Diabetes / Insulin Resistance / Metabolic Syndrome For discussion of Type 1 and Type 2 diabetes, insulin resistance and metabolic syndrome.


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Old 09-18-2013, 07:58 PM #11
Idiopathic PN Idiopathic PN is offline
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Hi Mary,

When did you have the test? Since we talked? I still believe that a 192 is NOT normal if everything, pancreas and liver, etc. are working perfectly.

If you only have one reading above 160 post prandial, that could be a fluke or a heavy carb but "normal" does not usually produce a 192. I am no doctor but I have personally seen doctor's ignore signs of insulin resistance until patient's hit the magic numbers outlined by the American Diabetes Association.

How often are you getting readings above 160? Your glucose test does look OK but again it is a point in time or rather just two hours of time. What is going on the other 22 hours in your day with your levels?

Hopeless
Hopeless,

Yes, the incidents happened after we talked.

Since September 1, there were 2x incidences where my sugar went up to 192 and 187 on the 1st hour post-prandial. Take note that on both occasions, I ate exactly the same breakfast: 1/4 oatmeal with 1/4 blueberries and 1/2 banana and 2 white eggs.

One dinner of 1 cup of bitter melon, 2 pcs of chicken nuggets, 1 slice of beef and a medium boiled sweet potato, after 1 hour my sugar was 179, 2nd hour was 139 and 3rd hour was 102.

All meals from same period were either normal or above 150 but less than 160.

thank you.

Mary
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Old 09-18-2013, 08:06 PM #12
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You can request a fasting INSULIN level test next time you get tests run. This will show if your insulin levels are above normal.

Do not exercise before this test, as it can skew the results.
Thank you for this suggestion. I will try to request for it. I need a good argument so he will approve.

May I ask, if my insular shows above normal, does that mean that I am insulin resistance?

Mary
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Old 09-18-2013, 08:48 PM #13
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Since September 1, there were 2x incidences where my sugar went up to 192 and 187 on the 1st hour post-prandial. Take note that on both occasions, I ate exactly the same breakfast: 1/4 oatmeal with 1/4 blueberries and 1/2 banana and 2 white eggs.

One dinner of 1 cup of bitter melon, 2 pcs of chicken nuggets, 1 slice of beef and a medium boiled sweet potato, after 1 hour my sugar was 179, 2nd hour was 139 and 3rd hour was 102.

All meals from same period were either normal or above 150 but less than 160.

thank you.

Mary

Hi Mary,

It appears your body is making corrections in a relatively short amount of time and that is very good news. The question is why are you going out of normal range in the first place to make your body work at correcting? Something is going on and I would suggest that you keep an eye on your blood sugars occasionally. This is a long shot but at least worth mentioning...... have you calibrated your meter? I feel confident that your meter is giving you appropriate results but just wanted to mention that meters can be "off".

You are correct to have "some" concern as elevated blood sugar levels WILL affect your nerves. Even if your body is correcting and bringing them down, the fact that you reached higher levels than normal means your bodily systems are all dealing with the elevation even if just for short bouts.

According to the ADA, diabetics are considered "under control" if their A1C levels are below 7.0 BUT that does not mean that damage to body systems is not happening. That simply means that the diabetic has a "lower" risk of complications. I have never gone over 7.0 since I was diagnosed at 10.2 but I do have complications from my diabetes. If my blood sugar goes up, my ability to focus my eyesight goes out the window. My PN gets more severe. And I am "under control" according to the ADA. My docs are happy with my lab results. Am I happy with my highs and lows? Not at all. I strive to get them leveled out to no avail. My medications bring my highs down but I want to halt them from happening. My doc is afraid I will have too many BAD lows in order to prevent the highs from occurring at least for now.
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Old 09-19-2013, 06:32 AM #14
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Default I do suspect--

--that, given the reports of what you said you've consumed, some of those half-hour and 1-hour readings are concerningly high. But it is true that people can have occasional high spikes like that, due to supplements, medications, activity level, content of meal, or even stress (which certainly raises blood glucose levels temporarily) without being diabetic.

I do agree, though, that a longer (and stationary!) glucose tolerance test with 1/2 hour spaced draws and insulin levels done concurrently may give you more insight into what's going on. Yes, it's boring, and yes, it makes you feel like a pincushion (it helps to alternate arms and fingers during the draws), but the patterns of results are often helpful to see whether insulin resistance is suspected and how severe it may be.
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Old 09-19-2013, 06:59 AM #15
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Lightbulb

Some strips read other sugars as "glucose". They all have different chemical systems.

FreeStyle is one that will register mannose/mannitol, and other -ol sugar alcohols.

One Touch as a rule is better IMO.
Also the strips may be off, 10 pts either way, as a rule.
And calibrating with a test solution to see if the meter is off.

This thread discusses glucometer systems and gives links to details.
http://neurotalk.psychcentral.com/sh...ght=glucometer
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Old 09-19-2013, 05:13 PM #16
Idiopathic PN Idiopathic PN is offline
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Quote:
Originally Posted by Hopeless View Post
Since September 1, there were 2x incidences where my sugar went up to 192 and 187 on the 1st hour post-prandial. Take note that on both occasions, I ate exactly the same breakfast: 1/4 oatmeal with 1/4 blueberries and 1/2 banana and 2 white eggs.

