The body reaches high levels of blood sugar during an OGTT because you drink a heavy solution of glucose. It's the time it takes to get back to normal that is measured by the test. It's an artificial way of seeing ho you react to glucose.What is responsible for this condition though? Why is our body letting glucose to reach high levels and then overcompensate with insulin to crash the person? What is it if not diabetes?
The body reaches high levels of blood sugar during an OGTT because you drink a heavy solution of glucose. It's the time it takes to get back to normal that is measured by the test. It's an artificial way of seeing ho you react to glucose.
Was that what you mean?
Hi, you had an extended oral glucose test over four hours.
My second eOGTT, is very similar to yours, but I went lower than your final reading into hypoglycaemic levels.
I too had a fasting levels of 5(ish)
I too had glucose dumping spikes, over 11mmols within the first hour, if not earlier.
I too had good insulin response after the spike and my blood sugar levels lowered into normal levels into a hypo.
I am definitely not saying that you have a different diagnosis, you will need further tests to get a true diagnosis.
But you do have normal fasting levels, what was your last Hba1c?
Have you had any readings of hypo levels?
I have read that some of gestational diabetes symptoms are very similar to RH!
But, doctors would not diagnose this!
Best wishes
Yes. What caused me and him to be LATE to get back down to normal? Is it resistance or not enough insulin, or both ...
Yes, that's how I am trying to eat too. I won't be eating carbs that do that to me anymore. I had to pee like mad during the second half of the GTT after spiking up to 12 or 13.8 at the 1h. I felt what it did to me.It looks like your meter was giving consistent readings. When you get the lab test back you can see how accurate the finger stick readings were. If the finger stick readings near one and two hours were accurate, I would like to know which meter you use.
If really over 11.1 (200) at one hour, then I would definitely be concerned. It doesn’t really matter so much if it is labeled pre-diabetes or diabetes. High spikes that happen frequently can be damaging. Not eating at least 150 carbs daily in the days before the OGTT can certainly alter the results, but it still is your body’s response.
I don’t care if my doctor says my blood sugars are high normal, pre-diabetic or diabetic. I want to avoid any spikes over 7.8 (140). I am trying to keep all high readings below 6.7 (120) while still eating moderate low carb (below 150 grams / day or so).
Yes, that's how I am trying to eat too. I won't be eating carbs that do that to me anymore. I had to pee like mad during the second half of the GTT after spiking up to 12 or 13.8 at the 1h. I felt what it did to me.
My metre was the one they give to gestational diabetic women here in this part of Australia. The brand is Contour next.
Do you always get hypos after a carby meal with reactive hypoglycaemia?
I did have gestational diabetes which to me signifies some kind of underlying issue otherwise every pregnant woman should get it if it were normal.
As far as hypos go, on my home metre, I've seen 3 or 4 readings in the 3s that I can remember over the past 18 weeks. The first was a crash after carbs very early on after diagnosis and while still pregnant.
Another (3.6) was while fasting 14h with only a tiny snack at the 11h mark while also breastfeeding and eating keto.
And again the other morning I had 3.8 close to first thing in the morning and breastfed without eating just to see if it would drop me more ir if my liver would kick in, and 30 and 60 mins later I got 4.2 which seemed to be my liver doing its dawn job.
Otherwise I more often had fasting between 5.1 and 5.6 during pregnancy, for which I was eventually taking 22 units of insulin each night for.
And since giving birth, I was often still getting low 5s but also had some high 4s then the odd 4.6 fasting. Lower fasting levels tend to be between meals for me.
I can remember often getting so hungry I would shake when I was in my 20s and too busy gardening to bother to eat until I was stupidly hungry. So I'm sure I've had mild hypos at different stages. I always had a sweet tooth and this past few months is the only time I've been strict with my diet.
How do they treat reactive hypoglycaemia as an official diagnosis?
