be diabetic, but you can also have a bmi of over 40 and have perfectly good sugars and cholesterol. I know people of both types. And you cannot se on people what kind of fat they have, you need a magnetic resonance scanner, but there is loads of examples in the medical literature.
Here are some stunning examples of how bmi,bodyfat,and waistline is not that good of an indicator of visceral fat as you would think.
http://en.wikipedia.org/wiki/File:Coronal_Image_of_a_TOFI_and_a_Normal_Control.jpg
http://en.wikipedia.org/wiki/File:V..._in_men_with_the_same_waist_circumference.jpg
http://en.wikipedia.org/wiki/File:Fat-Fat_(FOTI)_image.jpg
http://www.google.no/imgres?imgurl=...ZJMyosgHVpIPYDA&tbm=isch&ved=0CEEQMyg9MD04rAI
http://img.medscape.com/slide/migrated/editorial/cmecircle/2005/4005/images/sharma/slide026.gif
http://img.medscape.com/slide/migrated/editorial/cmecircle/2007/7184/images/caballero/slide7.jpg
http://www.nature.com/nm/journal/v10/n4/full/nm0404-325.html
http://www.cutthewaist.com/images/importance/bmi/adiposity.jpg
http://www.nature.com/nm/journal/v10/n4/images/nm0404-325-I2.jpg
My Hb1Ac was apparently "ok", (Doc didn't tell me the figure) but my cholesterol was high he said, 5.6 and since all this started a few weeks ago it has become more apparent that I have been drinking more, weeing more, been tired and have lost a few pounds over a short period of time. The doctor has cautiously decided to class me as Diabetic and is starting me off on 40mg of Gliclazide just once a day for now to see how it goes.
Have an appointment with the clinic early July. He has told me to eat low fat, which I do to a degree now, and my carb intake hovers around 130 daily. (I have used MyfitnessPal for years to track my weight).
Think I am going to find it hard to cut back and find alternative foods ..... I am a creature of habit, like certain things and stick with them.
I am feeling slightly confused and overwhelmed to be honest with the amount of help on this site ...so many questions and so many answers to choose from! I admire you all for your daily battles with Diabetes, it must be tough for many and I feel that I have no problem compared to some.
Anyway, I have noticed that people are encouraged to test themselves which sounds a good idea to me, so on that note can anyone suggest what products are better to use? I would like to keep an eye on things and I don't think I will be getting anything from the Doctors.
Sorry to ramble on!
Thanks "And Breathe".and also 4ratbags (love the names people come up with ) You have been helpful. There is such a great amount of info here, still wading through links which people posted for me previously.
I will phone the surgery again next week, they only have "certain times" too give out info (pains in the butt). The doc has started me on Glic because he said Metformin would be of no use to me, something to do with weight? I am of small stature (now shrunk to under 5'and weigh at present around 7st 3 lb and still dropping. i have managed my weight for years to stay around 7st 8lb and what it is now is great, but I don't want to lose any more. I used to be about a stone lighter in my 20's and 30's but that is too thin for my age now.
Food
I don't eat bread, or cakes biscuits (sigh) etc but I do have potatoes with my main meal unless I am doing a curry or spag bol type of meal. I don't eat processed meats/meals, make from fresh, but do have tinned soup (healthier options not the creamed etc) for lunch at work along with sainsburys bgty less fat "crisps" which is I suppose my indulgence.
I have lots of salady stuff, veg, chicken about 4/5 days a week with the pots and red meat meals or fish the other 2/3. I eat citrus fruits as I believe they are less sugary than some. I do try to eat fairly healthy and am not happy with the thought that I might have to cut back on the potatoes which I do enjoy but not to excessive amounts!!!
As far as the driving goes I AM confused now. After reading about it on here I did notify, or try to, my insurance company who are Saga and the guy on the other end of the line cheerily informed me that they didn't want to know unless my doctor was concerned about my driving, so I thought I was ok. I will try again tomorrow then, thanks for that.
The doctor didn't talk of driving to me at all.
Getting scared now!!
I am on a very tiny dose at the moment and to be honest, a week in I don't feel any different. Still thirsty, still running to the loo all the time and still feeling grotty at times. Don't know when it will kick in and start making me feel better or even if it needs to be higher. When I saw the doctor the next appt for him was ringed in for August, month after the first clinic one.
The range of meters on here seems very confusing, maybe I will put a post out asking people what they use.
Thanks again
Cheers, I know my spuds and crisps are evil hehe. Will try to find something else,.Please do post a thread asking about the DVLA rules for driving for those taking Gliclazide. I may have lost the plot! Your insurers are usually only interested in those taking insulin.
I did wonder if the doc had avoided Metformin as you had lost weight. Metformin can act as an appetite suppressant, and thereby aid weight loss. Gliclazide, on the other had, has sometimes been noted as contributing to weight gain.
If you drive, and the DVLA require you to test before doing so, because of your drug regime, then you really should be prescribed your meter and strips, so please do ask for them. Do not wait until August.
I hate to break it to you, but your spuds, and crisps might have to be cut down or out. They're often culprits for us. Similarly, fruit can be difficult, with berries being most diabetes friendly. That's why you will read of so many people devouring raspberries and blueberries. And, of course, strawberries are plentiful at this time of the year. Result!
Diet and testing are your friends, and if you can move around a bit more, that's a bonus.
Good luck with it all.
Yep, have tried cauli as an alternative to rice before now and eat a lot of it anyway, thanks for this.If you find it hard to give up the spuds a good alternative is pureed cauliflour. Some people say mashed but I like mine smooth so I puree it in my blender for 5 minutes with a bit of cream, butter and garlic powder and sometimes cheese. It is really nice. Also I find a lot of my recipes on Pinterest, just search under low carb, it is amazing what is out there. Good luck with finding a good meter once you start testing you will get a better picture of how your food is affecting your BS.
Thanks for the advice, will be phoning doctors on Monday.Hi Chilijo and welcome to the Forum, great advice from And Breath. I am also surprised that your doc didn't put you on Metformin, I am very small framed and my weight dropped to 7st last year due to a stressful period, but I started to eat more fat and now weigh a healthy 7st 13lbs. At first I was terrified to eat fat as my cholestrol was on the high side, but my last three tests have shown my numbers are great and have improved since being on a LC/HF diet.
Your insurance company probably don't realise that Gliclazide (being a tablet) lowers the BS in a similar way as insulin,so low BS is a risk which is why you definitely need to test your BS before driving. Meformin on the other hand helps to prevent the liver from releasing too much glucose into your system, so hypos are very rare.
If you are on Gliclazide your doctor should give you a meter and strips on prescription, so I should get yourself back to the docs and ask for some.
Have a good look round the Forums, there is a wealth if information and lots of very knowledgeable people on hand to guide you while you get your head round what the best way forward is for you.
Good luck, keep posting.
Marilyn x
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