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not diabetic but high post prandial spikes???

W

womaninthegarden

Newbie
I am a 20yo very slim ( 43kg) female with a large family history of diabetes as my mum, dad, grandparents etc. all have diabetes, and I have an Asian background. my hba1c is 27 /4.6%. My fasting glucose is usually 4.1-5.0 mmol max, most commonly 4.6-4.8. However I have large post meal spikes of 9-10 mmol, for example today I ate a potato, and bread with 32g carbs, and I was 7.5 30 mins after and 9.5 1 hour after. However I usually am below 7.8 2.5-3 hours after meals, usually 5.7-6.5. Is this concerning and should I go to a doctor for it, even tho my GP said I don't have diabtes because of my low hba1c but I still think I have insulin resistance or something? Also I had my urine albumin-creatinine ratio tested and my urine albumin was < 5.0 mg/L and Urine creatinine was 2.3 mmol/L. the lab said "Urine Albumin/Creatinine ratio is not available as
urine albumin is below the reportable limit" and my egfr is 136, so I have no kidney damage. I am still very concerned about my post meal spikes tho.
 
womaninthegarden said:
....... Is this concerning and should I go to a doctor for it, even tho my GP said I don't have diabtes because of my low hba1c but I still think I have insulin resistance or something.....
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Your message reads as if your are worried about having Type2 diabetes, because of family history. Yes, families of Asian origin often get Type2 diabetes. However, since your GP has already taken bloods to establish your HbAic reading, and found that you do not have diabetes, take this as an opportunity to keep diabetes at bay by eating mostly low carbohydrate meals. I am guessing that you are of great support to your parents, since you are interested in taking blood glucose readings.
I cannot comment on your urine readings, but perhaps someone else, with more knowledge, will.

Good luck.
 
ElenaP said:
Your message reads as if your are worried about having Type2 diabetes, because of family history. Yes, families of Asian origin often get Type2 diabetes. However, since your GP has already taken bloods to establish your HbAic reading, and found that you do not have diabetes, take this as an opportunity to keep diabetes at bay by eating mostly low carbohydrate meals. I am guessing that you are of great support to your parents, since you are interested in taking blood glucose readings.
I cannot comment on your urine readings, but perhaps someone else, with more knowledge, will.

Good luck.
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thankyou! I have cut out carbs, junk food, milkshakes, etc. alot for a month now, and I want to keep a healthy, fairly low carb diet forever, and avoid potatoes since they are the things that cause me to have spikes upto 10mmol.
 
Antje77 said:
Hi @womaninthegarden , welcome to the forum.
With such a strong family history, has any of your family members ever been tested for MODY?
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no, they have all been diagnosed with type 2 diabetes, and my grandfather died of diabetes complications ( kidney / heart failure) and had leg / finger amputations, so I've seen first hand how scary diabetes can be and trying my best not to develop it, but even tho my hba1c and fasting glucose is very low, I have concerning temporary spikes, so I'm scared I have non-optimal insulin responses, which can lead to type 2 diabetes, so I'm eating a fairly low carb diet now. I think diabetes is super prevalent in my family because, culturally, in my northern Pakistani culture, we eat ALOT of carbs ( wheat naan, rice, lentils, dumplings, pastries) as well as high carb foods like pasta, potatoes, and my family are very sedentary and overweight. I am one of the only non overweight people in my whole extended family, but I'm still showing signs of very early insulin resistance even tho I'm literally 43kg / 90lbs which is kinda annoying, so I think there's definitely a genetic component at play.
 
Hi there @womaninthegarden and welcome to the forum. Years ago (around 25 years ago) my partner and I would test our fasting blood sugars with my mother in law’s meter. Just because we could. I was always in the 4‘s. My partner, who is thinner than I am, around 100lbs soaking wet, would be in the high 5’s. Fast forward to today, my partner, who eats nuts and greens and hardly any carbs at all manages to keep their HbA1c at 5.2% So a great result and not diabetic. Now if my partner eats a single small biscotti cookie, around 15 g carbs, their blood sugar whizzes up to over 13 mmol/s.
My partner’s family have 3 generations of diabetes in the family.
A while back we both did a genetic test for a number of conditions at a private lab. One of those conditions was Type 2 diabetes. My genetic risks score was less than 2%. My partner’s genetic risk for type 2 was 70%. Even with those high risk markers for T2DM my partner is still able to keep blood sugars in the normal range through diet. If it’s MODY and I think my partner is MODY too, then it is a genetic mutation in a autosomal dominant gene. Reducing carbs is the way to go, given my partner’s HbA1c results.
 
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