Could not land HBa1c 6.00

[cure]

Today done my Hba1c...it was 6.9

on 16/01/2016 it was 13.1

on 13/02/2016 it was 10.5

on 14/03/2016 it was 8.4

& now as of 15/04/2016 its 6.9

I was low carbing whatever carbs ...mostly Long wheat....so was not spiking anytime (fasting and 2hrs pp) above 130

Why 6.9???

Hmmmm may be I was just low carbing...not on HF....and since that I was consuming more proteins..May be those proteins were spiking late...

Is that the reason????

I was on half 50-500 istamet ( 50 sitagliptin+250 metaformin) plus 500 metaformin at breakfast

and at night 500 metaformin.So total 1250 metaformin+25 sitagliptin per day.

I am going to stop sitagliptin totally.Keeping metaformin same....

Let us see.......

[Sugu]

HBA 1C is not to be checked evry month. 13.1to 6.9 in three months is good achievement. Keep doing low carbing with some light excercises like walking and excercises involving hand joint movement. Especially after dinner for half hour. It will come down further. 

[cure Administrator]

Nah....one hr it was 110...it was 120 at 2 hr.....& at 3 hr 102... This is almost all times I checked..... Guess proteins must be spiking later.

[cure Administrator]

This means I need to cut down proteins....and increase fats.....

I am planning to start eating one coconut per day....( I am not convinced with VCO quality and process to make VCO...and I think when we have good access to natural coconut meat....why not use?? VCO is good for those who do not have access to fresh coconuts. ) also increase home made butter and cheese .....

Is amul cheese better????

[shrisamarth Volunteer in reply to cure]

Homemade paneer is the best. If you are not doing any muscle building exercises then keep your protein intake around 0.50 to 0.75 gm per kg of body weight.

There are factors which affect Hba1c readings. Red blood cell life, hematocrit and some genetic factors related to red blood cells.

See whether your av.on meter roughly matches with that of eAG.

Higher consumption of fruits is also contributing factor for Hba1c, because of fructose.

[cure Administrator in reply to shrisamarth]

Hmmm no average on meter is not matching eAG.

No fruit consumption for last three months.Not Even lemon lol.

But yes protein consumption is more...

Yeah may be genetically  life of my RBC must be 120 days???

Let me check next month.

Wish to land below 6.0

[cure Administrator]

thanx dude.....I am searching for more options other than amul.Let us see.... Mother's dairy in pune offers good options.

[Health_Wakeup]

My HbA1C is 6.1 as recently measured that shows average BS 128 but it comes avg 93 FBS & 112 PP BS if i calculate the avg from the figures of last three month measured by Accu Check machine.. I also once measured the PP BS after one hour that comes 118.  It makes me confusing which figure is correct. Please share your experience and observations.

[cure Administrator in reply to Health_Wakeup]

en.wikipedia.org/wiki/Glyca...

Lower-than-expected levels of HbA1c can be seen in people with shortened red blood cell lifespan, such as with glucose-6-phosphate dehydrogenase deficiency, sickle-cell disease, or any other condition causing premature red blood cell death. Blood donation will result in rapid replacement of lost RBCs with newly formed red blood cells. Since these new RBCs will have only existed for a short period of time, their presence will lead HbA1c to underestimate the actual average levels. There may also be distortions resulting from blood donation which occurred as long as two months before due to an abnormal synchronization of the age of the RBCs, resulting in an older than normal average blood cell life (resulting in an overestimate of actual average blood glucose levels). Conversely, higher-than-expected levels can be seen in people with a longer red blood cell lifespan, such as with Vitamin B12 or folate deficiency.