1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2022 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

What was your fasting blood glucose? (with some chat)

Discussion in 'Diabetes Discussions' started by NewdestinyX, Jun 30, 2011.

  1. cugila

    cugila · Master

    Messages:
    10,272
    Likes Received:
    103
    Trophy Points:
    118
    I've been reading the posts here for a while now and whilst it's interesting to see what levels people have when they wake up I really don't see what the point is other than the 'feelgood' factor for people ?

    A fasting level, whether in the morning when waking or pre-meals is just that an indicator of the level when you are not putting your Pancreas to the test. Simply a baseline for the day or before your meals.

    Yes, it might indicate that you are suffering the effects of the Dawn Phenomenon, it might also indicate other things such, as you ate a load of 'bad stuff' the previous evening, that you are going down with something, or for the ladies, the time of the month. There are so many things that will affect your Bg levels it is very difficult to pin it down to one particular thing other than by trial and error.

    Checking your fasting level is only one small part of an individuals personal Diabetes control, you also need to test post meals as well, 1 hr, 2 hrs maybe even 3 or 4 hrs depending on the type of food that you have eaten........THAT is what is more important, especially to newly diagnosed who look here and will probably think because they have a waking level of 5 or so that everything is just fine ........It isn't and never will be so.

    The advice to test fasting levels comes from some HCP's who seem to think that is all a diabetic needs to know, that and a HbA1c every so often. As I and Sue have often posted here that sort of thinking is bad advice, for the reasons shown above.

    An example :
    I have a friend who only tests a fasting level when he gets up.....always it is 5/6 mmol/l.....he is also on Insulin. He hasn't had an HbA1c in about 12 months because his Practice Nurse and GP who fancy themselves as 'Diabetes Specialists' tell him he doesn't need one yet. They both have an 'interest' in Diabetes. They have both told him he is 'well controlled'........now I could see just by looking at him that he was anything but well controlled........he has difficulty walking because of nerve pains and lack of energy, eyesight problems, ulcers on his legs which won't heal, a myriad of other things. I got him to test his levels throughout the day after meals........what an eye opener that was for him !!! Average around 14-16 mmol/l through the day, EVERY day !! He went to see the people who deal with him and showed them the levels......."Oh thats alright, you needn't worry. Those levels aren't a problem !!!!" (my exclamation marks) :shock:

    By all means test your fasting levels when you wish, just don't think they are an indicator of good control.........there is much more to take on board than some numbers when you wake up.......

    I prefer to get Newbies to read the advice that Sue and I put together, and that Daisy, the New Member support posts ........that will show them how to get better control far more than just testing fasting levels.......... :)
     
  2. ebony321

    ebony321 · Well-Known Member

    Messages:
    1,299
    Likes Received:
    25
    Trophy Points:
    58
    I see your point, definately.

    Fasting in the morning is very important to me as it indicates how efficient my basal is overnight. I compare bed time and waking up, as well as the occasionally silly o'clock to make sure i'm at a good level throughout the night. As i suffer from DP quite badly i also need to watch the difference from immediate waking to pre-breakfast. so if i go to bed at 11pm and have brekkie at 8.30am thats almost 10 hours of my day which the morning fasting reading is essential for, so to me personally it is a good indicator of control for almost half my day!

    I guess we could post post meal numbers, but i think thats more complicated as it involves carbs which may spark the low-carb vs high carb and confuse people over diets even more.

    I think the info you put together with Sue is spot on. It is quite brilliant advice for newbies and long diagnosed too! I often post to newbies that have been unanswered saying that hopefully daisy will be along to post it, because it is very informative, straight foward information. i even printed it off for my Friend's mum who was diagnosed with T2, and she pinned it on her fridge!!!!:)
     
  3. frenchkittie

    frenchkittie · Well-Known Member

    Messages:
    96
    Likes Received:
    2
    Trophy Points:
    28
    That's all very well, and I suppose it needed saying in case there are any newbies posting to this thread that don't know about regular testing, but a lot of people seem to find this thread useful.

