Had an NStemi and stent fitted in Oct last year. Obviously a shock and have been following all advice, did cardiac rehab and going on daily walks and gym twice a week. I asked GP surgery for cholesterol blood test to see if it had gone down further and particularly if bad cholesterol had gone down. However on looking at NHS app for results, nothing about cholesterol levels. They did full blood count, thyroid, HBA1c and that came up saying I’m prediabetic (level is 43) and consider referring to prevention programme. Doctors comments say normal no action. So I’m feeling somewhat deflated about being prediabetic but also that they’re not referring me to this programme and am wondering if the fact I have coronary heart disease means it’s too late. Just seems it’s one thing after another. Been doing so well with coping with heart attack and exercise and diet but it’s not enough it seems 😔😢. Anyone else on here with both and is it too late to go on this programme to reduce risk of actually getting type 2 diabetes? Thank you x
pre diabetes: Had an NStemi and stent... - British Heart Fou...
pre diabetes
hello sunflower
I had AVR four years ago. Now have a diabetes reading of 4.2 so I am on the prediabetes course. It is very low key and easy going. Just a reminder on getting some exercise and eating a healthier diet. I am determined to avoid diabetes (? Reading 50) and the course helps with this. Six sessions fortnightly followed by several monthly sessions. Very low key. So please don’t get wound up by the invitation to join a course.
I am amazed that my BMi is not perfect, so that’s a good kick up the pants to get me off excess sweet stuff.
And I plant my sunflowers in a few weeks. Giant Russians. The birds have eaten all last years seeds. They do like the seeds.
Sooty
I recently had some blood tests done to check a few things and one of them is to see if I'm diabetic, I think prediabetic means that your very close to becoming diabetic but I'm not a doctor, could be why they not referring you for treatment.
My mum has both cholesterol and diabetes. She was considered pre-diabetic for a long time. Because her sugar levels would always come back borderline or close to being diabetic consistently, as a safety measure, she now takes medication for diabetes. However, as Sooty has suggested, you can improve this through diet and exercise first to see if this makes a difference.
Good luck.
Tos
Hello,
My HbA1c levels have slowly been rising over the years. My GP checks my HbA1c regularly as my father had, diabetes and I was borderline for gestational diabetes when I was pregnant.
I am also on a statin which my Cardiologist said he will change if necessary.
Over the last year my HbA1c level has been borderline for prediabetes at 4.1 mmol/mol.
My BMI is 21 and my diet good so I was somewhat disheartened at the results. I don't have a sweet tooth and rarely eat puddings or sweets.
I reassessed my diet, I now eat more unrefined carbohydrates such as brown rice, more vegetables and cut down on my alcohol intake.
I walk my dog for over an hour each day.
My last HbA1c level in February was 4.0mmol/mol.
I found the Diabetes UK website helpful to find food recipes.
Good luck!
Like you appear to have been, MilkFairy, I was surprised to have been diagnosed with pre- diabetes 15 months ago. My weight is reasonable, I exercise far more than the average for my age (nudging 79), and I cut out sugary drinks seven years ago. I drink less than two bottles of red wine a month. I couldn't see much point in my joining a prevention programme, though I did tweak my diet, and spend a lot of time during the weekly Big Shop peering suspiciously at content labels! I managed to get my reading down from 44 in January 2023 to 42 in November.
Thanks all for your responses. I’ve just got to get on with it. I’m wondering if statins may be something to do with it as the HBA1c was one point lower when I was in hospital for heart attack. I’m doing everything right. My diet is a lot healthier than before heart attack and stent. Alcohol almost cut out. Brown pasta and rice, more fish, fruit and veg. More exercise. Not overweight. Mum has type 2 diabetes. Dad had coronary heart disease and two heart attacks and vascular dementia. Very disheartening. Feel like going on a cruise and eating/drinking everything I want and blow the consequences! But I won’t 😀 Am luckier than a lot of people, I know. But thanks, nice to know others in the same boat x
Statins can raise blood sugar by 5%
Stress and worry also raise yr levelsAlso hormones and various meds all have their effects
Ive been type 2 for nearly 30 years
Hi LovesunflowerI needed a quadruple bypass in 2018 but because I was already, diabetic (on Insulin) and I'd had a stroke in 2018, my surgeon refused to do the surgery as I was too high risk and unlikely to make it off his table alive, his words.
Best he could offer was 3 stents and copius amounts of life-long medication.
5 years on and I'm still ticking away.
