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Hba1c results

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Fifi240

Member
Relationship to Diabetes
Type 2
So I saw my doctor today and asked what my hba1c was on my last blood test was and it has risen from 69 in July to 101 in November I’m really disappointed as I have cut out all sugary things and tried low carb but obviously not doing to well
 
That’s understandably disconcerting. Has anything else changed?
 
That's got to be a disappointment, what did your doctor have to say?
 
Hi.
So sorry that you have had a setback with your test result.
When you say you have tried low carb but obviously not doing well.... does that mean that you have not done well in managing to stick to low carb or just that the result doesn't reflect the effort you have put in?
Can you give us an idea of the sort of things you are eating on an average day for breakfast lunch and dinner?
Can you give us a bit more info about how you came to be diagnosed?
Have you had any sudden weight loss and or was it easier than you expected to lose weight?

Just wondering if you might be a misdiagnosed Type 1 with such a dramatic increase in HbA1c when you have been making dietary improvements.
What did the doctor say about your result? Is there a diabetes trained nurse at the practice that you can speak to who might know more than the GP or will your GP refer you to a specialist?
 
I hope that you realise it isn't just food (or weight) which affects Blood Glucose.
The following also raise BG:-
1. Medications such as Statins and Steroids amongst others.
2. Infection (even a common cold can raise your BG - though this is not likely to have much of an affect on your HbA1C because HbA1C is more of an average over several weeks.
3. Lack of sleep
4. Stress.

If you have been taking Low Carb seriously and self testing your BG spikes after meals, then the HbA1C would not be a surprise. So I assume that you have just cut out obvious things like sugar, fruit, flour and potatoes.
But what about whole grains like Oats ( porridge spike my BG ), or sweet root veg like carrots, or fruit that is treated as veg like tomatoes?

If you have been serious about Low Carb, then it seems likely that either your Insulin resistance has got much worse or you're producing less Insulin. This means you may not be an ordinary Type 2 but perhaps an adult Type1.
 
Hi
Just had my latest HbA1C after receiving the news in late August that I was type two with a score of 72.
Scrict low carb diet (800 - 1000 calories per day) and I have lost nearly 3 stone and HbA1C down to 34! Are you overweight? You mention only HbA1C results. I recommend reading Michael Mosleys book re 800 calorie diet and follow it closely.
 
Hi thanks for replies I am not very good with diet and only eat ready meals as I don’t know how to cook poor excuse I know but it’s the truth I just cant change my habit of eating my diet is most probably too high in carbs how can I change and is there any good books to get and follow low carb
 
Check out the recipes on the Diabetes UK Web site as well as reading books. There are some really good books out there with easy to follow recipes. But remember low carb diets don't work for everyone..........but weight loss is a good start. Have you heard about the new project from Diabetes UK Live Well Move More. (featured on this forum ) designed to help and support people struggling with their diet and activity levels. give it a try.
 
Ready meals are really such a poor choice. Do your health a favour and learn to cook a little.

Simple foods like an omelette with a salad and some creamy coleslaw or bangers and mash, but cook cauliflower instead of potatoes and drain and then mash them with a good dollop of cream cheese and maybe a teaspoon of wholegrain mustard. It is actually easier than cooking potatoes and you could use a packet of frozen cauliflower to save on preparation. You don't have to be clever to cook basic stuff like this. Just have a bit of confidence in yourself and give it a go. It gets easier the second, third and fourth time you cook the same meal until you can do a whole range of set meals without even thinking about how to do them.
Maybe choose just one day a week when you have more time and cook yourself a meal on that day, then gradually build it up to 2 or 3 home cooked meals a week. We can give you suggestions for simple meals if you ask.
Exercise is another important factor and getting out for a daily walk is as good as anything. Start off with just 5 or 10 mins if you don't currently do anything and gradually build it up. Walking after your meal is the best time as it will help to bring your levels back down quicker, rather than perhaps sitting vegetating in from of the TV after a meal. If it is dark, take a torch. If it is raining take an umbrella but try to make a habit of it every day if you can.
 
I really don’t know where to start have been put on ozempic for the last month and it has reduced my bs from 19 down to 10 so will hopefully see an improvement of my hba1c results come my next blood test which is February this was only on starter dose going up to maintenance dose this week so it might improve even more my diet has a lot to be desired and I’m not good at change finding this very difficult and exercise is a no go with my multiple sclerosis as I struggle with balance and fatigue I have also sprained and chipped a bone in my ankle but it’s improving

does anyone know any good books or apps to look at for low carb diet
 
Sorry to hear about your raised HbA1c @Fifi240

Were you checking your BG during that time? What sorts of results were you seeing?

Great that you have seen your BG levels almost halve on Ozempic. Hopefully that will help with weight loss and translate into an i proved HbA1c, but you will really help by steering clear of the ready meals (and most likely save £££££) and just start with some simple recipes.

The Collins Calorie Counter always used to be recommended as a book with 100s of foods all labelled with their carb values.

You can choose any recipe or cook book you like, but you might need to make some swaps like cauli rice or cauli mash?
 
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