hose1975
Well-Known Member
Some background: I suspect that I'm heading towards prediabetes at a rate of knots as my last three monthly self administered FBG tests all came back at 7.0 mmol/l or slightly higher. However, my postprandial results are still bang on normal at the two-hour mark. I have a BMI of 22, run three times per week and walk at least half an hour per day on the days when I'm not running (inclement weather notwithstanding). My carb intake is not very low, but neither is it spectacularly high (around 150g / day). My blood pressure is normal, as are my cholesterol readings. I've had gestational diabetes twice and was not able to control by diet either time, so had to inject insulin (starting at 17 weeks the second time). I am currently 38, have one autoimmune disease and my dad was diagnosed with type 2 diabetes in his late fifties.
I will be seeing my GP soon about this, but would like to engage in some hypotheticals.
Now for the questions:
1) Reading suggests that treatment for IFG consists mostly of lifestyle changes, to reduce weight, control blood pressure, etc. Since none of these apply to me, what could I do?
2) Would injecting a small dose of basal insulin be a viable option to discuss? I've also read that metformin is the medication of choice for IFG as well as IGT but would that mess up my naturally produced insulin during the rest of the day (i.e. cause hypos)?
3) Have any of you had IFG to the extent that you should have been diagnosed with diabetes (i.e. fasting reading over 7 mmol/l on two or more separate occasions) but maintained rock-solid glucose control postprandially without intervention? If so, did it progress to any type of full-blown diabetes (either type 2 or LADA, I'm guessing)?
4) Is this really anything to worry about at all? (Probably should have been the first question!)
Looking forward to your answers!
Jo
I will be seeing my GP soon about this, but would like to engage in some hypotheticals.
Now for the questions:
1) Reading suggests that treatment for IFG consists mostly of lifestyle changes, to reduce weight, control blood pressure, etc. Since none of these apply to me, what could I do?
2) Would injecting a small dose of basal insulin be a viable option to discuss? I've also read that metformin is the medication of choice for IFG as well as IGT but would that mess up my naturally produced insulin during the rest of the day (i.e. cause hypos)?
3) Have any of you had IFG to the extent that you should have been diagnosed with diabetes (i.e. fasting reading over 7 mmol/l on two or more separate occasions) but maintained rock-solid glucose control postprandially without intervention? If so, did it progress to any type of full-blown diabetes (either type 2 or LADA, I'm guessing)?
4) Is this really anything to worry about at all? (Probably should have been the first question!)
Looking forward to your answers!
Jo