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<blockquote data-quote="Lupf" data-source="post: 2612196" data-attributes="member: 518059"><p>Hi [USER=573589]@Mr Hairyman[/USER] welcome to the forum.</p><p>First an HbA1c of 80 mmol/mol is well into the diabetic range, but many here, including myself, were diagnosed with an HbA1c over 100 and have reduced to non- or prediabetic levels. Thus there is a realistic chance that you can get on top of your T2 too.</p><p></p><p>As other have said already reducing your carbs will reduce your HbA1c, and many here do very low carb, i.e. 30 grams per day. If you can do that great, but it is not all or nothing. Any reduction in carbs will be beneficial, but you want to monitor your progress, so you need to get a blood sugar meter, which your GP will not want to give, so either you are persuasive or need to fund it yourself. By measuring you will find out what works for you and which food does spike you.</p><p></p><p>Going low carb will most likely make you lose weight, as you will eat more fatty food, which are more satiating and make you less hungry. You need to forget the "fat is bad" mantra, it has never been proven. At the opposite, consider banning all low-fat food (like I did), because it has added sugar for taste and is in my view unhealthy. Check for any other low hanging fruit, e.g. fizzy drinks and juice. A glass of orange juice has seven oranges in it. and you wouldn't eat this in one setting, so consider eating an orange or an apple instead.</p><p></p><p>Depending on how much and how fast you want to lose weight, in addition to what you achieve by low carbing, there are different diets, but restricting simply calories is not sustainable in the long term. If you eat less than your body needs you will lose weight, but your metabolic rate will go down, so at some point you will stop losing or start gaining weight again. Thus you will become miserable and give up at some point.</p><p>Have you considered intermittent fasting? this is what our ancestors had to cope with - no success in hunting, and they started burning fat reserves. This seems to work for us as well</p><p></p><p>I've successfully reduced my HbA1c by intermittent fasting, using the 5+2 blood sugar diet from Michael Mosley. On fast days I've restricted to 600 calories (now it says 800 calories) where I did not have any carby food, such as bread, potatoes or rice, and ate green vegetables, e.g,.curries, soup salad, and egg and a bit of chicken or fish. On the other days I ate normal/ Being able to cook helps, if you like vegetable curries and soup you can eat a lot for 600 calories, so I never really felt hungry and the pounds started simply melting away. I've lost 10+ kg of weight and reduced my HbA1c to the 40s.</p><p></p><p>Metformin is fine, if you can tolerate it, i.e. it does not cause hypos.</p><p>Statin is another story, we can discuss this later.</p></blockquote><p></p>
[QUOTE="Lupf, post: 2612196, member: 518059"] Hi [USER=573589]@Mr Hairyman[/USER] welcome to the forum. First an HbA1c of 80 mmol/mol is well into the diabetic range, but many here, including myself, were diagnosed with an HbA1c over 100 and have reduced to non- or prediabetic levels. Thus there is a realistic chance that you can get on top of your T2 too. As other have said already reducing your carbs will reduce your HbA1c, and many here do very low carb, i.e. 30 grams per day. If you can do that great, but it is not all or nothing. Any reduction in carbs will be beneficial, but you want to monitor your progress, so you need to get a blood sugar meter, which your GP will not want to give, so either you are persuasive or need to fund it yourself. By measuring you will find out what works for you and which food does spike you. Going low carb will most likely make you lose weight, as you will eat more fatty food, which are more satiating and make you less hungry. You need to forget the "fat is bad" mantra, it has never been proven. At the opposite, consider banning all low-fat food (like I did), because it has added sugar for taste and is in my view unhealthy. Check for any other low hanging fruit, e.g. fizzy drinks and juice. A glass of orange juice has seven oranges in it. and you wouldn't eat this in one setting, so consider eating an orange or an apple instead. Depending on how much and how fast you want to lose weight, in addition to what you achieve by low carbing, there are different diets, but restricting simply calories is not sustainable in the long term. If you eat less than your body needs you will lose weight, but your metabolic rate will go down, so at some point you will stop losing or start gaining weight again. Thus you will become miserable and give up at some point. Have you considered intermittent fasting? this is what our ancestors had to cope with - no success in hunting, and they started burning fat reserves. This seems to work for us as well I've successfully reduced my HbA1c by intermittent fasting, using the 5+2 blood sugar diet from Michael Mosley. On fast days I've restricted to 600 calories (now it says 800 calories) where I did not have any carby food, such as bread, potatoes or rice, and ate green vegetables, e.g,.curries, soup salad, and egg and a bit of chicken or fish. On the other days I ate normal/ Being able to cook helps, if you like vegetable curries and soup you can eat a lot for 600 calories, so I never really felt hungry and the pounds started simply melting away. I've lost 10+ kg of weight and reduced my HbA1c to the 40s. Metformin is fine, if you can tolerate it, i.e. it does not cause hypos. Statin is another story, we can discuss this later. [/QUOTE]
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