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So I am prediabetic but I can't do keto...does anyone still eat carbs and control blood sugar

32 replies

Cantwait4weightloss · 20/09/2025 14:33

Hello
I knew something was amiss when I was having severe night sweats and went from 1 hour brisk walks to barely getting out of bed not to mention the skin tags and weird black lines appearing on my neck
My HbA1c came back at 42
I have put on a stone and am 58kg now
So I did low carb for a couple of weeks and got the most awful headaches
Then I reintroduced healthy carbs but headache still not shifting
I was so worried it was high blood sugar causing the headaches I had a test at the pharmacy- the finger prick after eating was 6.6 which, I was told, was fine.
Anyway I have completely stopped cakes fruit biscuits fried food but I feel like I need a slice of gluten free bread or a wrap with one meal or I don't feel full
Has anyone managed to reduce their blood sugar by not doing keto
I also try to exercise or walk for at least ten min after eating
Thanks

OP posts:
Fruitlips · 20/09/2025 14:36

Op rather than doing baby steps and seeing what works and what doesn’t…. You have jumped in head first.

Why don’t you reduce carbs and gently and slowly.

and why don’t you incorporate some fruit, for the fibre if nothing else

try not to be so extreme. Baby steps

DiscoBob · 20/09/2025 14:41

Cutting out carbs cold turkey will of course cause headaches. You need to be more gradual and gentle. Even Atkins diet let's you have 20g of carbs.

Like just have one new potato instead of three and add more green veg. Or only one slice of bread a day instead of two/three.

What does your daily diet look like?

AdoraBell · 20/09/2025 14:43

Eat vegetables first, or salad before meals. I found Glucose Goddess on YouTube. She has books etc but also hacks like above on her videos.

Cantwait4weightloss · 20/09/2025 14:43

Yes I am always one extreme or the other 😫
I have started to have fruit and one slice of bread
I would love to hear from anyone who eats carbs but still manages to not be diabetic
I try to eat a green salad first and no puddings etc but I can't imagine life without new or sweet potatoes
Or daal

OP posts:
FurForksSake · 20/09/2025 14:46

9st2 isn’t overweight at most heights and 42 is the cut off between normal and pre-diabetic. As someone else said, look at a gentle reduction in carbs and try to be as active as you can.

Confusedhormonal · 20/09/2025 14:49

I am type 2 diabetic. Was overweight in my 30s, finally got healthy lost 4 stone but started to pee lots and always tired. My hcab1 was 98, I was 40. Sucked as I was at a healthy weight and exercised but it is genetic as most of my family has it. I didn’t want to lose any more weight, so I go low carb.

I didn’t around 130g of carbs. Used an app to track. My sugars are reducing and on medication. I love carbs, but learned to reduce and weigh things out. Fruit I love, but now eat sugar snap peas etc. will only eat about 2 pieces of fruit a day. No grapes.

it’s finding the balance. Cakes spike me, but not white bread. I will treat myself to chocolate weekly and still go out to eat. Suppose 80% of time I am strict and 20% I relax. My view is if I abstain I want it more. It’s a lifelong condition I can manage and I won’t not treat myself for rest if my life.

LivingDeadGirlUK · 20/09/2025 14:51

Hi OP I managed to drop myself put of prediabeteas with diet and loosing weight. Unfortunately I've put the weight back on and my sugars are back up to 46 now so I'm doing it all again.

The diabetes uk website is really helpful. They have meal suggestions for better choices and it doesn't involve no carbs at all.

https://www.diabetes.org.uk/about-diabetes/type-2-diabetes/prediabetes

whatever you do has to be sustainable or it wont work long term, the thing that scuppered me was a new job where I was a lot more seditary.

Prediabetes symptoms and risk reduction

What is prediabetes? Prediabetes means that your blood sugars are higher than usual, but not high enough for you to be diagnosed with type 2 diabetes. It also means that you are at high risk of developing type 2 diabetes. You are unlikely to be experie...

https://www.diabetes.org.uk/about-diabetes/type-2-diabetes/prediabetes

AdoraBell · 20/09/2025 14:52

Also, for breakfast either eggs or Greek yoghurt with nuts before fruit, if you can eat nuts. I’ve changed to eating fruit afterwards.

Example, I make granola- rather than buying it- mostly nuts with seeds and a small amount of oats. Cook it with coconut oil instead of honey, add spices. With Greek yoghurt, not fat free, I only need 1 spoonful of granola.

