Mayo Clinic Connect
I am a 64 year old 265lb male who has recently been diagnosed as being “prediabetes” and need to know how much sugar and carbohydrates i must limit myself to daily so I can make certain not to exceed.
@188213 Hello and welcome to Mayo Connect. I have Diabetes Type 2, and would like to give you answers to your questions. First, when you were diagnosed, did the Dr. give you any information about how to prevent going into full diabetes? Usually, the Dr. may send you to an endocrinologist who takes height, weight, and blood numbers and runs other tests. Have you had any of that done? I went to an endocrinologist to get all the information. He also included a dietician in my team to help me adjust to changes I had to make in my lifestyle. Diabetes is a complicated disease and there is no cure. As a prediabetic, you need to be very careful so that you don't cross the line. Numbers are different because every person is different. All ages, Type 1 or Type 2, different weights, different mobility, and many more factors contribute. Is the Dr. who told you pre-diabetic your Primary or an endocrinologist? Did he/she tell you anything about what to do? I ask these questions because I found out my Primary knows little about diabetes. You have to get the basics first and then you can know what to do to prevent progression. Let me know, and I hope I can help.
Liked by Teresa, Volunteer Mentor
@m188213 hi, and welcome to Connect.
I think you really to get those answers from your doctor or dietician. I was diagnosed with diabetes about 10 years ago. I was told I could have up to 45 grams of carbohydrates per meal, and two snacks daily of about 15 grams each. I know a number of people with diabetes though for whom these numbers have varied. As @retiredteacher mentioned, it really depends on many factors. I do see a endocrinologist but my PCP could also handle it if I preferred him.
Regarding sodium, I don’t recall that being a restriction for diabetes but I believe the recommended maximum is 2000 mg. I keep mine to 1500 mg because more than that I retain fluid. Sodium can also contribute to high blood pressure and I want to avoid that. I am borderline now so hoping to prevent it from getting higher and having to take medication for it.
If you follow your doctor’s guidelines you will hopefully be able to avoid becoming diabetic.
Please feel free to ask any questions you have, either Carol or I will be glad to try to answer them.
Hello. I am a 64 year old 265lb male that has recently been diagnosed having "prediabetes". I need to know what the daily recommendation for sugar and carbohydrates consumption so I can make certain that I do not exceed and work toward achieving my goals of weight loss, healthy diet, and exercise. I am more interested in what the Mayo Clinic recommendations are.
Hi @m188213 you will notice that I moved your second post to this original discussion you started asking about daily sugar and carbohydrates intake for those with prediabetes to keep the responses on this topic in one location.
On Connect fellow patients provide tips and suggestions from personal experience. As @retiredteacher and @contentandwell mentioned is best to ask your doctor as every situation is different.
You asked specifically about Mayo Clinic recommendations. Here are some useful resources from Mayo Clinic experts:
Mayo Clinic Prediabetes Treatment and Diagnosis: https://www.mayoclinic.org/diseases-conditions/prediabetes/diagnosis-treatment/drc-20355284
Tips for Prediabetes and Diabetes Meal Planning: https://newsnetwork.mayoclinic.org/discussion/tips-for-prediabetes-and-diabetes-meal-planning/
Do you have prediabetes for type 2 diabetes? Did your doctor give you specific diet suggestions?
Liked by Teresa, Volunteer Mentor, JK, alumni mentor
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Hello Carol.Thank you so much for your response. I have taken your advice and contacted my Primary Health care physician today requesting to be referred to a endocrinologist and a dietician. Waiting for a call back. My doctor did take my height, weight, Hemoglobin, A1C and and Average Glucose, A1C to show I am "prediabetes. I informed them I have many questions that require me to keep a daily log of my calorie, sugar, carb, and sodium intake to avoid crossing the number lines. Thanks again for the help you provided me.
Hello JK, Thank you so much for your response. I have taken your advice and contacted my Primary Health care physician today requesting to be referred to a endocrinologist and a dietician. Waiting patiently to here back from her. Thank you for taking the time to respond. I really appreciate it.
@m188213 You are welcome, and I hope you can get the information and then you'll know what works for you. What was your A1C when you had it taken? That's an important number. I check my blood twice a day and sometimes more if it is elevated. Some things cause it to be higher than others. That's why I say we're all different. Some food works for a group of diabetics and the same food doesn't work for others. A dietician will be able to give you an eating plan; most of them do a good job of tailoring foods to the individual. Mayo has a daily newsletter and an information sheet that gives tips and information if you would like to look at that. It just comes to your inbox. I read and save articles that I can apply to myself and when I've read through, I just delete. If you would like that, I think I can send the link.
Glad to help; that's what I'm here for. Mayo Connect saved me when I was told I have Diabetes 2, so after two years I was asked to be a Volunteer Mentor in the Diabetes/Endocrine Group. All of the Mentors are willing to help. Just send an email, and we'll be right with you.
Hello Dr. McConkey. Thank you for taking the time to respond to my questions and for taking the appropriate action moving my 2nd posting. I have bookmarked the two Mayo Clinic URL's and found them to be extremely helpful. I believe I have prediabetes for Type 2 diabetes because I am overweight. I have left a message for my Primary Care Physician who took my height, weight, HGB A1C (6.2%) and Average Glucose A1C (131mg) to show I have prediabetes. Thanks to your referred websites, I was able to make a complete list of questions to ask, including the purchase of tools to measure my blood glucose. I am in the process of keeping a daily log of my daily intake of calories, sugar, carb, and sodium so I can avoid crossing over the line of numbers. Working on my diet to include daily exercise and consume only appropriate fruits, vegetables, whole grains, high fiber, assorted nuts/beans/seeds, water/vegetable juice, etc. I have stopped eating any type of red meat and pork which was easy for me to do. I have also purchased online from Amazon three books on Diabetes, and 2 cookbooks. I am extremely motivated to reverse this diagnosis and to loose 65 pounds. Once again you pointed me to the sources I needed and found to very helpful and I thank you for that. Currently waiting to here back from my doctor. Thanks again Dr. McConkey.
