1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2022 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Diabetes criteria

Discussion in 'Reactive Hypoglycemia' started by lindisfel, Nov 20, 2015.

  1. lindisfel

    lindisfel · Well-Known Member

    Messages:
    3,931
    Likes Received:
    4,272
    Trophy Points:
    158
    Many with R.H say they do not have T2 by the established criteria!
    However, surely when we eat Carbs we are Instantaneous T2s when we spike and damage is being done. Not to mention the awful subsequent hypo.
    regards
    Derek
     
    • Like Like x 2
  2. Lamont D

    Lamont D Reactive hypoglycemia · Master

    Messages:
    13,301
    Likes Received:
    16,078
    Trophy Points:
    298
    One of the criterias as I understand it, is fasting blood glucose levels.
    Also as part of a two hour OGTT, you go above a certain level.

    The fasting bloods in most RH ers is usually in normal range between 4-6mmols.
    If you have fasting above that then there is a possibility of prediabetes or T2.
    Some of us can live and be comfortable in the mid 3s.

    As the two hours glucose test only shows the spike and where your bloods are at two hours, how do they know what happens after that. As you know we go hypo 'late'. So when like me when I was diagnosed with T2 (wrongly) my bloods were shown to be running high.
    The hba1c test will give you your average over the past few weeks. If you are going hyper then hypo, your average will be high!

    This is where the confusion starts. Because, doctors aren't trained to recognise the key points of hypoglycaemia. Until you get control of your levels, the diagnostic tools point to T2.
    It's when you get control, the normal levels then the hypos and terrible symptoms will anyone get a clue that there is something going on.

    I have said for a long time that there are T2s out there, that are not diabetic and do suffer from one or the other forms of hypoglycaemia.
     
    • Like Like x 3
  3. Brunneria

    Brunneria Other · Guru

    Messages:
    21,805
    Likes Received:
    35,056
    Trophy Points:
    298
    I agree.

    In retrospect, I think my blood glucose must have been spiking really high for years before I turned T2. Once I got my meter and actually saw the numbers... it was a bit shocking.

    If a scone and a sandwich takes me to 15 mmol/l, then how high did my occasional carb binges go? :nailbiting:
    I used to (occasionally) fall off the low carb wagon and have a carb fest of stuff like icecream, whole packets of biscuits, starter, main, bread on the side AND pud, when we went out for a meal.

    The thought that I would swing high, then low, like that (however rarely), and carry on driving the car, and expecting to have a working brain... well, no wonder I used to get brain fog sometimes, and 'food hangovers' the morning after. I have NEVER needed alcohol to enjoy the hangover experience - just give me a bowl of pasta followed by a slice of cheesecake, and I would look like death warmed up the next morning.
     
    • Like Like x 6
  4. lindisfel

    lindisfel · Well-Known Member

    Messages:
    3,931
    Likes Received:
    4,272
    Trophy Points:
    158
    Hi Nosher you mention several of the criteria there, please bear with me whilst I deal with them.

    Fasting B.G. slightly below 6.0 on average.
    NB. meter accuracy.

    OGTT. I have never failed an ogtt.

    Hba1c failed at 50 when diagnosed three years ago.
    2 points inside T2D range.

    BMI was c.27. 16.75 stone and I got my weight down by reducing carbs and achieved an Hba1c of 45 after c.9 months.

    Cut out carbs last six weeks or so and Hba1c still 45, but this action stopped hypos when I walked around shopping or gardening at +2hours from first bite.

    I go hyper on carbs at +1hr and evidently produce a lot of insulin very quickly and can be hypo at +2hours, so a two hour test is useless for my RH.

    It also appears, because I no longer have big highs and lows my AVERAGE has stayed the same at 45, eg. in the middle of the prediabetic range. Known in maths terms as the area under the graph.

    It will be interesting to see what my eventual Hba1c will be after long term lchf.
    regards
    Derek

    I believe the real criterion for diabetes is if our peaks are high and sustained enough to cause harms to our bodies.

    Therefore I think all R.H.ers should probably be classed as T2Ds! :) ;)
    regards
    Derek


     
    • Like Like x 2
    #4 lindisfel, Nov 20, 2015 at 6:49 PM
    Last edited by a moderator: Nov 20, 2015
  5. lindisfel

    lindisfel · Well-Known Member

    Messages:
    3,931
    Likes Received:
    4,272
    Trophy Points:
    158
    Hi Brun,
    I know now I have had this problem for years, decades, and I did not know why I felt like flaking out when I did physical activity sometimes and not others.
    atb
    Derek


     
  6. Lamont D

    Lamont D Reactive hypoglycemia · Master

    Messages:
    13,301
    Likes Received:
    16,078
    Trophy Points:
    298
    [/QUOTE]

    Hi again,
    All your points scream non diabetic and I believe you have a blood glucose disorder, probably RH!
    You shouldn't hypo if you are T2 unless you are on diabetic medication that lowers your blood sugars. You hypo!
    6.0 is a good normal fasting, your hba1c is within prediabetic range but coming down towards normal. You hyper quickly, you have excessive insulin and a prolonged OGTT would give you your diagnosis.

    I don't believe that you are diabetic.

    This was me, when I first started low carb lifestyle. My blood tests showed T2, till I got control, then diagnosis when seeing my specialist.

    Regards
    nosher
     
    • Like Like x 2
  7. lindisfel

    lindisfel · Well-Known Member

    Messages:
    3,931
    Likes Received:
    4,272
    Trophy Points:
    158
    Hi Nosher,
    Thanks for your comments, I guess since I have diagnosed myself with R.H. I do not need the services of an endo but I'll just talk matters over with my GP.

    Now I am on low carb and I have fixed the ups and downs I shall be happy, paricularly if I get my GGT down.

    Best wishes to you with your treatment and getting to see your endo at Manchester.
    My endo for Conn's went to Manchester and my visit to his former dept recently was useless.
    regards
    Derek

    Hi again,
    All your points scream non diabetic and I believe you have a blood glucose disorder, probably RH!
    You shouldn't hypo if you are T2 unless you are on diabetic medication that lowers your blood sugars. You hypo!
    6.0 is a good normal fasting, your hba1c is within prediabetic range but coming down towards normal. You hyper quickly, you have excessive insulin and a prolonged OGTT would give you your diagnosis.

    I don't believe that you are diabetic.

    This was me, when I first started low carb lifestyle. My blood tests showed T2, till I got control, then diagnosis when seeing my specialist.

    Regards
    nosher[/QUOTE]
     
    • Like Like x 2
  8. Lamont D

    Lamont D Reactive hypoglycemia · Master

    Messages:
    13,301
    Likes Received:
    16,078
    Trophy Points:
    298
    [/QUOTE]


    That's why I moved my appointments to Manchester with my endocrinologist.
    I didn't want to risk being seen by someone who didn't have a clue!
    Sometimes you just have to go the extra mile to get good treatment.

    Nosher
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook