0

votes

Why is my HbA1c not lower, although I am doing everything right?

Commented on December 08, 2013
Created September 30, 2013 at 10:19 AM

I recently had my HbA1c tested (which indicates your average blood sugar level during the past 3 months). I was surprised to see that mine wasn't lower, although I am very strict and avoid any sugar, flour, starchy tubers etc. etc. etc. It was 5.7, which is not abnormally high, but I am still disappointed, as I would have expected better than that. Why am I not lower?? (I am not diabetic by the way).

94908c6b181223f24c0c237562c59059

(0)

on December 08, 2013
at 04:35 PM

@Jankitz excess fat causes IR by clogging muscle insulin receptors

@daz I can't be sure but most paleo dieters tend to do a high fat diet. I would consider over 50% a high fat diet

@callmeamy I wasn't overweight, yet it gave me insulin resistance. Only a small amount of fat is necessary for that - any amount which almost everyone gets

Medium avatar

(15)

on October 01, 2013
at 04:18 PM

"although I am doing everything right" Before making such a statement, one should first define what is right and wrong. How do you come to the conclusion that sugar, flour, tubers is causing diabetes? This has not been shown conclusively. A high-fat diet can be equally problematic. So my advice is to stop thinking in right or wrong and start working something out that works for your body.

3d58b5fb4f9780e2f47d4dcc53338a5a

(2771)

on October 01, 2013
at 03:47 PM

I have an Accu-Chek. I felt like mine should be lower too at first, but when my glucose levels leveled out, I realized that around 100 is where I am normally. If I don't eat any carbs in a day, or fast, it's always right around that number. I'm now happy with these numbers and realize that I'm the normal one.

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 03:28 PM

Have been on this way longer than 3 months, so should reflect

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:33 AM

I agree that for a 'normal' Western diet my value would be considered fine, but I am just disappointed, because I am eating completely paleo and low-carb, so I would expect it to be lower than the 'normal' Western diet person has.

Which device do you use to measure your blood glucose? Have you tried one of those continueous devices?

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:31 AM

... maybe I need to do more exercise :-)

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:30 AM

A high (good) fat diet doesn't actually give you insulin resistance (unless of course it leads to you being overweight, which I am not, my BMI is completely normal), it's a high sugar and starch diet that promotes insulin resistance. If anything fat slows down sugar resorption and GI of foods, when eaten together. So I really don't think it can be that, but thanks for your comment.

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:26 AM

My fasting glucose in the morning is great actually. Haven't tested my glucose during the day, after meals, maybe I should. You can also get these continuous glucose measuring devices, can't you? Has anybody tried one of those yet, any recommendations?

543a65b3004bf5a51974fbdd60d666bb

(4493)

on October 01, 2013
at 04:06 AM

hi jmcohen87, how can you be sure that @CallMeAmyT is on a high fat diet (unless mentioned elsewhere), and what do you deem high fat, as definitions vary...50, 60, 70%...(% of calorie intake)

3491e51730101b18724dc57c86601173

(8395)

on October 01, 2013
at 03:49 AM

How exactly does a high fat diet cause insulin resistance???

Be803dcde63e3cf5e21cc121097b8158

(529)

on October 01, 2013
at 02:48 AM

Kind of off topic, but I read one of your links and found this interesting tidbit:

but palmitic acid, which is in coconut oil, is palmitic and according the World Health Organization palmitic acid is just as bad as trans fat. The WHO is the most trustworthy health organization, since they are least influenced by industry and have top notch scientists.

Any thoughts?

Medium avatar

(10611)

on September 30, 2013
at 11:33 PM

I was told not to expect a shift in my A1C in less than 3-6 months. Blood glucose effects are seen very short term.

543a65b3004bf5a51974fbdd60d666bb

(4493)

on September 30, 2013
at 11:25 AM

this may be worth a read chriskresser.com/why-hemoglobin-a1c-is-not-a-reliable-marker

what's your fasting blood sugar like. this can sometimes be a bit higher than 'normal' in some people who have been low-carb/vlc for a while (don't know if this describes you or not), i seem to recall this phenomenon being referred to as physiology insulin resistance (google for more)

  • 30329ccb3577a55f74d6212b751fffb8

    asked by

    (0)
  • Views
    4.2K
  • Last Activity
    1683D AGO
Frontpage book

Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!

5 Answers

0
Medium avatar

on October 01, 2013
at 04:20 PM

"although I am doing everything right"

Before making such a statement, one should first define what is right and wrong. How do you come to the conclusion that sugar, flour, tubers is causing diabetes? This has not been shown conclusively. A high-fat diet can be equally problematic.

My advice is to stop thinking in right or wrong (especially in what the paleosphere believes in) and start working something out that works for your body.

0
94908c6b181223f24c0c237562c59059

on October 01, 2013
at 12:24 AM

The answer is simple. You have insulin resistance, which in your case is caused by a high fat diet, among other factors. I had a similar issue, but it's been fixed since I changed diets and followed this protocol http://selfhacked.com/2013/06/15/the-resistant-starch-diet-the-most-effective-diet-for-weight-loss/

Scroll down to the section regarding insulin resistance

http://selfhacked.com/2013/06/15/the-cause-of-brain-fog/

First, a 5.7 is NOT normal. Your risk for various diseases are increased. It wouldn't be considered a disease state, but it's far from optimal. People who have values 5.7 or higher are at increased risk for cancer, even if your doctor has not diagnosed you as having diabetes.

