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Do I have prediabetes based on these results?

R

Ryola

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14
..OR on the cusp of type 2 that is. Here are my results with the normal reference range on the far right in brackets. My glucose fasting is the only thing that came back abornmal BTW, yet my A1C is fine.

Glucose Fasting - A 6.7 - (3.3 - 5.5)
Hemoglobin A1C - 5.3 - (4.5 - 6.0) %
Creatine - 74 - (45 - 110) umol/L
Estimate GFR - 116 - (>=60)

I've been sick for almost 12 years and two doctors suspect intestinal permeability/leaky gut or a possible auto immune condition...

I plan on getting a lactulose and manitol liquid/urine based test to diagnose it soon but sopposably the test won't be accurate if the person has blood sugar problems or suffers from prediabeges or type 1 or type 2.
 

Fasting bloodglucose can be relatively high due to a liver dump, (Your liver dumps glucose to give you energy to start the day. If you then don't eat, it sometimes just keeps dumping until you do.) The important bit here is the HbA1c. Far as I can see, that looks fine. We can't diagnose here, as we're not doctors, but you might have to look beyond bloodsugars to find out what's wrong.

Leaky gut could be a precursor to auto-immune conditions, and from what I understand there are several diets that can help with that. http://brainhealthbook.com/leaky-gut-diet/ may be a starting point? It's an even more restrictive diet than most LCHF/Keto T2's on here use though. I couldn't do it, though I tried for a bit there. You could just try going with a coeliac's diet instead? See whether that fixes what ails you. I don't know what's been making you sick for the past 12 years, naming some symptoms might be helpful in finding some direction to test in? Have you been checked for the usual things? (Thyroid, coeliac, vitamin D deficiency etc?)

Good luck,
Jo
 
Thanks for the response. Wellll, as far as symptoms go which have been going on for years and years would be awful insomnia(I have an easier time sleeping during the day unfortunately but even then its just ruthless. It's easily the worst symptom aside from losing a lot of muscle which has left me feeling incredibly insecure and super self concious.), I've lost at least 15-20 pounds of muscle, skin issues like eczema all over my face, very dry skin behind my ears, scalp...if I let it go and don't gently rub it off in a warm hot shower every day or other day it builds up and starts to itch and burn not to mention it looks awful as it progresses left untouched... It's like rubbing off yellow gunky dry skin, pretty gross!

Aside from that, bloating, digestive problems galore, bad constipation, fatigue, muscle weakness, even my nails look unhealthy. My knees are dry. I'm just a total mess. Looking back at the youthful age of almost 22, I felt and looked fantastic right before this happened and was at one of the happiest points in my life and had none of these issues. Yet i woke up one day during the beginning of my college years and I felt like utter garbage. My skin didn't look right, there was a noticable drop in muscle mass, my muscles felt weak, brain fog ect....I just didn't feel right. And it gradually got worse from there.

As for my diet I eat real whole foods 95% of the time and drink about 8 glasses of water a day. This includes fruit, veggies, meat, fish, eggs, nuts and seeds...while I typically stay away from grains and legumes. I make sure I get at least 2000 calories a day, 140 grams of protein, and healthy fats from avacado, coconut ect. I'm 5'9 and currently my weight is around 135-140pounds and i'm 34 years old. I'm at a higher body fat percentage than I'd like to be but I have to compensate for the muscle loss. Sigh.

I know there are people far worse off but I've let this entire ordeal road block most of my life. Leaving the house like this has been a giant obstacle mainly because of how much mass ive lost. The quality of life has gone down the tubes and I yern for the day it finally gets fixed where I can feel tired and go to sleep, for my muscle and skin to go back to normal ect ect. I just wish I had a template or diagnosis so I know for sure what to do, but I'm going in blind at this point and I'm stuck in limbo with it all.

