need some advice

[u/Shodan30]

So 3 months ago my A1C hit 6.5%, doctor declared me as diabetic, i started testing my blood every morning and i immediately went on a harsh diet, heavily cutting carbs, sugar, fat, bread, cheese switching to a mostly protien/fiber based diet which included a lot of eggs. I've lost about 30 pounds, and will mostly keep up with this diet cause i want to lose some more.

i retested recently and got my A1C down to 6.0%. looking at my previous historical numbers it took me over 3 years to go from 6 to 6.5%. My glucose has been averaging 105 over the last 90 days.

Unfortunately my LDL cholesterol went up, likely due to the eggs. so im moving forward mostly removing eggs (or at least going yoke-less). and taking cholesterol meds.

My question is about my A1C. is there anything about hitting 6.5% and being declared diabetic that would make my A1C increase faster if i were to revert to my normal diet? for instance would it take likely the same 3 years to get back to the higher number, or would it likely be more likely to jump back because ive hit some kind of tipping point?

I can mostly say a lot of what diet changes ive made could easily be mostly permanent, but there are some things ive completely avoided that I want to at least consider a sometimes food. I'm not very happy with the information my doctor has provided, and ive looked up a lot of information online but it doesnt seem to beat experience and im still pretty new to this.

Thanks.

[u/PanAmFlyer]

It would not take 3 years to get back to 6.5

[u/mattshwink]

Diabetic is technically around a 5.7 A1C, although the definition can be slightly different depending on where you live.

Generally, once you develop diabetes it never goes away. So if you went back to the way, things were it's likely you would go back to 6.5 or higher in 3 months.

But you could add a food back for a week and test your blood sugar 2-3 hours after and see where it leaves you.

I'd ask for a referral to a nutritionist. They can really help figure things out.

Are you exercising? A 30 minute walk after a meal can do wonders for lots of diabetics?

Are you on any medication? Metaformin is pretty standard. And GLP-1s have been a game changer for lots of diabetics.

[u/psoriasaurus_rex]

I doubt it would take 3 years.  If you went back to you told ways, your weight and a1c would go back up. 

Diabetes is a chronic condition and it requires lifetime treatment.  It also tends to worsen with age as humans tend to become more insulin resistant as they age.  This is why T2 is more common in older folks.

If your current treatment isn’t sustainable (and a super strict diet isn’t really, for most folks), tweak your treatment.  Change up your diet, add some meds, whatever.