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Hi, new to the forum.

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Odin's Beard

New Member
Relationship to Diabetes
Type 2
Hey, had type 2 for about 15 years or so now.

I go through phases of being really good with diet and exercise but during lockdown I've been pretty lax.

Just had my HbA1c come back at 10.3 which seems incredibly high for a fasting test?

Does anybody have any suggestions as to how I can bring it down? Tips on diet and exercise would be helpful.

Cheers
 
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The HBA1C is the average of 3months, so whether you fast or not it does not affect the result. Unless you mean the fasting Blood Glucose was 10.3, as they are 2 differnt tests.
 
Hi Odin's Beard, welcome to the forum.

I think we've all gone a bit wonky during the lock down so you're not alone 🙂. I've found that weights and water are my best friend when it comes to getting exercise in when I'm short on time (read desire 🙂).

What were you doing before that worked?
 
Hi Odin's Beard, welcome to the forum.

I think we've all gone a bit wonky during the lock down so you're not alone 🙂. I've found that weights and water are my best friend when it comes to getting exercise in when I'm short on time (read desire 🙂).

What were you doing before that
Hi, lots of walking the dog. Nothing too strenuous at all 🙄
The HBA1C is the average of 3months, so whether you fast or not it does not affect the result. Unless you mean the fasting Blood Glucose was 10.3, as they are 2 differnt tests.
My bad, the fasting blood glucose was 10.5.
 
Hi @Odin's Beard and welcome to the forum.

Do you have your HbA1c results? They are a better measure of how "lax" you have been and will help you sort out a plan to get back on track.
 
A lot on here (including me) have started where you are with HbA1c's above 80 and got it back down to normal levels. Trouble is that there is no magic formula to do it, you have got to work out the best way for you.

You have four levers to pull.

First off is diet. In very simple terms carbohydrate in your diet turns into blood glucose. Less carbohydrate, less blood glucose. This does not mean eating less, it means change what you eat to lower carbohydrate containing stuff.

Second is to lose weight. Only applies if you are overweight, but there is plenty of evidence that being overweight can impair your system when it comes to controlling blood glucose.

Third is exercise. The interaction between exercise and blood glucose is complicated but there is no doubt that exercise is a good thing.

Fourth is medication. Medication for diabetes is well understood and there are options to go at.

Which levers you pull and how hard you pull on them depends very much on the individual. Any individual needs to work to get the settings appropriate for them.

Me, I pulled a bit on all four to get my HbA1c down from 82 into the high 30's. Medium/low carb diet, keep the weight below 68kg, get in some exercise every day and take minimal doses of metformin and gliclazide.

Hope that gives you a starter.
 
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A lot on her (including me) have started where you are with HbA1c's above 80 and got it back down to normal levels. Trouble is that there is no magic formula to do it, you have got to work out the best way for you.

You have four levers to pull.

First off is diet. In very simple terms carbohydrate in your diet turns into blood glucose. Less carbohydrate, less blood glucose. This does not mean eating less, it means change what you eat to lower carbohydrate containing stuff.

Second is to lose weight. Only applies if you are overweight, but there is plenty of evidence that being overweight can impair your system when it comes to controlling blood glucose.

Third is exercise. The interaction between exercise and blood glucose is complicated but there is no doubt that exercise is a good thing.

Fourth is medication. Medication for diabetes is well understood and there are options to go at.

Which levels you pull and how hard you pull on them depends very much on the individual. Any individual needs to work to get the settings appropriate for them.

Me, I pulled a bit on all four to get my HbA1c down from 82 into the high 30's. Medium/low carb diet, keep the weight below 68kg, get in some exercise every day and take minimal doses of metformin and gliclazide.

Hope that gives you a starter.
Much appreciated, nice one.
 
Hi, one was 89mmol/mol and the other 10.3.

Those are two expressions of the same result 🙂

See: https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/hba1c

HbA1c used to be expressed in %, but more recently have moved to mmol/mol (IFCC) values. One reason was the potential confusion between fingerstick blood glucose readings (in mmol/L). HbA1c results don’t change rapidly enough for it to respond to fasting on the morning of the test 🙂

@Docb has given you a good pared down overview of diabetes management. If you’d like to delve a bit deeper and fill in some of the blanks that you may have even after these years, many members have recommended Gretchen Becker’s book T2 Diabetes, the first year, (you’ll have to forgive the title!)

Have you ever used a home BG monitor to check your individual responses to foods? People‘s responses to food are surprisingly different, so by taking a reading before and again 2hrs after eating, to see what the differences are, you can begin to identify any carbs that seem to be spiking BG (initially in a way the numbers themselves matter less than the differences between them).

Once you can see how you respond to different meals you can begin experimenting with reducing amounts of carbs and trying different types (sometimes just having things at a different time of day makes a difference). Gradually tweaking and tailoring your menu to find one that suits your tastebuds, your waistline and your BG levels 🙂

If you are interested in this approach you may find test-review-adjust by Alan S a helpful framework.

If you need to self fund your BG meter, the most affordable meters members here have found are the SD Gluco Navii or the Spirit Tee2 - which both have test strips at around £8 for 50
 
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