As for blood work, there have been abnormalities throughout the doctor prodding ..my free T4 thyroid hormone has come back overactive (but my tsh is normal so I don't have hyperthyroid), my pituitary gland results have come back high and low, slightly high adrenal, ANA was positive with a high titre (but the speckle test came back normal), and now my fasting glucose is a little high. Mind you those thyroid and other test results have come back normal recently which is a little strange. t's left mainstream Dr's and specialists scratching their heads which has caused me to take the naturopath route but it's mostly been a miss.

I just want to know if it's leaky gut or not. And by doing that test and an antibody blood zonulin test I'll know for sure. The latter isn't neccasary if the first test comes back negative.
 
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Hi

According to a1c results, this is a very good result As a result blood sugar is actually not under the desired target

If this repeats much this means that you will get a high percentage of results A1C

Generally there is no reason to worry

Just take several measurements of blood sugar
 

So should I go to my doctor and get another blood panel(pain in the butt)and see where my levels are at again or should I just assume I don't have an issue with blood sugar problems or fall in line with prediabetes or diabetes based on my current results?

I'm seconds away from ordering this leaky gut test online and I need to know if I'm in the clear or not. If I have blood sugar problems or diabetes than the test won't be accurate....according to the pamphlet but the clinicians said blood sugar problems won't effect the results. Weird.

Anyways i always assumed the A1C was basically the best test to see if you have diabetes or not.

Maybe I could just use an at home meter and prick my finger after an 8 hour fast (sleeping) in the morning and see where my fasting blood sugar levels stand instead of bothering with the doc and clinic again
 
People w similar numbers and no diagnosis have benefited from buying a $10 BG meter and eliminating foods that spike them.

Your symptoms sound similar to a 31 yo woman who is not diabetic but is now eating as if she was and the stomach issue (and others) is resolving —life is so much better for her.
 

The lancing, BG meter and strips in total would cost me around $100. And sorry I didn't quite catch that last bit? I'm actually not eating as if I have diabetes. I eat a lot of healthy carbs(non processed) And a good amount of healthy fats and protein. I'm currently not doing LCHF. If I have to then so be it. But I've got no template or care plan so I just kind of keep everything balanced versus resorting to an extreme diet
 
Hi @Ryola

sensible advice given so far.

as for the meter, the codefree which i use was cheap to buy, (£10 + ) the cost is really in the strips..and these were the cheapest i found so far..but way under the £100 bracket (uk)

the foods you choose to eat, are yours alone..but we could all do with a little more info and maybe a little guidance.

I found the DIETDOCTOR, site to be most useful, in finding the higher end carb foods.

I am, as you'd expect of a type 2, moderating my diet, but i feel sure if you checked and used in moderating your diet away from some of the higher end carb foods, i don't think i'd call it 'extreme'.

Many have had their other illnesses improve with a low carb diet,
(my asthma has improved tremendously under the Lchf diet)

but do check with your doctors.

best wishes for you, moving forward.
 
Practically everything you mentioned made me think thyroid, even if the numbers don't correspond. Honestly, there is no exact range with thyroidhormones to fall in... If my numbers are "perfect", I feel horrible. I need a tiny little bit more to crush the fatigue, flakey skin etc etc... Do you have an endo? And possibly a second opinion? Nails and skin can also be affected by deficiencies (Vitamin D, magnesium/calcium etc, all of which can occur with leaky gut...). It does sound pretty likely, leaky gut... Not sure if an at-home test would give conclusive results a doc would actually work with though. Still... It may be worth following a Heal Your Gut diet, see if it changes anything. (Focusses on thyroid, this book, but as leaky gut is a root cause, it's still useful : https://thyroidpharmacist.com/articles/importance-gut-health/ ). I did read people responded really well to a carnivore diet, which is all meat, all the time... Never tried it myself (Wouldn't be able to afford it. And would miss chocolate. ) But from what I understood it fixed a bunch of things, from psoriasis/eczema to leaky gut. Just from articles online though. Just stuff to consider. (Preferably with a doc or dietician in your corner!)

I do hope you'll get your answers soon. Limbo's no good!
Jo
 
Oh I've seen my share of endocrinologists especially during the beginning portion of this nightmare of a roller coster ride back in my early to mid 20's and all of them were left scratching their heads.

