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Old 11-19-2009, 07:14 AM #1
glenntaj glenntaj is offline
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glenntaj glenntaj is offline
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Default Well--

--that does look to be in the range of imparied glucose tolerance, at any rate--and that is certainly a possible cause of neuropathy, especially small-fiber burning, length depenedent varieties.

(Also noticed those triglycerides are a bit high, speaking of causes of painful small-fiber neuropathy--and often this goes together with impaired glucose tolerance in metabolic syndrome . . .)

Have you had a multi-hour glucose tolerance test lately, with half-hour glucose/insulin level draws? Or the longer-term hemoglobin A1c test?
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jakatak (11-19-2009)
Old 11-20-2009, 11:16 AM #2
pabb pabb is offline
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Default

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Originally Posted by glenntaj View Post
--that does look to be in the range of imparied glucose tolerance, at any rate--and that is certainly a possible cause of neuropathy, especially small-fiber burning, length depenedent varieties.

(Also noticed those triglycerides are a bit high, speaking of causes of painful small-fiber neuropathy--and often this goes together with impaired glucose tolerance in metabolic syndrome . . .)

Have you had a multi-hour glucose tolerance test lately, with half-hour glucose/insulin level draws? Or the longer-term hemoglobin A1c test?
geesh, what planet is your doc from?.....108 IS NOT normal, by the test standards...pretty straight forward...and one reason for elevated trig. is TOO many calories.....unless you have familial hypertriglyceridemia......looks like you are on the right track....food as medicine, or as in some cases poison....good luck!
ps...if the doc wont do a 3-5 hour glucose tolerance test, ask for a post prandial glucose level and a fasting INSULIN level.....
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Old 11-21-2009, 05:56 PM #3
jakatak jakatak is offline
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Default well

Quote:
Originally Posted by glenntaj View Post
--that does look to be in the range of imparied glucose tolerance, at any rate--and that is certainly a possible cause of neuropathy, especially small-fiber burning, length depenedent varieties.

(Also noticed those triglycerides are a bit high, speaking of causes of painful small-fiber neuropathy--and often this goes together with impaired glucose tolerance in metabolic syndrome . . .)

Have you had a multi-hour glucose tolerance test lately, with half-hour glucose/insulin level draws? Or the longer-term hemoglobin A1c test?
I had the one, where you drink the liquid that is composed of a ton of glucoser sugar or something...it is supposed to see how well my body handles the spike. I was tested an hour later, and everything was back to normal.
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Old 11-22-2009, 07:21 AM #4
glenntaj glenntaj is offline
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Default They shouldn't just test--

--for an hour, though.

People's bodies process glucose at different rates, depending on a lot of factors, including insulin release, and the patterns are often very interesting,

When I get mine done, I have them take a 12-hour fasting glucose/insulin draw, which usually reveals an okay glucose level (80's/90's) but somewhat elevated fasting insulin, indicative of insulin resistance, the first sign, often, of glucose dysregulation. (Translated--my body has to produce more insulin than "normal" to keep my glucose at normal levels--my cells have become somewhat resistant to insulin's effects, and it takes more to force glucose into the cells.) I then take the drink, and get draws at .5, 1, 1.5, 2, 2.5, 3, 4, and 5 hours--insulin and glucose each time. (I admit this is boring, and you can't move around a lot during this, or you'll skew the results--I just put a lot of stuff on my iPod before going in, and bring some reading material, too.)

Usually, what happens is I have a quick glucose spike--though I haven't had one into the frank diabetic range yet--followed by a major insulin release around 1-2 hours that drives my glucose well down into borderline hypoglycemic territory (60's/low 70's) by 2.5-3 hours and then recedes, allowing my glucose to normalize by hour 5 to near it's original levels. The insulin comes down before the glucose eases back up.

So--what seems to be happenin gis that my insulin-resistant body overcompensates for a small glucose challenge, almost as if expecting that the insulin will be less effective. This is often a precursor to impaired glucose tolerance--if I am not careful one day the insulin system will not respond as well, and I'll wind up with too-high glucose levels. It's why I do watch the diet (though it's more difficult this time of year--I try to eat very Zone-like) take R-lipoic, which helps stabilize insulin levels, and exercise--especially muscle building exercise, as muscle is generally a more efficient user of insulin than other body tissue.
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