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maybe prediabetic, help and advice needed please.

Chilisi

Member
Messages
7
hello all,

looking for some advice after some confusion!

i have been monitoring my own blood glucose levels with the accu check plus monitor. 2 hours after eating my levels are 8-9mmol/l and on average 6-7mmol/l after 10 hours of fasting. i know they are not high enough to be diabetes, but prediabetes and insulin resistance has been suggested. are they the same thing?
now, on seeing a gp this week, he dismissed the glucose readings after 2 hours of eating, suggesting they are normal? this goes against everything i have seen and researched over the last few weeks?? but he was concerned about the fasting reading so i'm having my levels checked again at the clinic this wednesday.
along with my symptoms of tiredness after carbs, general fatigue,bad memory, stomach bloated after carb meals and fat around my stomach i can not get rid of, with low fat/carb diets and a very active lifestyle and now the blood glucose readings, i'm worrying i may have some form of diabetes or i'm at risk of it. my grandmother and my cousin have diabetes, which i have just found out also.

advice will be greatly appreciated,

thanks
 
Hi daisy should be along with lots of good info. With regards to your readings they are a bit above normal. I would try and convince your doctor to do an oral glucose tolerence test. This involves you drinling a measured amount of glucose, and they measure your levels after 2 hrs. This will determine your level of glucose intolerence. Also try for an HBa1c test , this will show your average blood glucose levels over the past 3 months.
You are in the best posistion to prevent or reverse any diabetic development. Much better than waiting till you have it and have to live with it for the rest of your life.
I wish you the best of luck. stick to your guns and get a service off your GP.
 
paragliderpete said:
Hi daisy should be along with lots of good info. With regards to your readings they are a bit above normal. I would try and convince your doctor to do an oral glucose tolerence test. This involves you drinling a measured amount of glucose, and they measure your levels after 2 hrs. This will determine your level of glucose intolerence. Also try for an HBa1c test , this will show your average blood glucose levels over the past 3 months.
You are in the best posistion to prevent or reverse any diabetic development. Much better than waiting till you have it and have to live with it for the rest of your life.
I wish you the best of luck. stick to your guns and get a service off your GP.

thanks for replying.

i will see my regular gp next time, as the one i did see, didn't fill me with much confidence.

it is a slight worry, thats why i'm trying to gain as much info possible ans suggestions to give to the doc, next time around.

the other concern i have is how i would handle the prediabetes, if diagnosed. i already lead a healthy lifestyle, with low fat/carb meals and do regular intense exercise. would a drug like metformin be used?
 
As a pre diabetic , you should with diet only control your blood sugar levels. I would certainly be very proactive with bm control. Certainly if you can keep them in normal levels for a few months, you may find thet your glucose intolerence will go away. You may find that you have to adjust your carb intake a little, but it should be a lot easier now rather the leaving things as they are.
If you can afford the test strips, it would be worth testing every hour for a day and graphing the results. You can highlight the meals .Take this with you to the doctors. It will give him alot more information than a few 2 hr post paradial numbers. Would be worth keeping a record of your meals, and if you can work out the carb fat and protien volumes for the meals. This will give you and idea of what raises your bm's and by how much. You will nee to do this if you have to control your diet anyway.
Also learn as much as you can, you are doing exactly the right thing. My hat goes off to you. best of luck.Keep us informed of your progress
 
I agree that your readings are higher than normal, and suggest to me pre diabetes/diabetes. But as paragliderpete says, ask for an HbA1c test which will be pretty definitive - your own meter, like all of the ones we use, are not accurate enough to diagnose ourselves. If you are pre/diabetic, come back to us as there are lots of things you can do to manage it with diet and exercise. Good luck.
 
paragliderpete said:
Hi daisy should be along with lots of good info. With regards to your readings they are a bit above normal. I would try and convince your doctor to do an oral glucose tolerence test. This involves you drinling a measured amount of glucose, and they measure your levels after 2 hrs. This will determine your level of glucose intolerence. Also try for an HBa1c test , this will show your average blood glucose levels over the past 3 months.
You are in the best posistion to prevent or reverse any diabetic development. Much better than waiting till you have it and have to live with it for the rest of your life.
I wish you the best of luck. stick to your guns and get a service off your GP.

Hi Chilisi and welcome to the forum :)
If you do turn out to be pre-diabetic you will need to take precautions to try to avoid the progression to full diabetes. Here is the information we give to new members which in any case I would recommend you follow even if you are not pre-diabetic since your levels are above normal.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS


Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find well over 30,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes ... rains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips
The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
----------------------------------------------------------------------------------------------------------------------------------------------------

Please sign our e-petition for free testing for all type 2's; here's the link:
http://www.diabetes.co.uk/petition/

Do get your friends and colleagues to sign as well.
 
Thanks for the replies so far. It's great to have the support out there and it's put my mind at rest.

I've got the appointment at the clinic Wednesday, so will take it from there.

Thanks again.
 
Chilisi said:
hello all,

looking for some advice after some confusion!

i have been monitoring my own blood glucose levels with the accu check plus monitor. 2 hours after eating my levels are 8-9mmol/l and on average 6-7mmol/l after 10 hours of fasting. i know they are not high enough to be diabetes, but prediabetes and insulin resistance has been suggested. are they the same thing?
now, on seeing a gp this week, he dismissed the glucose readings after 2 hours of eating, suggesting they are normal? this goes against everything i have seen and researched over the last few weeks?? but he was concerned about the fasting reading so i'm having my levels checked again at the clinic this wednesday.
along with my symptoms of tiredness after carbs, general fatigue,bad memory, stomach bloated after carb meals and fat around my stomach i can not get rid of, with low fat/carb diets and a very active lifestyle and now the blood glucose readings, i'm worrying i may have some form of diabetes or i'm at risk of it. my grandmother and my cousin have diabetes, which i have just found out also.

advice will be greatly appreciated,

thanks


My fasting glucose today well over 12 hours was 5.8mmol/l.

Think I better just wait until I go clinic. I'll be driving myself insane by then.
 
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