What does this mean?

[beth26]

Hi I'm new had my GTT last Tuesday and got this letter through the post Friday saying my fasting reading was 4.0 mmol/l and 2 hours after 10.6 mmol/l does this mean I have pre diabetes many thanks Xx

 

[gangadharan_nair]

Hi I'm new had my GTT last Tuesday and got this letter through the post Friday saying my fasting reading was 4.0 mmol/l and 2 hours after 10.6 mmol/l does this mean I have pre diabetes many thanks Xx

You may have Prediabetes ie., Impaired Glucose Tolerance.i.e., 7.7 mmol/L to 11.1 mmol/L

 

[Bluetit1802]

What should the OGTT results be?
People without diabetes

• Fasting value (before test): under 6 mmol/L
• At 2 hours: under 7.8 mmol/L

People with impaired glucose tolerance (IGT)

• Fasting value (before test): 6.0 to 7.0 mmol/L
• At 2 hours: 7.9 to 11.0 mmol/L

Diabetic levels

• Fasting value (before test): over 7.0 mmol/L
• At 2 hours: over 11.0 mmol/L

http://www.diabetes.co.uk/oral-glucose-tolerance-test.html

Your fasting test was 100% normal
The 2 hour level is a bit iffy and in the pre-diabetes range.

Has your doctor suggested more tests?

 

[raun01]

It might be the Prediabetes, but not conclusive

 

[beth26]

Thank you for getting back to me, just had my doctor appointment and I have another test booked for 3 months time and was told just to change my diet as it could lead to type 2 if I'm not careful Xx

 

[Bluetit1802]

Thank you for getting back to me, just had my doctor appointment and I have another test booked for 3 months time and was told just to change my diet as it could lead to type 2 if I'm not careful Xx

Your doctor is right to tell you to examine your diet. Diet is the key to controlling blood sugar levels.
Have a good read round the forums and see how we are managing our diets, and take very good note of the role of carbohydrates. (They all turn to glucose once inside the system). It would be a good idea for you to buy your own glucose meter so you can keep a sharp eye on things - testing before you eat and 2 hours after first bite.

I'm also tagging @daisy1 who has very useful information for newcomers.

 

[beth26]

Thank you Bluetit1802 X

 

[daisy1]

@beth26

Hello Beth and welcome to the Forum Here is the Basic Information we give to new members and I hope it will be useful to you. Ask more questions when you need to and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

• Reduce your carbohydrate intake
• Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes

• Before meals: 4 to 7 mmol/l
• 2 hours after meals: under 8.5 mmol/l

Blood glucose ranges for type 1 diabetes (adults)

• Before meals: 4 to 7 mmol/l
• 2 hours after meals: under 9 mmol/l

Blood glucose ranges for type 1 diabetes (children)

• Before meals: 4 to 8 mmol/l
• 2 hours after meals: under 10 mmol/l

However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

• structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
• self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all free.

• Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
• Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.

 

[Mrsl77]

I had a ogtt here are my results. Can any one advise what is happening and what it means?

Fasting blood 6.4
One hours 13.8
Two hour 16.3

 

[Bluetit1802]

I had a ogtt here are my results. Can any one advise what is happening and what it means?

Fasting blood 6.4
One hours 13.8
Two hour 16.3

It means you have diabetic levels of blood glucose.


http://www.diabetes.co.uk/oral-glucose-tolerance-test.html

What should the OGTT results be?
People without diabetes

• Fasting value (before test): under 6 mmol/L
• At 2 hours: under 7.8 mmol/L

People with impaired glucose tolerance (IGT)

• Fasting value (before test): 6.0 to 7.0 mmol/L
• At 2 hours: 7.9 to 11.0 mmol/L

Diabetic levels

• Fasting value (before test): over 7.0 mmol/L
• At 2 hours: over 11.0 mmol/L

 

[Mrsl77]

It means you have diabetic levels of blood glucose.


http://www.diabetes.co.uk/oral-glucose-tolerance-test.html

What should the OGTT results be?
People without diabetes

• Fasting value (before test): under 6 mmol/L
• At 2 hours: under 7.8 mmol/L

People with impaired glucose tolerance (IGT)

• Fasting value (before test): 6.0 to 7.0 mmol/L
• At 2 hours: 7.9 to 11.0 mmol/L

Diabetic levels

• Fasting value (before test): over 7.0 mmol/L
• At 2 hours: over 11.0 mmol/L

Do you think I should repaet the test?

 

[Bluetit1802]

Do you think I should repaet the test?

Did the doctor do this test or did you do your own at home?

 

[Mrsl77]

Did the doctor do this test or did you do your own at home?

I did it myself at home

I have had pregnancy diabetes three times and my dad ,brother and husband are type two.

Out of curiosity really I checked my fast bloods when my husband did and was getting reading of 6.7, 6.8 and 7.1.

So then was worried and checked before and two hours after meals and was getting 8:3 ,9s and 10.1

My dad and brother are telling me I should see a doctor. But then saw a post on here about the ogtt. So I carried that out at home. Don't know if I should be worried or not

 

[Bluetit1802]

I did it myself at home

I have had pregnancy diabetes three times and my dad ,brother and husband are type two.

Out of curiosity really I checked my fast bloods when my husband did and was getting reading of 6.7, 6.8 and 7.1.

So then was worried and checked before and two hours after meals and was getting 8:3 ,9s and 10.1

My dad and brother are telling me I should see a doctor. But then saw a post on here about the ogtt. So I carried that out at home. Don't know if I should be worried or not

Your dad and brother are right. Having had gestational diabetes 3 times, and the strong family history, you are a prime candidate for T2. Your levels are all indicative of diabetes so you need to see the doctor and ask for the usual diagnostic tests. The sooner the better.

 

[Mrsl77]

Your dad and brother are right. Having had gestational diabetes 3 times, and the strong family history, you are a prime candidate for T2. Your levels are all indicative of diabetes so you need to see the doctor and ask for the usual diagnostic tests. The sooner the better.

I have a nhs health check on Wednesday cos I'm now over 40. I'll ask the nurse if she can do a test