A glucose reading below 42 is normal, non- diabetic. 42-47 is the recognised marker for pre-diabetes. 48 or higher, diabetes is diagnosed.
So yes, technically you are pre-diabetic, but as you are on the cusp, I think your Dr. was saying it was alright, no need to panic, as you still can make, or continue to make the changes, diet and lifestyle to prevent becoming diabetic.
I can't judge the value of going on the programme you mention.
Given your heart history, you seem to be doing all the right things to stave off full blown diabetes. Not sure if you are taking statins or not ?
I think the difference between having a level of 41 or 42 is negligible, what's in a number, its arbitrary. Its a guide.
The hardest thing is, in my opinion, is to make your change permanent. It doesn't mean you'll never taste birthday cake again !
It's about balance and common sense.
It's what you do overall, most of the time, not based on the odd day off for a special occasion.
In retrospect, how I wish I had heeded the advice I was given some 40 years ago.
I didnt and my diabetic control was poor and erratic, with periods of total non-compliance. So here I am, and wow am I paying for it now, you bet, and some.
Virtually every condition I have now is as a result of having poorly controlled diabetes, the very long list is in my BIO and it's not happy reading. Frankly, my life is painful, miserable and considerably shortened ...
I wouldn't wish my worst enemy what I am going through and worst of all, its all my own fault - guilty as charged !
I own it, there's no other choice.
So, please look after yourself and live your best life possible. 🙏🙏🙏
Oh gosh, thank you so much for your reply. Point taken absolutely. I don’t think any doctor could put it to me better. I really hope you can feel better somehow. Thank you for taking the time to write and very best wishes to you xx
Like Milkfairy my H1bAc has slowly crept up in recent years and I am now on the cusp of being classed as pre-diabetic, age and medication probably the main reasons. But my old and wise GP said not to worry. And since I was doing most of the lifestyle measures recommended to reduce the risk as in diet, body weight management, hydration, exercise etc I thought no more about it. Nonetheless out the blue I was invited by the GP practice to join one of the NHS sponsored Oviva courses for pre-diabetics, and opted for the online course. After two months I was assigned my coach, but it became very clear from the outset that there was no proper monitoring of what I was doing via the app and from my filled in diet sheets and my messages asking for bespoke assistance was met with cut and stick replies from the coach which often ignored the question I had asked. Then after two weeks of participation I was suddenly told I was going to be left to get on with it for six weeks (or perhaps longer?) after which the coach would check on me. I was doing all the right stuff anyway, and the course had been of little or no benefit to me, and they did not have access to my medical records , so I terminated to give someone else the chance. So if my experience is anything to go by, by not joining a course you haven't missed much. Just sensibly follow the guidelines out there on how to reduce your pre-diabetes risk, set yourself some goals, and you will have achieved almost as much as joining a course in my opinion, and done it without a lot of unnecessary hassle.
I’m beginning to think this pre diabetic thing is a bit of a job creation idea. It seems to be catching an awful lot of people who are otherwise apparently healthy with healthy lifestyles etc.
I totally agree, I was sent on the course after having 1 blood test with reading of 43. Later was told that the reading could be high if the bloods were hanging around too long in the lab ! I'd ask for a few more tests
Agree, was invited twice to a course for diabetes and my and my reading was 39. It's like it's just automated the same for COPD invites. 
I was diagnosed pre diabetic last year and my GP referred me to the NHS pre diabetic six week programme and the NHS funded pre diabetic Second Nature programme both are online courses for weight loss and whilst I didn't lose a huge amount of weight I did get my pre diabetic levels down to normal .Don't give up hope definitely speak to your GP and ask them to refer you to the programme.
Not exactly your position, but the opposite.
I was diagnosed pre-diabetic almost 2 years before my Heart Attack (which was on new years eve).
I was invited on and attended the course, I think my figure was 44 as well from the blood test. I found the course very useful and helped me check my eating habits and exercise etc. Also, got me to address my weight which had gradually been increasing. I did the course for a year and was a bit dismayed to see my result had only dropped by 1. The team were great and assured me that any drop was a very positive step.
I would definitely try and get on the course, it helped me lose around 2 stone in weight and more importantly cut out some of those not so good eating habits.
The good news for me was that after my Heart Attack and all of the blood tests, it seems that my result for diabetes is now 41. So, at least at the moment am out of the pre-diabetic range.
Do try and push to get on the course. I believe the reason that so many people are being flagged is that the NHS lowered the score for the pre-diabetic threshold. Not a bad thing I guess if it helps address things to prevent full diabetes earlier.