One suspected a pituitary gland tumor based on my abnormal pituitary gland results, my LH, FSH and prolactin have all come back either too low or too high but then sometimes normal. Had an MRI and I was clear. Another endo told me to just get on with the show and go for long walks and have hot baths at night....lol I know, ridiculous. One thought I had thyroiditis or thyroid storm but said it was unlikely.

Finally my GP treated me as if I had hyperthyroidism and threw me on medication and within days I felt much worse...completely run down, my complexion took a bigger hit, I felt completely wired and couldn't even sleep ect. Weeks later he had my tsh, T4 and T3 checked and guess what? My tsh went from being normal and straight to HYPOTHYROID..meanwhile my T4 was still overactive. The next endo I saw told me my GP made me hypo with the medication and told me to get off of it ASAP. This endo still had no answer for me.

And I've been through a couple of reumotologists who specialize in autoimmune disorders and they didn't seem sure either....Ana came back positive with Ana high titer but the speckle test came back normal and he said my symptoms weren't severe enough. It's so black and white with these doctors....either way I'd rather not take prednisone and have my immune system completely botched. These guys just treat the symptoms while creating new nasty symptoms and don't even give advice on life style changes like food you put in your body which is crucial.

As for naturopaths...the first who felt more like an an MD if anything tested me for heavy metal toxicity. My mercury levels came back sky high. So I went through multiple rounds of DMPS chealation therapy for several months including rounds of Vitamin C and a restrictive diet. At this point he made it seem so sure this was the problem and I felt a huge sigh of relief knowing that I'd be my old self again and that I'd be back in college and living a normal life again (i was 25 during this time).

After feeling no different and my symptoms being the same he performed another heavy metal toxicity test. Results came back and the mercury levels were even higher....i must of thrown down over $2000 for the visits, therapy, and expensive tests and it was all for nothing. He basically threw in the towel.

The next two I'll admit I never gave a proper chance. Both thought I had leaky gut (especially the first) and performed an IgG/iGe food allergy blood test on me and gave me an extremely restrictive diet. There just seemed like there was so much room for error and it just got too expensive with all of these supplements being piled on. I wasn't feeling it. Something seemed sketchy.

I lost trust after I found out that these food allergy blood tests aren't even really accurate not to mention the diet itself wasn't helping. Who advises to eat grains (brown rice in this case) to heal the gut??
 
Soo I picked up a metere, lancing and strips. I'm going to test myself Tues, Wed and Thursday morning after 8 hours of fasting to get a proper blood glucose reading. My A1C is already normal so if these readings come back normal as well I'm just going to get that lactulose and Manitol leaky gut test done asap and be done with it.

If it comes back positive than I have to do a blood zonalin antibody test. It's basically an essential companion test with the other above. If the former test comes back negative well than that means I don't have leaky gut and I can finally forget about it and stop talking about it all together. Either way it's a huge load off in my eyes! Leaky gut can be healed within 45 days according to Dr. John Bergman and Dr Eric berg. So while it IS and can be a serious problem if you let it slide for years on end and can cause a host of lousy symptoms at least it's treatable and doesn't take that long to fix.

And yup, I've heard about that carnivore diet. Part of the reason why it does help so many people is because your resittictjng yourself to 1 or 3 types of meat usually depending so you're cutting out other foods that could possibly by allergenic. It's also zero carb so you're constantly in a state of ketosis ect.

The leaky gut protocol is basically this. Only eat....

*healthy meats
*fish
*steamed veggies (except NO nightshades)
*coconut products(like the oil and meat)
*olive oil

*fermented veggies
*probiotics
*L-glutamine

All sugars need to be avoided, even the majority of fruits with the exception of berries, no nuts or seeds due to lectins, no grains or legumes, no dairy, processed foods obviously, alcohol ect ect. Heavily restrictive but if I have it then I have no problems pulling this off for almost two months. Give me a template to get better and it's on!
 