I'll probably stick to low carb to be on the safe side from now on anyway. Thanks for flagging that for me. I can tell you the 13.8 reading I got on my own metre during g the GTT certainly didn't feel like a healthy response with all the sudden trips to the toilet to pee for that last hour and neither did the crash afterwards so I still suspect sugars might be a bit of a poison for me now.
Could be either or as you say a combination of the two.. For my results it looks like I got a double insulin boost hence the two peaks in the graph which over compensated slightly and sent my bloods lower than when I started the test.Yes. What caused me and him to be LATE to get back down to normal? Is it resistance or not enough insulin, or both ...
I've seen 0.6 mmol variation in readings on my Contour next with blood taken from the same finger prick.Your Contour Next meter seemed to read 1-2 mmol higher than the labs draws. I have a Contour next and it generally but not always reads higher than my other meter at higher levels - over 6.1 (110) but interestingly consistently reads lower below around 4 (72). I have seen 3.3 (59) on the Contour when the other meter read 3.8 (69). I haven’t yet had the opportunity to compare both meters against labs to see which is closer and if one seems to consistently run high or low.
What does your insulin (/glucose ratio?) look like these days?Could be either or as you say a combination of the two.. For my results it looks like I got a double insulin boost hence the two peaks in the graph which over compensated slightly and sent my bloods lower than when I started the test.
My last fasting insulin (from Oct 2018) was 5.47 with FBG of 4.85 gave me a HOMA IR reading of 1.06.What does your insulin (/glucose ratio?) look like these days?
My last fasting insulin (from Oct 2018) was 5.47 with FBG of 4.85 gave me a HOMA IR reading of 1.06.
"slightly elevated" according to the results that came with it.
Well that certainlyis interesting...
Mine says Fasting Insulin 6.3 mU/L
Fasting P (?) Glucose 4.4 mmol/L
HOMA Index 1.2 (normal if less than 2)
And my fasting glucose at home on waking that morning was 5.0 although my metre may read a point higher because it was higher on all points during the GTT as well.
But even with what they got, it's classed as normal, yet it's a higher number than yours but yours was slightly elevated.
Also my GTT result of 12.1 at 1h and then my own reading at 4h in the 3s with me having thr shakes makes me thing something is a bit off still, but the comment is that it may indicate glucose intolerance. Suggest repeat GTT or HbA1c in one year.
But no dietary advice.
Just that I should start statins.
I saw my doctor again today and asked her to take a look at Dave Feldman's site. I also mentioned the Lean Mass Hyper Responders who have much higher cholesterol than mine but feel confident nothing is wrong if they have done a carotid artery ultrasound and it comes back clear.
She said that ultrasound is only going to find a problem in its late stages and if there is elevated blood cholesterol she believes it will lead to clogged arteries down the track.
So even if I did get s carotid artery scan, she would expect it to come back clear for me but that would not change her mind about me needing statins...
What do you make of that?
That's just current guidelines about how cholesterol works but it might not be right with this new research, right?
She thought I wanted an angiogram... but I had to look up the ones that I heard people use. One is the coronary calcium score and the other is an ultrasound of the carotid artery. She said "you'll come back clear on those because you are young but you still need a statin."This is the exact comment..
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You need a more switched on GP would be my take but as always I have researched and will decide for myself what to put in my body. Statins will never be something I will take. The CT scan is not an ultrasound either so she's not that aware of the scan.
Possibly unnecessary.. as I always say I decide what goes into my body.. the doc is there for advice.I think I'll just ignore it for the time being and look for a low carb doctor.
Your Contour Next meter seemed to read 1-2 mmol higher than the labs draws. I have a Contour next and it generally but not always reads higher than my other meter at higher levels - over 6.1 (110) but interestingly consistently reads lower below around 4 (72). I have seen 3.3 (59) on the Contour when the other meter read 3.8 (69). I haven’t yet had the opportunity to compare both meters against labs to see which is closer and if one seems to consistently run high or low.
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