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Type 2 Stage 1 Results

Graham9024

Newbie
Messages
3
Hi,

I was told in August that I had type 2 and immediately made changes to my life style - I received an update from my doctor on the results of my blood test last week and i was told I had a reading in August of 66 and today its 44 with the other number sitting at 8.6 ( i don't know where this one started) so overall its seems to me like its a great improvement.

I have dropped about 20lbs eat quite normally really but no alcohol

What I don't understand is how radical a shift this actually is - for example is this normal to move by this amount? The Dr said this was very good.. I am trying to reference the result with how much I have changed my lifestyle to understand how much more I need to change to get this under control

I plan to adopt the low carb angle into stage 2 for the next 3 months and see what that does in terms of weight and results .. appreciate any comments or advice
 
Hi. It looks like the 44 number is your HBa1C which shows your average blood sugar over 3 months. That number is very good (mine taken last week is 45 and I'm pleased). The 8.6 figure may be a 'fasting' test which doesn't mean much if it is that and it's not bad anyway. Assuming my interpretation is correct then you have been very successful so far. If you move more towards a low-carb diet your T2 will essentially go into remission and with the low-carbs it may stay there. Ask the Dr if not sure what the numbers are. Overweight T2s who can get their weight down by 20 lbs may often see dramatic results. BTW sensible amounts of alcohol aren't normally a problem but do contain some carbs.
 
Thanks - my lifestyle was a bit extreme lots of travel and entertainment for the last few years and weight too high.. the 8.6 was fasting test I think I should lose another 10 to 14 lbs which would be around 30 + in total and I will step up more intensive exercise (boxing) I am walking about 15 miles per week at the moment.

my aim is to go back to "normal" with the next 3 months if possible without medication
 
Hi and welcome,

Your previous 66 and your current 44 will be the HbA1c test.

I have copied this from the main website:

An HbA1c test does not directly measure the level of blood glucose, however, the result of the test is influenced by how high or low your blood glucose levels have tended to be over a period of 2 to 3 months.

Indications of diabetes or prediabetes are given under the following conditions:

  • Normal: Below 42 mmol/mol (6.0%)
  • Prediabetes: 42 to 47 mmol/mol (6.0 to 6.4%)
  • Diabetes: 48 mmol/mol (6.5% or over)

So it seems you have dropped from a diabetic level to a pre-diabetic level. With lower carb you should be able to get it down to under 42, with a bit of luck and effort. Well done so far, and good luck for the rest of your journey. :)
 
According to your figures, since August you have made excellent progress towards bringing your BS levels within non-diabetic range (below 48, with pre-diabetes ranging from 42-47). If you can then maintain your level below 42, using your chosen diet, and exercise where poss, you should be fine. But, as I understand it, once you have been diagnosed 'diabetic' then it is with you for life, and you will always have to be careful about diet, to ensure you don't drift back into the diabetic range, as this could later result in other ailments affecting things like vision, feet and hands, nerve damage & such. I'm no expert about this, and others may come along who have fuller and better knowledge than me.

I'll tag @daisy1 who will give you the basic info pack that all newbies receive. It is full of really useful stuff, and links to sources of further advice. In particular, there is a link to the free 10-week low carb intro course that is run by this site, which is an excellent intro to the low carb way of eating that many of us follow, though not all. There are variations and other options that you will no doubt learn about in due time. For now, have a good read around diasy1's info,the rest of the site, and if you have any questions, just ask away - there's usually someone around who can help.


edit: Bluetit1802 posted as I was writing this, so a bit of duplication, but I'll leave this as is.
 
@Graham9024

Hello Graham and welcome to the forum :) Here is the basic information we give to new members and I hope you will find it useful and help you to keep on track with your excellent results. In here is a link to the Low Carb Program, the 10-week program as mentioned above, which you might like to try. Ask more questions when you need to and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 220,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
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