surgery didn't notice dh about hba1c levels 3yrs ago until now, now he's diabetic

[ohreallyIsee]

dh was mystified to get a letter asking him to come in for a blood test as hba1 levels indicated he was prediabetic but the last blood test he had was in 2022. He made an appointment and it seems that his levels were 41 and 42 in 2021 and 2022 but he slipped "through the net" and it wasn't noted.
He's just got his results back and it's 50 so he now has a diagnosis of type 2 diabetes. If we had known about this in 21/22 he could have made changes which may have prevented or delayed the onset.

Glucose Goddess is on Instagram, she also did a short series on channel 4 earlier this year where she reversed someone's diabetes through diet without extreme cutting of carbs. Might be on all 4

I'm retired now but was going to say the same!

He MIGHT - but not everyone's body responds in the same way.

My partner was diagnosed 'pre-diabetic almost 2 years ago, despite having a very healthy BMI and eating an extremely healthy diet. I will add that we eat much the same diet, except I eat more carbs than she does; I am much more physically active, however as she has physical issues resulting from osteoporosis.

She has absolutely embraced every aspect of the advice she's been given (she attended the 'course' offered by the NHS and has stuck to it like a zealot) - but still is stuck in 're-diabetic range. There is type 2 diabetes in her family and it seems likely it's a genetic issue rather than lifestyle on her part.

Yes, this happened to an acquaintance of mine.

He knew he was overweight, his diet wasn't great and age wasn’t on his side. It’s ridiculous to say he’d have made changes if he’d have known the results, but he didn’t think being overweight and eating rubbish was enough to think he should change anyway. Yes, the surgery should have informed him, but people need to take some personal responsibility. What did he think would happen, that he could get older, eat shit, be fat and be fine? 😬

Fat with a bmi of 27? Hmmm...

Quite!

There seems to be an urban legend prevailing at the moment that diabetes can 'easily' be reversed. That's absolute bollocks. Some people on a VLCD or a very low carb diet can put their diabetes into remission but not everyone is going to be able to do this.

I was on a very low carb diet, following the Glucose Goddess's rules and while I now test in the non-diabetic range, I'm still on metformin and ozempic. Take either of those out of the picture and I'd be straight back to diabetic ranges.

Not all diabetes is preventable, not everyone will be able to go into remission. Making every effort to achieve this is very worthwhile as any drop in your Hba1C reduces your risks but it's not a personal failing if you don't go into remission. Sometimes it just is what it is.

Lots of people ARE fine though. That’s the problem - it’s not as simple as bad diet = diabetes and health issues.

You need to cut carbs right down, and start with savoury meal not cereal/porridge/toast juice etc.

cook simple whole foods and leafy green veg.

A BMI of 27 is overweight though?

So it is everyone's else's fault?

But she hasn’t become diabetic and maybe she would be had she not embraced a healthy living lifestyle. And that’s really the point of identifying “pre-diabetes”, to prevent, or delay, progression to diabetes. She will absolutely be benefiting from the changes
she has made.

Just reiterating this as the OP does not seem to have acknowledged it.

A single HbA1c of 50 in the absence of symptoms does not meet criteria for a diagnosis of T2DM. He needs a second blood sample to confirm diagnosis.

That said, diabetes or pre-diabetes, the same changes will be beneficial for both.

My point was aimed at those claiming a person who is pre/diabetic can "easily" reverse the condition. Some can, others cannot - no matter how healthily (like my partner was) they were eating prior to diagnosis OR how keto (as she has) they make their diet subsequently.

That is awful OP. Your family has been massively let down, and you should make a formal complaint in the hope that no one else’s illness get missed.