Pre diabetes- A1c

By MamaB2007 Latest Reply 2014-10-20 22:39:19 -0500
Started 2014-10-19 17:16:45 -0500

First of all diabetes type 2 runs in the family. My moms parents (grandpa passed away was on pills and shots at the end ) grandma is on insulin. Dad is on pills. And a few other family members on my moms side of the family. A few yrs ago I was having some hypo feelings and A1c was done at that time 5.5. I was told to test when I feel low which I did and got some low 70's and high 60's. Also had some 160's and 180's once. I was told I didn't need to test again after a second A1c came back 5.5.

After this I watched what I ate I'm about 10-20 lbs overweight and I'm on Crestor for cholesterol. Recently I had another A1c done and it came back as 6.1.

So know I was told to watch my carbs and sugar intake and to test before I ate and when I go to bed.

My glucose reading in the morning is between 70-100 which is normal.

My readings after I eat rise to 130's-160's between 1-2 hours after eating.
Just last week I had cinnamon rolls and juice for breakfast in fact I was so hungry I had 3 and feel asleep after the 3d one woke up and tested my sugar at 122 this would have been 3 hrs after I ate and from what I understand it should be below 120 two hrs after eating.

How many carbs a day or per a meal should I eat. I was not told this after talking with my doctor and I've looked every where and have not found the information.

4 replies

Glucerna 2014-10-20 22:39:19 -0500 Report

It's great that you're making changes in your food choices! Ask your doctor for a referral to a diabetes educator/registered dietitian who can help you figure out the best eating plan for you. Many hospitals also offer diabetes education programs, and pre-diabetes programs are becoming more common. The American Diabetes Association also recommends regular exercise and physical activity as part of an overall diabetes management program. ~Lynn @Glucerna

GabbyPA 2014-10-20 07:06:23 -0500 Report

As a rule, and that is just the start, here are some numbers to shoot for. What I would do is start here, and see how it works for you. Then talk to your doctor about adjusting up or down to meet your lab goals.

A meal is around 30-45 grams of carbs
A snack is around 15-30 grams of carbs.
An overall day is between 120-150 grams of carbs. They are best to be spread out during the day. Saving carbs for a loaded meal is okay once in a while, but don't do it on a regular basis.

Test before you eat, then about 2 hours after eating to see how you are reacting the carb load you are taking in. It takes some experimenting and a journal is a huge help if seeing how your weeks go. What things bother you more and what works to help you keeps steady.

Just Joyce
Just Joyce 2014-10-19 19:28:51 -0500 Report

I agree with Type1Lou no one can answer that question for you but your doctor. As you can see from your family history, diabetes is not the same for everyone. You age, height, weight activity level all plays a role in how many carbs per meal you can have.

Make an appointment or call your doctor and ask how many carbs per meal you can have and he or she will be able to tell you based on your own medical history.

Type1Lou 2014-10-19 18:37:17 -0500 Report

As far as daily carb limits, there is no one right answer for everyone. For me, I need to limit my carbs to no more than 120 total carb grams per day to maintain my A1c in the 6's and keep my weight at 120 lbs. Some people can eat more and maintain good BG control and others must eat less. Age, height, gender, activity level and metabolism all play a role in determining what the "right" amount is for each individual.

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