Im not Sure

[itsoman]

Hello All

First time on here so sorry if im asking this in the wrong place.

Was diagnosed as a type 2 a few months ago after a visit to the docs for a Urine infection, i handed in a urine sample which they tested for an infection BUT they also found glucose in my urine.

The doctor ordered a fasting blood test which came in at 8.5 SO he ordered another test which came in at 8. ?? cant remember the exact number.

I had no symptoms of diabetes that are mentioned on the different threads on this forum.

Was told that i could control it with diet and exercise, sent to see a dietician and off i went.

I did not eat much sugary stuff anyway so nowt i could cut out there. i am still eating the same diet of LOADS of carbs only really stopped drinking coke etc.

Now i went and got a test meter as i was still not convinced i was diabetic

Most mornings my fasting levels are 6.9 - 7.9

Before food can be 5.5

One hour after food can be upto 11.0 ish and 2 hours after food can be back to 5.5

Now does that sound like a diabetic result??

Apart from Morning fasting im at normal levels the rest of the day, peak one hour after food but by 2 hours can be normal levels.

If i have read other posts correctly then everyone peaks after food SO with this in mind

AM I DIABETIC????????????????

OH when i feel very tired after eating, dont know if this is relevant or not.

Dave

 

[hanadr]

It looks like you need a Glucose tolerance test, because some of what you've written could be diabetic and some is unlikely.. The GTT is diagnostic.

 

[itsoman]

When I was seeing the nurse practioner a few weeks ago I asked for a glucose tolerance test and I was told no as apparently 2 fasting by over 7.0 is a confirmed diabetic.

However the tests I have done at home suggest not

Dave

 

[sugarless sue]

Your morning fasting levels are quite high,probably the dawn effect or maybe what you ate the night before.

 

[itsoman]

Helo Sugarlesssue

What a great name

After about 8pm i dont eat anything, maybe have a cup of tea(no sugar) before bed so im sure itsnothing to do with the night before.

I did read up on this mporning syndrome and tried some cheese etc before bed but the morning numbers did not change.

Think i will insist on a GTT as i really dont think i am diabetic or i would not get the 5.5 results 2 hours after meals, especially as i am on no meds and eating all the high carb things people say not to eat. I just does not make sense.

Thanks for your help
Dave

 

[Jenny]

Try a small snack before bedtime. That sorted the dawn phenomenon for me.

 

[itsoman]

Hello Jenny
Thanks for the reply. As mentioned above i have already tried snacks before bed but this made no difference to the morning levels, which dont really look that high.

To be honest i think that they have made a mistake in my diagnosis as all my daytime levels are normal before meals and do return to normal levels 2 hours after meals, They do peak to about 11 or so 1 hour after meals but from what i can see this is normal and is the case for most people.

I just dont exibit the typical diabetic scenario.

Thankyou
Dave

 

[totsy]

what are u eating when they spike to eleven as that is high for a non diabetic

 

[itsoman]

Hi

I find a sandwich with maybe cheese and ham makes it peak like that especialy if its on Ciabata bread(sorry for the spelling)

Im ok with the suggested culprits of pasta and potatoes, rice and i can eat fruit till it comes out of my ears, which is why i think im not diabetic

Fizzy drinks like coke also spike me but i suspect they spike non diabetics just the same.

Dave

 

[phoenix]

It would be nice to say that the results are not diabetic, but sadly they do fulfil the official criteria.
'Official' criteteria include
random venous plasma glucose concentration › 11.1 mmol/l
or
a fasting plasma glucose concentration › 7.0 mmol/l (whole blood › 6.1mmol/l)
or
two hour plasma glucose concentration › 11.1 mmol/l two hours after 75g anhydrous glucose in an oral glucose tolerance test (OGTT).

These tests have to be repeated (as your doctor has done) if there are no other symptoms, frequently with type 2,there are no other symptoms.

This poster describing a small study of continuous BG measurements in people without diabetes. It shows that only a couple of subjects infrequently reached a BG of 200mgl/dl (11.1mmol )http://professional.diabetes.org/Content/Posters/2007/p0401-P.pdf[/url]

At the moment you are seeing a high peak after eating, though are then able to produce enough insulin to bring the level down. During the fasting period your BG is rising, your liver may be producing more glucose than you need.

The better news is that its been diagnosed now, rather than later,causing 'silent' damage. There are many people who are able to achieve good control with diet and exercise.
It may be that by adding some exercise and by becoming aware of what spikes your BG (the glycemic index and using your meter may help here) you can reduce the peaks. If you are at all overweight, reducing weight by 5% can improve overall BG levels. see http://care.diabetesjournals.org/cg...18e5be9c6a309fb0da74d4f9&keytype2=tf_ipsecsha

 

[Trinkwasser]

Try doing this for a while

http://www.alt-support-diabetes.org/NewlyDiagnosed.htm

only start half an hour after eating and go out to 3 or 4 hours

You may find you spike high, go back to normal around 2 hours and then drop significantly low at three or more hours: "reactive hypoglycemia" which can be an early stage of diabetes where you no longer generate Phase 1 insulin but your Phase 2 response is still quite strong.

Whether you are "officially" diabetic or not isn't the issue: you are no longer "normal" and the eariler you take control of this thing the better your eventual outcome.

reducing carbs to the level where you no longer spike your BG is #1, exercise is #2 as it will help reduce your insulin resistance and make the insulin you still generate go further.

If you haven't had one done see if you can get a Full Lipid Panel and also have a look at your blood pressure, these things travel around in a gang and can all be improved through BG control.

 

[itsoman]

Trinkwasser

Thanks for the information.

Funny you should mention BG dropping low. On a fair number of occasions I do indeed drop to about 3ish Never below 3, I can hit about 11 and then down to 3 at which point i feel a wee bit shakey. Just thought 3 was extra good.

Recent HBA1C HBA1C from a month ago was 5.6. Which also is "normal"

Thanks

Dave

 

[Trinkwasser]

Trinkwasser

Thanks for the information.

Funny you should mention BG dropping low. On a fair number of occasions I do indeed drop to about 3ish Never below 3, I can hit about 11 and then down to 3 at which point i feel a wee bit shakey. Just thought 3 was extra good.

Recent HBA1C HBA1C from a month ago was 5.6. Which also is "normal"

Thanks

Dave

Are we related? <G> my A1c was 5.3 but my spot readings were all over the place. Now I'm at 5.6 but all my most of my spot readings are within normal range. However with the highs I was doing the rapid drops might give me hypo symptoms at over over 5 whereas now I can usually survive down to about 3.5

Thanks to the availability of meters it seems this pattern is not nearly so uncommon as it was previously supposed to be. Try limiting your carbs to small portions and spread out your carb (and food) intake into smaller meals and more snacks and use your meter to feedback how well you are succeeding, and BEWARE that you don't get a psychiatric diagnosis for what is actually a physiological problem (BTDT)

Also be advisable to test before during and after exercise to see what effect that has, my liver is overenthusiastic in providing too much glucose in the morning but goes for a nap in the afternoon. In both cases small boluses of carbs with fat and protein even things out.