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Out of curiosity

IMO testing after meals is more important and shows more of what is going on. Fasting tests are one of the last things to show disregulation. That is why people are diabetic before it ever shows up in fasting levels and/or diagnosed. Many people have diabetes long before diagnoses. Dr's go by fasting because people don't have office visits one and 2 hours after they eat so fasting and A1C 's are what they go by. Post meal tells a much bigger story. My fastings were great for years but not pot meals. Again JMO and I think testing any or all never hurts.
 
A bit of an update after continuing high BG levels finally persuaded her to see GP, her appointment was this morning doctor did finger prick test was concerned though did not tell her the reading and considering her symptoms has booked her in on Wednesday for fasting blood test with A1C. He could not believe that of the huge number of blood tests she has had over the years not one included A1C or insulin resistance.
 
Kristin251 said:
I'm sorry but I would be a bit concerned and test again a few times. 10.6 seems high to me. (250ish?) even for a non diabetic and given the family history I would want to nip it in the bud but that is ME.
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The conversion is x18.
So it equates to about 190ish, not 250.

On the high end of 'normal' but not as high as perhaps you are thinking.
 
Brunneria said:
On the high end of 'normal' but not as high as perhaps you are thinking
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correct, not as high as I was thinking but I am also thinking 190 is not normal. For me personally anything over 140 is much to high but we all have our individual goals.

John, Sorry to hear she may be joining the club but better to find out now and I am sure she will feel better after it is taken care of.
 
My previous post got me thinking about Melody's recent blood tests one a couple of months ago when it was done the laboratory that carried out the test phoned her doctor because the result was to urgent to wait for the normal reporting procedure it showed her calcium and vitamin D levels to be dangerously low I did not connect it with Type2 diabetes till I just found this.
"
There appears to be a relationship between insufficient vitamin D and calcium status and t2DM. However, the available human data are limited because most observational studies are cross-sectional while prospective studies have not measured 25-OHD concentration and there is a paucity of randomized controlled trials with vitamin D and/or calcium supplementation specifically designed for outcomes related to t2DM. Although the evidence to date suggests that vitamin D and calcium deficiency influences post-prandial glycemia and insulin response while supplementation may be beneficial in optimizing these processes, our understanding of the exact mechanisms by which vitamin D and calcium may promote beta cell function, or ameliorate insulin resistance and systemic inflammation is incomplete. It is also not clear whether the effects are additive or synergistic.

Future research should focus on studies within prospective observational cohorts to clarify and quantify the association between calcium intake and 25-OHD concentration, rather than self-reported intake of vitamin D, and incident t2DM and define the individual contributions of each nutrient on t2DM risk. Additionally, there is a need for randomized trials to examine the effects of vitamin D and/or calcium supplementation with intermediary endpoints (glucose tolerance, insulin secretion, insulin sensitivity) and ultimately with incident t2DM. The results of future studies will define the clinical role of vitamin D and calcium as potential interventions for prevention and management of t2DM, which will have significant public health implications since vitamin D and calcium insufficiency is common in US adults and both interventions can be implemented easily and inexpensively in clinical practice."

from here http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2085234/
 
JohnEGreen said:
My previous post got me thinking about Melody's recent blood tests one a couple of months ago when it was done the laboratory that carried out the test phoned her doctor because the result was to urgent to wait for the normal reporting procedure it showed her calcium and vitamin D levels to be dangerously low I did not connect it with Type2 diabetes till I just found this.
"
There appears to be a relationship between insufficient vitamin D and calcium status and t2DM. However, the available human data are limited because most observational studies are cross-sectional while prospective studies have not measured 25-OHD concentration and there is a paucity of randomized controlled trials with vitamin D and/or calcium supplementation specifically designed for outcomes related to t2DM. Although the evidence to date suggests that vitamin D and calcium deficiency influences post-prandial glycemia and insulin response while supplementation may be beneficial in optimizing these processes, our understanding of the exact mechanisms by which vitamin D and calcium may promote beta cell function, or ameliorate insulin resistance and systemic inflammation is incomplete. It is also not clear whether the effects are additive or synergistic.