    Taking the wider view, type 1s (for example) can judge a lot about their control by their fasting glucose levels. Testing after meals confirms the efficacy of the rapid insulin dose, but for basal doses, and their adjustment, it is the fasting levels that tell the story.

    EDIT, whoops, ebony snuck in a post whilst I was replying.
     
  4. Administrator

    Administrator Family member · Well-Known Member
    Staff Member Administrator

    Messages:
    1,570
    Likes Received:
    1,066
    Trophy Points:
    198
    @Viv - is it your cockerel? I suppose it doesn't have a snooze button! :)
     
  5. anna29

    anna29 Type 2 · Well-Known Member
    Retired Moderator

    Messages:
    4,789
    Likes Received:
    3,131
    Trophy Points:
    178
    Hiya ann, isnt that where george [ gorgeous hunk] clooney has a place? Look out for him for me please and if you see him [lucky you!] let us know when you return. Enjoy your holiday too! ahhh lake garda and italy I wish! Anna.x :)
     
    • Like Like x 1
  6. Ann19

    Ann19 Type 2 · Well-Known Member

    Messages:
    271
    Likes Received:
    1
    Trophy Points:
    58
    Hi Anna, will keep an eye open for him............wonder if I can smuggle him home in my case :wink:


    Ann
     
  7. ebony321

    ebony321 · Well-Known Member

    Messages:
    1,299
    Likes Received:
    25
    Trophy Points:
    58
    I'm sure george clooney is better for your BG's than icecream is :lol: :lol:
     
    • Funny Funny x 1
  8. anna29

    anna29 Type 2 · Well-Known Member
    Retired Moderator

    Messages:
    4,789
    Likes Received:
    3,131
    Trophy Points:
    178
    Hiya, swoooooon !!! definetely and he is available [hint hint ann !] split up with girlfriend . Anna.x :D
     
  9. ebony321

    ebony321 · Well-Known Member

    Messages:
    1,299
    Likes Received:
    25
    Trophy Points:
    58
    When i hear george clooney to me it's comical..

    My little sister when she was about 5/6 yrs old, she was playing 'doctor' but her version was very dramatic. she was bringing her poor doll back to life, thumping her chest pretending to preform CPR, all of a sudden she stopped, looked up, put her hands together and shouted 'WHERE'S GEORGE CLOONEY WHEN YOU NEED HIM????

    :lol: :lol: :lol:

    Also he's a bit old for me :)
     
  10. NewdestinyX

    NewdestinyX · Well-Known Member

    Messages:
    205
    Likes Received:
    43
    Trophy Points:
    68
    But we've had a WIDE range of numbers on here already. And a wide range of people okay and not okay with higher numbers. I think it's been a very 'candid' and 'open' and completely - 'non-judgmental' thread. In every introduction thread on our forum - someone gives that wonderful 'newbies' list of what the medical world tells us should be our target for fasting and post meal numbers to avoid complications. I think everyone knows 'the guidelines'. I think, more like Daisy said earlier, that this 'ledger' of our numbers can help us discover trends in our numbers (whatever our target) and remind ourselves how we achieved this or that goal. That's the power of a thread like this. At a couple other forums where I started the same thread they're on their part 3 and 4 (new threads started by the mods because the others had gotten too long for the forum interface) of the same thread each with 'thousands' of posts in them. If I can speak as a relative 'newbie' to this forum but not a newbie to D - I'm SOOO impressed with this forum. Though I can see in the 'sticky posts' for the DIET subforums that the moderators have given strict guidelines about who can post in the low carb or non lo carb forums - (carb level always being the most divisive topic for diabetic groups) - this place has been THEE MOST NON-JUDGMENTAL and welcoming place I've been a part of yet. It's SOOO refreshing!! So if you're a person battling with your numbers and want them lower - please don't be embarrassed to post. It's a log only here -- and we're a big family sharing our daily experiences - and IF you read some techniques others have about controlling their numbers - AND IF, and ONLY if, it's your goal to get lower numbers - you can potentially pick up an idea or two here about how some of us get our numbers even closer to normal.

