FBG going up but all else ok?

[stuffedolive]

I've been diagnosed T2 for around 20 years and have kept my Hba1c in the low-mid 40's all that time through diet & exercise (no meds). My FBG as always been a bit high 5s-6s though.
Recently though, over the last couple of years it has jumped to 7s and 8s with only the occasional 6. My post-prandial readings have remained good though, usually inside the non-diabetic range unless i've been very naughty and then still less than a 10 after 2hrs.
I'm a little concerned that these raised FBG figures are going to push up my Hba1c - my last one was 50, my highest ever - and that the GP is going to start suggesting meds, which I am keen to avoid if at all possible.

Has anyone else had experience of rising FBG without raised numbers elsewhere?

 

[Blip22]

I've been diagnosed T2 for around 20 years and have kept my Hba1c in the low-mid 40's all that time through diet & exercise (no meds). My FBG as always been a bit high 5s-6s though.
Recently though, over the last couple of years it has jumped to 7s and 8s with only the occasional 6. My post-prandial readings have remained good though, usually inside the non-diabetic range unless i've been very naughty and then still less than a 10 after 2hrs.
I'm a little concerned that these raised FBG figures are going to push up my Hba1c - my last one was 50, my highest ever - and that the GP is going to start suggesting meds, which I am keen to avoid if at all possible.

Has anyone else had experience of rising FBG without raised numbers elsewhere?

I'm assuming you're referring to Fasting blood gucose (FBG). Maybe if you ate a low carb meal, and nothing sweet for supper followed by some water, several hours before you went to bed, so as to not need to be getting up for the loo at night, you might find that helps bring the FBG down, then the other thing is to check your renal function has not deteriorated. Best Wishes

 

[stuffedolive]

I'm assuming you're referring to Fasting blood gucose (FBG). Maybe if you ate a low carb meal, and nothing sweet for supper followed by some water, several hours before you went to bed, so as to not need to be getting up for the loo at night, you might find that helps bring the FBG down, then the other thing is to check your renal function has not deteriorated. Best Wishes

Yes FBG - fasting blood glucose. I have been low carbing for years and avoid sweet things unless I just did like an hour's running race. I don't need the loo in the night. The issue is that my FBG has been raised but steady in the 5-6 range for a decade and has only recently (last year or two) jumped to a new steady state of 7-8 - everything else has remained more or less the same i.e. diet, exercise and post-prandial BG numbers.

 

[Ronancastled]

First of all I congratulate you on your 20 years in remission without meds, that's the inspiration that many of us come here for.
You'll know all about dawn phenomenon.

So in response to pre waking glucose your pancreas would produce an equal insulin response.
Perhaps age, perhaps sensitivity, who knows, I think this happens to non-diabetics too.

I know your med adverse but a bit of Met might work for your here

 

[stuffedolive]

...
You'll know all about dawn phenomenon.

So in response to pre waking glucose your pancreas would produce an equal insulin response.
Perhaps age, perhaps sensitivity, who knows, I think this happens to non-diabetics too.

I was wondering whether waking twice (around 4am and 7am) might generate a double dawn-phenomenon, and thus an increase in FBG ? I think I have been doing more of this recently ....

 

[Ricmel]

I find the best way to avoid the dawn phenomenon is to eat a small snack just before you go to bed. Half a banana works well.

 

[OB87]

I find the best way to avoid the dawn phenomenon is to eat a small snack just before you go to bed. Half a banana works well.

Yes I agree with this. I'm not normally that concerned about fasting levels but during recent pregnancy I had strict targets to aim for and sometimes needed a snack before bed, abit of cheese spread on a low carb cracker and my fasting levels were usually back in the 4s by morning.

 

[stuffedolive]

I find the best way to avoid the dawn phenomenon is to eat a small snack just before you go to bed. Half a banana works well.

Yes I agree with this. ... a snack before bed, abit of cheese spread on a low carb cracker and my fasting levels were usually back in the 4s by morning.

I have experimented with this, but for me there didnt seem to be any link between bedtime snacks and FBG.

I'm now suspecting that since Covid there may have been a change to the quality and/or timing of my exercise - rather than total exercise. I need to review my diaries ...