Janieg and others

Just came across this article from the Linus Pauling Institute about using Lipoic Acid to treat PN in diabetes. Thought it relevant to the topic of this thread.

http://lpi.oregonstate.edu/mic/dieta...ease-treatment

What's funny is I had a 2 hour blood glucose test which was 90 (pre) - 120 (1hour post) - 90 (2 hours post), all great numbers according to my doc. My A1C is 5.3, again great. Fasting Glucose of 83 and 90 most recently.

But then, i can eat something like what you mentioned and really rise up to areas of 168 ish and hour or two after and see a very slow fall back to just barely below 100. It can sometimes have me hanging up at 100-105 into the next morning. Very odd.

The glucose drink used in the GTT is pure sugar and we often react fine in that test. But it is only 75g of sugar. There are meals that actually can go way above what you get on a GTT. Also things like Dairy will have your blood sugar slowly rise and slowly fall. So you can be sitting at a high reading for a while.

I myself put a lot more stock into results obtained from a needle that takes a lot more blood though. The glucose meters are ok but they are really only good for tracking how levels change and dramatic differences over time. Their accuracy can be off by 10 - 20 depending upon the meter. So, you can make yourself a little crazy over a reading of 105 when you may really be 90. Or a 180 that may be closer to 160.

Hi Patrick,

You are correct that meter readings can be off and to stress over something 105 that may really be a 90 is futile.

I am diabetic and rely heavily upon my meter for insulin dosage. I always do my own reading right before having a lab draw. My most recent one was 1 point different than my meter. It is usually never more than 2 points different. That is how I check the calibration of my meter to know that I am getting accurate results.

As a diabetic, I also know when a reading from my meter should be of suspect. If a wake up and have a fasting blood sugar of 166, I know I need to re-check. Did I test too soon and the alcohol was not dry? Did I have soap residue on my finger?

Whenever I get a reading that is not what I expect, I always test again within a few minutes to verify. The day I got the fasting 166, subsequent test showed 168. It WAS a correct reading. My fasting levels returned to "MY" normal the next day. It was just an odd day in the life of this diabetic. I will get an abnormally HIGH FASTING level about once a month. Don't know why but I do verify that it is a valid number and not a meter mistake or some other external source that caused an erroneous reading.

To your point, I used my glucose meter in conjunction with my GTT. I went out into the car and did it right after each blood draw and the readings were absolutely dead on when i got my lab results back. I use a TruTrack.

My 1 hour level is 181. Two hours is 71.

My new primary care physician wanted to to know whether I had ever been declared pre-diabetic by a doctor, or whether I had just declared myself one.

Yeah, just me.



Numbers Matter: 1-Hour Post Prandial Glucose Possible Predictor of Prediabetes Risk

"Previous studies have suggested that the 1-hour glucose level above 155 mg/dL is a better predictor of progression to diabetes than the 2-hour level. The researchers conclude that present findings, in conjunction with the other observations, suggest that individuals at high risk for developing diabetes could be identified earlier by measuring the 1-hour postload glucose level."


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Hi janieg

If your new PCP had bothered to ask the question properly instead of just insinuating that self-diagnosis isn't useful then your answer may have been: 'yeah just me - after researching, observing and testing'. I hope as he/she gets to know you better they might learn to accept that some patients know how to manage their own health.

Thanks for the link to the article - I wonder what implication it may have for medical systems that currently rely only on the HBA1c test as an indicator for diabetes.

Hi Janie. Did you use a 75-gram glucose drink for your 1 hour test or did you just eat a normal breakfast? I had a 2 hour post fast test after eating breakfast and I'm wondering about the reliability of the test as my breakfast didn't contain much sugar (including food that converts to sugar.) I'm sorry if this is a dumb question. . And for your information I think just you are terrific.