One dinner of 1 cup of bitter melon, 2 pcs of chicken nuggets, 1 slice of beef and a medium boiled sweet potato, after 1 hour my sugar was 179, 2nd hour was 139 and 3rd hour was 102.

All meals from same period were either normal or above 150 but less than 160.

thank you.

Mary

Hi Mary,

It appears your body is making corrections in a relatively short amount of time and that is very good news. The question is why are you going out of normal range in the first place to make your body work at correcting? Something is going on and I would suggest that you keep an eye on your blood sugars occasionally. This is a long shot but at least worth mentioning...... have you calibrated your meter? I feel confident that your meter is giving you appropriate results but just wanted to mention that meters can be "off".

You are correct to have "some" concern as elevated blood sugar levels WILL affect your nerves. Even if your body is correcting and bringing them down, the fact that you reached higher levels than normal means your bodily systems are all dealing with the elevation even if just for short bouts.

According to the ADA, diabetics are considered "under control" if their A1C levels are below 7.0 BUT that does not mean that damage to body systems is not happening. That simply means that the diabetic has a "lower" risk of complications. I have never gone over 7.0 since I was diagnosed at 10.2 but I do have complications from my diabetes. If my blood sugar goes up, my ability to focus my eyesight goes out the window. My PN gets more severe. And I am "under control" according to the ADA. My docs are happy with my lab results. Am I happy with my highs and lows? Not at all. I strive to get them leveled out to no avail. My medications bring my highs down but I want to halt them from happening. My doc is afraid I will have too many BAD lows in order to prevent the highs from occurring at least for now.
I will continue to watch out for my BS, hopefully to prevent either further damage to the nerves or graduated to become pre-diabetic.

Btw, the meter has been calibrated and its doing fine.

Thank you.

Mary
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Old 09-19-2013, 05:21 PM #17
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Originally Posted by mrsD View Post
Some strips read other sugars as "glucose". They all have different chemical systems.

FreeStyle is one that will register mannose/mannitol, and other -ol sugar alcohols.

One Touch as a rule is better IMO.
Also the strips may be off, 10 pts either way, as a rule.
And calibrating with a test solution to see if the meter is off.

This thread discusses glucometer systems and gives links to details.
http://neurotalk.psychcentral.com/sh...ght=glucometer
Thank you for this heads-up. I will take if i take anything with sugar alcohols in the food.

The reason why i want my glucometer is even a small amount of blood can be read. And it looks like the results are close to the range of LABCORP.

Thank you Mrs.D.
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Old 09-19-2013, 05:25 PM #18
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Originally Posted by glenntaj View Post
--that, given the reports of what you said you've consumed, some of those half-hour and 1-hour readings are concerningly high. But it is true that people can have occasional high spikes like that, due to supplements, medications, activity level, content of meal, or even stress (which certainly raises blood glucose levels temporarily) without being diabetic.

I do agree, though, that a longer (and stationary!) glucose tolerance test with 1/2 hour spaced draws and insulin levels done concurrently may give you more insight into what's going on. Yes, it's boring, and yes, it makes you feel like a pincushion (it helps to alternate arms and fingers during the draws), but the patterns of results are often helpful to see whether insulin resistance is suspected and how severe it may be.
I wish my endoc will agree to give me the insulin test. I don't know yet how to convince him though. Definitely, he will not another glucose test. You know how doctors now are too cautious in giving tests, for economical reasons.
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Old 09-19-2013, 05:38 PM #19
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Quote:
Originally Posted by mrsD View Post
Some strips read other sugars as "glucose". They all have different chemical systems.

FreeStyle is one that will register mannose/mannitol, and other -ol sugar alcohols.

One Touch as a rule is better IMO.
Also the strips may be off, 10 pts either way, as a rule.
And calibrating with a test solution to see if the meter is off.

This thread discusses glucometer systems and gives links to details.
http://neurotalk.psychcentral.com/sh...ght=glucometer
The "diabetes digest" site could not be opened anymore but i could still open the other site. One of the medicines in the that may cause elevated sugar is RIFAMPIN!!! I mentioned this to my pulmo during my visit today, as expected he is not aware that Rifampin can elevate BS. No one among his patients has mentioned anything about it. I guess, no one has maybe ever mentioned to him because no one has ever made the connection.

I will take note on which days do the numbers elevate more than normal, if this happens on "medication days" or not. I take the antibiotics every M-W-F.

Thank you Mrs.D.
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Old 09-19-2013, 08:41 PM #20
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Default Just a thought

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Originally Posted by Idiopathic PN View Post
I will continue to watch out for my BS, hopefully to prevent either further damage to the nerves or graduated to become pre-diabetic.

Btw, the meter has been calibrated and its doing fine.

Thank you.

Mary
I did not think it was your meter but it is always something to consider. I had one go haywire after a few years. It was extremely accurate and then all of a sudden went crazy. I had two other meters handy so I just switched to a new one. Same brand.

I really would not "worry" but I would keep checking every so often. Diabetes can sneak up on people.
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