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Prediabetes - newly diagnosed, help appreciated!

themonck

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Hi all

Having been recently diagnosed with early onset cataracts in both eyes, my ophthalmologist referred me for a fasting blood test, to rule out diabetes as a potential cause (I am only 36). My fasting bloods came back within the normal range.

In the meantime I had been intermittently monitoring my blood sugar levels (I had gestational diabetes with my first child so have all of the kit) and found that although my blood sugar levels do tend to be normal upon waking, they fluctuate considerably throughout the day, particularly during my time of the month when my 2 hour post meal reading can be between 10 and 15 mmol.

On this basis, I insisted on a glucose tolerance test which harvested a 2 hour reading of 10.8 mmol - just below the threshold for diabetes. As such I have been labelled as having pre-diabetes and have an appointment with the nurse in a couple of days to have an 'assessment'. Not sure exactly what this will entail but I assume based on my pregnancy experience it will be a brief lecture about diet and exercise and then a 12 month call back for a GTT.

I have so many questions that I don’t believe that the nurse (or even my GP) will be able to answer, such as:
•Should I be worried about how close to 11 my reading was?
•Can it be possible that pre-diabetes caused my cataracts to develop?
•Is it possible for diabetes to be linked to reproductive hormones? I know that it is quite normal for blood sugar to spike during menstruation but I am talking here about impaired or diabetic level readings.
•Should I push for a referral to a specialist or stop worrying, diet, try to do some more exercise and see what happens when I have the next test???

As background:
•My father has type 2 diabetes.
•I had gestational diabetes during my first pregnancy.
•My BMI is around 23.1 and although I am generally slim, I do put on weight around my middle.
•Whilst I am fairly active at weekends - I have two young children and we walk everywhere - I sit at a desk all day during the week and don't exercise.

Throughout my adult life I have experienced the following:
•Extreme tiredness
•Recurrent vaginal thrush (at least one 'bout' every couple of months, sorry for TMI!)
•Hypo-like symptoms 2 or 3 times a month (sudden cold sweat, shaking, weakness, irritability, light headedness etc)

Any advice or guidance you can offer would be greatly appreciated. Thank you all!
 
themonck,
I hope I'm not too late to be of help. Below are some resources I believe to be factual and trustworthy regarding diabetes, diet, weight loss and exercise.
Diabetic Blood Glucose (bg) Control:Save your sight, feet, nerves, kidneys, etc.www.phlaunt.com/diabetes/flyer.pdf www.phlaunt.com/diabetes/ www.diabetes-warrior.net/ Diagnosed with bg of 700+. Off all meds in one month or less.
Diet – Weight & bg Control: Flat stomach! Avoid a heart attack! www.dietdoctor.com/lchf The Science link at the upper right takes you to the many studies that support the advice on this website.
Exercise (Feel better; look better): Amazon: Get Fit While You Sit Torkelson The Men’s/Women’s Health Big Book of
Exercise. Good exercise and diet advice. www.benderfitness.com/ Many workout videos - from beginner to experienced, body-weight to pumping iron. All free.
Kettlebells (Coordinate body & mind): Learn to train with kettlebells safely www.kettlebellmovement.com/kettlebell-workouts/ www.kettlebellmovement.com - Bottom of page. Click on highest number. Work backwards. [You will have to copy and paste the first kettlebellmovement link to get to the proper web page.]

I lost 30 pounds three or four years ago using the diet and exercise recommended in the above resources and have kept it off. The diabetes websites seem to me to have better advice than the general advice that follows "the party line" - the low fat, high carbohydrate diet.

We report bg differently on this side of the pond. Simply divide our numbers by 18 and you have them converted to MMOLs.

Personally, I still walk nearly two miles several times a week but my main exercise is some form of resistance training three times a week. Either body-weight exercises, dumbbell exercises or kettlebells. All of these can be done at home with minimal equipment with no need for trips to the gym, which I see as a waste of time. My resistance training routine takes no longer than 20 minutes a session and I lift nothing heavier than 22 pounds. I'm 74 years old and my balance, posture, and functional strength (my ability to do my daily tasks) are all excellent. As a bonus, all of my joint pains simply disappeared. It doesn't take much lifting to improve your life greatly. This cannot be achieved by "chronic cardio" (walking, jogging, treadmill, etc.). I tried that and my fitness never improved like it has since I started resistance training.

My advice on exercise is to start light and advance slowly. If something begins to hurt, take it back a notch for a time then try again.

I'm sorry there is so much to learn but we're talking about serious health issues for the rest of your life.
 
Last edited by a moderator:
Its great you are being so proactive in regard to your health. I will tag @daisy1 to post you out some great information to read through. Being diagnosed pre diabetic can be considered a wake up call and how you manage it from here on in will determine the outcome for yourself. My father has been pre diabetic for about 3-4 years and I was diagnosed T2 in Feb "14 and since then my brother has also been diagnosed a pre diabetic and at this stage they're both still pre diabetic and I have put my T2 into remission so it is all about the direction you choose to take in regard to your diet and lifestyle changes.
 
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