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Prediabetes Range Questions...

T

Theslingerland

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Good morning!

I have some questions regarding fasted prediabetes levels and how the body deals with it.

I did a test two weeks ago that came in at 6.1 - I know that’s low to some of your numbers I’m reading in here but it’s still in the prediabetes range. It did come as quite a shock to be honest but it makes sense too - I am overweight but I also exercise a lot (8-12 hours of running/swimming/cycling a week)

So, since that test I’ve been eating really properly - three meals a day, fresh veg, meat - cutting carbs etc and continuing to exercise. I’ve dropped from 95kg to 91kg (fairly unsurprisingly) and my daily fasted blood glucose fell from 6.1 to 5.8 and then has sat betwee 5.0 and 4.6 for the rest of the two week - so that all seems good!

Last night I had (alongside some grilled chicken and veg) some fries, a small (333ml) can of 0% alchohol Heineken (I don’t drink) with a small dash of lemonade and 6 squares of Green and Blacks mint dark choc (its relatively low sugar content (24g per 100g) - compared to what I would normally have had as a ‘treat’ this is about a quarter of what I’d normally consume.

This morning my blood glucose was back to 6.1mmol

So - I have two questions, I guess:

1. Is this normal for any person - would what you consume the night before have such an impact on fasted levels or would a ‘normal’ persons body have been able to process what I had last night? Is the fact that I consumed what I did last night and Inhave raised blood sugar indicative that my body isn’t processing sugar OR is it fairly normal?

2. If it is indicative - would there be an assumption that, if I used what I consumed last night as a control (as I know exactly what’s I had) that as I lost weight, my body should be able to process sugar properly? That if I lost another 5kg, for example, and had the same food, that my blood sugar would be lower the next day - OR is this it now - is this where my body is in terms of processing sugar and there’s nothing that I can do.

I hope the questions make sense? I’m determined to make sure that this warning shot doesn’t go unheeded. My Nan died from diabetes - she had it as Ling as I can remember and it was terrible throughout her life - comas, hypo’s, injections, blindness, loss of limbs and eventually death. This isn’t the route I’ll be taking....

Thanks you all for any help you can give!!
 
Welcome to the forum @Theslingerland. Sorry to hear your Nan suffered from diabetic complications and died because of diabetes.
Your fbgs are good, and one slightly higher fbg reading, which is still below 6.9, isn't something you should stress about.
Fbg readings are often the highest of the day. They can be affected by various factors including infecion/illness, stress, tiredness and poor sleep. Also fbgs can be affected by 'Dawn Phenomenon' where your liver dumps stored glucose as you wake to get you going for the day. It's quite common, even for non-diabetics.
 
Hiya - yes, thank you! I’ve had a really good look at all this and couldn’t find the answers to my questions - but my initial tests have been based on the ranges from that very page - here
 

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Prem51 said:
Welcome to the forum @Theslingerland. Sorry to hear your Nan suffered from diabetic complications and died because of diabetes.
Your fbgs are good, and one slightly higher fbg reading, which is still below 6.9, isn't something you should stress about.
Fbg readings are often the highest of the day. They can be affected by various factors including infecion/illness, stress, tiredness and poor sleep. Also fbgs can be affected by 'Dawn Phenomenon' where your liver dumps stored glucose as you wake to get you going for the day. It's quite common, even for non-diabetics.
Click to expand...

Ah - interesting!

So there a better test to do? I based it off the chart that’s I posed above and it sat in the prediabetes range.

Would a pre/post meal comparison be a better thing to do?
 
Yes testing before and 90 minutes after meals would be a better indicator.
 
Prem51 said:
Yes testing before and 90 minutes after meals would be a better indicator.
Click to expand...

Great - ok - thanks!

Is there a protocol you would suggest in regards to which meal if the day or what needs to /needs not to be eaten etc? How long after eating before the meal and what ranges they should be in? I’ll have a hunt for it.

Thanks for the info
 
The ranges are shown in the link in @helensaramay 's post above:

Screenshot 2018-06-16 at 13.36.09.png

ie your reading should be 4 - 5.9 mmol/L before first bite, and no higher than 7.8 at 90-120 minutes after eating. Keep a food diary so you know which foods have raised your bgs over 7.8.
As to which meals you test before and after, some people test around all meals to find out which foods raise their bgs most, at least until they have eliminated the foods which spike them to over recommended level.
If you don't want to test after every meal it would probably be most helpful to test around your main meal of the day.
 
@Prem51 - thank you very much indeed! Really appreciate your help on this - forewarned is forearmed as they say - thank you, I’ll do this from today and see. Many thanks and all the very best to you!
 
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