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Disappointing result

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Daffers

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Relationship to Diabetes
Type 2
Just had my 6months blood test. My HbA1c reading came back at 47. My last result was 48. So not much change there. I have bee walking over 6 -8 miles a day. I’ve cut down on carbs and sugar, I don’t need to lose weight I’m only 8 stone 4lb. I don’t know what else I can do to get the numbers to come down any advice please
 
Just had my 6months blood test. My HbA1c reading came back at 47. My last result was 48. So not much change there. I have bee walking over 6 -8 miles a day. I’ve cut down on carbs and sugar, I don’t need to lose weight I’m only 8 stone 4lb. I don’t know what else I can do to get the numbers to come down any advice please

48 is a very good number for someone with Diabetes.
Why are you disappointed?
 
Hi @Daffers, you could try reducing your carbs further, or it may just be your natural level. I think @Drummer has a natural level of 42 despite eating an extremely low carb diet and being extremely active and healthy.

I can understand your disappointment, but at least you have gone in the right direction. What do you eat carb-wise in a typical day?
 
Hi @Daffers, you could try reducing your carbs further, or it may just be your natural level. I think @Drummer has a natural level of 42 despite eating an extremely low carb diet and being extremely active and healthy.

I can understand your disappointment, but at least you have gone in the right direction. What do you eat carb-wise in a typical day?

I might be wrong but I think @rebrascora is also a very low carber and has an HbA1c in the mid-40s as well (Type 1 though so maybe a different case).
Apologies if that's not true.

ETA. Doh! And of course I'm in that range too. Completely forgot about that. Argh! Brain not working...🙂
 
48 is a very good number for someone with Diabetes.
Why are you disappointed?
I can understand why @Daffers is disappointed after 6 months of effort to have only reduced by 1mmol/mol as the hope is to get to at least mid prediabetic range. To have passed that milestone give incentive to keep up the good work.
What carbs per day are you having, I went from 50mmol/mol to 42 in 3 months and to 36 in another 6 months by sticking to 60-70g carbs per day (no meds)
 
I can understand why @Daffers is disappointed after 6 months of effort to have only reduced by 1mmol/mol as the hope is to get to at least mid prediabetic range. To have passed that milestone give incentive to keep up the good work.
What carbs per day are you having, I went from 50mmol/mol to 42 in 3 months and to 36 in another 6 months by sticking to 60-70g carbs per day (no meds)

But the bigger picture is to gain good blood glucose control and at 48 that is absolutely what has been achieved.

It would be a real shame to ruin what should be a celebratory achievement by worrying too much about a few digits which in comparison are not really that relevant.
 
I can understand why @Daffers is disappointed after 6 months of effort to have only reduced by 1mmol/mol as the hope is to get to at least mid prediabetic range. To have passed that milestone give incentive to keep up the good work.
What carbs per day are you having, I went from 50mmol/mol to 42 in 3 months and to 36 in another 6 months by sticking to 60-70g carbs per day (no meds)

Are you asking me or Daffers what carbs we are eating?
I don't keep a close track but it's between 120g and 200g on most days I think.
Mind you, I'm able to use insulin to quickly get any spikes back down. My spikes are usually no longer than about 1-2 hours after eating.
If we both ate the same portion of cereal I'm not sure how long it would take you to come back to normal without insulin in comparison.
 
Are you asking me or Daffers what carbs we are eating?
I don't keep a close track but it's between 120g and 200g on most days I think.
Mind you, I'm able to use insulin to quickly get any spikes back down. My spikes are usually no longer than about 1-2 hours after eating.
If we both ate the same portion of cereal I'm not sure how long it would take you to come back to normal without insulin in comparison.
Sorry yes it was @Daffers , It was a bit like accidentally pressing the reply all when replying to an e-mail.
 
When I reduced 50gm of carbs a day down to 40 I expected change, but no, it was still Hba1c of 42.
My day to day readings did go down, they are normally no more than 7mmol/l these days, so that would usually be giving a Hba1c in the 30s, but I just treat it as normal for me.
 
Sorry to hear you were disappointed with your HbA1c having only remained roughly the same, rather than having seen a reduction as a result of the effort you had been putting in.

Hopefully if you keep up with your carb reductions the next one will see some sort of reduction.

Can you remind me if your diagnosis came on quite quickly? And if you lost any weight before you were diagnosed?
 
48 is a very good number for someone with Diabetes.
Why are you disappointed?
I’ve been trying so hard to cut down on bread, potatoes, rice and pasta, biscuits , cake and sugary things. Just thought my number would be lower than 47. That’s why I was a bit disappointed. Will keep on doing what I’m doing and maybe will come down further in 6 months
 
But the bigger picture is to gain good blood glucose control and at 48 that is absolutely what has been achieved.

It would be a real shame to ruin what should be a celebratory achievement by worrying too much about a few digits which in comparison are not really that relevant.
When I was first diagnosed with type 2 diabetes I was 51, so to get it down to 47 is good. Don’t know exactly how many carbs I have a day , but have cut down a lot over the last 4 months. Thank you for your reply, I will keep going and hopefully get it down further in the next 6 months
 
But the bigger picture is to gain good blood glucose control and at 48 that is absolutely what has been achieved.

It would be a real shame to ruin what should be a celebratory achievement by worrying too much about a few digits which in comparison are not really that relevant.
When I was first diagnosed with type2 diabetes I was 51, so to get it down to 47 is an achievement, just hoped that with all the effort I’ve put in to reduce carbs and exercise more it would have come down further. Will keep going and hopefully it will come down further in the next 6 months. Thank you for your reply
 
Sorry to hear you were disappointed with your HbA1c having only remained roughly the same, rather than having seen a reduction as a result of the effort you had been putting in.

Hopefully if you keep up with your carb reductions the next one will see some sort of reduction.

Can you remind me if your diagnosis came on quite quickly? And if you lost any weight before you were diagnosed?
I was diagnosed at a routine health check. My HbA1c was 51. I lost about 10 pounds after I was diagnosed but I have never been overweight. My Dad had diabetes, so I think it’s hereditary
 
There are certainly known genetic factors for all types of diabetes I believe.

Did you lose that weight without intending to? And did your Dad end up on insulin? Just wondering if it might be worth asking for checks about LADA, a slow-onset autoimmune diabetes that develops in later life, and can look very like T2 to begin with?

Checking for GAD antibodies and cPeptide can provide some helpful clues.
 
There are certainly known genetic factors for all types of diabetes I believe.

Did you lose that weight without intending to? And did your Dad end up on insulin? Just wondering if it might be worth asking for checks about LADA, a slow-onset autoimmune diabetes that develops in later life, and can look very like T2 to begin with?

Checking for GAD antibodies and cPeptide can provide some helpful clues.
Hi, thanks for your reply. I didn’t set out to lose weight, i wasn’t overweight to start with. I started to do more walking, between 6-9 miles a day and cut down on carbs, bread, rice, potatoes, pasta etc and the weight just came off naturally. My Dad had type 2 diabetes and was on tablets. I think he developed it in later life. I have booked a phone appointment with my diabetic nurse, so I can ask if there is a possibility I may not be type 2. Although if it runs in families there may not be much more I can do.
 
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