You have been through the wringer, eh.... I'm a little surprised you had to spend so much on the heavy metals thing, there's detox stuff for that... (Zeolite? Not sure if I translated that right.) Your glands could be knackered, but again, that's all part and parcel with leaky gut.... (From what I remember from the thyroid book). So I do think you're barking up the right tree, the more I read... I know bloodpanels are a pain, but get every test done that needs doing. You should get some answers from someone, anyone!
 
Yup! The last 12 or so years have Been an absolute blast. Not lol oh and I finally got around to testing my blood sugar levels today with a one touch ultra device. The thing is my sleeping cycle is off again where I'm falling asleep in the afternoon and waking up later in the day. Basically I ate at 11:30am, ended up falling asleep at 2pm and woke up at around 6:30-7:00pm.

Terrible sleep i know...and basically waited to test my blood sugar at 10:00pm. I haven't eaten since 11:30am so that's considered almost 10 hours of fasting.

Anyways I ended up with 5.2 which is considered normal.

Will be testing for the next few or so days before I order that leaky gut test
 
I've already had an endoscopy and the Dr said I had one of the cleanest coles he's ever seen lol also, eczema is a reflection of bad gut health or that's what they say and I've used several types of creams and the best method of taking care of it is just gently rubbing it off in the shower every other day. Going to a dermo wont solve anything or get to the root problem. And I'm currently on no medication.

I could use some hardcore sleeping pills though from an MD right about now. Over the counter stuff does not work on me, melatonin and Valarian root do absolutely nothing either
 
Also it seems like mainstream MDs and specialists don't even consider intestinal permeability or there at least starting to acknowledge it...sort of. I've been there done that with MDS and specialists you name it. They couldn't help me. I'd only go to an MD if I wanted specific testing done
 
Hi @Ryola

The following is speculative, so feel free to take it with a pinch of salt.

You mentioned severe insomnia and may have leaky gut.
Leaky gut is associated with malabsorption.
And magnesium deficiency is associated with insomnia.
See where I am going with this?

My story:
Had a bad gut upset over a year ago that has left me with malabsorption and a fibre ‘intolerance’
Within 2 months of that starting my sleep deteriorated to torture levels. Terrible sleep deprivation.
After 6 months of that I would have chewed my own arm off for a decent night’s sleep.
Then I stumbled across a reference to magnesium and insomnia.
The suggestion was to try tablet supplements unless there were malabsorption problems. In that case use magnesium oil rubbed on the skin.
I got some and used it.
And slept well that night, and every night since.

Magnesium oil comes in many different brands and different price ranges, so (if you are interested) shop around. But a website with good info is the ‘Ancient Minerals’ one.
 
Hmm, used the One touch meter again after fasting for 8 hours prior to waking up. Ended up getting 5.6 this time, where as yesterday morning it was 5.2.

 
If it were me, I'd be wanting to know how much insulin the pancreas is making.
 
Ryola said:
Hmm, used the One touch meter again after fasting for 8 hours prior to waking up. Ended up getting 5.6 this time, where as yesterday morning it was 5.2.

Click to expand...



My wife is non diabetic. A close friend is the same.

Both saw numbers like 5.6

In a few weeks of low carbs, both brought numbers down to 4.8 or a bit lower.


Both feel physically much better

The “healthy” grains were causing issues.

Hang in there!

You’re smart to be looking into this.
 

Yea, people are saying things like white potatoes and grains such as rice can spike your insulin levels aside from being packed with carbs and then there's high glycemic fruit and dried fruit ect.

A week before the test I'm going to reduce my carbohydrate intake to 100g a day, ditch the grains and potatoes and stick with low glycemic fruit like berries ect, while eating fish, meat, eggs, veggies, nuts and seeds.

Oh, and after another 8 hour fast while sleeping, I woke up today and tested myself and got a 5.2

Considering my A1C is normal, along with my kidney and creatine results AND these levels being 5.3, 5.6 and 5.2 I'm assuming I'm in the clear as in I'm not prediabetic but should just reduce carbs and follow the dietary life style for the most part that was mentioned above
 
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