Last year I had a rude shock: my HBa1c (normally in the forties or fifties - goodish) had risen to 71 - on the border between poor and very poor. I was on a gram of metformin twice a day and a gliclazide twice a day, so another gliclazide was added in. Four months later I’d actually gone up to 77. Another gliclazide and this time I took a long hard look at diet. Out went the vanilla soy drink that I was adding to Huel and out went the crackers that supported my suppertime cheese. In came regular glucose testing and calorie/carb counting.
I have peripheral neuropathy so life is pretty much sedentary and I’m a bit of a shortarse at 165cm, so I reckoned my calorie intake should have a ceiling of 1800. The first problem I had was that after making it with the soy drink, Huel was pretty meh. Yes I could have gone from 300ml soy to 100ml or less, but I’d increased to 300ml by “accident”: my wrist just got a little relaxed when pouring - the soy drink had to go. A little extra sweetening in my Huel didn’t cut it. Brainwave time - cream soda. It’s sweet (some would say cloyingly so), it’s vanilla flavoured, and supermarkets have it in their own name brands with no, or very little, sugar. And it works with Huel.
Revised diet: a 500 calorie Huel twice a day (I tried 400 calorie, but it doesn’t work for me), and then maybe a pack of Birds Eye meat-free burgers or chickenless bits or a Huel, or if I’m not so hungry just some broadbeans to snack on. A few ounces of finely sliced cheddar for supper with peanuts for snacking. Last autumn my Hba1c was 35, so I started having a couple of packs of samosas in my supermarket delivery…
This morning Dr HIV phoned for my quarterly appointment and it occurred to me that when I’d seen her for bloods in January she’d said she’d do an Hba1c “just to be sure”. The clinic runs a no news is good news policy, and I’d forgotten to email and ask about my bloods. In January my Hba1c was 29 - off the bottom of the scale and time to think about reducing my meds.