New - Prediabetic - want to turn it around

[devil vinoth]

2017 ( india)
Fasting glucose - 109 mg/dl
PP glucose - 117 mg/dl
Cholestrol/HDL ratio - 4.4
Vit B12 - 457

-- moved to UK in May 2017
-- Excessive drinking and outside food since 2017-2019 December
-- Low excercise except for cricket season june - september

2019 - august ( india)
Fasting glucose - 101 mg/dl
PP glucose - 198 mg/dl
Hb1Ac - 6.1%
Cholestrol/HDL ratio - 4.1
Vit B12 - 118

-- Severe reduction in alcohol consumption to only 2-4 times a month
-- Food habit moderations but still unhealthy food
-- Low excercise

2020 - June
Hb1Ac - 46 mmol/ml
Cholestrol/HDL ratio - 4.7
Vit B12 - 178

Symptoms:
Recurring throat infection ( have previous history of sinus and sore throat)
Tiredness
mood swings and irritability
Acidity

Medications:
Lansoprazole
Vit b12 tablets

Questions:
1. Can i reverse the condition?
2. What do i need to do for pt 1 if its possible?
3. Vit B12 ,cholestrol and diabetes are they linked?
4. My symptoms like throat issues - are they linked to high blood sugar levels

Tks

 

[Ditto]

I'm now picturing you playing cricket. You should be able to reverse this if you put your mind to it and follow the advice given on DUK.

 

[LucyDUK]

Welcome to the forum @devil vinoth

Looks like you’ve modified lots to your diet and lifestyle since diagnosis. There are some elements to Type 2 diabetes risk you can control (Such as weight, activity levels, diet) and some which you cant (Age, ethnicity, family history) and the best chance of preventing your pre-diabetes diagnosis developing to Type 2 is to try and manage those controllable elements of risk.
You might find it helpful to have a look at The Learning Zone (orange tab at top of page) for advice about how to manage your risk.

In terms of infections, high blood glucose levels can make it harder to fight infections and therefore they may take longer to recover from. Tiredness and irritability can also occur when you have high levels. Do you test your levels at home between HbA1c readings?

Due to increased risk of cardiovascular problems as a long term complication of diabetes, cholesterol targets are usually lower than for people without diabetes and the reason they are monitored regularly.

Welcome again and I hope you find the forum a helpful place

 

[devil vinoth]

Hi @luckyduk

many thnaks for getting back i do test using a home meter (gluco RX ) nexus meter . fasting is usually around 5.5-5.8 and PP is generall within 7.5-7.8

 

[everydayupsanddowns]

Welcome to the forum @devil vinoth

Sounds like you are making changes to improve your health and wellbeing - well done!

Since you have a BG meter, one technique you could use is checking your BG before, and 2 hours after eating to see how your metabolism is coping with the carbohydrates in your diet.

While there are obvious things like cakes, biscuits, sweets and sugary drinks that you will be wanting to cut out straight away, you might be surprised how much *all* carbohydrate affects your BG levels, including rice, pasta, bread, pastry, grains, cereals and many fruits.

If you check your BG just before eating a meal or snack, and then again 2 hours after the first bite, you can get an idea of how much that food has raised your blood glucose. Ideally you would want the ‘meal rise’ to be as low as possible - aim for 2-3mmol/L if you can.

If you find that certain meals are causing a big difference in BG levels, you can reduce the amount of carbohydrate in the meal, try a different type of carb, or perhaps just avoid that source of carbs altogether.

Everyone is very different in how they respond to foods, so its a question of working out the amounts and types of carbs that you can cope with. Whether rise if OK, but breadis a nightmare... or if it’s the other way around!

Then tweaking and tailoring your menu to suit your weight, your tastebuds and your BG levels

 

[SB2015]

Welcome to the forum @devil vinoth

Well done on the steps you have already taken to improve your health.
As others have said Diabetes is a manageable condition and you have already been given a lot of useful advice. So I will just encourage you to read around the forum and come back with any questions that you have. Lots of people here to help.

 

[devil vinoth]

Welcome to the forum @devil vinoth

Sounds like you are making changes to improve your health and wellbeing - well done!

