Pre-diabetes

Amanda82691
Amanda82691 Posts: 298 Member
edited November 27 in Food and Nutrition
Has any of you been diagnosed with pre-diabetes or high blood sugar?? I have and I am curious what dietary changes you have made to accommodate and help with it.

Replies

  • jkillings83
    jkillings83 Posts: 1 Member
    Look into a low carb or ketogenic diet. Regulates blood sugars/insulin levels and I lost 30 lbs last year on it. Not easy, but you get use to it pretty quickly
  • emozzi
    emozzi Posts: 1 Member
    Hey, I Have... changes, well I have tried to cut all sugar out of my diet, I have started to exercise more regularly (min 3 times a week) I have also tried to cut out all alcohol mid week and on weekends, but living in Darwin makes that difficult. I'm not yet sure if this has helped as my next Blood test is Mid Jan..
    What have you been doing?? my Dr wasn't really that helpful she told me to loose 20KG.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    Me too. I finally switched to a ketogenic diet and that reversed it for me.
  • ForecasterJason
    ForecasterJason Posts: 2,577 Member
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.
  • lynn_glenmont
    lynn_glenmont Posts: 10,097 Member
    I counted calories to lose weight and got regular exercise. At my next check-up I had a normal A1C.
  • Yi5hedr3
    Yi5hedr3 Posts: 2,696 Member
    Most folks have this condition but have not yet been officially diagnosed. You have no choice but to reduce sugar (carbs) before you start losing body parts. Low Carb/Keto is the path for you! :)
  • LKArgh
    LKArgh Posts: 5,178 Member
    Increase physical activity, lose weight, reevaluate after a few months.
  • yarwell
    yarwell Posts: 10,477 Member
    Has any of you been diagnosed with pre-diabetes or high blood sugar?? I have and I am curious what dietary changes you have made to accommodate and help with it.

    reducing carbohydrate intake will address the symptoms quickly, losing weight longer term and reducing insulin resistance will address the underlying problem.

    It's useful to know if you have elevated fasting blood glucose (like me) or don't tolerate high carb intakes as shown by high post-meal readings.
  • MelaniaTrump
    MelaniaTrump Posts: 2,694 Member
    edited December 2015
    Got rid of junk food.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    edited December 2015
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    A low carb diet is not usually high in protein. Fat is usually substitutes for carbs. Instead of a potato at dinner, put extra cheese sauce to broccoli. Eat an avocado instead of an apple, or have a handful nuts instead of crackers. It isn't hard to add some fats.

    My high numbers were not weight related either. LCHF is the only way I can control it (exercise does help).
  • ForecasterJason
    ForecasterJason Posts: 2,577 Member
    nvmomketo wrote: »
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    A low carb diet is not usually high in protein. Fat is usually substitutes for carbs. Instead of a potato at dinner, put extra cheese sauce to broccoli. Eat an avocado instead of an apple, or have a handful nuts instead of crackers. It isn't hard to add some fats.

    My high numbers were not weight related either. LCHF is the only way I can control it (exercise does help).
    What would you consider to be high fat? If it's 50-55%, that would mean about 150g of fat for me, which is about 1.2g/lb of bodyweight. I tend to think eating that much would upset my digestive system, considering I do have some symptoms of IBS. Also, I think I would be far to satiated to each that much and still be able to meet my macro needs.

  • nvmomketo
    nvmomketo Posts: 12,019 Member
    nvmomketo wrote: »
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    A low carb diet is not usually high in protein. Fat is usually substitutes for carbs. Instead of a potato at dinner, put extra cheese sauce to broccoli. Eat an avocado instead of an apple, or have a handful nuts instead of crackers. It isn't hard to add some fats.

    My high numbers were not weight related either. LCHF is the only way I can control it (exercise does help).
    What would you consider to be high fat? If it's 50-55%, that would mean about 150g of fat for me, which is about 1.2g/lb of bodyweight. I tend to think eating that much would upset my digestive system, considering I do have some symptoms of IBS. Also, I think I would be far to satiated to each that much and still be able to meet my macro needs.
    There is no real cut off where high fat starts, but 50-55% is a number I have seen. I know it seems like a lot but many people find extra fats like avocado, nut butters, cheese, nuts, cream, fattier cuts of meat, and butter enjoyable.

    High fat doesn't agree with everyone. In my own experiences it was fine. I am a celiac and tend towards stomach upset, constipation and bloating, but if anything, those symptoms improved. As I said though, it won't for everyone.

    My macros are 5% carbs, 20% protein, and 75% fat. That works out to about 20g of carbs, less than 80g of protein and about 110g of fat for me. High protein tends to raise my BG so i avoid it.

    I follow the LcHF ideas of Dr. R. Bernstein who is a diabetic and became a doctor to treat diabetics ( not to be confused with the weight loss clinics). His book is Dr Bernstein's Diabetes Solution. It helped me.

