HBA1C HOW TO LOWER

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msbhatti

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At risk of diabetes
Hi All - After 3 months of wait, I have done HBA1C again and it was 40, previously it was 40 too around 3 to 4 months back.
Steps i have taken in last 3 months are
reduced weight from 87kg to 75kg. no smoking and no alcohol.
walking / excercise around 30 minutes - 5 days a week atleast.
last 2 months eating low carb and low suger - now as got too much weight loss so started having bit more carb in the morning and evening time as i was started feeling too weak.
my target is 38 for HBA1C, How can i reduced 2 points from 40 to 38 - any guidance will be appreciated.
Interestingly when I am doing fasting or 2 hour after having food blood suger reading, it's always under 100 (90 to 99) in fasting and under 130 after 2 hours of having food, not sure why HBA1C is 40.
Please guide how can I lower HBA1C (38 or lower).
Thanks ​
 
To get an HbA1c of 40 your blood sugar looks to be averaging about 120 mg/dl.

Looks like you spikes post food might be lasting a while leading to the higher HbA1c?

Maybe take some 3 and 4 hours readings to check how long you are staying at the higher levels.

Your aim for an HbA1c of 38 means your average needs to drop to around 115 mg/dl ... maybe try cutting out some more carbs?
 
msbhatti said:
Hi All - After 3 months of wait, I have done HBA1C again and it was 40, previously it was 40 too around 3 to 4 months back.
Steps i have taken in last 3 months are
reduced weight from 87kg to 75kg. no smoking and no alcohol.
walking / excercise around 30 minutes - 5 days a week atleast.
last 2 months eating low carb and low suger - now as got too much weight loss so started having bit more carb in the morning and evening time as i was started feeling too weak.
my target is 38 for HBA1C, How can i reduced 2 points from 40 to 38 - any guidance will be appreciated.
Interestingly when I am doing fasting or 2 hour after having food blood suger reading, it's always under 100 (90 to 99) in fasting and under 130 after 2 hours of having food, not sure why HBA1C is 40.
Please guide how can I lower HBA1C (38 or lower).
Thanks ​
Click to expand...

Why 38?
 
Thanks a good idea.

At the moment - i only take 2 readings - fasting and 2 hour post food readings - fasting most of times is 95 and under 100.

2 hour post food is always under 130 - it was always between 120 to 130.

i will try to monitor post food 3 and 4 hours too to see the readings and will update here.

i have cut half the carbs i used to have last year and cut 80 percent suger or sugery items.
 
bulkbiker said:
To get an HbA1c of 40 your blood sugar looks to be averaging about 120 mg/dl.

Looks like you spikes post food might be lasting a while leading to the higher HbA1c?

Maybe take some 3 and 4 hours readings to check how long you are staying at the higher levels.

Your aim for an HbA1c of 38 means your average needs to drop to around 115 mg/dl ... maybe try cutting out some more carbs?
Click to expand...
Thanks a good idea.

At the moment - i only take 2 readings - fasting and 2 hour post food readings - fasting most of times is 95 and under 100.

2 hour post food is always under 130 - it was always between 120 to 130.

i will try to monitor post food 3 and 4 hours too to see the readings and will update here.

i have cut half the carbs i used to have last year and cut 80 percent suger or sugery items.
 
msbhatti said:
actually i have a feeling i am very close to prediabetic at 40 HBA1C, so initially targetting 38 HBA1C to be more in green area readings.
Click to expand...

I aim for an average Hba1c for my age.
A difference of 2 would make no change in my chance of any complications, no negative health aspects, I don't stress not having diabetes, so long as my lifestyle works for me.
 
As you are quoting numbers in mg/dl I wonder if you are not in the UK because the criteria for designating prediabetes etc are different.
In the UK an HbA1C anything under 42mmol/l would be regarded as normal.
 
travellor said:
I aim for an average Hba1c for my age.
A difference of 2 would make no change in my chance of any complications, no negative health aspects, I don't stress not having diabetes, so long as my lifestyle works for me.
Click to expand...
Thanks @travellor - i agreed 2 points would make no difference, but after lot of efforts and life style change i was expecting a bit of reversal in HBA1C test readings - when i got same readings it was bit of disappointment for me.
 
Leadinglights said:
As you are quoting numbers in mg/dl I wonder if you are not in the UK because the criteria for designating prediabetes etc are different.
In the UK an HbA1C anything under 42mmol/l would be regarded as normal.
Click to expand...
agreed sir, i am from UK - i mentioned 40 as close to / borderline for prediabetes.
 
I reduced my daily intake of carbs from 50gm to 40 gm maximum and got no reduction in my Hba1c, so I don't think that there can be a direct link between the two.
I seem to be stuck on Hba1c of 42.
 
Drummer said:
I reduced my daily intake of carbs from 50gm to 40 gm maximum and got no reduction in my Hba1c, so I don't think that there can be a direct link between the two.
I seem to be stuck on Hba1c of 42.
Click to expand...

Good luck @Drummer - i have reduced half of carbs - cant reduced more as i have started feeling weak now .. will do another test in 6 months time to see how that goes.
 
msbhatti said:
Good luck @Drummer - i have reduced half of carbs - cant reduced more as i have started feeling weak now .. will do another test in 6 months time to see how that goes.
Click to expand...
Have you increased the protein and fat in your diet?
The calories from carbohydrates reduced need to be replaced, so I have two proper meals a day most of the time - some days I only eat once as I am not hungry.
I have things such as a salad with fish, steak or a chop with mushrooms or stirfry, beef stews or casseroles, mashed swede, after boiling it in a pressure cooker, and then next morning bubble and squeak with bacon or cheese - and I feel pretty good on it. I am told that my cholesterol will go sky high on such a diet - but it actually went down from where is was when I was eating lots of starchy foods and chose low fat everything.
 
Drummer said:
Have you increased the protein and fat in your diet?
The calories from carbohydrates reduced need to be replaced, so I have two proper meals a day most of the time - some days I only eat once as I am not hungry.
I have things such as a salad with fish, steak or a chop with mushrooms or stirfry, beef stews or casseroles, mashed swede, after boiling it in a pressure cooker, and then next morning bubble and squeak with bacon or cheese - and I feel pretty good on it. I am told that my cholesterol will go sky high on such a diet - but it actually went down from where is was when I was eating lots of starchy foods and chose low fat everything.
Click to expand...
Thanks for detailed reply - i actually have meals high with proteins but portion size was small. may be thats the reason i am bit of weak now.

i was having 2 meals a days low carbs and small portion of protein and salads in all meals as i was in weight loss.

your diet seems very good. thanks for sharing.
 
msbhatti said:
100 (90 to 99) in fasting and under 130
Click to expand...

Just to help other forum members (in the UK mmol/L is the conventional unit of measure for blood glucose).

You can convert between the two by multiplying/dividing by 18.

100mg/dl = 5.6mmol/L
90mg/dl = 5.0mmol/L
130md/dl = 7.2mmol/L

You should feel really proud of your achievements @msbhatti

And really well done on the weight loss 🙂

At your level of glucose management, the potential reduction in risk are levelling out, so be kind to yourself, and try not to stress too much about reaching a target number down 2 points from where you are (both of which are below the UK level which indicates risk of developing diabetes for those who don’t have it). 🙂
 
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