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In denial for 18 months

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A Hba1c of 129 is not even on the chart - so any alteration in diet to cut back on the starch and sugar is going to be an improvement. I was told that they were the healthy foods for so long, and yet all the time I felt ill when eating them.
I suggest taking stock of the carbs in your diet and reducing them a little each week - as it would be too much of a shock to just drop them from the menu.
You might find that you are able to eat more carbs with less effect at one end of the day. For me it is the evening, so I have just a few carbs at breakfast and the rest in the evening.
Your meter will be a great help in doing the fine tuning, but at the moment the obvious targets of high sugar foods, including fruit, and the high carb foods such as bread and potatoes, pasta and pizza should get the heave ho in favour of lower carb berries and veges.
Thank you drummer, my first instinct was to go no carbs as well as sugar straight away, but I know that is a risk so will do weekly as other people have advised also. Coming up to end of week one and cut out all refined and obvious sugar and cut down on starchy carbs.
 
Very wise and you should soon see some benefits - though you might need a whole new set of clothes.
I (being me) just dove straight in, as I have been trying to do low carb since the early 1970s in face of my GPs who have all been dead against it. I did have some false hypos, which a warm drink and three grapes sorted out. I headed back towards normal really quickly, so can tell you that the low carb way of eating is very effective, and you don't need to push things - it isn't a punishment to 'have' to eat low carb, it really is how I will be happy to eat for the rest of my life.
 
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