Reply to Thread

Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2025 »

Message: <blockquote data-quote="kitedoc" data-source="post: 1861557" data-attributes="member: 468714">Hi [USER=488380]@Pakmoto[/USER], See if you can find via Google 'pictures of prediabetes or T2D 'Oral Glucose Tolerance Tests' (OGTT) preferably also ones showing insulin curves to compare with blood sugar curves".For an OGTT my understanding is that: a person who has eaten carbs and a full diet for several days beforehand arrives fasting, has blood taken for glucose (+/- insulin depending on what the doctor is ordered and what is allowed under health system financial restraints)!), then given glucose solution to drink and has blood taken at hourly intervals. For testing for pre-diabetes or T2D usually the pre-glucose, one and two hour after glucose intake readings are taken. These may show a normal or above normal pre-glucose reading and either a glucose level at 2 hours above normal but below diabetes level (pre-diabetes), or blood sugar into the diabetic range (usually T2D, with some provisos) AND in both cases a 2 hour insulin level above normal.  So this is interpreted as showing that the person's pancreas gland is putting out extra insulin, but too late, to attempt to control the blood sugar level.If one continues the blood testing beyond the 2 hour mark to say 4 hours at every 1/2 hour, what may emerge is that the larger than normal. late insulin release mentioned above may be enough to send the blood sugar level (BSL) falling by say, the 3, 3 1/2, 4 hour level to hypoglycaemic levels.  And if you think about it, if you and eating your meals, having higher than normal blood sugars at 2 hours followed by a hypo at the 3, 3 1/2 to 4 hour mark, you will be tempted to eat more to deal with the hypo, and so the cycle continues.Logically, by eating less carbs for a meal may lead to less high BSL, less high insulin release and less likelihood of a hypo later.I am not intending to describe the separate, sometimes mixed phenomenon of Reactive Hypoglycaemia.I hope sans pictures on site here that the above makes some sense. Late hypos after meals could be part of pre-diabetes or T2D (and some other variants, not discussed here). Best Wishes.</blockquote>

Verification

Top Bottom

Search

Search

Reply to Thread