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Old 05-28-2013, 10:01 PM   #1
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Reasonable A1C drop in 3 months?

I went for a physical and my A1C was really high - 10.1. This was last week.

As a diabetic, I should have been taking care of myself better.... Though after the 10.1, I have really buckled down. I was already getting 5 hours a week of exercise, and now shooting for 7. Also, my physical let me know that I was doing something right, as my cholesterol and triglycerides had been cut in half since my last physical in 2012.

So, I have cut my carbs back to about 125 a day. I was probably at 200 before. I have decided to not eat most white foods at all - bread, milk, pasta, rice, sugar. I still get some sugar in my 1 cup of coffee a day from the creamer I use.

My doctor asked me to come back in September or October to see my progress. I have lost 20 pounds so far in 2013, with 90 to go.

Realistically, if I do what I should, what might I expect for my A1C in September?.... Might I be able to get in the 7s?
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Old 05-29-2013, 02:50 AM   #2
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Hi Garlic, welcome! Are you testing your BG at home? Your daily numbers will give you a general idea of what your A1C will be.

When I was first diagnosed I dropped my A1C from 10.8 to 6.something in three months, but I wasn't eating as many carbs as you are. HOWEVER, every body is different!

Congrats on your weight loss, and on taking control of your diabetes!
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Old 05-29-2013, 03:47 AM   #3
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TY she speaks.

Yes I was testing, but apparently I had a bad meter, or I messed it up... My blood wok numbers from the lab were much higher than what I was getting. I am getting a new meter today.

In any case, I am down 65 pounds from my all time high, and as I approach 51, the idea that I am not immortal has set in.
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Old 05-29-2013, 04:28 AM   #4
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Did your doctor give you a set # of carbs?

When I had my physical last week, I was told to keep my carbs anywhere from 100 - 175 a day, and being at the high side was OK as long as the vast majority of carbs came from the complex carbs side. She also said she would like to see me have many days that are very close to 100 a day.

I was also told that I "could" occasionally eat some foods that surprised me, like watermelon and bananas, which are both high on the GI scale.

I believe I read somewhere that most diabetics can "handle" up to 40 carbs at a time as long as they aren't of the simple variety. Is that the common thinking? I feel like I am kind of in trouble here, as one of my all time favorite things to eat is my homemade stewed tomatoes.... I could easily eat 3 cups at a sitting if it was allowed. I my stewed tomatoes!
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Old 05-29-2013, 06:49 AM   #5
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Dh used to eat like that. He swore up and down that he would DIE without carbs. He went low carb about two months ago and loves it! His a1c is the lowest it has ever been, his blood sugar is stable, and he has way more energy than before.

A higher carbohydrate diet is the standard diet prescribed, but it does not lead to a healthier diabetic, in my very strong opinion.

The book we have that changed things for him, is the one by Dr. Bernstein.

Sadly even he recommends limiting tomatoes.
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Old 05-29-2013, 06:51 AM   #6
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I replied to your other thread as well

My husband dropped his a1c from 10.7 to 8.2 in about 4 months by eating low carb. He eats about 30-60 a day, with the higher days being when he needs to eat a little fruit for a low blood sugar.
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Old 05-29-2013, 02:47 PM   #7
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Mine dropped from 9 to 6.5 in 3 months but I am trying to stay under 20 carbs a day
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Old 05-29-2013, 05:02 PM   #8
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exercise probably won't affect it much. if your meds don't change, cutting from 200 to 125 grams will probably cut the A1c some, but not THAT much. why are you not on meds? that is SERIOUS STUFF.

at least try metformin! you can always stop it later if you get your numbers under better control.
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Old 05-29-2013, 05:23 PM   #9
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I am on metformin, and another drug I was just put on... I forget the name, but it is a once a week injection.
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Old 05-29-2013, 06:03 PM   #10
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Quote:
Originally Posted by Garlic View Post
TY she speaks.

Yes I was testing, but apparently I had a bad meter, or I messed it up... My blood wok numbers from the lab were much higher than what I was getting. I am getting a new meter today.

In any case, I am down 65 pounds from my all time high, and as I approach 51, the idea that I am not immortal has set in.
That's some amazing work you've done, well done!

As for the meter issue it is good to have a second on hand. If the new meter is close to the old, two things to consider: first, make sure your hands are freshly washed. Sounds silly, but I've gotten several astronomically high readings that came right down when I washed my hands.

Second, you'll want to take note of when you are testing in relation to when you're eating and when you got up.

Hopefully the new meter will correct things, but if not, please come back and I can bore you with my crazy test experiences.
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Old 05-30-2013, 05:48 PM   #11
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My DH has type 2 and lowered his A1C from 7.6 to 5.9 in 3 months based on diet and 1000 mg/day metformin. He got it down to 5.6 a couple months ago but his last visit was 5.8. To do this he eats 25 g carbs/day or fewer. Usually fewer. I don't know if you will see very dramatic results eating 125 g/carbs a day. That's still very high.
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Old 05-30-2013, 09:01 PM   #12
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misti, well since I posted this, I lowered my limit to 60 carbs a day... I eat way too many veggies and avocados to get much lower than that.

