Those are good things to drop from your diet and that's a terrific weight loss, but it's difficult to comment without knowing what your diet now consists of. For example, you specifically mention white bread and white rice, so does that mean you've stopped eating bread and rice altogether or have you switched to wholemeal versions?I got diagnosed in Jan type 2 level 52 so stopped heavy drinking no spuds no white bread no white rice watched the carbs lost over 4 stone now here is the rub! Blood tested this week and still 52.
Can anybody enlighten me?
Regards
So what would a typical day's meals look like - breakfast, lunch , tea, snacks?No rice at all sourdough very rarely no spuds and down from 30/40 pints a week to 3 to 4 and bottle of brandy to zero
Hba1c is a roughly 3 month average. The libre estimate GMI based on one week is not an accurate reflection of your hba1c. You cannot get an a1c from 110 to 38 in one week.I started at 110 and was down to 38 (cgm predicted) in a week but this was just luck of the draw and may go up with a blood test.
Its still the same after 30 days, just stating the facts from the technology.Hba1c is a roughly 3 month average. The libre estimate GMI based on one week is not an accurate reflection of your hba1c. You cannot get an a1c from 110 to 38 in one week.
Thanks for reply! I was blood tested while checking my T levels on thyroid.Why? A good question!
Losing weight and keeping it down do wonders for your wonders for your health in the long run. Do you need to lose more?
About 15 years ago Prof Roy Taylor and his team at Newcastle University established that some people can put T2D into remission by losing up to 15 kg or even 20 kg plus. However some did not respond to weight loss because their pancreas did not recover it's capacity to secrete insulin, or for some other reason.
HbA1c is only an indicator of blood glucose levels and a pretty loose one at that across the population. Was your T2D confirmed by other symptoms or by a sugar test?
In summary I would say have a good look at your diet as already suggested and discuss your situation with your GP.
ThanksWhat I find helpful to remember with these things is that (coming from engineering and science) is that with any physical system real world operation and theory are often significantly different and that its possible to do everything right and effect no change due to an unknown factor.
I started at 110 and was down to 38 (cgm predicted) in a week but this was just luck of the draw and may go up with a blood test.
Keep applying your good habits and your progress will continue. As Ive said in other posts T2 managment seems to me to be more art than science
@Lucyr is right, though - you need to have 3 month's CGM data (or 3 months of finger prick results) for any meaningful estimate of HbA1c, and even then there's a margin of error.Its still the same after 30 days, just stating the facts from the technology.
What I find helpful to remember with these things is that (coming from engineering and science) is that with any physical system real world operation and theory are often significantly different and that its possible to do everything right and effect no change due to an unknown factor.
I started at 110 and was down to 38 (cgm predicted) in a week but this was just luck of the draw and may go up with a blood test.
Keep applying your good habits and your progress will continue. As Ive said in other posts T2 managment seems to me to be more art than science
In any measurement system there is a margin of error thats the nature of physical measurement systems and the statistical models on which they rely, I was reporting my experience.only, not recommending any course of action. 🙂@Lucyr is right, though - you need to have 3 month's CGM data (or 3 months of finger prick results) for any meaningful estimate of HbA1c, and even then there's a margin of e
Indeed 🙂You also need to remember that what we mean by technology is a box containing one or more microprocessors that takes the output from a sensor and provides some sort of display of that output. What is on the display very much depends on the software in the microprocessor and often implies a far greater precision than is actually possible.
For example, if you really want to get a good estimate of your blood glucose at any given time by finger pricking, then you should take 10 or so tests in rapid succession, compute a mean and then express your result as x+/-y where x is your blood glucose and y the confidence interval at whatever statistical probability you want to use. I did this and found 95% confidence intervals of +/- 1 unit. The finger pricker cannot provide a blood glucose level to the precision implied by giving readings to 0.1 mmol/l
It get even more interesting when you come to CGM. They don't measure blood glucose. They measure glucose in interstitial fluid and then by some hidden jiggerypokery in a microprocessor use that to imply a blood glucose and then use that data to compute a HbA1c. The number you get depends on the jiggerypokery. Whoever did the jiggery pokery did a pretty good job but nowhere do you see an error quoted.
The two pieces of kit are amazing and the fact that they get sufficiently close to blood glucose behaviour to allow those with T1 to adjust insulin doses to control blood glucose has been one of the great advances in T1 management. I just suggest a little caution when it comes to interpretation of the numbers they provide. They are estimates subject to error
and generally you have no idea what those errors are.
My thought is that it is not a good idea to loose sight of the bigger picture by looking at details, especially when you have no idea of the errors in the data being used.
@Relax657. Congratulations on the weight loss and I wish you well in your quest to loose a couple more stones. Might not have moved your HbA1c much but it will have reduced considerably the burden on your cardiovascular system and joints. Got to be a good thing for the future. I would not be too worried about the fact that your HbA1c has not reduced - the important thing is that it has not gone up. I would be happy to wait to see what my next HbA1c gives and work from there.
Also my understanding is that HbA1c tends to increase with age and when, like me you get into elderly gentleman (or gentle-lady) territory, it is wise to be a little more "relaxed" about numbers in the 50's than you would be if you were 20 years younger.