Am i prediabetic?

E13

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1
Type of diabetes
Don't have diabetes
Treatment type
I do not have diabetes
I've joined this forum to look for advice/reassurance as I'm currently suffering from extreme anxiety - I know members can't diagnose etc!

There is no history of diabetes in my family but one parent is now prediabetic. I've never been diagnosed with diabetes or prediabetes. I'm in my 30s, female, with gastrointestinal conditions, vitamin deficiencies (severely low vitamin D, chronically low B12 (although last bloods were in normal range which I found weird)) and undergoing a lot of psychological stress. I eat a fair amount of sugar but also normal foods. However, I currently have disordered eating and the other day, after having fasted for maybe 14 hours (I'd been awake about 4.5 hours at this point; it was not morning as I work evenings so my 'morning' is actually the afternoon) I felt very cold, a bit dizzy, ears ringing etc and out of curiosity I checked my BG with a finger prick, assuming it would be low - it was 6.4mmol/l (initially it read at 7.5 but I rechecked it twice immediately using a finger prick and thigh prick and it read at 6.2 and 6.4; I was using a dog glucometer though!). After eating a small snack it was still 6.4. I then had a small meal and checked it with a finger prick two hours post-prandially and it was 8.1. After eating the snack the symptoms I was experiencing lessened, and after the meal I definitely felt better/normal, and I knew food would help - surely if I was actually hyperglycaemic food/sugar would make me worse...

A couple of months ago I checked my BG and it was high, but I was getting over a flu-type bug at the time; I rechecked it a week later and it was within normal limits.

I've had my HbA1c checked over the years:
2017 - 31 mmol/mol
2022 - 35 mmol/mol
2023 - 36 mmol/mol
2024 - 34 mmol/mol
2025 - 33 mmol/mol

I don't have signs of diabetes - I mean I have various symptoms that I've had for years but likely attributable to my gastro conditions and vitamin deficiencies, and none of these symptoms have come on recently bar worsening skin quality and taking longer to heal wounds (but I have the vitamin deficiencies and my skin has never been great anyway). I'm struggling with thermoregulation at the moment but I'm pretty sure that's due to the disordered eating (I'm cold all the time; if I eat normally I'm not so cold). I do find I get tired after eating, but I've been that way for many years; I am generally fatigued and I need the loo a lot, but again that's long-standing and I have the other conditions (including a condition affecting my bladder). I wouldn't say I'm abnormally thirsty. I get dizzy fairly often, typically on standing, but this is probably postural hypotension. My resting heart rate is normal but does increase a lot during exertion, my blood pressure has always been normal, I am a normal weight and BMI (my waist is a bad size but I have chronic severe bloating). I maybe struggle to lose weight (I restrict on some days but am not dropping weight at all, but I eat normally some days too). All of these symptoms are long-standing, none are recent. I did have a psychologically stressful day that day and like I said I'm currently undergoing a lot of anxiety (my mental health is the worst its been for a long time) so I'm hoping it's down to stress, recent gastro flare up/inflammation (I think my entire stomach area gets generally inflamed, particularly during a flare up which I had just had), overlong fasting and some kind of rebound hyperglycaemia etc?

Some gentle advice or reassurance would be most welcome as I'm not really mentally able to cope with this. I'm going to recheck my BG in a few days and see what readings I get.
 
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searley

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Retired Moderator
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Diabetes, not having Jaffa Cake
That bg whilst slightly high does not really mean pre-diabetes

The problem is the body can only use so much sugar, so if you have over done it then it is possible for the sugar to hang around until all consumed as such many tests over several days to confirm consistent higher levels would give a better idea

Ultimately the only real way is via hba1c that take a longer look, and covers and ‘average’ of all highs and lows
 

JoKalsbeek

Expert
Messages
6,590
Type of diabetes
I reversed my Type 2
Treatment type
Diet only
I've joined this forum to look for advice/reassurance as I'm currently suffering from extreme anxiety - I know members can't diagnose etc!

There is no history of diabetes in my family but one parent is now prediabetic. I've never been diagnosed with diabetes or prediabetes. I'm in my 30s, female, with gastrointestinal conditions, vitamin deficiencies (severely low vitamin D, chronically low B12 (although last bloods were in normal range which I found weird)) and undergoing a lot of psychological stress. I eat a fair amount of sugar but also normal foods. However, I currently have disordered eating and the other day, after having fasted for maybe 14 hours (I'd been awake about 4.5 hours at this point; it was not morning as I work evenings so my 'morning' is actually the afternoon) I felt very cold, a bit dizzy, ears ringing etc and out of curiosity I checked my BG with a finger prick, assuming it would be low - it was 6.4mmol/l (initially it read at 7.5 but I rechecked it twice immediately using a finger prick and thigh prick and it read at 6.2 and 6.4; I was using a dog glucometer though!). After eating a small snack it was still 6.4. I then had a small meal and checked it with a finger prick two hours post-prandially and it was 8.1. After eating the snack the symptoms I was experiencing lessened, and after the meal I definitely felt better/normal, and I knew food would help - surely if I was actually hyperglycaemic food/sugar would make me worse...