What an interesting thread !
I completely understand the disappointment and shock you felt when you found out you were pre diabetic. I had blood tests at my GP and got a text out of the blue from the surgery telling me I was pre diabetic and inviting me to join a lifestyle program! I was utterly shocked , I’m not overweight , all my stats were great , BP , HR , cholesterol then this out of the blue. I dint eat sugary food , no ultra processed, make my own breads to cut salt & sugar. Run 5k 3 times a week. Yoga twice a week , physical work round my small holding daily and walk my deerhound 4k most days . I had to use the online form to contact my GP to get some context , I was was really worried as like you I was following a pretty strict and on point regime since Nstemi and quadruple bypass in July 2023. My GP phoned me and asked “ have you put on a shed load of weight ?” No , I’d infact lost the water retention from when I came out of hospital at 88kg (went in at 81kg) and was now a constant 77kg. She knew about my lifestyle and that I was doing everything in my gift along with my meds for my rehab. She thought it was a false positive and arranged another test. Thankfully it came back normal , but it still leaves me worried 🤦🏼…
There’s plenty of info on cholesterol on the BHF website. Remember that as we are on statins etc our readings need to be different to the norm 👍🏻
“If you are getting secondary prevention treatment for your heart condition, you may have different LDL-cholesterol and non-HDL cholesterol levels to aim for. The guidelines say you should aim for :
LDL cholesterol level of 2.0mmol or less.
Non-HDL cholesterol level of 2.6mmol or less. “
You may need to request your liver function tests( LFT) which include the cholesterol and triglycerides. Wonder why it wasn't done at the same time? Don't worry about the pre diabetic state..keep doing what you're doing! You'll be fine ! 😁 (Retired Nurse 😷😉)
Hi,
So in 2020 I was diagnosed with diabetis and I changed my diet and excercises and my last 3 hb1ac have been 33, when I was diagnosed with diabetis my hb1 was 98.
Invest in cgm for two weeks and see what food is spikes your insulin. I flatten my glucose response and swear by apple cider vinegar. Even after having an Indian which was with rice and naan bread my glucose reading peaked at 6.2MMOl/L.
The ACD does slow down the rate the body releases glucose into the blood stream.
I have also lost over 5 stones and I have been checked for insulin sensitivity which I am.
My previous poor diet put me in an operating table for cabg x2 with one blockage being a widowmaker 95% occluded, I didn't have a heart attack.
I also cycle indoors now for at least 10hrs a week.
After eating where possible go for a brisk walk as that will reduce the need for Insulin to control blood sugar as every cell in the body will help pull glucose out of your blood stream.
The best number to focus on bloodwork is triglycerides and try to keep that as low as possible. My triglycerides was 0.5 but try and keep it to 1.
For diabetis I also take diabetone supplement which gets my numbers down along with physilium fibre supplement.
My cardiologist believes that I may have reversed placquing and we are going for a scan in the next week or so to check my grafts.
7 months after surgery I am heart healthy but still have scar pain in left chest where they took the marmary artery and my right leg where they took the sapheous vein. My chest bone still hasn't fully healed.
Lastly avoid ultra processed foods and stay away from cereals,pasta, rice, biscuits as much as you can. OK on special occasions.
Hi 👋, your post caught my attention as I received the same news following a blood test post Bypass surgery. As my BMI is around 22 ( nothing to do with iron discipline just genetics.) However, I pretty much keep to a balanced diet and a regularly exercise regime so it was a bit of a shock!Like yourself I was already doing everything I could to stay healthy and it seemed inevitable I would end up with type 2 diabetes.
However, rightly or wrongly I've never been convinced on the whole lipid /cholesterol theory. I stopped taking Atorvastatin shortly after the blood test which had shown me to be pre-diabetic. Low and behold my last blood tests showed up as everything normal and a reading of 39.
On a positive it note you seem to be doing everything right and best wishes for your future heart health.
Cheers, Denis
My H1baC on my blood test last week has gone up to 53!! So I suppose I'd better stop having a cake with my afternoon cuppa and eating jelly babies in the evening. I'm not joking either!I know there are a few meds that increase blood sugar apart from statins (on the BHF website) but I have found since being on Dapagliflozin I now have a sweet tooth.
This result is a kick up the bum for me, I know doctor's are hot on T2 as it can affect the heart and give complications to those of us with circulatory problems.
I'm not overweight at 5'9" and 62kg. I do chair yoga twice a week and walk as much as possible but at the moment my max is about a mile a day, I'd definitely like to improve that as the weather gets better.