15minutesaday · 20/09/2025 14:56

Try to be more active (even if you don't feel like it) as this uses up glucose stores. Wholemeal options for bread and pasta rather than white as they are slower release (reduces the glucose spike). Careful with the fruit as they contain natural sugars.

Being diabetic/pre-diabetic isn't always about weight - it's about how well your pancreas can produce insulin after food.

Crikeyalmighty · 20/09/2025 15:03

I was pre diabetic at one point OP, same 42 as you -you aren’t overweight, I was - I cut down to no more than 70g day of carb -no sugar, biscuits, cake etc not much rice or pasta though still have bits of it some days- not been above 38 on the test since - I don’t eat much gluten or bread either - pile stuff on Nairn oat cakes or shaar gluten free cracker. I can’t do totally keto either although some days especially if I use cauliflower rice I am only slightly over 50 and some days just under it as only carb will be oatcakes or crisp bread

BlackAmericanoNoSugar · 20/09/2025 15:27

I'm type 2 diabetic and have been for quite a while. It runs in my DF's family and I have been getting steadily worse over time, things that worked at the start to keep my HbA1c down became less effective and I had to keep trying new habits and new medications. You are definitely doing the right thing to try to reverse the pre diabetes now because the longer that you fend off diabetes the better for your old age health.

When I was first diagnosed I got myself a fingerprick glucose monitor. I tested before eating, 2 hrs after eating and 4 hours after eating. I did that for all my regular meals, I didn't worry about meals that were one off like having dinner at a friend's house. That way I could rule out meals that spiked me and have more of the ones that were glucose friendly. Now I wear a continuous glucose monitor and that has been massively useful to understand what's going on all the time eg when I'm asleep.

What I found in the early days is that not only are different carbs 'good' or 'bad' but also what's good for one person is terrible for another. For instance the diabetes nurse said that porridge is a good breakfast for diabetics because it's slow-release, and lots of diabetics do find that true, but my body digests oats like sugar or white bread and porridge gives me a massive spike. Whereas lentils (you mentioned daal in your op) have always been pretty good, and still are even as my diabetes has become worse, but are not good always useful for other diabetics. Don't give up foods that you enjoy until you know that they are definitely spiking you because they might be fine.

Some handy hints that have worked well for me.
Do some exercise starting between 10 mins and 30 mins after eating, that mops up some of the excess glucose in your blood. So if you have lunch at your desk, have a 20 min brisk walk or use a skipping rope for 10 mins or something that uses big muscles and makes you breath a bit heavily. I have a rowing machine at home and I do a kilometre on that, because I have the cgm I can see whether or not that is enough so if my glucose hasn't gone to where I want it I will do another kilometre.

Do a little something every hour, a few press-ups on the kitchen counter or some sit-stands while you're waiting for the kettle to boil. If you work at a desk for most of the day try fidgeting your legs frequently, bounce them or do a seated march.

Use dried pasta, not fresh. Cook it and chill it, then reheat it when you're ready to eat it. This has been well documented to turn some of the carb molecules into non-soluble fibre. The same works for rice but be careful with rice because it can have a bacteria that causes stomach upset when it's kept and reheated. The cook/chill/reheat thing used to work great for me, but now I just don't eat pasta or rice at all. Also, cauliflower rice tastes awful but if you mix it half and half with real rice that disguises the taste really well, especially with indian food which has a robust flavour. You can buy cauliflower rice frozen in individual portions that just need to be microwaved.

If you eat bread try to find one that you like where the carb content is less than 5 times the fibre content, the fibre will slow down the digestion of the carb and will be more filling. Also check that the sugar part of the carb is low.

Have things handy so that you're not tempted to eat things that spike you because you don't have time or energy to do something different. I have soups and daals frozen in individual portions ready to microwave. I always have various cheeses, eggs, Dr Kargs protein thins and protein bread (made by Profusion) because that's an easy lunch.

mummybearsurrey · 20/09/2025 16:04

If you like new potatoes. Cook them. Then cool them. Then reheat to eat. Reduces the carb content. Like magic! But don’t eat many.

also make sure your nutritional status is optimal. I use Medichecks for an annual blood test that checks all of this. Folate / ferritin / vitamin d / B12 status.
If these are out of kilter your pancreas cannot work efficiently.

