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Boarderline Type 2

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shimeld

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At risk of diabetes
Hi.

I have just joined this forum and would like advice please.

Following a blood test I had to visit to my GP's practice nurse to get the results and was told that according to the results I am borderline to becoming a Type 2 Diabetic which was a great shock.

That was about 5 weeks ago and I immediately put myself on a Keto diet reducing my carb intake. Additionally I bought a static exercise bike for the dark nights and now walk as much as I can, weather & dark nights permitting. I cycle on the bike about 3 times a week of intense 30 minute routines. I have already lost close to a stone in weight and 5 inches from my waist.

This week I received and eye screening appointment for Diabetes related blindness which I would get fro free as "A Diabetic". The issue for me is that I have not been diagnosed as Diabetic and I don't see the need to waste everyone's time, NHS money and a space that someone else could use. It seems silly to waste resources in such a way.

Does anyone have any advice on this.
 
Hi and welcome

It sounds like you have made a fantastic start on pushing the diabetes back from the brink and great that you had this opportunity to do so. I think most of us know that we could do with changing our lifestyle and diet but the big D is useful for kicking us into gear, so well done for grasping the opportunity and dealing with it head on. I am pretty certain that you will be back into normal HbA1c results when you are next tested. Please let us know how that goes as it can help motivate others to make those necessary changes.
As regards the retinal screening appointment, if it has already been made then go get it done because there is every likelihood that if you cancel the appointment it will not be filled by someone more deserving/in need and you never know what can be found at such screening appointments whether diabetes related or not, and there is no knowing that your diabetes will remain in remission so having that base line retinal photo may prove useful in the future. I would just go with the flow and hopefully you will get a clean bill of health in that respect and that will be another thing that you can forget about.
 
PS. I am curious to know your HbA1c if you don't mind sharing it. Just wondering if you have slipped into the pre-diabetic range 42-47 or you are right on the diabetic diagnosis line at 48... which would technically make you diabetic. I am guessing the latter might be the case which is why you qualify for screening.
 
Hello Shimeld
As Barbara says, very well done on putting in the good changes to lifestyle so quickly, and I'm sure you must be very pleased with that weight loss.
Regarding the eye test, prevention is always better than cure so, in my view it, would be worth taking the opportunity to get checked.
 
Hi.

Well the lady from the eye screening service said my gp told her that it's 48 but the nurse told me that it it was just below borderline.

Anyway I disputed the need until I'm properly diagnosed as type 2. She's postponed the test now for 3 months so after I get my second blood test in 5 weeks time.

Who knows. On the second test I might have regressed altogether due to my new health regime.

Kind regards.
 
48 is diabetic but there are good reasons why they might not want to acknowledge that.... financial implications being the main one in that you are entitled to free prescriptions once you are diabetic. If you are able to lower that score with the changes that you have made which is extremely likely then they have saved the NHS some money in the long run and you have had the opportunity and impetus to improve your health and fitness.... probably a win win situation.
 
Hi.

This kinda makes sense. By the way for all watching this thread I'm 67 years old.

I still work and my job is partially sedentary.

I take my glucose readings once a week 2 hours after my evening meal and they have fluctuated between 3.7 and 5. Is it more realistic to take the reading in the morning before breakfast?

The meter is one that I bought off Amazon a Trueyou mini kit.

I have a friend who is a diatitian and she says that 48 was the old borderline measure. And it's something like 5 to 7 units now. I could have mis-heard her though.

Thanks
 
Sorry but you are past borderline, gone through prediabetes and have reached the lower edge of diabetes proper at 48. The 5 to 7 units make no sense for UK Hba1c testing.
The time to test for comparison is two hours after the first bite of a meal, and I aim to be, as a maximum in the low 7s, so under 7.5mmol/l on the meter.
 
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