It was SO hard tonight at my daughter's softball game, watching my family eat hot dogs on buns, but I didn't have one.... Kind of proud about that.
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Old 05-31-2013, 06:07 AM   #13
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Quote:
Originally Posted by Garlic View Post
misti, well since I posted this, I lowered my limit to 60 carbs a day... I eat way too many veggies and avocados to get much lower than that.

It was SO hard tonight at my daughter's softball game, watching my family eat hot dogs on buns, but I didn't have one.... Kind of proud about that.
My 12 year old daughter is type 1 diabetic, so is on insulin. She won't ever get off of that. She loves hot dogs! She just eats them with no bun. You can still have hot dogs while cutting down/out the carbs.
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Old 05-31-2013, 07:09 AM   #14
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Originally Posted by dawnyama View Post
My 12 year old daughter is type 1 diabetic, so is on insulin. She won't ever get off of that. She loves hot dogs! She just eats them with no bun. You can still have hot dogs while cutting down/out the carbs.
Oh yeah, I can, but I wouldn't enjoy them. So I would rather not have them.
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Old 05-31-2013, 09:44 AM   #15
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Oh yeah, I can, but I wouldn't enjoy them. So I would rather not have them.
Wiser words were never spoken.
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Old 05-31-2013, 10:14 AM   #16
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Oh yeah, I can, but I wouldn't enjoy them. So I would rather not have them.
I have been low carb for 14 years now. Don't even miss the bread. Sorry you don't feel the same way. Now, take away my chocolate and I may have to kill you so I understand. Here is one of her favorite low carb meals I make for her:

CONEY ISLAND CHILI DOG PIE - Linda's Low Carb Menus & Recipes

Actually, the whole family loves it!! But the leftovers make a nice low carb breakfast for her
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Old 05-31-2013, 12:53 PM   #17
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TY Dawn.... I saw that on Pinterest and pinned it! Looks like a winner!
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Old 05-31-2013, 04:30 PM   #18
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The Coney Island Chili Dog Pie is awesome! Definitely one to try. If you want to try lower carb hot dog buns, look for Sara Lee 80 Calories & Delightful. I find them at Walmart. They are around 8 net carbs each, IIRC.

It's great that you lowered your carb intake to 60 grams a day. That sounds like total carbs (before subtracting fiber)? If so, your net carbs are likely a bit lower. One of the great things about eating low carb is that if you eat low enough you will stop craving the carbs. A year ago I was a true carb addict and knew I should eat low carb but didn't think I would be able to give them up. My DH was diagnosed with type 2 and a switch flipped - I realized that I need to eat this way for my health (I have insulin resistance and PCOS). I now don't want to eat carbs and have no problems resisting them. Plus eating few enough carbs to be in ketosis means I also don't get very hungry. Maybe try gradually lowering your carb intake even further. There's nothing wrong with "easing in" to a low carb lifestyle.
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Old 05-31-2013, 06:02 PM   #19
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Yes, that is my carb count without accounting for fiber.
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Old 06-04-2013, 07:33 PM   #20
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I went from 12.2% A1C at diagnosis to 5.9% three months later. But, I was extremely aggressive about my diet, staying around 15 carbs per day. I was also on Metformin from the get-go.
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Old 06-08-2013, 11:31 AM   #21
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My A1c went from 12.8 to 8.1 in three months and I was incredibly disappointed. I really thought it would drop to normal within a couple of weeks. When I was diagnosed, I immediately started doing research, found out about Bernstein's book and dropped my carbs to under 30 a day. My 6 month A1c was 6.2, so know that sometimes it just takes a bit longer to get things lower. I'm hoping to eventually get into the 5s. Another important thing that I've had to come to grips with is that this isn't just a temporary dietary fix, but a life style that I have to accept. It is what it is - no more carbs for the rest of my life if I want to have a "healthier" life. When I realized that, it became much easier to do what I have to do.
If you're still having carb cravings, you may need to drop your carbs down lower. My cravings stopped after the first few days of lowering my carbs. My mind/body doesn't crave them, but there are times my mouth would LOVE to have a taste. Not that I NEED to have that ice cream, but if it was possible I wouldn't mind having that ice cream. Haven't given in, though. Good for you for resisting the bun. I've also found it important to find foods that I can eat that I really enjoy so that I don't give in to foods I shouldn't eat.
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Old 06-08-2013, 12:04 PM   #22
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12.8 to 8.1 in three months and disappointed? To me that sounds like a dream come true. I was 10.1 and am praying to reach the high 7's in only 3 months, and under 7 after 6 months. And then hopefully to under 6 after a year.... If I can do that, I will be THRILLED.
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Old 06-08-2013, 12:08 PM   #23
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12.8 to 8.1 in three months and disappointed? To me that sounds like a dream come true. I was 10.1 and am praying to reach the high 7's in only 3 months, and under 7 after 6 months. And then hopefully to under 6 after a year.... If I can do that, I will be THRILLED.
Well, I was VERY naive. I really thought that dropping the carbs would instantaneously drop my bs, too.
Glad you're more realistic!
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