A1C Jump

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A1C Jump


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Old 01-11-2014, 20:44   #1
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I'm a 61 year old male and it appears I am suddenly a diabetic. I usually have a blood work up at least once a year and over the years my BS has usually been around 100, a few times it got up to 122. In Oct 2012 my BS was 122 and my A1C was 5.4, in Oct 2013 my BS was 132 and my A1C was 6.1. I went to the doctor last week for another unrelated problem and my BS was 154 and my A1C had jumped to 8.4. I guess that makes me a diabetic and the doctor game me Metformin 500 twice a day and we will see how that works out. I am curious that my A1C jumped so far in just a few months with most of my life in the normal range. I will be starting on a low sugar diet along with the drugs and hopefully that will lower the numbers a bit. I need to lose 30 pounds so maybe that will help also. Long story short, is that quick of a jump normal or do I need to look further?

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Old 01-11-2014, 22:53   #2
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I am not saying this is the case with you, but it is with me and I am 63. A sudden diag of diab gong from normal A1c to diabetic in a short time, (In 3-4 months in my case) in retrospect, should have been the first red flag that what was going on with me was not type 2 but LADA ( a type of late onset type 1) Other signs are rapid progress to needing meds, despite being compliant with diet and exercise. Then rapid progress to needing insulin.

I self diagnosed coming to suspect this bit by bit by reading this forum. Had a big problem getting my Doc to listen to my suspicions which turned out to be correct when a new Doc saw the red flags that I did and sent me to an endo. The antibody test came back positive proving the LADA thing. My actions in refusing to be put off probably, well almost certainly really, saved me from keto-acidosis and hospital.

The gold standard for anyone with a diag on diabetes would be antibody tests to ascertain what is the nature of the beast. In practice this almost never happens. If I could rewind, I would ask, well demand, antibody tests especially in the light of a sudden change of status with no period of "pre- diabetes.

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Old 01-12-2014, 01:35   #3
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I wouldn't say it's 'normal', but I was about your age when I was diagnosed, and while I'm a garden-variety type 2, I'm a firm believer in what Hillary describes - get tested for antibodies! We have several members who were diagnosed in middle age with type 1 or LADA.

I take metformin too, and I follow a low-carb/high-fat way-of-eating, which keeps blood sugar well in control. It isn't only sugar that causes our issues, it's the entire group of starches composed of grains, root vegetables and even products like milk, which contains a high percentage of lactose - milk sugar.

Have a look here, and another look here. By the time you soak up the wisdom from these two websites, you'll know more about diabetes than your doctor knows. (really not kidding about that! )




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Old 01-12-2014, 03:39   #4
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Quote:
Originally Posted by linus5171 View Post
I will be starting on a low sugar diet along with the drugs and hopefully that will lower the numbers a bit. I need to lose 30 pounds so maybe that will help also.
Try the low carbohydrate way of eating. After all sugar for the body is not necessarily sweet in taste. It will help with the weight loss as well.

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Control only with diet/exercise. No meds.

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