Since you have a BG meter, one technique you could use is checking your BG before, and 2 hours after eating to see how your metabolism is coping with the carbohydrates in your diet.

While there are obvious things like cakes, biscuits, sweets and sugary drinks that you will be wanting to cut out straight away, you might be surprised how much *all* carbohydrate affects your BG levels, including rice, pasta, bread, pastry, grains, cereals and many fruits.

If you check your BG just before eating a meal or snack, and then again 2 hours after the first bite, you can get an idea of how much that food has raised your blood glucose. Ideally you would want the ‘meal rise’ to be as low as possible - aim for 2-3mmol/L if you can.

If you find that certain meals are causing a big difference in BG levels, you can reduce the amount of carbohydrate in the meal, try a different type of carb, or perhaps just avoid that source of carbs altogether.

Everyone is very different in how they respond to foods, so its a question of working out the amounts and types of carbs that you can cope with. Whether rise if OK, but breadis a nightmare... or if it’s the other way around!

Then tweaking and tailoring your menu to suit your weight, your tastebuds and your BG levels

My PP or after meal blood sugar is generally normal
My fasting blood sugar seems to be the issue .
is there a trick that is there to address this or what does this actually mean ?

 

[everydayupsanddowns]

My PP or after meal blood sugar is generally normal
My fasting blood sugar seems to be the issue .
is there a trick that is there to address this or what does this actually mean ?

Often this is connected with Dawn Phenomenon, the boost of glucose the liver puts out to ‘fire up the burners’ for the start of the day.

Some find having a lowish carb snack like a cracker with a good chunk of cheese keeps the liver happy overnight

 

[devil vinoth]

Often this is connected with Dawn Phenomenon, the boost of glucose the liver puts out to ‘fire up the burners’ for the start of the day.

Some find having a lowish carb snack like a cracker with a good chunk of cheese keeps the liver happy overnight

tks i will reach to the forum as well ,where do i start ,, which is the most important piece
-- reduce weight -current;y BMI of 30.1(89 kg @5.7 inches)
-- or concentrate on diet ?
which is more effective for my pre diabetic condition?

 

[everydayupsanddowns]

tks i will reach to the forum as well ,where do i start ,, which is the most important piece
-- reduce weight -current;y BMI of 30.1(89 kg @5.7 inches)
-- or concentrate on diet ?
which is more effective for my pre diabetic condition?

Both are good strategies, and especially if you combine the two!

Losing weight can help to increase insulin sensitivity, and particularly if you carry ‘visceral fat’ around organs etc, then losing that really helps organs like liver and pancreas to function properly.

Finding a BG-friendly way of eating often also helps people lose weight (because lots of excess glucose circulating can get stored as fat by insulin). Your BG seem to be generally responding well... but there must be some excursions into higher numbers, or your HbA1c would be in the normal range, rather than on the edges of diabetes

For your DP question, this page might help?

Dawn phenomenon « Diabetes Support Information Exchange

www.diabetes-support.org.uk

 

[devil vinoth]

Both are good strategies, and especially if you combine the two!

Losing weight can help to increase insulin sensitivity, and particularly if you carry ‘visceral fat’ around organs etc, then losing that really helps organs like liver and pancreas to function properly.

Finding a BG-friendly way of eating often also helps people lose weight (because lots of excess glucose circulating can get stored as fat by insulin). Your BG seem to be generally responding well... but there must be some excursions into higher numbers, or your HbA1c would be in the normal range, rather than on the edges of diabetes

For your DP question, this page might help?

Dawn phenomenon « Diabetes Support Information Exchange

www.diabetes-support.org.uk

very very useful link , many thanks for that .will see how it goes
does any of medication interfere with the BG levels , i am on proton inhibitors for acidity (lansoprazaole) for quite some time no and vit b12 tablets recently?

 

[devil vinoth]

Welcome to the forum @devil vinoth

Well done on the steps you have already taken to improve your health.
As others have said Diabetes is a manageable condition and you have already been given a lot of useful advice. So I will just encourage you to read around the forum and come back with any questions that you have. Lots of people here to help.

tks for the positive words