Hello am glad to be here, i want to learn more, i had gestational diabetes in 2021 and 2022 since then I have been battling with raised glucose, just got my hb1ac result and its 11.59 and am so worried,am on drugs but it seems not to be working, thanks
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- Thread starter Onyiluck
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Drummer
Well-Known Member
- Relationship to Diabetes
- Type 2
For an ordinary type 2 reducing carbs in the diet is the first step, and that is usually very effective. If it doesn't work then something more complex might be going on - there is even the chance of a misdiagnosis.
What medication are you taking?
rebrascora
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- Type 1
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- She/Her
Hi and welcome.
Sorry to hear that you are struggling with elevated glucose levels now after having gestational diabetes. Can you clarify that HbA1c result or give the units of it because the number looks a little odd. Generally we use mmols/mol these days and a reading in excess of 47 would give you a diabetes diagnosis but it can be up into 3 figures, so wondering if that should be 115.9 although mmols/mol is usually given as whole numbers without a decimal place. If it is the old % reading then 11.5 would be high but again I don't believe it is reported to 2 decimal places, so having 4 figures just seems a bit odd.
It would be helpful if you can also tell us which medication you are on for your diabetes and what if any dietary changes you have made to help manage your diabetes. Have you lost any weight recently perhaps more easily than expected or unintentionally? The reason I ask is that if dietary changes and oral Type 2 meds are not working and levels are rising, then it may be that you are actually Type 1 and not type 2 and if that is the case you will need insulin. Did you have insulin during your pregnancy/ies?
The more info you can give us the better we can understand your situation and the more appropriate our advice can be.
Sorry to hear that you are struggling with elevated glucose levels now after having gestational diabetes. Can you clarify that HbA1c result or give the units of it because the number looks a little odd. Generally we use mmols/mol these days and a reading in excess of 47 would give you a diabetes diagnosis but it can be up into 3 figures, so wondering if that should be 115.9 although mmols/mol is usually given as whole numbers without a decimal place. If it is the old % reading then 11.5 would be high but again I don't believe it is reported to 2 decimal places, so having 4 figures just seems a bit odd.
It would be helpful if you can also tell us which medication you are on for your diabetes and what if any dietary changes you have made to help manage your diabetes. Have you lost any weight recently perhaps more easily than expected or unintentionally? The reason I ask is that if dietary changes and oral Type 2 meds are not working and levels are rising, then it may be that you are actually Type 1 and not type 2 and if that is the case you will need insulin. Did you have insulin during your pregnancy/ies?
The more info you can give us the better we can understand your situation and the more appropriate our advice can be.
Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
rebrascora
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
So essentially 103mmols/mol in new money which is into the red zone and needs attention.
What dietary changes have you made? Can you give us an indication of the sort of things you typically eat and drink for breakfast, lunch and evening meal. I imagine it is difficult looking after yourself wit special diets when you have young children, but perhaps we can offer some suggestions.
Do you have much/any weight to lose? And have you noticed any sudden weight loss?
Thank you,just slight weight loss,i tried not to eat after 6pm but it's not been easy, i eat more of carbs in low quantity,i dont take soft drinks am so confused on what to eat and not eat
Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
That’s a high HbA1C, especially as you’re on medication. Apologies for asking a personal question, but are you overweight? You say you’ve lost a little weight, but the reason that @rebrascora asked about weight loss was because unexpected weight loss is a symptom of Type 1 diabetes.
Could you write an average day’s food for you?
Am not overweight, i should just be 65kg from the last,and my food is mainly rice
There is no unexpected weight loss
rebrascora
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If you are eating mostly rice, that will be pushing your levels up as it is high in carbs. Do you eat meat or are you vegetarian? Do you like vegetables? Basing your meals mostly on veg rather than rice would help a lot. I have recently acquired a real thing for curried cabbage, a sort of cabbage bhaji but I add different things each day that need using up, so sometimes halloumi or paneer and sometimes meat or mushrooms or green beans and tomato. I hadn't realised that cabbage was so versatile and really good for you and tasty once you experiment with different ways of cooking it.
Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
Are you vegetarian? Rice is quite high in carbs. A small portion has a fair amount of carbohydrate and if you’re having larger portions then you could be taking in more carbohydrate than your body (and the medication) can cope with.
Reducing the amount of rice you have at each meal and replacing it with green veg (not potatoes), protein (meat, fish, cheese, eggs, tofu) should help reduce your HbA1C. It would also really help if you had a glucose meter so you can test your blood sugar before meals and 2hrs after the start time of your meal. This way you can see if that particular meal works for you and your blood glucose. The target is to be 8.5 or less 2hrs after meals if you’re Type 2.
As you’re on medication which can cause hypos (I think), reduce the rice gradually so that you’re not at risk of going too low. This is why a glucose meter is good as it will help you find the right amount of rice/carbs for you.
Thank you
Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
Ok, so it should be quite easy for you to make filling meals. Reduce the rice gradually and have meat and green veg to fill the gap 🙂 Meat has no carbs.
Leadinglights
Well-Known Member
- Relationship to Diabetes
- Type 2
Depending on what medication you are taking then this link may give you some ideas for some changes to you menu which would be a lower carb than meals based on a high carb food like rice. https://lowcarbfreshwell.com/
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