Don’t drink alcohol every night. Try to avoid on at least 5 days of the week.

my OH was pre diabetic. I don’t think he has done as much as he should have. But he has reduced his HBA1C result by losing weight, reducing carbs, reducing alcohol. I think he should be walking after every meal but he won’t listen to me!!

best of luck.

Cantwait4weightloss · 20/09/2025 16:16

DiscoBob · 20/09/2025 14:41

Cutting out carbs cold turkey will of course cause headaches. You need to be more gradual and gentle. Even Atkins diet let's you have 20g of carbs.

Like just have one new potato instead of three and add more green veg. Or only one slice of bread a day instead of two/three.

What does your daily diet look like?

My daily diet was okay but then too many treats and chocs and cake
So now I have egg and a slice of gluten free toast
Tuna salad for lunch
Lamb leg steaks with veg or whatever the family is having and I have it with cauliflower mash

Today its raining and we have been shopping and the cupboard is full of crisps
I would weigh them out and have only 30g and then try to do some exercise

OP posts:
DiscoBob · 20/09/2025 17:41

Cantwait4weightloss · 20/09/2025 16:16

My daily diet was okay but then too many treats and chocs and cake
So now I have egg and a slice of gluten free toast
Tuna salad for lunch
Lamb leg steaks with veg or whatever the family is having and I have it with cauliflower mash

Today its raining and we have been shopping and the cupboard is full of crisps
I would weigh them out and have only 30g and then try to do some exercise

That sounds really healthy. Are you feeling strong cravings for cake etc though? It's quite restrictive so I can see how you might fall off the wagon.

Cantwait4weightloss · 20/09/2025 21:54

BlackAmericanoNoSugar · 20/09/2025 15:27

I'm type 2 diabetic and have been for quite a while. It runs in my DF's family and I have been getting steadily worse over time, things that worked at the start to keep my HbA1c down became less effective and I had to keep trying new habits and new medications. You are definitely doing the right thing to try to reverse the pre diabetes now because the longer that you fend off diabetes the better for your old age health.

When I was first diagnosed I got myself a fingerprick glucose monitor. I tested before eating, 2 hrs after eating and 4 hours after eating. I did that for all my regular meals, I didn't worry about meals that were one off like having dinner at a friend's house. That way I could rule out meals that spiked me and have more of the ones that were glucose friendly. Now I wear a continuous glucose monitor and that has been massively useful to understand what's going on all the time eg when I'm asleep.

What I found in the early days is that not only are different carbs 'good' or 'bad' but also what's good for one person is terrible for another. For instance the diabetes nurse said that porridge is a good breakfast for diabetics because it's slow-release, and lots of diabetics do find that true, but my body digests oats like sugar or white bread and porridge gives me a massive spike. Whereas lentils (you mentioned daal in your op) have always been pretty good, and still are even as my diabetes has become worse, but are not good always useful for other diabetics. Don't give up foods that you enjoy until you know that they are definitely spiking you because they might be fine.

Some handy hints that have worked well for me.
Do some exercise starting between 10 mins and 30 mins after eating, that mops up some of the excess glucose in your blood. So if you have lunch at your desk, have a 20 min brisk walk or use a skipping rope for 10 mins or something that uses big muscles and makes you breath a bit heavily. I have a rowing machine at home and I do a kilometre on that, because I have the cgm I can see whether or not that is enough so if my glucose hasn't gone to where I want it I will do another kilometre.

Do a little something every hour, a few press-ups on the kitchen counter or some sit-stands while you're waiting for the kettle to boil. If you work at a desk for most of the day try fidgeting your legs frequently, bounce them or do a seated march.

Use dried pasta, not fresh. Cook it and chill it, then reheat it when you're ready to eat it. This has been well documented to turn some of the carb molecules into non-soluble fibre. The same works for rice but be careful with rice because it can have a bacteria that causes stomach upset when it's kept and reheated. The cook/chill/reheat thing used to work great for me, but now I just don't eat pasta or rice at all. Also, cauliflower rice tastes awful but if you mix it half and half with real rice that disguises the taste really well, especially with indian food which has a robust flavour. You can buy cauliflower rice frozen in individual portions that just need to be microwaved.

If you eat bread try to find one that you like where the carb content is less than 5 times the fibre content, the fibre will slow down the digestion of the carb and will be more filling. Also check that the sugar part of the carb is low.

