Hey, prediabetic since this February, 22 y.o male, 5.1 HOMA-IR at that time with HA1C of 31 and fasting glucose of 5.9. Had covid in January.
Put on metformin, lost weight (100 kg -> 83 kg), HOMA-IR on metformin 1.2, HOMA-IR off metformin 1.4 measured twice, HA1C 33, 29 (tested in two different labs in June with 2 weeks between tests, I guess true number is somewhere in between). Still have 98 cm waist diameter, so obese by waist standard. Usually sub 5.0 mmol stable glucose on morning (once ate 2 burgers and a twister at kfc, kept me in 5.0 - 5.3 range for 2 days), no impact of dawn phenomenon noticed. Not on keto or very low carb diet, eat buckwheat, carrots and other veggies every day.
All test results below are given off metformin
My problem is, if I eat stuff like chocolate (40g carbs), I get spiked from 4.5-4.9 to around 7.0 mmol at 1 hour, drop to 5.8 - 5.6 at 2 hours mark, and go back to pre-meal sub 5.0 level during third hour. But sometimes if I eat some meals what contain a combination of proteins, fats and carbs, like pasta (I know, the same as sugar) with chicken and cheese, my maximum spike at 1 hour is around 6 mmol, but then I experience this kind of odd glucose behaviour: 6.0 -> 5.2 -> 5.8 -> 5.6 -> 5.9 -> 5.3 -> 5.4 -> <5.0, so, multiple small spikes happening during a few (3 - 5) hours. I must say that all measures are taken while being sedentary, so not wasting glucose liver storages on anything. Also, my glucose levels raise pretty slowly after consuming food, even with chocolate my glucose is below 5.5 until like 30 - 50 minutes mark.
So, spike from 4.9 to 6.0 mmol seems acceptable, but multiple small spikes happening for a good few hours bother me a little. Is that bad for my insulin resistance? Does that kind of stuff happen with healthy people. I am, like probably most of you, trying to mimic healthy people glucose spikes and charts and adjust my diet accordingly.
I even thought that it could be a sign of insulin deficiency, but GAD and IA-2 result is negative as I stated in my other post. Testing for the rest of antibodies seems hypochondrial considering my good numbers and will hit the wallet. My biggest ever measurement was in 40 minutes after eating 2 sugared buns with total weight of 100g, so probably like 60-70g fast carbs, the result was 8.9 mmol, 8.1 mmol at 1 hour mark, 6.2 mmol at 2 hours, 4.1 mmol at 3 hours, close to reactive hypo I guess. It happened during evening, I took 3 hours nap before that, my stomach was empty.
Put on metformin, lost weight (100 kg -> 83 kg), HOMA-IR on metformin 1.2, HOMA-IR off metformin 1.4 measured twice, HA1C 33, 29 (tested in two different labs in June with 2 weeks between tests, I guess true number is somewhere in between). Still have 98 cm waist diameter, so obese by waist standard. Usually sub 5.0 mmol stable glucose on morning (once ate 2 burgers and a twister at kfc, kept me in 5.0 - 5.3 range for 2 days), no impact of dawn phenomenon noticed. Not on keto or very low carb diet, eat buckwheat, carrots and other veggies every day.
All test results below are given off metformin
My problem is, if I eat stuff like chocolate (40g carbs), I get spiked from 4.5-4.9 to around 7.0 mmol at 1 hour, drop to 5.8 - 5.6 at 2 hours mark, and go back to pre-meal sub 5.0 level during third hour. But sometimes if I eat some meals what contain a combination of proteins, fats and carbs, like pasta (I know, the same as sugar) with chicken and cheese, my maximum spike at 1 hour is around 6 mmol, but then I experience this kind of odd glucose behaviour: 6.0 -> 5.2 -> 5.8 -> 5.6 -> 5.9 -> 5.3 -> 5.4 -> <5.0, so, multiple small spikes happening during a few (3 - 5) hours. I must say that all measures are taken while being sedentary, so not wasting glucose liver storages on anything. Also, my glucose levels raise pretty slowly after consuming food, even with chocolate my glucose is below 5.5 until like 30 - 50 minutes mark.
So, spike from 4.9 to 6.0 mmol seems acceptable, but multiple small spikes happening for a good few hours bother me a little. Is that bad for my insulin resistance? Does that kind of stuff happen with healthy people. I am, like probably most of you, trying to mimic healthy people glucose spikes and charts and adjust my diet accordingly.
I even thought that it could be a sign of insulin deficiency, but GAD and IA-2 result is negative as I stated in my other post. Testing for the rest of antibodies seems hypochondrial considering my good numbers and will hit the wallet. My biggest ever measurement was in 40 minutes after eating 2 sugared buns with total weight of 100g, so probably like 60-70g fast carbs, the result was 8.9 mmol, 8.1 mmol at 1 hour mark, 6.2 mmol at 2 hours, 4.1 mmol at 3 hours, close to reactive hypo I guess. It happened during evening, I took 3 hours nap before that, my stomach was empty.