    Best wishes.
  • yarwell
    yarwell Posts: 10,477 Member
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    One blood test ? If you are lean and active you might want to get a couple of fasting tests and perhaps a glucose tolerance test to see if this discussion is relevant to yourself.
  • _Terrapin_
    _Terrapin_ Posts: 4,301 Member
    OP--where do you live? What country?
  • ForecasterJason
    ForecasterJason Posts: 2,577 Member
    yarwell wrote: »
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    One blood test ? If you are lean and active you might want to get a couple of fasting tests and perhaps a glucose tolerance test to see if this discussion is relevant to yourself.
    Yeah, I would think that would be better to see if I am truly insulin resistant. But high long-term blood sugar values do run in my family, so I'm sure there are genetic factors here.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    edited December 2015
    The A1C is the better test. It will give you a three month average rather than just a fasting blood glucose - still a good test but it could be an off day.
    yarwell wrote: »
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    One blood test ? If you are lean and active you might want to get a couple of fasting tests and perhaps a glucose tolerance test to see if this discussion is relevant to yourself.
    Yeah, I would think that would be better to see if I am truly insulin resistant. But high long-term blood sugar values do run in my family, so I'm sure there are genetic factors here.

    I think you are smart to correct things now before they become a larger problem.
  • djscavone
    djscavone Posts: 133 Member
    I was very high A1C and in bade shape. I went to a nutritionist and she suggested MFP (so here I am), gave me a diet plan and I cut out the alcohol. In six months time I was down over 30 lbs and the A1C was in the perfect range.
  • ForecasterJason
    ForecasterJason Posts: 2,577 Member
    nvmomketo wrote: »
    The A1C is the better test. It will give you a three month average rather than just a fasting blood glucose - still a good test but it could be an off day.
    yarwell wrote: »
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    One blood test ? If you are lean and active you might want to get a couple of fasting tests and perhaps a glucose tolerance test to see if this discussion is relevant to yourself.
    Yeah, I would think that would be better to see if I am truly insulin resistant. But high long-term blood sugar values do run in my family, so I'm sure there are genetic factors here.

    I think you are smart to correct things now before they become a larger problem.
    Interestingly, it is my A1C that is high, but my fasting BG level is perfectly normal.

  • nvmomketo
    nvmomketo Posts: 12,019 Member
    nvmomketo wrote: »
    The A1C is the better test. It will give you a three month average rather than just a fasting blood glucose - still a good test but it could be an off day.
    yarwell wrote: »
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    One blood test ? If you are lean and active you might want to get a couple of fasting tests and perhaps a glucose tolerance test to see if this discussion is relevant to yourself.
    Yeah, I would think that would be better to see if I am truly insulin resistant. But high long-term blood sugar values do run in my family, so I'm sure there are genetic factors here.

    I think you are smart to correct things now before they become a larger problem.
    Interestingly, it is my A1C that is high, but my fasting BG level is perfectly normal.

    I am not an expert, but I believe that a higher A1C that would mean that your blood glucose is often elevated. A1C gives an idea of average blood glucose over the last three months. If your A1C is high that should indicate high blood glucose a significant amount of times.

    A1C results are generally more trusted than a one time blood glucose test.

    A glucose monitor could tell you more. Most pharmacies sell them; even Walmart sells them. You could check you BG before and multiple times after meals to get a better idea of what is going on.
  • NikiChicken
    NikiChicken Posts: 576 Member
    I joined MFP, started counting calories and exercising and my A1C went from diabetic to normal. I've had a normal A1C for over 2 years now. You'll have to play with your diet to get it right for you, but exercise has a much bigger effect on my blood glucose than anything I eat. I can eat "perfectly" and not exercise and have higher blood glucose than if I don't eat quite as well, but do exercise. That is just *my* experience. You'll have to find what works for *you*. The best thing you can do is buy a blood glucose monitor, log everything you eat (and I mean everything), log your movement and test your glucose often. Keep records of it all and then you can start going back and correlating what caused your glucose to spike, drop or stabilize. It will take time. Be patient. T2 Diabetes *can* often be reversed, I reversed mine, but it takes lots of work and patience.
  • cessi0909
    cessi0909 Posts: 653 Member
    I technically have not but my blood sugar test that is the one that tells you your average blood sugar over 3 months was .1% away from being considered pre-diabetic. I know what my issue is and it is embarrassing but I was eating terrible amounts of sugar in the form of flavored coffee creamer and sweets.

    So, I have cut back on sweets, upped my protein intake, working to avoid processed carbs that convert to sugar and also eat a high protein breakfast within 30 minutes of getting up (most days) I am not in the same position as you and am not saying you need to do the same, I am taking my blood work as a wake up and making some changes now.
  • earlnabby
    earlnabby Posts: 8,171 Member
    edited December 2015
    Has any of you been diagnosed with pre-diabetes or high blood sugar?? I have and I am curious what dietary changes you have made to accommodate and help with it.