Goal values (per American Diabetes Association guidelines):A range of 5.7-6.4 percent indicates an increased risk for development of diabetes (i.e., prediabetes), and lifestyle interventions may be beneficial. A value equal or greater than 6.5 percent is considered diabetic.5.0 to 5.5 percent were identified as being within "normal" range. The majority of the U.S. adult population is within this range. With each incremental HbA1c increase, the study found, the incidence of diabetes increased as well; those at a level of 6.5 percent or greater are considered diabetic, and those between 6.0 and 6.5 percent are considered at a "very high risk" (9 times greater than those at the "normal" range) for developing diabetes.The revised ADA guidelines classify people with HbA1c levels in the range of 5.7 to 6.4 percent as "at very high risk" for developing diabetes over 5 years. The range of 5.5 to 6 percent, according to the ADA guidelines, is the appropriate level to initiate preventive measures.

Be803dcde63e3cf5e21cc121097b8158

(529)

on October 01, 2013
at 02:48 AM

Kind of off topic, but I read one of your links and found this interesting tidbit:

but palmitic acid, which is in coconut oil, is palmitic and according the World Health Organization palmitic acid is just as bad as trans fat. The WHO is the most trustworthy health organization, since they are least influenced by industry and have top notch scientists.

Any thoughts?

543a65b3004bf5a51974fbdd60d666bb

(4493)

on October 01, 2013
at 04:06 AM

hi jmcohen87, how can you be sure that @CallMeAmyT is on a high fat diet (unless mentioned elsewhere), and what do you deem high fat, as definitions vary...50, 60, 70%...(% of calorie intake)

3491e51730101b18724dc57c86601173

(8395)

on October 01, 2013
at 03:49 AM

How exactly does a high fat diet cause insulin resistance???

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:30 AM

A high (good) fat diet doesn't actually give you insulin resistance (unless of course it leads to you being overweight, which I am not, my BMI is completely normal), it's a high sugar and starch diet that promotes insulin resistance. If anything fat slows down sugar resorption and GI of foods, when eaten together. So I really don't think it can be that, but thanks for your comment.

94908c6b181223f24c0c237562c59059

(0)

on December 08, 2013
at 04:35 PM

@Jankitz excess fat causes IR by clogging muscle insulin receptors

@daz I can't be sure but most paleo dieters tend to do a high fat diet. I would consider over 50% a high fat diet

@callmeamy I wasn't overweight, yet it gave me insulin resistance. Only a small amount of fat is necessary for that - any amount which almost everyone gets

0
3d58b5fb4f9780e2f47d4dcc53338a5a

(2771)

on September 30, 2013
at 01:38 PM

Your A1C sounds perfect to me. As I've heard before, don't confuse "common" with "normal." Your numbers are normal, but for the general western dieters out there, they have lot's of peaks and valleys in their blood sugar.

I invested in a blood glucose meter to see my numbers throughout the day to determine what's normal (for me) and how certain foods affect me. It seems like my blood sugar levels are set at around 100 (which matches the 5.5 A1c level I have). When I'm 100% paleo/low carb, that number barely moves, even after a meal. Makes sense. I'm burning fat, not sugar, so the number doesn't drop. I'm not eating enough carbs to push the number up too high either.

If I fast, the number slowly moves down, but every once in a while, I get a surprise and my blood sugar is 105ish, so it went up over night.

There's probably lots of variances in why my sugar levels do or don't change, and traditional western medicine doesn't take in consideration if your glucose levels are low because you're fasting, or you have so much insulin floating around that it's sweeping out all the sugars. They have completely different meanings and health effects.

Don't worry about it. You're normal. Most people aren't. This is what they should strive for - A bulletproof glucose level!

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:33 AM

I agree that for a 'normal' Western diet my value would be considered fine, but I am just disappointed, because I am eating completely paleo and low-carb, so I would expect it to be lower than the 'normal' Western diet person has.

Which device do you use to measure your blood glucose? Have you tried one of those continueous devices?

0
Medium avatar

(10611)

on September 30, 2013
at 12:24 PM

I was diabetic and got my A1C down from 8 to below 6. I restricted carbs, but I also ate less, lost weight and started exercising a lot. I don't think the A1C came down entirely because of diet.

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:31 AM

... maybe I need to do more exercise :-)

0
32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on September 30, 2013
at 11:39 AM

High end of what is considered the normal, and the problem is? Your A1C might just be higher than the average person. What's your actually BG look like? If you don't have any benchmarks to validate A1C, then you might mistakenly think you have normal BG when it's elevated.

How long as has it been since you changed your diet? 3 months is the typical time for RBC turnover, but that's only the average as well, you could have longer a RBC half-life the average person.

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 03:28 PM

Have been on this way longer than 3 months, so should reflect

30329ccb3577a55f74d6212b751fffb8

on October 01, 2013
at 09:26 AM

My fasting glucose in the morning is great actually. Haven't tested my glucose during the day, after meals, maybe I should. You can also get these continuous glucose measuring devices, can't you? Has anybody tried one of those yet, any recommendations?

Medium avatar

(10611)

on September 30, 2013
at 11:33 PM

I was told not to expect a shift in my A1C in less than 3-6 months. Blood glucose effects are seen very short term.

Answer Question


Get FREE instant access to our
Paleo For Beginners Guide & 15 FREE Recipes!