Pre-diabetes: higher glucose in the morning than 2 hours after lunch.

[plantae]

It's pre diabetes, isn't it? I was told it should be below 5.6 when fasting.

We're not allowed to diagnose. But if I was you I'd be getting a second opinion

 

[saky]

I've significantly reduced sugar. Can food like walnuts or almonds help? I l have started eating them because I read they can be beneficial to reduce glucose in the blood. I have stopped eating things like grapes.
I eat only natural yogurt with low sugar and rarely eat anything sweet. I used to drink juice and Coke from time to time and now I have basically removed the first and drink Coke once a week only. I do eat pasta from time time. It's hard to remove that as well but when I do so I avoid bread. What's cgm?

walnuts and almonds are good. They are low carb.
Even drinking coke once a week can affect sugar levels as it did mine. I had to completely eliminate all fruits and now eat only berries like straw berry, blue berry, goose berry, wood apple etc...
Pasta is also high carb but you can try low carb pasta(made of cheese and eggs) or zucini noodles, even low carb almond bread is a good substitue.
CGM is continuous glucose monitor, example freestyle libre. It can give blood glucose values every minute or 5 minutes.

 

[plantae]

Doesn't diabetes start from 7 mmol/l when fasting?
That is what confuses me. My GP told me that above 5.6 it's already pre-diabetes, and 7 is diabetes and told me I am too close to prediabetes values.

I'm not allowed to diagnose, but I think that I'm allowed to say that when I was was diagnosed my fasting BSL was between 22 and 27 mmol/L.

"Normal blood glucose level (tested while fasting) for non-diabetics is between 3.9 and 7.1 mmol/L. The global mean fasting plasma blood glucose level in humans is about 5.5 mmol/L" (https://en.wikipedia.org/wiki/Blood_sugar_level#Normal_value_range) (that's not a diagnosis, it's just a quote from wikipedia which for all I know might be wrong. What I'm asking is have you asked for a second opinion?) Is 5.8 pre-diabetes?

 

[plantae]

I've re-read all the articles I know of. 5.5 mmol/L is an average. Anything in the 5s or even low 6's when fasting seems to be normal. If possible can I have a link for a study where it says that a fasting BSL of 5.8 is considered pre-diabetes?

 

[EllieM]

One of the issues here is that though the definition of diabetes seems to be standardised worldwide at a hba1c of 48mmol/L or 6.5%, the level for prediabetes seems to vary country to country. Also, some countries do it more hba1c, others by fasting blood sugars.

Add in the fact that home meters are only required to have an accuracy of +-15% and a reading of 5.8mmol/L could be anything from 5mmol/L to 6.8mmol/L . (Or outside this range if you have a bad testing strip or contamination on your hands).

Here's a link from this website, so it is referring to UK standards

Normal and Diabetic Blood Sugar Level Ranges

Normal blood sugar ranges and blood sugar ranges for adults and children with type 1 diabetes, type 2 diabetes and blood sugar ranges to determine diabetes.

www.diabetes.co.uk

[
@plantae I'm not sure if the prediabetes levels are the same in Australia as the UK, I know they are not quite the same in New Zealand as the UK. (NZ has prediabetes at 41, while I think the US and Canada start it at 39).
]

It seems to me (disclaimer I'm not a doctor) that the whole point of prediabetes is to signify that you are at a higher risk of getting full blown diabetes, so it's not surprising that it's a little arbitrary where the cut off points are.

But I'm not really in a position to comment too much on this, since I was diagnosed T1 as a child, and so have no personal experience of the issue.

 

[KennyA]

That's what I don't understand. Yesterday I had the same meal, and today glucose is 5.8

I'm tempted to say "so what"? That is still a normal reading. The fingerprick reading is a one-off, the meter is subject to a potential 15% error, and there are a large number of other potential factors that might slightly affect your precise BG level.

As I understand it, if you were returning a fingerprick reading of 11 or more then that would warrant further investigation. I'm going to attach the same picture again that shows a reading of 5.8mmol/l is not problematic. The scale at the lower side - in mmol/l - is the one used for fingerpricks in the UK.

As you know, we can't diagnose on here, but I cannot see anything in what you've said so far that would make me say "go and talk to your doctor about T2 diabetes".