Not sure what to make of OGTT results

I don't think OGTT results are useful (other than for comparison to previous or future tests) if you are on a very low carb diet since you can become temporarily insulin resistant if you are not eating much carbs. If you are going to do OGTTs for self-comparison, I'd keep monitoring until you get back to pre-test levels and then beyond to see if there is any hypoglycemia.

If you really want to see if you have a non-diabetic OGTT response, then you really should do a few days of "normal" carb intake before the test.

NoCrbs4Me said:

If you are going to do OGTTs for self-comparison, I'd keep monitoring until you get back to pre-test levels and then beyond to see if there is any hypoglycemia.

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I agree.

@AdamJames
Leaving it at 2 hours isn't giving enough information if you are still high. You need to know how long it takes to get back to the start level, and then what happens after that. As I said in my earlier post, I returned to my base level after 2hrs 45 minutes but continued to drop to the low 4's and may well have kept on dropping but for my cuppa. Low 4s are very rare for me. I put this down to too much circulating insulin. The cuppa stopped the drop, and also my liver may have kicked in. I will never know. What I'm saying is, you don't have the full story because you stopped too early.

Your test curve is different to mine, but you do have a weaker first insulin response than some. There can be many reasons for this, insulin resistance, high glucose levels, high circulating insulin, and the difference in how your alpha and beta cells cope with the amount of glucose produced, usually when a meal is eaten how the balance of carbs, protein and fats could slow the amount of glucose and your spike.

This is why certain diabetes meds work, because the meds increase and alter the first insulin response to help lower the spike. Lowering the spike will help in lowering the second insulin response, which can cause the high circulating insulin in some T2s.
The viscous circle of , high circulating insulin, high than normal second insulin response, high insulin resistance and higher than normal blood glucose levels is why many T2s will get fluctuating blood glucose levels, which can progress to really high glucose readings.

To break the circle by eating food that neither exceeds the first insulin response and doesn't trigger the second insulin response, will over time lower both insulin resistance and high glucose levels. No high spikes, the better the insulin response and less fluctuating blood glucose levels.

Interpretation of an OGTT, can decide which meds to use.
Experience and experimentation will help you discover which foods you have an intolerance to other than the actual glucose you take during the test.

NoCrbs4Me said:

I don't think OGTT results are useful (other than for comparison to previous or future tests) if you are on a very low carb diet since you can become temporarily insulin resistant if you are not eating much carbs. If you are going to do OGTTs for self-comparison, I'd keep monitoring until you get back to pre-test levels and then beyond to see if there is any hypoglycemia.

If you really want to see if you have a non-diabetic OGTT response, then you really should do a few days of "normal" carb intake before the test.

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This is why i never do an OGTT on my father ever since he is doing LC and was first diagnosed by having 11.2 at second hours after a 75g glucose load.
Even if a doc ordered it again, i will tell them it wont be accurate as he did not take higher carb three days previously.

DCUKMod said:

Millenium, I am extremely young in my head, but physically, I am "a lady of a certain age". To be honest, age doesn't seem to be a massive hurdle in achieving the sort of results I have, where the person is relatively recently diagnosed, and their body isn't irreparably damaged. Our bodies can be very resilient.

To do what I did, I trimmed back on the carbs and undertook testing. I'm a data monster, so plotted my blood scores, alongside what I had eaten, so that I would identify which foods were my blood sugar rocket fuel. On identifying them, I would decide whether to cut back or ditch them. In essence, I ate to my meter. It so happened that the foods I had to reduce/reject were the usual carb heavy options. During that process, I didn't set out to lose weight, but have trimmed up to become quite a skinny old girl. My visceral fat score is 3.

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I have a lot to learn from you. Your OGTT is very impressive. With this current kind of metabolism, i think u process a normal meal with a upper carb limit of 75g and still maintain normal blood glucose level?

By the way, i was just looking at the fat on my father's waist. Currently, he still has quite a bit of stubborn fat around his waist. He has lost 3" on his waistline and dropped 6kg from the time he was diagnosed D2 two years ago.

DCUKMod said:

Millenium, I am extremely young in my head, but physically, I am "a lady of a certain age". To be honest, age doesn't seem to be a massive hurdle in achieving the sort of results I have, where the person is relatively recently diagnosed, and their body isn't irreparably damaged. Our bodies can be very resilient.

To do what I did, I trimmed back on the carbs and undertook testing. I'm a data monster, so plotted my blood scores, alongside what I had eaten, so that I would identify which foods were my blood sugar rocket fuel. On identifying them, I would decide whether to cut back or ditch them. In essence, I ate to my meter. It so happened that the foods I had to reduce/reject were the usual carb heavy options. During that process, I didn't set out to lose weight, but have trimmed up to become quite a skinny old girl. My visceral fat score is 3.

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Can u share with me your exercise regimen? Thank you.

AdamJames said:

Interesting. How different do you think the curve would look if I was on Metformin for example?

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Not a lot, it would be Indistinguishable from one without metformin. Metformin is the go to meds to protect your organs, and is a long term preventive measure than a quick fix, it does help but the side effects can be counterproductive of lowering blood glucose levels.

I was alluding to the meds that help with insulin production to reduce spikes.