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Apologies in advance for a long post, but I think this is a great community and I would really appreciate some advice. I am a 46 year old woman, 51kgs and 166cm, definitely not overweight. I have Sjögren’s syndrome which causes me a lot of neurological complications such as nerve pain, thermoregulatory problems, digestive problems, autonomic issues such as very low blood pressure. I have various other health issues such as early menopause, osteoporosis, reflux and other things I can’t always remember, brain fog is another.
Anyway, I see I fantastic endocrinologist for my osteoporosis, and last year investigating episodes of weakness and shakiness and lack of concentration I did an OGTT. The results were:
Fasting 4.6 nmol
1 hour 11.7 nmol
2 hour 8.7 nmol
Also, I nearly passed out driving after this test, I wasn’t told to eat anything. I also had CGM for 5 days which showed lows of 3.1 and highs of 15, but very much a roller coaster.
So it was determined pre diabetic level, three months later I did another, this time I had my own meter and took readings at the appropriate time, however the person taking my blood at the second test took the 2 hour reading 15 minutes late. I took a reading on my meter at the correct time and there is a large discrepancy.
Lab results:
Fasting 5 nmol
1 hour 12.1 nmol
2 hour 7.6 nmol
My meter
Fasting 5 nmol
1 hour 12.9 nmol
2 hours 11.8 nmol
3 hours 3.8 nmol
3 hours 15min 3.4 nmol
I understand there’s a difference between finger prick blood tests and lab results but I wonder what would have been if it had been done at the correct time. My fasting c peptide is consistently low, 0.4 (0.8-3.4). I have been tested for lada which is negative. My Mum has type 2 diabetes. The current treatment is a low GI diet and I see a dietitian for this.
Lately I have been experiencing some random lows even after eating a low GI meal within three hours. Also, I feel hypoglycaemia symptoms at times when when blood glucose is in the low fours, is it possible to feel symptoms at these levels or is it maybe a meter error? I wonder if there may be an element of reactive hypoglycaemia and maybe I should request a longer OGTT?
I’m thoroughly confused, when my blood sugar is playing up and my blood pressure drops it’s a perfect storm. I’m also concerned given my nerve damage. Any advice would be much appreciated.
Anyway, I see I fantastic endocrinologist for my osteoporosis, and last year investigating episodes of weakness and shakiness and lack of concentration I did an OGTT. The results were:
Fasting 4.6 nmol
1 hour 11.7 nmol
2 hour 8.7 nmol
Also, I nearly passed out driving after this test, I wasn’t told to eat anything. I also had CGM for 5 days which showed lows of 3.1 and highs of 15, but very much a roller coaster.
So it was determined pre diabetic level, three months later I did another, this time I had my own meter and took readings at the appropriate time, however the person taking my blood at the second test took the 2 hour reading 15 minutes late. I took a reading on my meter at the correct time and there is a large discrepancy.
Lab results:
Fasting 5 nmol
1 hour 12.1 nmol
2 hour 7.6 nmol
My meter
Fasting 5 nmol
1 hour 12.9 nmol
2 hours 11.8 nmol
3 hours 3.8 nmol
3 hours 15min 3.4 nmol
I understand there’s a difference between finger prick blood tests and lab results but I wonder what would have been if it had been done at the correct time. My fasting c peptide is consistently low, 0.4 (0.8-3.4). I have been tested for lada which is negative. My Mum has type 2 diabetes. The current treatment is a low GI diet and I see a dietitian for this.
Lately I have been experiencing some random lows even after eating a low GI meal within three hours. Also, I feel hypoglycaemia symptoms at times when when blood glucose is in the low fours, is it possible to feel symptoms at these levels or is it maybe a meter error? I wonder if there may be an element of reactive hypoglycaemia and maybe I should request a longer OGTT?
I’m thoroughly confused, when my blood sugar is playing up and my blood pressure drops it’s a perfect storm. I’m also concerned given my nerve damage. Any advice would be much appreciated.