Hi there, I had a heart attack and a stent fitted last September, and have been on the usual regime of meds since then, thankfully doing well. However, following some follow-up blood tests before the end of the year my GP informed me that I’d entered the prediabetic range with a reading of 42. I was surprised at this, because I don’t eat sweet foods, and my diet is pretty much Mediterranean, also walk about 4/5 miles a day.
The one thing I decided to do to try and improve the reading was to cut down on my carb intake. We cook a lot of pasta dishes and stir fries, and I was guilty of cooking more rice or pasta than we needed, so I would end up with the bulk of this on my plate as I didn’t want it to be wasted. I now measure 150g of rice or pasta for both my wife and I, and she has a bit less than me, so I’m probably around 80g of that. I was also guilty of having lots of bread when eating soup, so I’ve cut down on that too. I’m 6’5” and was reasonably slim, but within a couple of months I could see I had lost a bit of weight around my waist, but I was never hungry despite eating less.
Gave more bloods a few weeks ago, and my GP informed me that the reading was now 40, which I was obviously pleased about, so I’ll stick with my plan and see if things improve any further. I could probably help myself further by stopping drinking beer at the weekends, but it’s my only vice, and, as they say where I come from, yer a long time deid, so I’m not ready to sacrifice that pleasure. I’ve got myself back into the ‘normal’ range and that’s good enough for me, so maybe you could try cutting back on your carbs and see how you go. Best of luck to you.
Hi, I had Aorta Valve Replaced about 10 years ago and am very active but signed up last year to the Pre Diabetic Course because of borderline BMI Scores. It’s really informative and changes how you look at diet and exercise. A good light hearted bunch of attendees with lots of banter and silly stories but it got us all exercising and eating healthier. Weekly weigh ins but results not disclosed in front of others so no shaming. Excellent work book reading with monthly chapters
Hi, I had a stent in my lad in 2019 and have been on the usual package of drugs. About 2 years ago I was told I was pre diabetic (44). I used Michael Mosley's 800 cal a day system for 12 weeks, lost nearly a stone (down to 10 stone 9 lb ...I'm 5 ft 8 ins) and my glucose level dropped to 39. Not that difficult to stick to the diet after the first few days. Have since then titrated my weight up to a steady 10 stone 11 lb gradually re-introducing the foods I like, and am still outside the pre diabetic range. Worth a try?
I was flagged up as prediabetic, can't remember right now what the figure was. I was on Bisoprolol 2.5 mg. It does say in the patient information leaflet that it can effect blood glucose levels or something to that effect. My next test showed blood glucose level of 38, and in the preceding 3 months the dose of Bisoprolol was lowered to 1.25 mg.Check your medication leaflets to see if anything you're taking has the same information.
Diabetes UK also have s helpline, they're very helpful.
Hi , I too went 1 point into being pre diabetic 8 months after my HA , I was eating quite healthy anyway for a few months pre HA , But after it I massively increased the fruit and veg and this imo caused it to go up as I'd done nothing else to cause it , carbs turn into forms of sugar, for instance theres 20g of carbs in a banana. As others have stated statins can also cause this but I was on them before HA . Everyone is different of course but I have headed to doing what is described as a ketovore diet and I'm back at normal levels . Maybe have a google on tbe amount of carbs are in the fruit and veg your eating and cut out the high ones. Good luck
Hi I am in your club ref the stent and pre-diabetes. You will receive lots of good advice here, I would suggest anyone with high fasting glucose is mindful that the NHS guidelines and in particular the course material in the text book companion on their diabetes prevention is 10 years behind the lastest evidence based science, it’s still largely based on calories in calories out and while the science suggests ultra and even supposed ‘healthy’ processed foods foods and carbs are the primary issues along with of course sugar. Look up the Freshwell app on your App Store it’s a free program designed by GP’s and very informative, or the low carb information on the UK diabetes web site. Good luck on the journey back to good health.