    I have never subscribed to the notion that a diabetic has to have NON-diabetic numbers to prevent complications. Our T1's will prove again and again that you can live 30-40 years with A1'c even 7-8 or a little higher and have no complications. Science tells us that 'some diabetic retinopathies' can start even in the hi 5's with A1c - but the vast majority of complications don't present until there's a rampant lack of control for very long periods of time and very high A1c's.


    So keep posting all and jump in 'sideline sitters'. It's good to 'log'. There's another thread I've started as a partner to this one at other forums that's more of a pure 'log' for your meal numbers. You can post one meal or more... So look for that thread.. That thread tends to promote conversations about what types of foods produce what kinds of 2 hour numbers for people and can start some helpful info sharing. So I'll start that thread shortly.

    Mine today was 5.9mmol
     
  11. kjt57

    kjt57 · Well-Known Member

    Messages:
    48
    Likes Received:
    2
    Trophy Points:
    28
    Very pleased with my readings this week, pre breakfast:
    4th 5.0
    5th 5.8
    6th 6.1
    7th 5.7
    Average for all readings last 14 days 5.9
    Now lost 2st 5lbs and blood pressure down to 116/68
    :D :D :D
     
    • Like Like x 1
  12. Spearmint

    Spearmint · Well-Known Member

    Messages:
    244
    Likes Received:
    10
    Trophy Points:
    38
    I like this thread :)

    It is one of the few i feel that i can contribute too :lol:
     
  13. viviennem

    viviennem Type 2 · Well-Known Member

    Messages:
    3,140
    Likes Received:
    150
    Trophy Points:
    103
    The cockerel belongs to a neighbour's kids, Admin - otherwise he would have been pie long before this!

    I like this thread, too. It's nice to have a little bit of chat, and nice to have an audience who I know care about my levels - my HCPs don't! Have stopped taking my records with me!

    Also, as others have said - I was diagnosed 15 months ago with a fasting of 9 and an HbA1c of 6.5. My last GP tests - fasting 5.3, HbA1c also 5.3. Now, I'm a straight-forward Type 2, so it's probably easier for me - but it proves you can take control and improve matters. I've also lost 3 stone :p . I hope my results may give some inspiration to others.

    Thank you, everyone on here, for all your support. I've learned more from this forum since January than from all my HCPs put together - and mine are quite good!

    Viv 8)
     
    • Hug Hug x 1
  14. jinstone

    jinstone Type 2 · Well-Known Member

    Messages:
    51
    Likes Received:
    2
    Trophy Points:
    48
    Some suggested turning stress OFF lowered results, which button do I press to turn stress OFF <grin>
     
    • Like Like x 1
  15. cugila

    cugila · Master

    Messages:
    10,272
    Likes Received:
    103
    Trophy Points:
    118
    The problem with posting your own meal results is that everybody is different.....so just because one person can eat some Rice or some Bread without too much of a problem that doesn't mean that everybody can....... :( If I post my meal ingredients here and give MY levels before and after meals that might well be fine for me but I wouldn;t go saying to anybody that they should eat the same as it's OK.....I think there is a danger that Newbies who are already confused will get totally the wrong idea about how to gain better control. Just my opinion based on my experience.

    Mostly there are many threads already about specific foods and carb values, personally I think they are more useful as they let people know that a particular food has a high carb value and may well impact their Bg levels substantially. I'm not really interested in what others eat as my tastes differ somewhat........

    TBH, it sounds more like a glorified food diary but as a thread ? We advocate people should keep a personal diary to show what meals are good or bad for THEM........not somebody else. It also sounds more like a Blog to me........maybe we should all start our own individual threads here showing exactly what we all do each day , eat each day, test routine and resulting Bg numbers.

    That might be interesting........... :wink:

    I see you're from the States newdestinyx.......can I ask do you agree with the ADA guidelines and have you seen the NICE (UK) & SIGN (Scotland) guidelines. I wonder how much they all differ, if at all ?
     
