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Hi i am new here, your advice on my test resulst would be greatly aprecaited thank you

jack412 said:
see another Dr, you can be diabetic and have low blood sugars before diagnosis. the low even has a term for it, when you rise and then crash low.
go back and ask for a GTT that is done by a lab, a home test is guessing. you need to eat more than 150g of carb per day for 3-4 days before test
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Hypoglycaemia for a diabetic.
Reactive Hypoglycaemia for a non-diabetic.

There are various forms of each condition!

The glucose test is to see if you rise (hyper) then crash (hypo).

A 72 hour fasting test is used to diagnose Reactive Hypoglycaemia.

Bloods are taken at various points and sent to the specialist labs to see if you have any endocrine diseases.

The results that the op posted are deeper than what I have experienced and probably for testing complications????
 
Jack, When I have a glucose test, my bloods are checked every fifteen minutes for up to 5 hours, for various reasons. The results that the op posted are all over the place, not stating the obvious, but how can you get any results from these?
I believe that they don't tell the whole story and the op is seeing if a response is to her thinking.

I also think that whoever did these tests is looking for something specific, I have not got the knowledge to interpret them, I was only responding to your thinking of what it could be!
 
nosher8355 said:
Hypoglycaemia for a diabetic.
Reactive Hypoglycaemia for a non-diabetic.

There are various forms of each condition!

The glucose test is to see if you rise (hyper) then crash (hypo).

A 72 hour fasting test is used to diagnose Reactive Hypoglycaemia.

Bloods are taken at various points and sent to the specialist labs to see if you have any endocrine diseases.

The results that the op posted are deeper than what I have experienced and probably for testing complications????
Click to expand...

Hypoglycemia can occur in prediabetics also who are not under any medications after a carbohydrate rich meal. The following is quoted from an article.
Initially fatty acid “spill over” to beta-cells enlarges them and makes them become overactive, leading to excessive insulin production in response to carbohydrate-rich foods, and also to insulin resistance. This is the pre-diabetic phase where hypoglycemic episodes happen a few hours following the consumption of carbohydrate-rich foods. Once this stage is reached, several natural carbohydrate-rich foods also become a problem (e.g., potatoes and bananas), in addition to refined carbohydrate-rich foods.

(5) Abnormal levels of ceramide induce beta-cell apoptosis in the pancreas. This is essentially “death by suicide” of beta cells in the pancreas. What follows is full-blown type 2 diabetes. Insulin production is impaired, leading to very elevated blood glucose levels following the consumption of carbohydrate-rich foods, even if they are unprocessed.

Sent from the Diabetes Forum App
 
I was misdiagnosed many years ago as T2. I had according to my consultant, prediabetes (probably) !
He says that I have been reactive Hypoglycaemic for a number of these years! My pancreas flushes!
I am not diabetic!

There are many forms of hypoglycaemia in diabetics and tests that the op posted resemble these!
 
nosher8355 said:
Jack, When I have a glucose test, my bloods are checked every fifteen minutes for up to 5 hours, for various reasons. The results that the op posted are all over the place, not stating the obvious, but how can you get any results from these?
I believe that they don't tell the whole story and the op is seeing if a response is to her thinking.

I also think that whoever did these tests is looking for something specific, I have not got the knowledge to interpret them, I was only responding to your thinking of what it could be!
Click to expand...
they look like they are home tests and his Dr isn't listening, which is why I suggested he changes Dr and get's a GTT by a lab. As I said, there is enough there at warrant further investigation
 
jack412 said:
they look like they are home tests and his Dr isn't listening, which is why I suggested he changes Dr and get's a GTT by a lab. As I said, there is enough there at warrant further investigation
Click to expand...
Agreed!
 
Nowhere are you going to get c pep ,insulin level and cortisol levels from a home test.
Here's a similar test being performed recently in a UK hospital for reactive hypoglycaemia (though fatty acids as mentioned above are another parameter being tested)
http://www.hindawi.com/journals/crim/2013/273957/
There is some discussion of the patterns seen
Sorry , I think you have to leave the interpretation of results to someone who knows what they are looking for and indeed why they ordered the tests.( even an expert would not be able to interpret in these circumstances, without a history and a set of results some with different units and some without any units )
 
phoenix said:
Nowhere are you going to get c pep ,insulin level and cortisol levels from a home test.
Here's a similar test being performed recently in a UK hospital for reactive hypoglycaemia (though fatty acids as mentioned above are another parameter being tested)
http://www.hindawi.com/journals/crim/2013/273957/
There is some discussion of the patterns seen
Sorry , I think you have to leave the interpretation of results to someone who knows what they are looking for and indeed why they ordered the tests.( even an expert would not be able to interpret in these circumstances, without a history and a set of results some with different units and some without any units )
Click to expand...
I believe I have the same condition as patient A. I have been given the same meds (gliptin).
The summarys open your eyes, to the diet recommended for Reactive Hypoglyceamics and diabetics, that a low GI,low glucose, high fibre meals is recommended. The fat wasn't mentioned nor was the intake of meats and the like!
This goes against the doctrine of most health care specialists, this report was written in 2013. The Toronto paper was written in 2011. The research goes back to the early noughties in some of the other reports about what type of diet is recommended.

The government and policy makers are killing people because of an outmoded doctrine!
 
Mud Island Dweller said:
l soppose insulonoma could be considered but l dont understand the data you would need to ask your dr.
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The measurement of insulin, c-peptide & cortisol may be done because of suspicion of an insulinoma. Insulinoma affects adrenals too. But insulinoma shows high insulin levels with low BG.
Usually plasma cortisol levels fall during an OGT test. Cortisol levels are altered in metabolic syndrome.
High insulin levels combined with high sugars shows high degree of insulin resistance too....
For confirmation of insulinoma, scans will be required like ultrasound & CT...


Sent from the Diabetes Forum App
 
Whats your doctor said?

Diabetics get harder figures to comply with but your readings should be back to normal between 90 mins and 2 hours depending (around where there were before eating) and yours seem a little higher. Don't forget that the liver stores energy and will through it back in to the blood when stressed, or exercising or if you go too long between eating - can confuse issues sometimes - I believe you need nigher readings of blood glucose when exercising - as for response to insulin and other drugs - everyone is different - I might only need 30 units of one insulin but you another and I am unsure how much readings will vary between people. Don't forget that although diabetes is only diabetes some control it with diet whilst others need certain other health medically so it's hard to be precise
 
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