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Woo hoo! I get to post a lowered HBA1C!

Smallbrit

Smallbrit

Well-Known Member
Messages
284
Location
Cardiff, Wales
Type of diabetes
Type 2
Treatment type
Diet only
Just back from my GP appointment.

Jul 2017 HBA1C 89 (because overload of biscuits (my self-diagnosis))
Nov 2017 HBA1C 76 (addition of exercise, reduction in biscuits)
Feb 2018 HBA1C 48 (Christmas. But then 2 months LCHF and meter readings and ...ahem... less exercise)

So happy with progress!!! And sun outside means I can take up running/slow jogging/slightly snail's pace exercising again, which my meter has shown me lowers my readings by about 0.5 mmol.

Also, v pleased with my GP, who is trying his hardest to get up to speed on diabetes, having just taken over from diabetic nurse who retired last year. He was happy with my low carbing, happy that I was able to self-test with a monitor (probably happy he didn't have to pay...) and only concern being that I don't lose weight, after I unintentionally lost 7lbs by not eating enough. Still encouraging me to find foods in my diet that I can tolerate, by trial and error with the meter, so I am able to sustain how I eat for the long term.

As I am in that not-quite-typical type 2 diabetic presentation of "young" (41...) and "slim", he's still exploring how best to treat/diagnose me and hasn't just returned me to "see you once a year, eat healthy, exercise more" status but am still on 3-month checkups. My GAD test came back negative.

I am severely deaf too, adult onset. My mum was adult onset deafness, and had insulin-dependent diabetes. I read about MIDD (Maternal Inherited Deafness and Diabetes) and asked him about possibility of that, which he'd not heard of, but he's going for more diabetic learning courses next week, so he said he'd ask about that too.
 
A fasting insilin test would be useful as it lets you know how insilin restant you are. And hence will show if metformin is lilely to help you.

To stop losing weight, lots of butter, olive oil etc along with googling "fat bomb"
 
Very well done you! And well done to your doctor for being supportive! :happy:
 
Smallbrit said:
As I am in that not-quite-typical type 2 diabetic presentation of "young" (41...) and "slim", he's still exploring how best to treat/diagnose me and hasn't just returned me to "see you once a year, eat healthy, exercise more" status but am still on 3-month checkups. My GAD test came back negative.
Click to expand...
Congratulations on your wonderful numbers @Smallbrit! Absolutely brilliant! A testament to the power of the right diet and the meter!

I found this link to the abstract from a 2014 article on MIDD. The first sentence in the snippet below fits with your presentation. It sounds as though genetic testing is the way to go - if your GP is on board - as it appears that some common medications - Metformin and Statins - should be avoided/used with caution in MIDD:

'Maternally inherited diabetes and deafness (MIDD): Diagnosis and management'

"Glutamic acid decarboxylase (GAD) autoantibody negativity in a nonobese diabetic is another clue. Cardiac conduction defects and GDM may also raise suspicion as to the diagnosis. Recognizing this etiology of DM should promote family screening, genetic counseling, screening of associated comorbidities, avoidance of metformin, and cautious use of statins."
https://www.sciencedirect.com/science/article/pii/S1056872714000610
​
 
Biggles2 said:
I found this link to the abstract from a 2014 article on MIDD. The first sentence in the snippet below fits with your presentation. It sounds as though genetic testing is the way to go - if your GP is on board - as it appears that some common medications - Metformin and Statins - should be avoided/used with caution in MIDD:

'Maternally inherited diabetes and deafness (MIDD): Diagnosis and management'

"Glutamic acid decarboxylase (GAD) autoantibody negativity in a nonobese diabetic is another clue. Cardiac conduction defects and GDM may also raise suspicion as to the diagnosis. Recognizing this etiology of DM should promote family screening, genetic counseling, screening of associated comorbidities, avoidance of metformin, and cautious use of statins."
https://www.sciencedirect.com/science/article/pii/S1056872714000610​
Click to expand...

Given this, I think you should pass it to your GP, and ask your GP to send you to a consultant that has experience in MIDD.
 
Well done great achievement! but I can't help feeling that once your doctor has had more diabetes training he might be less pragmatic with your style of management and more NHS 'eat well plate' authoritarian - I hope he see's you achievement and questions/challenges the 'trainer'!
 
Biggles2 said:
Congratulations on your wonderful numbers @Smallbrit! Absolutely brilliant! A testament to the power of the right diet and the meter!

I found this link to the abstract from a 2014 article on MIDD. The first sentence in the snippet below fits with your presentation. It sounds as though genetic testing is the way to go - if your GP is on board - as it appears that some common medications - Metformin and Statins - should be avoided/used with caution in MIDD:

'Maternally inherited diabetes and deafness (MIDD): Diagnosis and management'

"Glutamic acid decarboxylase (GAD) autoantibody negativity in a nonobese diabetic is another clue. Cardiac conduction defects and GDM may also raise suspicion as to the diagnosis. Recognizing this etiology of DM should promote family screening, genetic counseling, screening of associated comorbidities, avoidance of metformin, and cautious use of statins."
https://www.sciencedirect.com/science/article/pii/S1056872714000610
​
Click to expand...
Thanks for that link - I found a more dumbed down explanation of MIDD but it was so dumbed down it didn’t actually give constructive advice. This one’s much more helpful!
 
Smashing result, well done You. And your GP.
 
Smallbrit said:
Just back from my GP appointment.

Jul 2017 HBA1C 89 (because overload of biscuits (my self-diagnosis))
Nov 2017 HBA1C 76 (addition of exercise, reduction in biscuits)
Feb 2018 HBA1C 48 (Christmas. But then 2 months LCHF and meter readings and ...ahem... less exercise)

So happy with progress!!! And sun outside means I can take up running/slow jogging/slightly snail's pace exercising again, which my meter has shown me lowers my readings by about 0.5 mmol.

Also, v pleased with my GP, who is trying his hardest to get up to speed on diabetes, having just taken over from diabetic nurse who retired last year. He was happy with my low carbing, happy that I was able to self-test with a monitor (probably happy he didn't have to pay...) and only concern being that I don't lose weight, after I unintentionally lost 7lbs by not eating enough. Still encouraging me to find foods in my diet that I can tolerate, by trial and error with the meter, so I am able to sustain how I eat for the long term.

As I am in that not-quite-typical type 2 diabetic presentation of "young" (41...) and "slim", he's still exploring how best to treat/diagnose me and hasn't just returned me to "see you once a year, eat healthy, exercise more" status but am still on 3-month checkups. My GAD test came back negative.

I am severely deaf too, adult onset. My mum was adult onset deafness, and had insulin-dependent diabetes. I read about MIDD (Maternal Inherited Deafness and Diabetes) and asked him about possibility of that, which he'd not heard of, but he's going for more diabetic learning courses next week, so he said he'd ask about that too.
Click to expand...
Magical moment, brilliant you.
 
Smalbritt

Wow, factor for U.
Im 70 years prediabetic have some time Hbac1 from 48 but after use of ceylon cimanon everyday a teaspoon its go down to 40. This helps my start foor 8 years ago.:)
Eat LCHF no probleem met my weight.o_O
 
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