    • Like Like x 1
  16. pianoman

    pianoman · Well-Known Member

    Messages:
    332
    Likes Received:
    2
    Trophy Points:
    38
    So it is OK to stick with higher blood sugars and A1'cs in 7-8% or even a little higher? We have no need to try for normal blood sugars? That would make life so much easier wouldn't it :D Is that what you are doing?
     
  17. NewdestinyX

    NewdestinyX · Well-Known Member

    Messages:
    205
    Likes Received:
    43
    Trophy Points:
    68
    I can see your points. The 2hrPP thread was only posted in the T2 sub forum as the use of insulin in T1's would skew the results in a sense. Though there are T2's on insulin too the pancreas being in the equation makes for some more interesting comparative analysis. If people don't like a thread -- it will die. :)
    Great question! But I tend to really like 'focussed' threads on a forum and if we start a comparative analysis here -- it could really hijack the thread. Let me start a thread with your question, Cugila, and not answer here. And yes I've seen the NICE standards..
     
  18. NewdestinyX

    NewdestinyX · Well-Known Member

    Messages:
    205
    Likes Received:
    43
    Trophy Points:
    68
    Hi Pianoman. Welcome to the forum. I believe each person has to decide for themselves the risk to benefit ratio for a certain target A1c number - and factor in the lifestyle they want also. Everyone can read for themselves the guidelines from NICE, ADA, etc.. and then determine for themselves where they're ok landing. Too much judgement ends up happening on these boards when we do 'numbers wars'. I won't participate in them. Personally - my goal is to be in the 5% club for A1c. And I've been able to attain it through a combo of lifestyle change including diet and exercise modifications and the conservative use of insulin. That's my story. But this is a thread about am fasting numbers. I can tell you more about my personal story if you want to send me a private message. Good question though.

    Again, welcome,
     
  19. pianoman

    pianoman · Well-Known Member

    Messages:
    332
    Likes Received:
    2
    Trophy Points:
    38
    I didn't ask about your personal story. I am wondering how you reconcile your own aim of an A1c in the 5% range with your conviction that "the vast majority of complications don't present until there's a rampant lack of control for very long periods of time and very high A1c's" How do you know that..? because there are some long-lived Type 1s who are relatively complication free? Sorry if you see these questions as off-topic for this thread but you did bring it up yourself. Do you think this is good advice to be offering newly diagnosed?
     
  20. NewdestinyX

    NewdestinyX · Well-Known Member

    Messages:
    205
    Likes Received:
    43
    Trophy Points:
    68
    When you ask "how do you reconcile YOUR.....?" that automatically calls for 'personal story' elements to qualify the statements.

    But as to your question there -- it's not my place to judge what's best for others. It's not any of our places to do that. People can use statistics as weapons. And often leave common sense go out the window. My goals modified over time. The ADA guidelines gave me a target for the beginning of my journey. Once I met those guidelines consistently I, a Type A personality, wanted to see if I could do better and what, if any, benefits there were to trying to go lower. I found conflicting information out there in the scientific community about the 'best targets' for 'all diabetics'. I tell newbies to 'give themselves time' to 'discover' their LONG term goals. And in the short term start making SOME/ANY changes in the right direction which includes exercise addition and carb modification in a downward direction. It took a LONG time for them to get a really high A1c -- it is NOT required they have 'normal numbers' immediately. If they DON'T currently have complications at diagnosis - ANY, even the smallest, changes they make will be 'reversing' damage and squelching the advancement of any complications that may be started. Newbies should not be 'feared' into immediate massive changes. That only shipwrecks progress in my experience reading these message boards. Some people CAN make huge changes immediately. More power to 'em. I could NOT and 'feel well' nor 'do well'. I 'moderated' my way to where I am today. And I'm JUST as healthy and complication free now as anyone who took up drastic measures at dx. That's my last word on the topic here. Maybe you could ask further questions in the new thread started about guidelines.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook