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Pre-Diabetes since mid July


Thanks. I was on this forum 2 years ago and my Dr didn't see any signs of Pre Diabetes but I had my doubts. My problem is I've always been a carb muncher eating the hidden sugars in every form of convenience food. Couple that with soft drinks with sweeteners that increase insulin. It wasnt until I had a nervous breakdown and a uniary tract information wiped away all my autistic coping mechanisms (aspergers type here hello) that I developed a fresh look at life and found sweet foods to be .... well too SWEET! I can't even eat chocolate since it reacts badly in my mouth and gives me a horrible taste. When I was younger I literally was so picky with food.

Glad im not a slave to food any more. I eat purely to keep energized.

I think my only regret is not being able to enjoy a nice cup of Tea but time will tell. Lost 2 lbs in the last 48 hours. Going fast all the way to 12 noon and then break it with a light breakfast today .... something to do with eating 600g of Spinach unknowingly yesterday. Frozen Spinach hides its mass.

The outcome isn't going to be pleasant ....... part of KETO i guess ..... being bloated and then running to the bathroom screaming ..... get out the way!
 
Thanks Alexandra, for reminding me you don't need the weight lost and possibly pre-LADA. I had forgotten Yes, as you point out, my post probably won't apply to you.
 
TheFloppyOne said:
caffeine just makes me ill. Tea has caffeine in it. for that reason i dont touch it.
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Not bad. Similar to US Brand Teeccinno but much cheaper.
https://teeccino.com/product/dandelion-dark-roast-herbal-coffee-tea-bags-2/
 
Alexandra100 said:
I'm going to try and get my GP to send me for a C-peptide test.
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Update: I saw my GP this morning. She is only allowed to send me for a C-peptide test if I am suffering from uncontrollable hypos. She suggested I get one done privately but my enthusiasm for this waned when I found out that it would cost me £159.25.
 
Bluetit1802 said:
Hypos or hypers? Hypers would make more sense to me.
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Hypos. If you read the NICE guidelines, they are extremely preoccupied with hypos. However I found this:

"1.1 Diagnosis and early care plan
Diagnosis
1.1.1 Diagnose type 1 diabetes on clinical grounds in adults presenting with hyperglycaemia, bearing in mind that people with type 1 diabetes typically (but not always) have one or more of:
  • ketosis
    rapid weight loss
  • age of onset below 50 years
  • BMI below 25 kg/m2
    personal and/or family history of autoimmune disease. [new 2015]
  • 1.1.2 Do not discount a diagnosis of type 1 diabetes if an adult presents with a BMI of 25 kg/m2 or above or is aged 50 years or above. [new 2015]

1.1.3 Do not measure C‑peptide and/or diabetes‑specific autoantibody titres routinely to confirm type 1 diabetes in adults. [new 2015]

1.1.4 Consider further investigation in adults that involves measurement of C‑peptide and/or diabetes‑specific autoantibody titres if:
  • type 1 diabetes is suspected but the clinical presentation includes some atypical features (for example, age 50 years or above, BMI of 25 kg/m2 or above, slow evolution of hyperglycaemia or long prodrome)
    or
    type 1 diabetes has been diagnosed and treatment started but there is a clinical suspicion that the person may have a monogenic form of diabetes, and C‑peptide and/or autoantibody testing may guide the use of genetic testing
    or
  • classification is uncertain, and confirming type 1 diabetes would have implications for availability of therapy (for example, continuous subcutaneous insulin infusion [CSII or 'insulin pump'] therapy). [new 2015]

  • 1.1.5 When measuring C‑peptide and/or diabetes‑specific autoantibody titres, take into account that:
  • autoantibody tests have their lowest false negative rate at the time of diagnosis, and that the false negative rate rises thereafter

  • C-peptide has better discriminative value the longer the test is done after diagnosis

  • with autoantibody testing, carrying out tests for 2 different diabetes‑specific autoantibodies, with at least 1 being positive, reduces the false negative rate. [new 2015]"
 

So do you feel you fall into that category? Are you going to push for the test, with that quote from NICE?
 
Bluetit1802 said:
So do you feel you fall into that category? Are you going to push for the test, with that quote from NICE?
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I suppose I do score as being over 50 and also showing a slow evolution of hyper-glycaemia. However I think my GP is constrained by local rules which seem to override Nice recommendations. I don't know anything about how this works. Also I suspect they would all say that I don't suffer from hyper-glycaemia - yet.
 
Alexandra100 said:
Good idea, I'll bear it in mind for next summer.
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I'm going to get an insulin resistance check done when I get my HbA1c & Lipids done week after next so i'll let you know if I'm successful in getting my medichecks vial filled..
 
Alexandra100 said:
Good idea, I'll bear it in mind for next summer.
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My surgery refused to fill a vial for me on the grounds they weren't insured, in case anything went wrong. I was, however, given the details of a local private GP who would draw the blood for me at negligible cost. I never made it as other events overtook me (ended up in hospital for unrelated episode)
 
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