Struggling to reduce Hba1c

Linda64

Newbie
Messages
1
Hi

I am not new to diabetes T1 for 31 years and although I have been massively helped by the Libre 2 sensor I still struggle to keep my sugars down to a good level

Very frustrating as I am careful with my diet!!!

Linda
 

ianf0ster

Moderator
Staff Member
Moderator
Messages
2,638
Type of diabetes
Treatment type
Diet only
Dislikes
exercise, phone calls
Hi @Linda64 and welcome to the forum.
I know you are a Type 1 and therefore on insulin, but I will start from my own experience.
For the majority of Type 2 diabetics reducing Blood Glucose reading is simple (but not always easy). That is because there are only 2 major sources of Blood Glucose:
1). From digesting carbohydrates in the diet. Simple carbs like bread or mashed potato start turning into glucose while still in the mouth and have a GI (Glycaemic Index) higher than table sugar.
2). Glucose released by the liver. This may be glucose that has been stored, or in the absence of carbohydrates, glucose made from non-carbs i.e. protein and fat.
So for type 2's, reducing the carbs and eating carbs that are more complex usually has a big effect (often more than medication does).

Since you are a Type 1, you have probably been told you should always try to match your Blood Glucose with the Insulin you take. But in reality, it should really be the other way around (matching the Insulin you take to your Blood Glucose. For the most part, even for a Type 1, reducing the carbohydrates consumed will reduce the Blood Glucose and will need a reduced Insulin dose to match, so you don't go too low - a Hypo. This means that your Health Care Professional should be aware of what you are doing.

You say you are careful with your diet, but most diabetes patients (both Types 1, 2 and 3) are encouraged to eat lots of carbs. Have you heard of Dr Richard K. Bernstein in the USA and Dr Ian Lake in the UK? Both are Type 1 diabetics with HbA1C level in the normal range who advocate a Low Carbohydrate way of eating for their patients. Dr Bernstein is nearly 90 yrs old, a Type 1 since he was 12 yrs old and still practicing last I heard. He has a Facebook group called TypeOneGrit.

I hope this helps.

* Edited to make clear I mean eating carbs that are more complex rather than eating more carbs
 
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Antje77

Guru
Retired Moderator
Messages
20,705
Type of diabetes
LADA
Treatment type
Insulin
Hi

I am not new to diabetes T1 for 31 years and although I have been massively helped by the Libre 2 sensor I still struggle to keep my sugars down to a good level

Very frustrating as I am careful with my diet!!!

Linda
Hi @Linda64 , welcome to the forum.

Would you like to share what insulin regime you are on? Pump, multiple daily injections with a basal and bolus insulin, or a mixed insulin?
How are you deciding on your doses? Do you carb count and adjust your doses according to this or are you on fixed doses?
 
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Ink

Member
Messages
7
Type of diabetes
Type 1
Treatment type
Pump
Hi

I am not new to diabetes T1 for 31 years and although I have been massively helped by the Libre 2 sensor I still struggle to keep my sugars down to a good level

Very frustrating as I am careful with my diet!!!

Linda
I understand very much how you must be feeling. I have been T1 diabetic for 54 years I was only 3 when I started and was on four injections a day plus one on a evening which was a long acting insulin and a fast acting insulin the other four times a day. My HBCA1 was 113 and above until 21 years ago which then I went onto the insulin pump and senior giving me 24 hours insulin a day and constant blood readings I did put weight on with the pump and affected my eyes which ment I would have too wear glasses full time but it has been worth it as my HBCA1 is know 49.
I still have to be careful what I eat even if I eat the same food and the same exercise each day my insulin could be totally different on those two days. I can have a salad just lettuce, tomatoes, cucumber, egg, meat and will still need a dose of insulin and that’s with me having no carbohydrates. Everyone is an individual with their diabetes just because one item is ok for one but not the other.
Good look you will get their
 
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