Hi @m188213 glad you found those links I shared helpful!
I also wanted to make sure you knew that I am not a physician or a medical professional, but a Connect moderator. Here is a link explaining what my role is as a moderator and how we help keep the community safe, supportive, inclusive and useful with the help of our volunteer mentors like @retiredteacher and @contentandwell
I'm glad you were able to call your doctor to get a referral. Keep up updated with how you are doing!
Liked by Colleen Young, Connect Director, Teresa, Volunteer Mentor
Carol..My HGB A1C value was 6.2% and Average Glucose A1C value was 131mg. These results were provided to me on 1/24/19.
If possible, please send me the link to the Mayo daily newsletter and information tip sheet. Very interested in reading this material to get better educated. I am also going to invest in purchasing a blood glucose test kit. My Pharmacist has one made by GE, but I am also going to see what Walgreens and CVS has in stock. Thank you.
@m188213 That's interesting, and may be something you will find when you go to an endocrinologist. Endos say you have diabetes if the A1C is 6.0 or over. The American DIabetes Association says A1C at 7.0. So I err on the side of caution since my A1C is usually 6.0 or 5.9 or once 6.1. That's Diabetes for my endo. I think you'll find that for most. It will be interesting to see what you are told. Since I was low, my endo calls me a controlled diabetic. I take no medicines and I exercise and log in my meals.
I will send you the link tomorrow. I realized I have already deleted today's info. since they're every day, I can't save them all unless there is a reason. Maybe another Mentor has the info. I'll check.
One thing you may find is that the blood glucose kit is free or maybe not. In my case the kit is free, but the strips to read the blood require a prescription. This may vary with insurance; I don't know.
I'll look and see if I can find the links in other places, but will send them tomorrow if I can't locate them today.
It's great that you are being proactive with your diagnosis. Getting ahead of the Diabetes game is having a great attitude and helps control the numbers.
I'll be in touch tomorrow.
@m188213 I looked for the links to the daily newsletter, but I have not located it yet. I didn't get one today—-maybe the weather. I'll continue to look and when I find the link, I'll send it along.
I hope you had a good day getting everything in order to battle this disease.
Stay in touch.
Liked by JK, alumni mentor
@m188213 we are always happy to help them in whatever way we can.
You are doing all of the right things to help yourself avoid having the pre-diabetes developing into diabetes.
You are definitely sounding motivated. In your quest to lose weight, take a look at MyFitnessPal.com. You record everything you eat and it tracks nutrients for you. I found it to be hugely helpful. I lost a great deal of weight using it. It makes you very conscious of those little things you might mindlessly snack on because if you don’t record everything you are cheating yourself.
I also have a digital scale and weighed myself every morning. Digital is of course more precise. Mine also approximates BMI and fluid retention. It cost less than $50 when I bought it about 5 years ago. The approximations tend to balance BMI with fluid retention so when I am retaining a lot of fluid my BMI appears to be ridiculously low. I don’t pay a lot of attention to that but I do like that it tells me a fluid retention %. That way if my weight is up but I see that my fluid is also up I realize that I probably just had too much sodium the day before.
The other thing I use is a fitness tracker. They run the gamut from very reasonable to very costly ones that have all the bells and whistles. I find it helps to motivate me to exercise.
I wish you success in losing weight and reversing your pre-diabetes before it develops into diabetes. Please keep us up on your progress, we can cheer you on!
@jk I have read and been told by endo that pre-diabetes, like full blown diabetes cannot be reversed but can be controlled. Do you think pre-diabetes can be reversed? I see ads on TV and read articles that say even diabetes can be reversed, but I know that is definitely not true—just quacks to sell junk meds. I was never told I had pre-diabetes; I was just informed I had diabetes. I asked my endo when my A1C was 5.9 if I was still a diabetic, and he said once a diabetic, always a diabetic. He said it cannot be reversed because the damage has been done. How do you reverse pre-diabetes?
@retiredteacher Carol, I know that diabetes cannot be reversed, but I did think that Pre-diabetes could be. I could be wrong on that though. I had gotten the impression somewhere that if you lost weight and improved your diet you could avoid it progressing.
Diabetes cannot be reversed probably because whatever part of you controls insulin production has pretty much given out. This is an interesting topic though. Whomever sees their endo next should ask, he/she would be more up on it than a PCP. My next appointment is in August or September.
Ok, that being said, I had to do some googling. Diabetes has been reversed by weight loss! Apparently the pancreas can resume insulin production! Here are two articles on it. I think the sources are fairly reliable.
It says in the second
Type 2 diabetes, he says, "is simply due to too much fat inside the liver and pancreas of people who happen to be susceptible to the fat-induced damage.'' Losing a substantial amount of weight can kill off that fat, often allowing the organs to work again, including a return to normal insulin production by the pancreas.
This makes me wonder what effect a liver transplant has on diabetes. After all, I do have a beautiful new liver.
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