I posted here recently re my 86 year old brother who has heart failure and has now been diagnosed as pre-diabetic. He has no risk factors or family history and in my view his medication is the obvious suspect. Reliable scientific papers online are clear that diuretics raise blood sugar - he is on 40mg of Furosemide. No intervention has been offered other than to look at the Diabetes UK website & continue annual blood tests. I think GP's rarely factor in the side effects of medication & we are expected to carry on taking it come what may . I am taking him to an appt to discuss the cause of his test results and what can be done when the standard advice to lose weight etc is irrelevant in his case.
i have not read all the other resopnses so forgive me if i am repeating information already given
some of the medications presrcibed to people with heart conditions affect blood glucose levels e.g. beta-blockers, thiazide diuretics and some statins - so, maybe you should be asking your doctor and pharmacist to review your meds and switch some of those which could be leading to an increase in blood glucose
I am on the low calorie diet programme. It is 800 calories a day for 12 weeks using meal replacement bars and shakes with a main meal of vegetables for fibre then healthy eating plan supervised by hospital dieticians. It seems a bit daunting at first but after a couple of weeks you get used to it. Its supposed to stop you becoming diabetic . I am in week five so cannot say if it works but I feel better. If you want to try it ask your gp about the low calorie diet lcd programme .
Hi,
It sounds as though you have been through a worrying time. Just had a pace maker fitted twice in space of 10 weeks as first one was cock up. Husband has been pre diabetic for 10 years and was referred to programme. He got fed up with it and so gave it up. Sill here still pre diabetic.
Just starting to exercise again as have all clear but stiff as a board..😳 Good luck with your recovery.
Sorry if I'm not understanding properly but why would you thin k it's too late? Are you assuming you don't have long enough t o live or that the damage is already done? Neither are true. You can do a huge amount to alter pre diabetes with diet whether you join the course or not. My husband was deemed pre diabetic for 15 years before it developed into type 2. I did what I could to control his diet but in the end he'd go out and buy and hide 3 or 4 cakes a week and several packs of biscuits.(and still does) Some people just won't help themselves!
In my case I have an HbA1c of 44. If you do your research as I have, people like us diagnosed as ‘pre-diabetic’ probably have some visceral fat, ie fatty liver and pancreas that can develop further if we don’t take action. Fatty liver and pancreas leads to the twin cycle hypothesis and can spiral out of control leading at some point being prescribed medication. If like me you have some subcutaneous fat around the middle, it’s a fair bet there’s fat around our organs.
Some say the difference between pre-diabetes and diabetes is that pre-diabetics haven’t been prescribed medication yet.
May I suggest Dr Cavan’s book ‘How to Reverse Type 2 Diabetes and Pre-Diabetes.
Hello Lovesunflower,
I wouldn’t worry too much about your HbA1c result. I’m 64 and am fit and active. I’ve never been overweight and have no family history of diabetes. However, my HbA1c result has been in the 41-44 range for some years. I attended the prevention programme you mentioned some years ago and found it helpful.
My advice is to try and stay active and just be mindful of what you eat and drink. I stopped taking sugar in tea and coffee, rarely have sugary soft drinks and have reduced fruit juice intake. I also cut right back on alcohol - although I’ve never been a big drinker. Avoid snacking on biscuits, cakes and crisps etc and try to avoid processed and sweetened breakfast cereals - I have porridge, weetabix or shredded wheat these days. I also prefer wholemeal bread, wholemeal pasta and brown rice. I also increase the proportion of veg and reduce the amount of potatoes with my Sunday roast. This year, my HbA1c was 39.
Best wishes to you 🙏
hi Lovesunflower, I had a Stemi 2 years ago followed by an emergency bypass within hours, I have high cholesterol and I am also type 2 diabetic, I have done everything I have been asked to do concerning food and exercise I exercise mainly walking mixed in with a few utube high impact moves 3 times a week that along with watching my diet my diabetes was 41 at last lot of blood tests, now and then I have a little treat
Definitely not too late for you to to go on this programme.
You still have to live and be happy, I see a diabetic nurse every 6 months and they answer any questions or worries I may have
I also went to a My Desmond course that explained everything I needed and pointed me in the right direction with do’s and don’ts
You take care and make that call and ask if there is someone you can talk to the diabetic nurse would be a good start.
Blood sugar numbers can be even more confusing when comparing them between different countries. The US is different from Canada which are both different from the UK. {Impaired fasting glucose is defined as blood glucose levels of 6.1 to 6.9 mmol/L from a fasting blood test.}
I was told I was pre diabetic about a year ago. My weight had been slowly creeping up which I wasn’t sure was due to the heart medication or menopause. The diabetic nurse also suggested that it could have been caused by the shock of having a heart attack (followed by sepsis and a misdiagnosis). I was told to eat my pulses and do more exercise.
My HBA1c level went from 42 to 44. A friend told be that the local council offered a wellbeing scheme which offered 3 months free gym membership alongside a nutrition class or slimming world.
