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- Type of diabetes
- Prediabetes
- Treatment type
- Diet only
Thats good in a way that I am not so abnormal lolMy fasting glucose in the morning is almost always the highest reading of the day and that includes 1 and 2 hours post meal. I think this is true for a lot of folks on the forum.
Yes it could be a bit of this also, thank you.Could it be that when you fast your bg levels drop so your liver and muscles help out and release glycogen into your blood which in turn raises your bg levels?
Think this sounds about right, my GP says my numbers are not high, so wont test me, for pre-diabetes, so I shall just cut down on carbs and sugar, and carry on testing.That would be rather typical of being in a pre-diabetes state where we have elevated fasting level > 5.0 mmol. And yet there may still be adequate insulin response to handle moderate post meal glucose except for occasional high carbs meal.
We may want to keep in mind that chronically elevated glucose implies elevated insulin levels. So some of us explore intermittent fasting or multi-day fasting to further improve the fasting glucose levels to < 5mmol.
That would be rather typical of being in a pre-diabetes state where we have elevated fasting level > 5.0 mmol. And yet there may still be adequate insulin response to handle moderate post meal glucose except for occasional high carbs meal.
We may want to keep in mind that chronically elevated glucose implies elevated insulin levels. So some of us explore intermittent fasting or multi-day fasting to further improve the fasting glucose levels to < 5mmol.
Can you explain why a FBG of more than 5mmol/l is regarded as elevated and why we should strive to get it less than 5 when anything up to 5.9 is regarded as a perfectly normal level for non-diabetics?
I guess it is because that is about the level of non-diabetics morning glucose or even lower, non-diabetics have effective insuline that do keep the morning numbers low..
http://www.livestrong.com/article/402873-normal-blood-glucose-range-for-non-diabetics/
'Different countries have different cut off points for pre-d and D.
I believe America classes a fasting reading of over 5.5mmol/l as being pre-D, while here in the UK is it 6.0mmol/l or above.
http://www.diabetes.org/diabetes-basics/diagnosis/?referrer=https://www.google.co.uk/
So really, it all depends on a set of arbitrary decisions by medical advisory panels, who can (and do) change their minds if the cost of dealing with those pre-ds gets too much!
Can you explain why a FBG of more than 5mmol/l is regarded as elevated and why we should strive to get it less than 5 when anything up to 5.9 is regarded as a perfectly normal level for non-diabetics?
I really appreciate this information, kokhongw. I've been living in a bit of a fool's paradise recently, pleased that I could keep my FBS in the fives (with occasional dips into the 4's) most of the time by moderate Low-carbing and (crucially) a minimum of 10,000 brisk steps of on top of incidental around-the-house walking. Now I see that's not that great. I haven't had an "official" (i.e. medical lab) FBS below 5 for over 20 years and had clear signs of insulin resistance (verified by a self-administered 5-hour glucose tolerance test in university as a 33-year-old 'mature student'). I'm now a 75-year-old 'pre-diabetic' determined to stave off type two by diet and exercise alone. I hope it's not too late to do that!The suggestion of FBG < 5.0 mmol came from mainly the following sources.
1) my endocrinologist mentioned that in passing, When my fasting level was significantly reduced from over 10 mmol to < 6 mmol within 1 month of diagnosis. He wasn't impressed...he says I need to go lower...
2) Dr Bernstein had observed the seemingly magical 83mg/dl (4.6 mmol) in normal healthy people for years. more recent CGM studies are showing the same...and I observe this (80-85mg/dl) on my last 3 day fast. RD Dikeman (Typeonegrit) blog mention the target in passing...
https://myglu.org/articles/our-journey-with-the-low-carb-diet-and-the-manual-artificial-pancreas
3) Jenny Rhul - What is normal blood sugar?
4) Chris Kresser - Why your normal blood sugar isn't normal
So basically, like our body temperature, blood glucose may also have a preferred/optimal very tight set point ( 4.6 mmol?) and the body tries hard to maintain that.
. I haven't had an "official" (i.e. medical lab) FBS below 5 for over 20 years and had clear signs of insulin resistance (verified by a self-administered 5-hour glucose tolerance test in university as a 33-year-old 'mature student'). I'm now a 75-year-old 'pre-diabetic' determined to stave off type two by diet and exercise alone. I hope it's not too late to do that!