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Some advice please

only-me

Newbie
Messages
3
Dear all, I havent been diagnosed with Diabetes yet, but I seem to have a few symptoms of type 2, my Dr is very unhelpful, so I'm hoping members here can give me some advice please.

Over the last ten years I have tiredness after eating, which has become so bad now that I feel sedated, have blurry vision and quite often I struggle to stay awake. After eating carbs I cant function as a human anymore.

I have suffered from depression for many years, every time I went to the Dr about this tiredness if would be fobbed off as a symptom of depression, however the tiredness is extreme now.

I have a low appetite however for some reason I am putting on weight, I definitely was not eating an excess of calories, in fact I probably only managed to eat 1000 calories a day, I wanted to join the gym and decided to try and eat aleast 2500 calories per day which I have read is normal for a male.

After lots of research and reading, I bought a Glucomen Areo, and regularly found my blood sugar to be between 12-15.9 mmol two to three hours after eating.

I took the readings for a week and went to the Dr who immediately said finger prick tests are not accurate. I then had a fasting glucose reading taken which was 6.something, this was after fasting for 16 hours.

After this I cut out carbs completely and immediately felt better. A few weeks later I had a hba1c test along with a finger prick test at the same time, the finger prick showed glucose at 7mmol but the blood taken intravenously apparently only showed 5.1mmol. According to the Dr hab1c was normal.

However I had already cut out carbs completely, and due to my low appetite I doubted the hba1c test would show anything. Only upon trying to eat normally did symptoms appear, I feel the lack of eating carbs and not eating enough would skew the result. Can anybody advise if this is the case?

I asked for an oral glucose tolerance test however the Dr is fobbing me off and saying you dont need eat carbs at all for a hba1c test to be accurate.

I have tried eating carbs again since Monday this week and again have glucose readings over 10mmol according to the meter, along with extreme tiredness, lack of concentration and zero motivation to do anything.

Is an hab1c test useful for a definitive diagnosis? As I really dont fancy eating carbs for 3 months.

Can anybody advise me further please?

Thanks
 
My advice (FWIW) would be to see a different doctor for a second opinion. Don't know if that's practicable for you, though. It would not have been for me until about a year ago.
 
Welcome to the forum.

Type two can be diagnosed three ways: Fasting blood glucose, Hba1c, and OGTT. You only need one of the three to be positive to be diagnosed with diabetes. You can have a normal HbA1c, yet still have diabetes.

Your blood glucose levels after eating carbs indicates to me you have insulin resistance (i.e. type 2 diabetes).

If I were you I'd assume that you have type 2 diabetes and try a low carb high fat diet. If your self testing does not show a decrease in blood glucose levels, then go back to your doctor as you might have a different type of diabetes or need something other than diet to control it.

What was your HbA1c?

I also recommend getting a hard copy of all your lab results, including older ones if possible.
 
Hb1ac will show the average levels of glucose for the last 8-12 weeks. The lack of carbs in the last few weeks before the test will have bought it down to some degree. If your dr doesn’t know less carbs = lower glucose levels then I suggest finding a new gp. Even if they don’t support a low carb diet this is fundamental. Hb1ac or a fasting glucose test will be the way most are diagnosed usually with two tests. Haven’t heard of many having gtt recently. A fasting test in the 6’s would suggest prediabetes aka insulin resistance. Whilst finger prick meters aren’t fantastically accurate results in the teens should definitely be consider too high 2 hrs after food. Can you see another dr at the practice?
 
Thank you both for the welcome and replies, I am not sure what hba1c reading was, the Dr just said its normal, I have tried a zero carb high fat diet and felt so much better, blood readings were much lower, after reintroducing carbs to my diet the blood glucose readings went up again, however my Dr is still claiming a glucose meter is not accurate.

I'm unsure of how respond and get to the bottom of this issue, as from what I have read blood glucose should not go above 7mmol for a non diabetic.
 
Thank you HSSS, in the practice I go to its usually locum Dr's, however I do see one of the permanent ones (which is the one refusing to believe anything I say) today I was told categorically not eating carbs would not affect my hba1c reading, I also stated previously to the Dr that I am not eating carbs at all so there is no point in the hba1c test.
 
If your GP thinks eating low carbs doesn’t affect HbA1c tests then ask him why me cutting my carbs reduced my HbA1c from 70 (diabetic) down to 45 (prediabetic) in two months and then down to 36 (non diabetic) in a further two months? Time to change your GP I reckon. Oh and you really need to get the exact number of your HbA1c result, I wouldn’t trust him to know what normal is after his comments about carbs!
 
Definitely need to see someone else. If you are already eating low carb it does make sense for a gtt if you are seeking diagnosis.

That will give you the annual checks that a diabetic gets. If you are a type 2 with reasonable hb1ac (probably helped significantly by the low carb) meds are less likely and diet control is more likely. If there’s no meds involved you won’t get free prescriptions and unlikely to even get testing strips. Some may choose to keep going as you are and avoid the label. Others would think that reckless.
 
The positive effects you are feeling when you low carb would suggest, to me, that you should continue with this and see if your testing fits with your sense of well being.
I would recommend, as others have, getting a print out of your tests so you can make an informed view... your GP does seem to be a bit limited in imagination and knowledge... try getting to see some one else.
Please let us know how you are getting on.
Good luck.
 
@only-me Could it be your thyroid or anemia or a vitamin deficiency?
Putting on weight is associated with thyroid problems. I'd ask for a full blood test with a different doctor
 
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