A1C - next steps

[Anonymous]

Anonymous wrote:OP here. I tried again for thr last 2 months to focus on eating better (i seriously thought I nailed it, I've lost 8 lbs). Got my A1C back at 5.9. I don't get it. Will talk to my doctor

At least get on metformin.

[Anonymous]

Anonymous wrote:OP here. I tried again for thr last 2 months to focus on eating better (i seriously thought I nailed it, I've lost 8 lbs). Got my A1C back at 5.9. I don't get it. Will talk to my doctor

You need to work in more exercise. Cardio, and weights.

[Anonymous]

Anonymous wrote:Stop eating crap and do serious cardio, or just take diabetes meds.

Cardio is not the be all and end all. Yes she should do some. But walking and weightlifting are better.

[Anonymous]

OP here - I have joined a pilates studio and go 4 to 5 days a week, pilates reformer, 50 min classes. I walk everyday on my tread or around thr neighborhood - average 8k to 9k steps, weekends I get to 12k.
I think my activity is Ok. I could add more, but I think it is the nutrition that I need to figure out.

Folks that go on a GLP-1, they just eat less, which causes the weight loss, and other bio markers to improve. Is this correct?

I want to figure out how I can do the same, ideally without GLP-1. Or do i just admit that I can't do it on my own, and go to a GLP-1.

I tried metmorfin but had an allergic reaction, so stopped.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP here. Thanks for all the replies and input.

I have started using a CGM/dexcom (last 20 days) and it has been helpful for me to see the blood sugar after I eat my meals. I have a hard time with making good food choices when I am stressed (kids whining, long meetings at work, etc). So I'm trying to replace the habit of eating when stressed with something else...but it is a work in progress.

Before being focused on making improvement, I was only walking for exercise. Getting 6k average steps a day, sometimes more, sometimes less.

In the last 6 weeks, I have joined a studio and I do pilates 2 times a week (50 minute classes). I've started to walk 20 mins in the morning. I have started to do a light arm workout (10mins) once a week - this is via video/peloton app. If I try to do too much, I end up not doing it.

You need to do cardio 5X a week for at least 30 min.

"Need" isn't the right word here -- particularly given the perfectly normal dynamic OP describes of not doing it once she gets too ambitious.

Yes, it is.

https://diabetes.org/health-wellness/fitness/weekly-exercise-targets

Walk 20 mins every morning = 140 mins
10 min arm workout = 10 mins
140 mins + 10 mins = 150 mins

[Anonymous]

There is research saying type 2 is also genetic. You could also be developing 1.5. You're doing the right things - hang in there

[Anonymous]

Anonymous wrote:OP here - I have joined a pilates studio and go 4 to 5 days a week, pilates reformer, 50 min classes. I walk everyday on my tread or around thr neighborhood - average 8k to 9k steps, weekends I get to 12k.
I think my activity is Ok. I could add more, but I think it is the nutrition that I need to figure out.

Folks that go on a GLP-1, they just eat less, which causes the weight loss, and other bio markers to improve. Is this correct?

I want to figure out how I can do the same, ideally without GLP-1. Or do i just admit that I can't do it on my own, and go to a GLP-1.

I tried metmorfin but had an allergic reaction, so stopped.

Do less pilates, and do more cardio. Cardio that revs your heartrate, not just gentle walking.

[Anonymous]

Yes, GLP-1 will make you eat less because it suppresses the appetite. I can go the whole day without thinking about food. You can achieve this through willpower and choice of foods but the hunger pangs will be hard to ignore.
OP, sometimes even your best effort might not be enough. I have a genetic predisposition to type 2 (South Asian) and I only got back into normal range after Ozempic.

[Anonymous]

Anonymous wrote:Yes, GLP-1 will make you eat less because it suppresses the appetite. I can go the whole day without thinking about food. You can achieve this through willpower and choice of foods but the hunger pangs will be hard to ignore.
OP, sometimes even your best effort might not be enough. I have a genetic predisposition to type 2 (South Asian) and I only got back into normal range after Ozempic.

Thanks. I'm South Asian too, and it runs in my family, but I felt lifestyle and nutrition played a big part - which I was hoping I could control.

I have an appt with my dr next week, will see what she recommends.