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Insulin Resistant but perhaps diabetic?
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<blockquote data-quote="phoenix" data-source="post: 296237" data-attributes="member: 12578"><p>I think that I would take anything from the rajeun site with a large pinch of salt. The owner of the site is into pushing injected growth hormones for anti aging <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite56" alt=":shifty:" title="Shifty :shifty:" loading="lazy" data-shortname=":shifty:" /> </p><p> see here for the official diagnosis cut offs</p><p><a href="http://www.diabetes.org.uk/About_us/Our_Views/Care_recommendations/New_diagnostic_criteria_for_diabetes_/" target="_blank">http://www.diabetes.org.uk/About_us/Our ... diabetes_/</a></p><p>Your fasting level is above the cut off point for impaired fasting glucose, 2 hours later your levels are back to normal but as you point out the levels in between are high . The trouble is we can't second guess as to why that is happening.* We aren't doctors and you are obviously already seeing an endo who knows your history. If you were taking the metformin at the time of the test then this would also influence the levels on the test.</p><p></p><p>Metabolic syndrome is normally associated with obesity(or central obesity) There are several slightly different lists of features from different authorities see here:http://en.wikipedia.org/wiki/Metabolic_syndrome</p><p></p><p>Try not to worry about exactly what the test results mean. Have a look at the introductory thread <a href="http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=20&t=17088" target="_blank">viewtopic.php?f=20&t=17088</a>. It gives some basic advice that would be just as applicable to someone with pre diabetes. If you have or are able to get hold of a glucose meter do some testing before and after meals (lots of threads on this).</p><p> I think exercise also plays a very important part in increasing insulin sensitivity so if you are able to do so then it can be really helpful. The recently released NICE guidelines on preventing diabetes stress the importance of some regular physical activity, (minimum of 150 min moderate exercise or 75 min vigorous exercise which can be in short 10 min sessions)</p><p></p><p></p><p> </p><p>*<em> From what I can see there is very little research on what the intermediate points on a glucose tolerance test signify. A study in China in 2006 looked at various curves, including those from people with impaired glucose tolerance/impaired fasting tolerance, diabetes and those with normal fasting and glucose tolerance results. </em></p><p><em>Their study did find people who were not diabetic and also people who did not have impaired fasting or glucose tolerance but who still had relatively high intermediate points This study was only designed to look at what happens, they have no evidence to suggest what this signifies. (they suggested that people with high intermediate points should be followed by their doctors)</em></p><p><em>A paper from Saudi suggested that many of their patients with high one hour levels were those with insulin resistance and the metabolic syndrome. (Both the Chinese study and Saudi observations only included people from the local ethnic group)</em></p><p><em><a href="http://eje-online.org/content/155/1/191.long" target="_blank">http://eje-online.org/content/155/1/191.long</a></em></p><p><em><a href="http://www.ncbi.nlm.nih.gov/pubmed/11744937?dopt=Abstract" target="_blank">http://www.ncbi.nlm.nih.gov/pubmed/1174 ... t=Abstract</a></em></p></blockquote><p></p>
[QUOTE="phoenix, post: 296237, member: 12578"] I think that I would take anything from the rajeun site with a large pinch of salt. The owner of the site is into pushing injected growth hormones for anti aging :shifty: see here for the official diagnosis cut offs [url=http://www.diabetes.org.uk/About_us/Our_Views/Care_recommendations/New_diagnostic_criteria_for_diabetes_/]http://www.diabetes.org.uk/About_us/Our ... diabetes_/[/url] Your fasting level is above the cut off point for impaired fasting glucose, 2 hours later your levels are back to normal but as you point out the levels in between are high . The trouble is we can't second guess as to why that is happening.* We aren't doctors and you are obviously already seeing an endo who knows your history. If you were taking the metformin at the time of the test then this would also influence the levels on the test. Metabolic syndrome is normally associated with obesity(or central obesity) There are several slightly different lists of features from different authorities see here:http://en.wikipedia.org/wiki/Metabolic_syndrome Try not to worry about exactly what the test results mean. Have a look at the introductory thread [url=http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=20&t=17088]viewtopic.php?f=20&t=17088[/url]. It gives some basic advice that would be just as applicable to someone with pre diabetes. If you have or are able to get hold of a glucose meter do some testing before and after meals (lots of threads on this). I think exercise also plays a very important part in increasing insulin sensitivity so if you are able to do so then it can be really helpful. The recently released NICE guidelines on preventing diabetes stress the importance of some regular physical activity, (minimum of 150 min moderate exercise or 75 min vigorous exercise which can be in short 10 min sessions) *[i] From what I can see there is very little research on what the intermediate points on a glucose tolerance test signify. A study in China in 2006 looked at various curves, including those from people with impaired glucose tolerance/impaired fasting tolerance, diabetes and those with normal fasting and glucose tolerance results. Their study did find people who were not diabetic and also people who did not have impaired fasting or glucose tolerance but who still had relatively high intermediate points This study was only designed to look at what happens, they have no evidence to suggest what this signifies. (they suggested that people with high intermediate points should be followed by their doctors) A paper from Saudi suggested that many of their patients with high one hour levels were those with insulin resistance and the metabolic syndrome. (Both the Chinese study and Saudi observations only included people from the local ethnic group) [url=http://eje-online.org/content/155/1/191.long]http://eje-online.org/content/155/1/191.long[/url] [url=http://www.ncbi.nlm.nih.gov/pubmed/11744937?dopt=Abstract]http://www.ncbi.nlm.nih.gov/pubmed/1174 ... t=Abstract[/url][/i] [/QUOTE]
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