Future research should focus on studies within prospective observational cohorts to clarify and quantify the association between calcium intake and 25-OHD concentration, rather than self-reported intake of vitamin D, and incident t2DM and define the individual contributions of each nutrient on t2DM risk. Additionally, there is a need for randomized trials to examine the effects of vitamin D and/or calcium supplementation with intermediary endpoints (glucose tolerance, insulin secretion, insulin sensitivity) and ultimately with incident t2DM. The results of future studies will define the clinical role of vitamin D and calcium as potential interventions for prevention and management of t2DM, which will have significant public health implications since vitamin D and calcium insufficiency is common in US adults and both interventions can be implemented easily and inexpensively in clinical practice."

from here http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2085234/
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Interesting. I have had a Vitamin D Deficiency as well but diagnosed at the same time as my Type 2. Studies should be interesting Is it a chicken or the egg thing?
 
When I was diagnosed T1 my D was 20. I supplemented 4000iu a day and at 3 months it was 58. This of course was the same time I started insulin. With high BS and not enough insulin nutrients aren't getting into the cells so it kind of makes sense diabetics with high BS would be deficient in various things right? Or wrong?
 
steve_p6 said:
Testing after eating is simply not reliable as it will be affected by too many variables. Even if you go see the GP they will want to do the fasting BG check in the morning. That can then be supplemented with the proper diagnostic tests.

Ps did the same to my partner and she was just above the pre-diabetes levels so now trying to sort that out by low carbing etc.
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Considering that the fasting BG often is the last the to misbehave I think testing after food is a much better indication of impaired glucose metabolism. In my case FBG never went above 6 but I didn't feel like waiting for it do so I asked for other tests and was diagnosed after OGTT.
 
@Kristin251 Yes you could be right though must admit have not absorbed the info sufficiently enough to hazard a guess I will say Melody had been on B12 injections but with her calcium levels so low it they where discontinued as she could not possibly absorb or utilise the B12 and put on a very high dosage of supplement if that doesn't work then it's calcium by intravenous drip
 
Hopefully she will get the full workup - thyroid, the other hormones, metabolic syndrome, PCOS, non alcoholic fatty liver, as well as Diabetes.

She has my sympathy. It is a lot to cope with, for someone so young. So many young people have hormone stuff going on, and excess weight is often a symptom, not a cause.

Hopefully they will track it down, treat it, and she will feel better - being so low in vits (D3) has a massive effect on mood too.
 
Yes she has a lot to contend with one of reasons for her low calcium is Hypoparathyroidism as it seems her Parathyroid glands are defunct.

Ehlers-Danlos syndrome. since childhood but undiagnosed till recently.

And last but not least Nodular prurigo which took a panel of seven consultants to diagnose.

Sorry how could I forget the Fibromyalgia
 
Not meaning to spam my own thread but checked daughter's BG tonight was 11.9 or aprox 214 two hours after eating.
I think it is good she is getting test on wednesday.

But last thing I want is for her to have diabetes on top of everything else so worrying.
 
Galja said:
Now you've got me thinking whether it's the RX for 50,000 a week that is the D2 and the natural capsules are D3 or vice versa. I went off the RX and went on the veg capsules because the literature showed them working better.
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Not sure but my label says D3 is the form that is naturally produced in the body. (Does that mean they harvest it from humans lol)
 
JohnEGreen said:
But last thing I want is for her to have diabetes on top of everything else so worrying.
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John in reality the best thing that could happen is finding this out and getting it under control. Not fun, not good news but finding it sooner rather than later is of course good. Some dietary and exercise adjustments can go a long way for a long time. At the end of the day a diabetic diet is actually healthy for everyone. You are extremely knowledgeable and I have no doubt you will show her the way.

How is she feeling about all this?
 
She is a little scared and worried but she knows it can't be ignored and changes will have to be made to diet and life style but I have already travelled this path and can be her guide. She can join me on my low carb diet for starters that's if the test shows positive I think lowering carbs would be a good thing for most people any way.
 
JohnEGreen said:
She is a little scared and worried but she knows it can't be ignored and changes will have to be made to diet and life style but I have already travelled this path and can be her guide. She can join me on my low carb diet for starters that's if the test shows positive I think lowering carbs would be a good thing for most people any way.
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Completely understandable. She is lucky to have you. I fear giving this to my kids but if I in fact do at least I can show them the ropes of all progressions. Knowing what you already know and being able to share it with her will save her a lot of frustration and time researching. The other big bonus is she will not feel all alone.
 
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