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Old 11-02-2010, 21:40   #11
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I was diagnosed with Type 2 diabetes, controlled by diet and exercise, in March 2010. I saw the diabetic nurse today for the results of my second HbA1c. I didn't have one done on diagnosis, too upset and simply walked out the door... and they weren't too alarmed by that as I had only just hit the magic figure on the oral glucose test. It was 4 months till my first HbA1c blood test and that came back at 4.9. At that point my total cholesterol (and these are UK figures so don't know if that means anything to anyone) was 5.8.

Three months on my second HbA1c also came back at 4.9 - but my total cholesterol is up to 7.0 Not so good. Most people say their blood fat profiles improve with a low carb diet so I am disappointed and would like some advice, hopefully before I see my GP on Friday.

The nurse told me she'd never had a new patient pull in two 4.9s after diagnosis like that. She said she was pleased, but she was worried. That most people sat at the 6 - 7 level and that the band for non-diabetics with the scale they used was 4.6 - 6.5. She thought I must be spending a lot of time with lows of 4, or under, and then having spikes at mealtimes. I have no idea. I'm in Scotland and they don't give glucose monitors to Type 2s who are controlled by diet and exercise alone. It's like they want us all to progress onto medication, which takes me back to the old conspiracy theory: that pharmaceutical companies are not interested in cure. No profit in that.

I don't eat a lot of fat during the day - to be honest, I don't eat very much during the day, but that is another issue. Sometimes I have a plate of soup at lunch if my husband comes home, then we tend to have a bit of protein with various veggies at night (no starches). I do have cheese and a pear for my supper at ten o'clock. Could that be the problem? Should I cut down the portion of cheese? Should I change it for meat, or fish or egg or avocado?

The reason I don't eat much during the day is that I'm just not hungry and, as I don't get lows, to me that's OK. Not according to the dibetic nurse who wants me to eat regularly to keep my blood sugar levels on an even keel. But I've had quite a year - maybe my appetite will come back when I've adjusted to all the changes I've needed to make.

I have to say I find this news quite depressing. I am starting to wonder, so I can't process carbohydrates and I can't process fats - what on earth am I going to eat?

All advice welcomed.

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Old 11-02-2010, 22:18   #12
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Whatever your numbers are on the lipids panel (cholesterol, etc.), they're not directly the result of the dietary fat you eat. Only 20% of the body's cholesterol is from dietary intake - all the rest is manufactured by the body itself. When you cut the carbohydrate from your diet, it improves your lipid levels as well as your blood sugar levels. Cheese is one of the saving graces of a low carb diet, and shouldn't be avoided due to the fat content. If you were able to get a copy of your test results, we might be able to help you understand the breakdown into the various components of the profile.

It surely isn't illegal in Scotland to own a glucose monitor, so my suggestion is to go get one anyhow, and start checking your blood sugar. With an A1c like yours, and still the high glucose tolerance result, you need to know the fluctuation in your levels that encompass these seemingly contradictory numbers.

In my opinion, you've struck an excellent regimen with cutting carbs and your swimming - that's the best total body exercise you could possibly do!




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Old 11-03-2010, 01:20   #13
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OK, these are UK numbers so maybe meaningless to some:

AllI know is that:
My total cholestorol was up to 7 (from 5.8)
My HDL was 1.67
My trigides were 2.3 (they were down)
and the ratio was 2:3.1 (or something)

I know it's a bit 'iffy'. And hard to tell when you're talking to a Scottish nurse who doesn't want you to get too bogged down in the minuitae.Hope you can make sense of that. If not, I' see my doctor on Friday and can have more detailed questions for him then.

What I need to know, is should I be changing my diet or is this caused by something else? If so, how do I convince my doctor?

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Old 11-03-2010, 01:23   #14
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Quote:
Originally Posted by Bridget7 View Post
OK, these are UK numbers so maybe meaningless to some:

AllI know is that:
My total cholestorol was up to 7 (from 5.8)
My HDL was 1.67
My trigides were 2.3 (they were down)
and the ratio was 2:3.1 (or something)

I know it's a bit 'iffy'. And hard to tell when you're talking to a Scottish nurse who doesn't want you to get too bogged down in the minuitae.Hope you can make sense of that. If not, I' see my doctor on Friday and can have more detailed questions for him then.

What I need to know, is should I be changing my diet or is this caused by something else? If so, how do I convince my doctor?
I don't know how to convert your numbers. Maybe someone else from the UK can help you out. Good luck.

__________________
Breezeonby {Female}
Medications: Metformin ER, Lantus, Novolog
Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
A1C/5.2% October 6, 2010
A1C/5.0% February 7, 2011
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Old 11-03-2010, 03:45   #15
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I found a conversion chart, but I'll have to study this for a little while . . . my old brain has gotten pretty rusty at some of these calculations . . .




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