My level went from 44 to 48. I was told that two 48 results meant I was type 2 diabetic.
At the same time my liver enzymes were rising and the gp told me I needed to lose a stone in weight. Nothing was shifting the weight and in fact I then put on another half a stone. I did become quite disheartened.
I then bought the Michael Mosley Blood sugar diet book. I have started to lose weight. I am still going to the gym and the last blood test showed my pre diabetic level back to 42.
I can’t have another blood test for 6 months but really hope I am out of the danger zone. I’ve lost around 20 pounds I still have another 5 or so to lose.
I am not being completely strict and I won’t pretend it’s easy but I’ve taken control of my destiny and I won’t let the heart attack and all the meds that go with it, get the better of me.
Have a look at the diabetes uk website as well.
I hope this helps and sorry for the long reply.
Hi, I was diagnosed with pre diabetes January 2023 with a score of 43 and put on a yearly review told by the nurse nothing much to worry about and not offered anything else fast forward to January 2024 and annual bloods and score of 47 and now three monthly reviews back again in Apirl 2024 but again never offered any courses just they want to catch it if it goes 48 or above to put me on medication, I am also waiting to go for scan for fatty liver disease the doctor did say sometimes your unlucky and end up with the full package.
Hi, I’ve had valve repair, triple bypass, pacemaker and ablation. I was also diagnosed pre-diabetic, I was sent with score of 43. I went on a course run by the diabetic team at tne doctors. I changed my diet cutting out excessive carbs and followed partial keto recipes. Change my potato portion to 50/50 potatoes and sweet potatoes or parsnip or jerusalaem artichokes. Had porridge for breakfast.
The only problem with the keto diet is it’s high fat content so I limited that to a healthy portion. Some of the BHF recipes are really tasty for linch I cut out bread and made their lentil and carrot soup it delish. Also the leek and chicken crumble
I got a recommended book which explains it all. See photo
After 3 months my levels were well in range and with exercise like your doing I had lost about 12 kg
Good luck
hi I had a heart attack 2018 and had stent fitted , I did my 6 weeks rehab . I was diagnosed with prediabetes 2 years ago first year 42 next 6 months test 43 next 6 months 42 and now 43. A lot of people in UK have it but don’t know it. I try and watch carb intake but Michael Mosley (the guru) says loose a bit of weight and it will come down. I don’t know why when you have had a heart attack one is more prone to diabetes ? Be positive you seem to be doing the right things .
When I told an old schoolfriend that I'd been diagnosed as prediabetic, she replied, "Isn't everyone our age?"! After being in that state for years, I eventually tipped over to being on the cusp of being actually diabetic and my doctor asked me if I wanted to take medication or to try to reverse it myself (up until then, the medical advice had been to just be aware and keep an eye on it). I chose the latter and started improving my diet and increasing exercise - nothing drastic, just indulging less in 'bad' foods and walking longer distances - and it quickly came down to the prediabetic zone again. So I see it as a warning that it's something I should be aware and try to keep under control myself. I don't think there is anything sinister in the fact that you were not referred to a programme - I think it just means that your doctor does not think it is serious enough at this stage to warrant medical intervention.
Thank you so much for replying to my posts. A lot of useful info to take in. I looked on my NHS app again in the documents section and it does look like I’m getting an invite for the programme so I’ll definitely be taking them up on that. I’m at a loss to understand why my test result is one point higher than when I had heart attack especially as I’ve lost weight and am doing as I’m told (I think). Carbs may need to reduce but I take all the good carbs. I am on Atorvastatin 80mg and Bisoprolol 1.25mg and it’s interesting to note these can affect the blood sugar levels so I will be speaking to doctor about that. Like some of you say, a lot of people probably are pre diabetes without knowing. I guess I was before heart attack and it was creeping up. But the main thing is, it can be sorted. I’ve learned a lot from your messages, thanks again 😀x
Firstly congrats on your positive attitude so far and taking some control back by exercising, I truly believe it’s never too late to take charge of our health, being pre diabetic is very different to having diabetes, small daily changes in diet can make a huge difference and quite quickly.
Don’t be discouraged I highly recommend listening to Dale Pinnock the medicinal chief on Spotify, he has lots of advice and tips to help support metabolic syndrome. Introducing more plants into your diet on a daily basis will help and he explains all about cholesterol levels both good and bad .
Good luck on the rest of your journey.
Diabetes and Statins
Butter or Margarine ...?
Pre diabetes after heart attack?
Where I Am At
Undiagnosed chest and head pain and hypertension. 
