HbA1c 123 :-(

Status
Not open for further replies.
G

GreenS

Member
Relationship to Diabetes
Type 2
Hi

I have been diabetic for over a decade and have largely controlled it with diet (lchf) and walking. Things have been very stressful at work and at home (big extension) and I have been feeling exhasted. I thought it was just that but my latest text came back as 123. To be honest I have not been eating well...

Anyway back on lchf and lots of walking. Have been given lots of medicines (metformin, glicazide and one more). 3 months to reduce HbA1c...

Here for support please. Thanks very much

Green
 
Welcome to the forum, WOW that is high, no wonder you had been feeling unwell.
I hope you have been prescribed a blood glucose monitor as you would benefit from doing some strategic testing of your meals to see what your tolerance is as clearly something has changed. Look to keeping meal increases to no more than 2-3mmol/l. The meds will help but diet will also be important. You mention going back to the lchf dietary regime so I hope this link will be helpful with some new ideas to get you back on track. https://lowcarbfreshwell.co.uk/
Can I also suggest you have some ketone urine test strips as high blood glucose and ketones can be a dangerous situation needing immediate medical attention as there is a risk of DKA. More likely if Type 1 but still possible.
If the new regime is not successful it would be worth asking for the tests to rule out Type 1 or LADA so keep that in mind.
 
Thanks Leadinglights. I have been prescribed a blood glucose meter. Thanks for the link to the lchf website. Was feeling really weird earlier today (I can best describe as shaky) so ate a bit of bread. Tested 20 minutes after eating and glucose levels were at 6.8. So looks like medications and diet are working already.

Still scary to have had that high an HbA1c :-(
 
Did you test your blood sugar when you felt shaky @GreenS ? If you feel hypo, you should always test. Also, hypos should be treated with something fast-acting like Dextro glucose tablets, jelly babies or some regular (sugar) Coca Cola.
 
GreenS said:
Thanks Leadinglights. I have been prescribed a blood glucose meter. Thanks for the link to the lchf website. Was feeling really weird earlier today (I can best describe as shaky) so ate a bit of bread. Tested 20 minutes after eating and glucose levels were at 6.8. So looks like medications and diet are working already.

Still scary to have had that high an HbA1c :-(
Click to expand...
Sometimes when people make substantial changes to their diet in combination with medication blood glucose can reduce quite quickly and it can take the body some adjustment to the lower level as it has been used to being high for a long time.
so can make people feel a bit wobbly even though blood glucose may not actually be low enough to be in hypo territory. The gliclazide does have the potential to cause hypos or low blood glucose so do check and have something to hand like suggested. Better to be safe and check
 
Sorry to hear about your raised HbA1c @GreenS

But well done on leaping into action - hope you can find a balance between menu and meds that helps your BG levels to come down gradually, and don’t give you too many wobbly sensations.

As @Leadinglights says, it can be that people whose levels have been running high for a while can get symptoms of low BG as their levels come down into a healthy range - but when still above hypo range. It can take a while for the ‘glucose thermostat’ to reset.

It might be worth checking your levels, if you feel wobbly again, just to see what your numbers actually are. Hopefully things will settle for you in a few weeks. 🙂
 
Inka said:
Did you test your blood sugar when you felt shaky @GreenS ? If you feel hypo, you should always test. Also, hypos should be treated with something fast-acting like Dextro glucose tablets, jelly babies or some regular (sugar) Coca Cola.
Click to expand...
I didn't test straight away - only after eating those carbs. Will be vigilant. Thanks all 🙂
 
GreenS said:
Thanks Leadinglights. I have been prescribed a blood glucose meter. Thanks for the link to the lchf website. Was feeling really weird earlier today (I can best describe as shaky) so ate a bit of bread. Tested 20 minutes after eating and glucose levels were at 6.8. So looks like medications and diet are working already.

Still scary to have had that high an HbA1c :-(
Click to expand...

20 minutes is too soon after eating.
Blood sugar starts rising after around 15 minutes and generally reaches a peak in an hour (But not always) Try testing after two hours. That 6.8 may be your pre meal value.
 
harbottle said:
20 minutes is too soon after eating.
Blood sugar starts rising after around 15 minutes and generally reaches a peak in an hour (But not always) Try testing after two hours. That 6.8 may be your pre meal value.
Click to expand...
I think the OP meant he had tested 20mins after eating the bread when he felt shaky not for testing after a proper meal.
 
hello green i have just been diagnosed gliclazide so read with interest. my reading at last test was 107 and my control is bad. my diet is up and down so am looking for a balanced lifestyle. Like you i am on a 3 month review and been told step up excercise. I would like to monitor blood sugar but never had meter. Is that a good idea
 
Hello Berks

Yes a blood sugar meter is a good idea together with some strategic testing before and 2 hrs after meals to check what foods trigger you. Also with Glicazide, Dr advised that it can cause hypos, so good to keep checking. Your GP can give you a meter and will prescribe the strips, lancets. More knowledgeable colleagues will advise further.

Let's compare notes and motivate each other. I am sure we can get our levels to optimum state

Stay in there mate 🙂
 
Berksps said:
hello green i have just been diagnosed gliclazide so read with interest. my reading at last test was 107 and my control is bad. my diet is up and down so am looking for a balanced lifestyle. Like you i am on a 3 month review and been told step up excercise. I would like to monitor blood sugar but never had meter. Is that a good idea
Click to expand...
If you have been prescribed a medication like gliclazide which encourages your pancreas to produce more insulin and therefore there is a potential for low blood glucose (hypos) then you should be prescribed a monitor and test strips.
You should ask your surgery.
I hope you are taking on board some dietary changes as well. Finding a dietary approach which suits you is crutial as it has to be enjoyable and sustainable especially with your eye issues. Check this link out https://lowcarbfreshwell.co.uk/
 
GreenS said:
Hello Berks

Yes a blood sugar meter is a good idea together with some strategic testing before and 2 hrs after meals to check what foods trigger you. Also with Glicazide, Dr advised that it can cause hypos, so good to keep checking. Your GP can give you a meter and will prescribe the strips, lancets. More knowledgeable colleagues will advise further.

Let's compare notes and motivate each other. I am sure we can get our levels to optimum state

Stay in there mate 🙂
Click to expand...
will do thanks for your support
 
Status
Not open for further replies.
Back
Top