Hba1c increase

[h4ry]

Hi.

Newbie here - I had blood test results come back today and I have been really distraught the whole day.

My fasting glucose was normal (4.8) but my Hba1c has gone up to 50. In September it was 43 and a year before that 38.

I've cut out sugary foods, not had biscuits, simple carbs, chocolates etc for 4 months.

I am 38 years old.

I've also been doing a lot more exercise and lost 5kg of weight. I have beta thalemessia trait which means I have abnormal Hb. However the lab has clarified that the way they test the trait would make no difference to the results.

Unfortunately my thyroid is also getting worse and is borderline underactive.

I have a telephone consultation with my GP on Monday.

Looking back at my diet, I did have wholemeal bread, chapptis, wraps etc as part of my diet Would this cause for the levels to spike this much in 4 months? Do I need to cut these out completely? I follow an Indian vegetarian diet.

I'm really concerned that it has gone up so much in a short space of time despite eating healthier and being more active. My cholesterol went down from 5.2 to 4.6. Diabetes runs on my mother's side of the family.

Any hints or tips would be appreciated, is there anything specific I need to ask the GP.

Many Thanks

 

[Alan44]

Hi @h4ry and welcome to the forum

Sorry I can't answer your questions directly, but, hopefully someone will come along and offer some advice..

Alan 😉

 

[mashedupmatt]

Hi @h4ry and welcome to the forum - well done on the wieght loss - like @Alan44 I'm not able to give any specifc advice (not my area of expertise I'm afraid) but there will be users here who can help - glad you have found us

 

[Leadinglights]

Welcome to the forum
Sorry to hear your HbA1C has increased when you appear to have been being careful and getting more active but it may be you are less tolerant of the carbs you are having. I must be quite tricky with an Asian diet as it can be heavy on high carb foods like rice, pulses, breads so finding lower carb alternatives is challenging.
You maybe would benefit from having a home testing blood glucose monitor so you can check out particular meals to see if they are too high carb, testing before you eat and after 2 hours will tell you if the meal is OK if the increase is less than 3mmol/l. You may have to self fund as GPs don't often prescribe them unless people are on certain medication.
There is a version of the Carbs and Cals book and app World Foods which has carb values of various portion sizes of a whole range of foods.
There is a vegetarian meal plan in this link for a low carb approach which you may find will give you some ideas https://lowcarbfreshwell.com/

 

[h4ry]

Thank you for the advice and the link. I will definitely invest in a glucose monitor to monitor the spikes.

 

[HayleyR]

Welcome to the Forum! 🙂 . I'm new to the site myself and discovered it's a great place for advice and information. I would certainly recommend getting Carbs & Cals (book or app) which is so useful when working out carbs and a blood glucose monitor is invaluable . Don't worry, it is possible to lower your HbA1C with a little effort 🙂.