readings dont agree with HBA1C and other questions.

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readings dont agree with HBA1C and other questions.


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Old 11-07-2018, 15:55   #1
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Default readings dont agree with HBA1C and other questions.

Well I don't know if they do or not but my a1c six months ago was 5.1 and I was on metformin but not very consistently because I was also doing or trying to do low carb. ok then I started on generic Zoloft (sertraline) and I got up to 100 mgs but it wasn't helping much with anxiety and I was craving a lot of junk and gave in to it frequently. Fast forward to today. I asked my Dr. to recheck thyroid and a1c because I am determined to get back on low carb/keto wagon. My a1c shockingly came back at 5.1 but my TSH is 9.14, yikes! I could swear that before when I did keto my TSH went way down to where I had to have a dose adjustment of thyroid meds.

So I've had a lot of very high numbers while eating freely and stupidly. Pizza? really? donuts? OK! omg my numbers were all over the place and up as high as 191 post meal and some fastings were 114 but not higher but still I am considered "prediabetic"
ok so how is it that my a1c can still be low like that, 5.2 after months of eating them foods and them high blood sugar readings? I have searched the internet for answers but found nothing so came to the experts!
p.s. my doctor took me of sertraline and now currently 50 mgs on Luvox generic for 2 weeks.

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Old 11-07-2018, 16:32   #2
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A1c measures the level of a certain substance which accumulates over months when your body's glucose response is insufficient. A1cs typically cover about three months of metabolism.

At your stage of diabetes, your pancreas still produces some insulin. It is possible that, depending on how many donuts or slices of pizza you ate, how quickly you ate them, and whether you ate those foods with others that would slow down a pure glucose spike, that your body was able to respond in time and without overproducing the amount of insulin needed. The Metformin affects glucose metabolism, too. And finger sticks are nowhere near as consistent as A1c tests. It also may be that, if you started the sertraline and started eating the junk food less than three months ago, your A1c hasn't yet "caught up" to what you're eating.

I wouldn't take this as license to continue eating the high-carb foods. You probably know that doing so just complicates managing your blood glucose. But it does buy you a little time to right the boat as you get used to new medications and new ways to eat.

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Old 11-07-2018, 17:21   #3
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Thanks so much for the reply. I was thinking too that maybe it hasn't "caught up" I was not on metformin during this time, well off and on because I kept promising myself I would do this low carb but constantly falling off the wagon. I would never ever take any of this as a free license especially after seeing a 191 reading! That scared me bad but still the cravings were so dang strong and I am sitting here fighting them again and I just cannot stand this constant pull. I really hope this Luvox will help settle down the cravings once it starts to work for OCD. I was eating this way pretty much since June so hopefully it did have enough time to kick in and this a1c is accurate.

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Old 11-07-2018, 18:53   #4
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Originally Posted by alfmaxmollyjack View Post
the cravings were so dang strong and I am sitting here fighting them again and I just cannot stand this constant pull.
I understand this. Sugar (simple and complex carbohydrates) does have that effect on humans. It also bumps up your BG quickly and then, when it goes lower, you feel hungry again even if nutritionally you are nowhere near needing to eat. Many of us felt this way when we stopped eating lots of carbs.

You're making a big change. It's best (IMHO) to just ride it out, as you would if you were quitting soda pop or giving up a food for Lent or whatever. Giving up high levels of carbs all at once is like leaping a gap in two steps -- tough to do.

It might help to know that you can address cravings by drinking plenty of water. (Keep up your sodium intake to avoid "keto flu", too.) And consider making fat your "go to" when you feel cravings. Fat does not affect blood glucose levels. Really want a cookie? Try drinking some "bulletproof" coffee instead, or grab a couple of spoonfuls of whole-milk Greek yogurt (without sugary flavorings). Pizza? Eat just the tops, not the crust, and you'll scratch the pizza itch without so many of the carbs. Even if you're taking in a lot of fat over the next few days, it's not for forever; once the cravings diminish you can go back to your usual LCHF way of eating.

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Old 11-07-2018, 19:02   #5
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Quote:
Originally Posted by alfmaxmollyjack View Post
Well I don't know if they do or not but my a1c six months ago was 5.1 and I was on metformin but not very consistently because I was also doing or trying to do low carb ...

So I've had a lot of very high numbers while eating freely and stupidly. Pizza? really? donuts? OK! omg my numbers were all over the place and up as high as 191 post meal and some fastings were 114 but not higher but still I am considered "prediabetic"
Here's a different perspective on your BGs - 195 post meal - as a Type 1, 195 post meal isn't a big deal, even fasting and measuring in the 190s not a big deal. But like I said before, I'm a Type 1 where my pancreas makes no insulin.

If I was to eat pizza with some Donuts for dessert and gave myself a regular dose of humulog insulin (10 units) I would be measuring in at around 450 post meal. I would likely have to give myself another 10 units - which gives non Type 1s an idea of how hard the pancreas is working to stabilize those BGs.

So I guess things could always be worse but of course still a concern. If I was in your predicament I'd be focusing on minimizing your carbs until a low carb intake becomes your new normal.

As well, and sometimes I don't follow my own advice - there's people who appear to be healthy with nothing wrong who die before they hit 55 - I've known a few.

So, don't forget to enjoy life while your working this out and don't get too stressed on your 195s if it happens from time to time. I've never had an A1C of 5.1 - I wonder how that would feel like

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Last edited by rsfletcher; 11-07-2018 at 19:02. Reason: typo
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Old 11-07-2018, 19:30   #6
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Thank you for the great advice!

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