Hello friends,
Do any others here only show impaired fasting glucose, but pass the oral glucose tolerance test and have okay HbA1c #s? I have found few recommendations specific to this situation, and am wondering what any others in this boat are doing to try to manage their prediabetes?
Thanks!
That was the position I used to be in, and after several years I was referred to a consultant who said that IFG with normal OGTT results indicates a problem with insulin production (like T1) rather than glucose resistance (like T2). He tested for two things: MODY 2 (also called GCK-MODY or glucokinase monogenic diabetes) and MELAS and MIDD, two forms of mitochondrial diabetes.
MODY 2 is a mild form of IFG characterised by failing fasting glucose tests then acing OGT tests. It is usually non-progressive.
Mitochondrial diabetes is what I turned out to have. Mine involves a very slow deterioration in insulin production, which so far has been treatable by LCHF but will eventually need insulin. One of its features is a deficiency of co-enzyme Q10: as soon as I started taking this (you can get it from supermarkets) my fasting glucose normalised, my daily tiredness vanished and my aching muscles and joints got better. If you have mitochondrial diabetes it is important never to take statins, as they impede Q10 take-up which, on top of an existing deficiency, is dangerous and unpleasant.
I'd recommend talking to your GP about a referral to a diabetes consultant: IFG that goes on for some time without developing into T1 or T2 is an oddity that needs investigation. If you want to try self-help, buy and try some co-enzyme Q10: to me it made such a difference within a couple of days that I knew what the test results would be well before they came back.
Kate