Have things handy so that you're not tempted to eat things that spike you because you don't have time or energy to do something different. I have soups and daals frozen in individual portions ready to microwave. I always have various cheeses, eggs, Dr Kargs protein thins and protein bread (made by Profusion) because that's an easy lunch.

Thank you so much
That's exactly the kind of advice I am after
I have done 15000 steps today but eaten around 90g of carbs from bread and crisps
A Saturday treat day will help me stick to lower carbing the rest of the week
I worry about my pancreas because I had a lesion on it which scans showed had cleared thankfully but having weird blood sugar does make me worry about it again

OP posts:
popcornandpotatoes · 21/09/2025 10:59

So I wasn't prediabetic but i did find out I had insulin resistance a year ago, which is the precursor to prediabetes.

I fixed this fairly easily without reducing carbs at all. More and more research suggests carbs aren't actually the problem and reducing them won't make your body manage it's insulin better long run, just put a plaster over the problem with how your body functions.

I followed glucose Goddess hacks, she's on Instagram and has a book. I know I've fixed the insulin resistance as I currently have a glucose tracker in and my blood sugar has been impeccable for 10 days, not a single spike. Simply changed the way I eat rather than what I eat

Cantwait4weightloss · 21/09/2025 13:19

popcornandpotatoes · 21/09/2025 10:59

So I wasn't prediabetic but i did find out I had insulin resistance a year ago, which is the precursor to prediabetes.

I fixed this fairly easily without reducing carbs at all. More and more research suggests carbs aren't actually the problem and reducing them won't make your body manage it's insulin better long run, just put a plaster over the problem with how your body functions.

I followed glucose Goddess hacks, she's on Instagram and has a book. I know I've fixed the insulin resistance as I currently have a glucose tracker in and my blood sugar has been impeccable for 10 days, not a single spike. Simply changed the way I eat rather than what I eat

That's great and exactly my plan
So a green salad first then a gluten free quiche and a little wall afterwards

I don't drink anyway but everything else in moderation and with the exercises afterwards

OP posts:
popcornandpotatoes · 21/09/2025 13:39

Are you gluten free for a health reason?

popcornandpotatoes · 21/09/2025 13:40

Also other things like high fibre, vinegar every day, savoury breakfast, walk or exercise after meals etc

Cantwait4weightloss · 21/09/2025 18:12

I have an autoimmune condition
If I have even a crumb of gluten I get ill

OP posts:
BlackAmericanoNoSugar · 21/09/2025 18:23

If you can't have gluten then I quite like Holland and Barrett edamame bean noodles, they are lower carb and taste reasonably good. There's a pasta version too (by Explore Asia but available at H&B), but I haven't tried it.

ThreePears · 21/09/2025 18:33

You can eat carbs on a pre-diabetes diet. Eating protein at the same time as the carbs will reduce the GI which is helpful. Basmati rice is better than ordinary. Try brown & wild rice too, and something like peanut butter on toast is fine, or egg on toast for breakfast, for instance. Try and find gluten-free multigrain bread etc.

Eat more veg.

Don't go all-or-nothing. It is a gradual lifestyle change you are looking for.

The finger-prick test is utterly pointless for pre-diabetes. What counts is the HbA1c test, which measures several month's-worth of changes in diet affecting the amount of glucose attached to the haemoglobin in your blood.

Fruitlips · 21/09/2025 18:43

Cantwait4weightloss · 20/09/2025 14:43

Yes I am always one extreme or the other 😫
I have started to have fruit and one slice of bread
I would love to hear from anyone who eats carbs but still manages to not be diabetic
I try to eat a green salad first and no puddings etc but I can't imagine life without new or sweet potatoes
Or daal

I think the first thing you need to do is to do a little reading about pre diabetes, diabetes and diet. Because you have got this test result indicating pre diabetes and you have jumped in head first.

ParmaVioletTea · 21/09/2025 19:04

Lots of green and red vegetables - broccoli, peppers, tomatoes, spinach. Very filling and good for you. Or a small portion of higher density “white” carbs such as sweet potato? And have healthy fats - avocado for example.

popcornandpotatoes · 21/09/2025 19:56

Cantwait4weightloss · 21/09/2025 18:12

I have an autoimmune condition
If I have even a crumb of gluten I get ill

Ah I see, the gluten free alternatives can be pretty bad for blood sugar so limit those and replace with potatoes, rice etc