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3411 Views 10 Replies 6 Participants Last post by  Shanny
I've read posts here for about a week, and it seems like a good place to be.

Nutshell background: Pre-diabetes numbers came back in bloodwork in April, 2009. Two doctors were too nice about it. One said "cut out white bread and soda" while the other said "cut back on sweets." *I* made the pre-diabetes connection from researching and reading about it.

I went through a really good weight loss program about five years ago. I learned quite a bit about nutrition. That knowledge has already been very helpful in working on this problem. I also exercised consistently for a few years, including being an outdoor runner for an entire year.

Right now I have four questions. Short answers will work the same as long answers:

1. If you are a consistent exerciser, do you eat before or after exercising? I used to eat after, but have read on the Internet that it's better, from an 'avoiding hyperglycemia' standpoint, that one should eat before working out. The reasoning was that it's a better way to control a spike, because the glucose avoids sitting in the body and contributing to the rise. It is used in the muscles for energy. If the meal choices are good, and probably will not spike the blood, is it still important to eat after exercising, or can the exercise be done at any time.

2. I'm looking for opinions on this sentence: 'It takes 2-3 months to get an HbA1C level down." I really understand that avoiding diabetes is a permanent lifestyle change, but I'm feeling much better after only a few weeks of cutting out bad stuff and eating much healthier foods. I guess my questions are 'Why does it take so long for that number to decline?' and, 'Is it possible that I will I feel a lot better in 2-3 months? (Yes, I realize that I can't go back to the diet I had.)

3. Does anyone know where I can find a diabetes educator? Neither of the 'too nice' doctors mentioned above is an endocrinologist, and sometimes I need to discuss things face-to-face. Until I've made a solid effort and have not brought down my numbers, I don't really want to go through everything involved with seeing an endocrinologist.

Thank you so much,

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I've read posts here for about a week, and it seems like a good place to be.

2. I'm looking for opinions on this sentence: 'It takes 2-3 months to get an HbA1C level down." I really understand that avoiding diabetes is a permanent lifestyle change, but I'm feeling much better after only a few weeks of cutting out bad stuff and eating much healthier foods. I guess my questions are 'Why does it take so long for that number to decline?' and, 'Is it possible that I will I feel a lot better in 2-3 months? (Yes, I realize that I can't go back to the diet I had.)
Hemoglobin is part of a red blood cell. Glucose binds with hemoglobin creating glycated hemoglobin. If you have poor control of your diabetes and you blood sugar is high, you will have a higher amount of glycated hemoglobin. The reason it takes 2-3 months to see a "true" reduction of this number is that a red blood cell lives approximately 3 months. For instance, two months ago my A1C was 12.6 (horrible I know). Six weeks later it was down to 10.1. Now my control was much better...but it isnt really a "true reflection" of my progress because some of those older red blood cells are still alive and showing up as high. A true reflection will show up 3 months after that first one, because all the old red blood cells will be gone, so previous damage wont still be showing up. Make sense?

Cheers
Pam
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