A couple of months ago I checked my BG and it was high, but I was getting over a flu-type bug at the time; I rechecked it a week later and it was within normal limits.

I've had my HbA1c checked over the years:
2017 - 31 mmol/mol
2022 - 35 mmol/mol
2023 - 36 mmol/mol
2024 - 34 mmol/mol
2025 - 33 mmol/mol

I don't have signs of diabetes - I mean I have various symptoms that I've had for years but likely attributable to my gastro conditions and vitamin deficiencies, and none of these symptoms have come on recently bar worsening skin quality and taking longer to heal wounds (but I have the vitamin deficiencies and my skin has never been great anyway). I'm struggling with thermoregulation at the moment but I'm pretty sure that's due to the disordered eating (I'm cold all the time; if I eat normally I'm not so cold). I do find I get tired after eating, but I've been that way for many years; I am generally fatigued and I need the loo a lot, but again that's long-standing and I have the other conditions (including a condition affecting my bladder). I wouldn't say I'm abnormally thirsty. I get dizzy fairly often, typically on standing, but this is probably postural hypotension. My resting heart rate is normal but does increase a lot during exertion, my blood pressure has always been normal, I am a normal weight and BMI (my waist is a bad size but I have chronic severe bloating). I maybe struggle to lose weight (I restrict on some days but am not dropping weight at all, but I eat normally some days too). All of these symptoms are long-standing, none are recent. I did have a psychologically stressful day that day and like I said I'm currently undergoing a lot of anxiety (my mental health is the worst its been for a long time) so I'm hoping it's down to stress, recent gastro flare up/inflammation (I think my entire stomach area gets generally inflamed, particularly during a flare up which I had just had), overlong fasting and some kind of rebound hyperglycaemia etc?

Some gentle advice or reassurance would be most welcome as I'm not really mentally able to cope with this. I'm going to recheck my BG in a few days and see what readings I get.
We can't diagnose, no... But we can say that your HbA1c of 33 is beautiful. And yes, when you fast for a while your liver might dump some glucose when you start to feel faint a little, it helps you get your blood sugars back up when you've been a tad low. That's perfectly natural. And stress can make the liver dump glucose as well, so... Keep an eye on your stunning HbA1c, and let the rest go for now far as sugary thoughts are concerned... You have enough to deal with from the sound of it, don't add (pre-)diabetes to it if you don't have to. A lot of what you're dealing with seems to be riddled with "might" and "likely", so you might want to get some proper answers somewhere? Maybe a referral to an endo would help, see what's wrong. Who knows, it might be something relatively easily solved. I mean, I bloat like I'm pregnant with quintuplets, because I have an irritable bowel and a slight sensitivity to gluten, so garlic, onions, grains, cabbages, some dairy etc will get to me. So I tend to avoid those. Bladderpain is a thing for me too, so no carbonated drinks, vinegar or tomato ketchup, and I had to retrain my bladder so it could hold more before setting off alarm signals that I desperately had to wee (at 100 ml's!). Sometimes, if you know what something is, the solution's dead-simple, but you do need answers first. And from where I'm sitting, it sounds like you're guessing a lot, but have little comfirmation, which could add to your anxiety? If you have symptoms, and from the sound of it you have loads, (and the kind that should be visible to a doc to boot,) it's perfectly alright to get proper answers, if you don't have those yet. I might be reading you wrong, but... With answers come solutions, more often than not. And peace of mind.

Be gentle with yourself, eh.
Hugs,
Jo
 
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KennyA

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Moderator
Messages
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Type of diabetes
Treatment type
Diet only
As others have said, there's no diagnosing here. I have to say though that "pre-diabetes" isn't a disease and isn't technically a diagnosis. It's a description. In the UK it would be applied to anyone with an HbA1c of 42mmol/mol or above and under 48. At a confirmed 48 and above you would get an automatic Type 2 diabetes diagnosis. So on the basis of your HbA1c results you would not be pre-diabetic, let alone diabetic.

The problem with doing fingerprick tests is that blood glucose can be affected by so many other things than food. You describe a raft of other factors any and all of which have the potential to shift BG levels up and down as your liver responds to them .

Blood glucose levels in people without diabetes vary all the time, in response to food and other stimuli. They're not "flat". The issue for those of us with Type 2 is reducing elevated BGs over time, because of the physical damage persistent high BG can cause.

This short paper shows the variability in BG levels (measured by Constant Glucose Monitor) in a number of non-diabetic people (the paper calls them "healthy" but in this context that only means "non-diabetic") in response to food (in this case) . The paper was sponsored by the CGM manufacturer because there was a lack of knowledge about what "normal" blood glucose looked like from a CGM user perspective.


In other words, you've got enough to be dealing with. Your blood glucose regulation doesn't seem to be something to be added to that list.
 
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