    I am actually T2Dm. Two years ago my A1C was 7.3. I reduced my total carbs to a maximum of 180 grams per day (35% of my total calories and considered moderate carb), lost weight, and exercised. Within 9 months, my A1C was back to normal levels (5.4). I had a follow up test 2 months ago, and my A1C was 5.0.
    • You DO NOT need to go low carb or keto.
    • You DO NOT need to cut out sugars.
    • You DO need to monitor your carb intake and reduce it somewhat from what you are eating now (actual amount will depend on how your body reacts)
    • You should lose weight if you are overweight
    • You should try to do more fat burning (aka cardio) exercises if you are currently sedentary.
  • earlnabby
    earlnabby Posts: 8,171 Member
    nvmomketo wrote: »
    nvmomketo wrote: »
    The A1C is the better test. It will give you a three month average rather than just a fasting blood glucose - still a good test but it could be an off day.
    yarwell wrote: »
    My blood sugar is high according to one blood test, though I haven't been able to control it much. I am active but have no body fat to lose, so a low carb diet would mean I would have to eat excessive amounts of fat and/or protein.

    One blood test ? If you are lean and active you might want to get a couple of fasting tests and perhaps a glucose tolerance test to see if this discussion is relevant to yourself.
    Yeah, I would think that would be better to see if I am truly insulin resistant. But high long-term blood sugar values do run in my family, so I'm sure there are genetic factors here.

    I think you are smart to correct things now before they become a larger problem.
    Interestingly, it is my A1C that is high, but my fasting BG level is perfectly normal.

    I am not an expert, but I believe that a higher A1C that would mean that your blood glucose is often elevated. A1C gives an idea of average blood glucose over the last three months. If your A1C is high that should indicate high blood glucose a significant amount of times.

    A1C results are generally more trusted than a one time blood glucose test.

    A glucose monitor could tell you more. Most pharmacies sell them; even Walmart sells them. You could check you BG before and multiple times after meals to get a better idea of what is going on.

    That is correct. The A1C is the definitive test for how blood glucose is managed. Glucometers just give a snapshot of what is happening at a certain point in time, the A1C gives the average blood glucose level over a 3 month period. Diabetics generally are given one every 3-6 months, depending on how well they are managing their disease.
  • grinning_chick
    grinning_chick Posts: 765 Member
    The A1C is the better test. It will give you a three month average rather than just a fasting blood glucose - still a good test but it could be an off day.

    The problem with HbA1c is physicians are diagnosing people based on a single, one time, value. Because physicians like things that simplify and make their lives easier and so latch onto those things they perceive do both. But pretending like the test possesses 100% sensitivity and 100% specificity, all within a single captured value, is doing more harm than good for some.

    There are multiple reasons why a person can have a lab report back an elevated HbA1c and be neither diabetic nor even "pre-diabetic".



  • lorrpb
    lorrpb Posts: 11,463 Member
    aggelikik wrote: »
    Increase physical activity, lose weight, reevaluate after a few months.

    ^^This! I was diagnosed with borderline DM a week after starting to log here and workout. Within 3 months and 25 lbs lost my doc said everything was back to normal and it was a nonissue. I was still in the morbidly obese BMI category at the time. My macros followed the MFP standard of about 50% carbs, 30% fat, 20% protein, so a low carb diet was not needed. My exercise was walking 2-3 miles most days and strength training 2x wk.
  • swift13b
    swift13b Posts: 158 Member
    I was diagnosed with insulin resistance a few years ago. I cut back on carbs (though not a true low carb diet as I am vegetarian) and lost 22kg. I'm due for another glucose tolerance test now but my last one at the start of 2015 showed that my results were improving and I no longer have to take metformin.
  • youngmomtaz
    youngmomtaz Posts: 1,075 Member
    I am now out of danger but when I was 210lbs 7 years ago was when I was diagnosed. I began a regular exercise routine and I went low carb high fat and protein and lost 30lbs fairly quickly. Then I transitioned into "normal" eating and just watched my intake. I have fluctuated between losing and maintaining for the past 6 years and am currently down 60lbs with 10 to go. I still watch my carb jntake 3/4 days a week but that is easy for me as I love fats and protein. I have maintained the workouts as well and love to run, lift, and challenge myself with insanity.

    That said, I chose to start the way I did because there were no available help options for me. If I were you I would check back with your health team and ask to see a specialist in nutrition and someone who can guide you into the healthy changes you will need to make to get out of the prediabetic zone.
  • goingape
    goingape Posts: 429 Member
    I'm in the exact same position, was diagnosed prediabetic a few weeks ago. I was told to count servings of carbs (45 - 60 g per meal, 15 g per snack) and become more active. My A1C was 5.5 but my fasting blood sugar was 6.1. I have upcoming appt. with a dietician to get more details on how to eat.

    I do have weight to lose, have lost 10 pounds so far. Need to lose another 55 - 60 lbs more...I started walking 30 min a night, five nights a week. I'm starting an aquafit class in January to mix things up.
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