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LAINY67

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At risk of diabetes
Hi

Been to Doctors & my HbA1C level is 48IFCC mmol/mol, suggested until I can see a practice nurse, (15th Sept) to look at diet and research on here.
My Vit B12 serum is high to though and they not sure why!
I've had a good look this afternoon on here and looks like I have to reduce portion sizes and eat less carbs is it?
Is there a limit on carbs per day or sugar per day? I'm lost to be honest!
Some of the foods suggested to limit re high B12 are meat, poultry ,fish, dairy ....but what do I eat?
I don't know at moment whether to just start with the better foods suggested on the Diabetes website and see how we go?
Will weight loss help? Not that I'm grossly overweight for my height either?
Hope someone can shed some light on this for me?
Any recommendation or advice appreciated, thanks so much Elaine
 
Welcome to the forum
First of all 48mmol/mol is only just a diagnosis of diabetes, the threshold is 47 so no need to panic, just take some time to evaluate your diet and see where your big hitters for carbohydrates are. Many think it is only sugar that is the issue but as you have noticed from looking already it is all carbohydrates which convert to glucose so the foods to avoid initially are cakes, biscuits, sugary drinks including fruit juice and reduce portion of other high carb foods like potatoes, bread, pasta, rice, pastry, breakfast cereals and tropical fruits.
Many GP are not quite up to date with the power of a low carb approach and still stick with the NHS standard advice based on the Eat Well plate which for many Type 2s is too high in carbs. For a low carb approach the suggested amount is no more than 130g per day total carb not just sugar.
Have a look at this link as I found by following those principals I reduced my HbA1C from 50mmol/mol to 42 in 3 months.
lowcarbfreshwell.com

Freshwell Low Carb Project - Home

lowcarbfreshwell.com lowcarbfreshwell.com
With were you are on the diabetes scale some modest changes are likely to be sufficient.
There are other regimes that people find successful and there are some meal plans on the main DUK site.
Losing some weight and increasing exercise if you can will help.
 
Leadinglights said:
Welcome to the forum
First of all 48mmol/mol is only just a diagnosis of diabetes, the threshold is 47 so no need to panic, just take some time to evaluate your diet and see where your big hitters for carbohydrates are. Many think it is only sugar that is the issue but as you have noticed from looking already it is all carbohydrates which convert to glucose so the foods to avoid initially are cakes, biscuits, sugary drinks including fruit juice and reduce portion of other high carb foods like potatoes, bread, pasta, rice, pastry, breakfast cereals and tropical fruits.
Many GP are not quite up to date with the power of a low carb approach and still stick with the NHS standard advice based on the Eat Well plate which for many Type 2s is too high in carbs. For a low carb approach the suggested amount is no more than 130g per day total carb not just sugar.
Have a look at this link as I found by following those principals I reduced my HbA1C from 50mmol/mol to 42 in 3 months.
lowcarbfreshwell.com

Freshwell Low Carb Project - Home

lowcarbfreshwell.com lowcarbfreshwell.com
With were you are on the diabetes scale some modest changes are likely to be sufficient.
There are other regimes that people find successful and there are some meal plans on the main DUK site.
Losing some weight and increasing exercise if you can will help.
Click to expand...
Thanks for replying pronto...that's a real help🙂
I'm sure cutting down on the portion sizes will help, I just like my food & have 2 males living here who like big portions which doesn't help me:rofl:
 
LAINY67 said:
Thanks for replying pronto...that's a real help🙂
I'm sure cutting down on the portion sizes will help, I just like my food & have 2 males living here who like big portions which doesn't help me:rofl:
Click to expand...
If you are comparing your plate of food to the others just cut out or cut down the amount of potatoes, rice, pasta and fill the plate with more veg or salad or use a smaller plate for your food.
I used to take food to the table in serving dishes where there was always the temptation to have an extra spoonful butit was much better to put on the plate in the kitchen and any left could be frozen for a another time.
 
Hi LAINY67, 48 is only just into the diabetic range. My diagnosis was Hba1c of 81, which came down to 52 after 3 months. To achieve this I cut out crisps and biscuits, reduced though not cut out entirely bread, pasta, rice and potatoes. Meat, poultry, fish and dairy shouldnt affect your blood glucose levels. I have lost about 1 1/2 stone though I wasn’t overweight. I don’t know much about high B12, I have only come across people with low levels. Are there any symptoms of high B12?
I swapped my breakfast from toast, cereal or porridge to Greek yoghurt with berries omelette or eggs and bacon.
At your BG level, I would possibly look at reducing the high carb or sugar laden food such as fruit juice, biscuits, crisps etc.
Hopefully the nurse will be able to set your mind at ease that the situation is fairly easily controlled, in the meantime don’t panic.
You will find a lot of people offering good advice on here.
One thing that I have found helps keep my BG levels lower is a little exercise after eating such as mowing the lawn, taking a walk ( not going to the gym).
 
LAINY67 said:
Thanks for replying pronto...that's a real help🙂
I'm sure cutting down on the portion sizes will help, I just like my food & have 2 males living here who like big portions which doesn't help me:rofl:
Click to expand...
I too like my food, but have found it surprisingly easy to reduce portion sizes and also to reduce the snacking ( I have swapped crisps or biscuits for nuts). You can probably eat large portions of veg etc as long as they aren’t carb heavy potatoes etc. Carbs and Cals is a very informative book that gives the nutritional values for a lot of common foods with pictures of different portion sizes, though this information is probably available elsewhere online if you look for it.
 
Is your GP investigating the high B12, I should be asking him to do so to rule out anything suspicious.
 
Welcome to the forum @LAINY67

Sounds like you are off to a solid start. And your HbA1c of 48mmol/mol is just at the cut-off between ‘at risk of diabetes’ and a diagnosis with T2. So it’s possible that some fairly modest tweaks to your menu to cut out the obvious sweet and sugary things, and then slightly reduce portion sizes on your meals should make a big difference 🙂
 
Lurcher67 said:
Hi LAINY67, 48 is only just into the diabetic range. My diagnosis was Hba1c of 81, which came down to 52 after 3 months. To achieve this I cut out crisps and biscuits, reduced though not cut out entirely bread, pasta, rice and potatoes. Meat, poultry, fish and dairy shouldnt affect your blood glucose levels. I have lost about 1 1/2 stone though I wasn’t overweight. I don’t know much about high B12, I have only come across people with low levels. Are there any symptoms of high B12?
I swapped my breakfast from toast, cereal or porridge to Greek yoghurt with berries omelette or eggs and bacon.
At your BG level, I would possibly look at reducing the high carb or sugar laden food such as fruit juice, biscuits, crisps etc.
Hopefully the nurse will be able to set your mind at ease that the situation is fairly easily controlled, in the meantime don’t panic.
You will find a lot of people offering good advice on here.
One thing that I have found helps keep my BG levels lower is a little exercise after eating such as mowing the lawn, taking a walk ( not going to the gym).
Click to expand...
Thanks, that’s all positive info for me. Re B12 ,No , I’ve no symptoms that I’m aware of…GP doing more bloods tests to check reason.
 
everydayupsanddowns said:
Welcome to the forum @LAINY67

Sounds like you are off to a solid start. And your HbA1c of 48mmol/mol is just at the cut-off between ‘at risk of diabetes’ and a diagnosis with T2. So it’s possible that some fairly modest tweaks to your menu to cut out the obvious sweet and sugary things, and then slightly reduce portion sizes on your meals should make a big difference 🙂
Click to expand...
Thanks, I hope so
 
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