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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I've been on the pre-diabetic range for A1C since my early 30's. It was 5.9 back then.
I'm now 45, and have an A1C of 6.1 back in sept 2024.  Got it down to 5.8 as of feb 2025.  But not very confident that I am able to get it lower nor that I won't go back to whatever habits cause it to be higher. 
I had gestational diabetes with all of my pregnancies.  I'm 10 lbs overweight and 20lbs to what I think would be a healthy weight for my 5.5 ft frame.

What else should I explore? GLP meds? Nutritionist? I want to get this down and not keep the risk of diabetes and other comlications.[/quote]

Nutritionist.  This 99.9% can be dealt with with nutrition.  Start following a diabetic diet.  Or rather simply a Whole Foods diet where you cut out all added sugars, you start your day with protein and healthy fats, and you avoid flours, grains, carbs that don't come from veggies or fruits.  
You do NOT need bread and extraneous sugars and carbs.  If you eliminate those unnecessary carbs and limit the others (you cannot eat 400 grams of fruit and veggies a day, follow the diabetic guidelines)  you can and will loose weight.  You will feel 1000% better and you can keep it off by eating healthy.

You don't need meds to manage this, you simply need to eliminate sugars and starches---they are not healthy for you---eat whole foods and you will feel so much better
[/quote]

How do you feel as a nutritionist about:
substituting low/no net-carb versions of bread and tortillas so you can eat sandwiches and soft tacos along with the family (or pizza on a tortilla)
Rao's marinara sauce
Quest chips and crackers (pretty low carb) 
Almond Flour and Swerve sweetener substitutes to make and freeze small desserts
All dressings and sauces very low calories and 2 or less net-carbs
Nuts, cheese, guacamole or almond butter for snacks
Fruit - only berries
Only drink water or 0 calorie lemonade or unsweet plain tea

I eat 2 meals a day and am using the above substitutions so I can go to almost any restaurant know what to order:

Mexican - chicken fajitas, no rice/beans/tortillas, bring my own pack of Quest chips to enjoy the salsas and bring 2 low carb tortillas
Steakhouse - salmon or lobster, salad (bring my own dressing) and grilled vegetable (I don't eat red meat)
BBQ - grilled chicken salad (yeah, sad!)
Breakfast - Omelet with lots of vegetables, bacon & sausage on the side
Deli - request no bread and eat as a salad or bring out my own bun or bread
Pasta - sub zoodles or broccoli for noodles

I live in a small mountain town where nobody cares if I discretely add my own bread or dressing or pour a bag of Quest chips on my plate.

I'm too lazy to add up my nutrition stats every day, but I wondered if nutritionists would be okay with substituting low carb bread and swerve 0 calorie sugar. By substituting everything, I think I'm probably in the 15-20 net carbs a day range.

I find it doable to get the taste of pizza toppings, but on a low carb tortilla. Or a veggie burger with cheese on a low carb bun. Or an occasional sweet made from swerve. If nutritionists think these substitutions are not great, it would be so much harder to give up all the starches and sugars![/quote]

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