My glucose tolerance test abnormal!
 

Hi

My neuro just called and said my ggt was elevated but he did 2 hr. I know u guys recommended 3 hr and that's what I asked but the doc failed to send correct lab orders.
Anyways he said it is elevated and he is wanting me to go to my gp and do further testing.

Since my skin biopsy is normal.(only biopsies one spot) then what's going in.
I did a lot if reading on thyroid issues and a lot of people are complaing of facial spasms along with all over with thyroid issues. (blood in urine a clue perhaps).
Any advice

Thankyou
Anita khan

The longer tests show more LOW developments. If you read high on a short one, I suspect you will find abnormalities with a longer one too.

You are righ mrs d.

If any one has a clue as any ties with thyroid please infor me

My neuro is filling out papers to fer me in NIH.
But it's so hard to get in.

I just went to my gp and asked her about ggt being abnormal and she said iys mild and don't worry about it. It was 160
So u know shes wrong but anyways ha her run some special antibodies to thyroid.

? for Mrs. D &/or anyone else who may know........
 

Does GIT reading go down or up in a "normal" reading as time goes on? This confuses me. Mine was 145 after 2 1/2 hours. Is it supposed to decrease or increase after 2 hours in a normal reading?

I have read that Glucose Intolerance can be a marker for small fiber neuropathy. I believe Fasting Blood sugar can be ok, but GIT test can show a problem, please correct me if I'm wrong.

Hey

I think it goes down as time foes I indicating u can handle the glucose. And do what's needed

It can be for sfn. U have biopsy coming up so good luck
When was your ggt done last

Here is a link that illustrates some abnormal GTT results:

http://lightning.prohosting.com/~hyp...20Hypoglycemia

Remember low readings also starve nerve endings, as well as high readings which show glucose is not getting into cells either.
Low and High are both implicated in insulin resistance.

This gets complicated. Typically called impaired glucose tolerance. After a period of low blood sugar a healthy liver then provides glucose thru gluconeogenesis, and this may overcompensate and raise levels again, hours after a GTT.

Most doctors who order glucose tolerance tests--
 

--even a lot of endocrinologists, order a two hour test with draws before you drink the glucose solution, and then at 1-hour and 2-hours, because that's all they've been taught (or all the lab/insurance will let them do). But this schedule is probably not the best for noticing subtle signs of glucose impairment.

One's glucose level SHOULD go up somewhat from fasting level upon drinking the glucose solution. The keys are how much it goes up and hwo quickly it goes back to "normal" levels, if it does. Most test reports have scales that indicate, at each time period, what indicates "impaired glucose tolerance" and "diabetic", and you're generally allowed a much higher level at 1-hour, labelled as "normal glucose metabolism", than you would be at two hours.

Obviously, if one shoots up to extremely high levels at 1-hour, and stays relatvely high at 2, one has problems. Usually this indicates that one has insufficient insulin to regulate serum glucose. But subtle signs of impending trouble may well be missed by these. One can have "normal" glucose readings and still have metabolic syndrome or insulin resistance--and generally, the scrips aren't written to monitor insulin levels as well as glucose, which can often be revealing, especially if ones starts before the drink with an elevated level of insulin, indicating the body is insulin resitant and needs to produce more to keep glucose in check.

I've written about this a lot, but a several hour test, with more frequent blood draws, and measurement of both insulin and glucose, can often be more revealing--the pattern of the two moving in tandem is often revealing, too. I have mine done for four hours minimum, with glucose/insulin draws at baseilne fasting and then every half-hour. (I admit this makes you a pincushion--and is boring besides, as you can't be physically active during it, which skews the results.) In my case, I start with normal glucose but elevated insulin, have some glucose rise but a bigger insulin spike, which drives my blood sugar leels to lower than fasting in the second-third hour (reactive hypoglycemia); the insulin then recedes and my glucose inches back up to normal. This indicates my body is resistant to insulin effects, it takes more than it should to keep my glucose in check. I'm not diabetic, but I have to watch very carefully, and so I exercise as much as I can, and try to eat in a Zone like manner to keep my glucose levels more stable (and I take R-lipoic for its glucose regulating effects).

I went to enocronologist today.
My fasting number is 88.
1 hr 156
2 hr 154

The doctor this is mild and docent answer to why you are having so many problems. She said your non fasting and fasting have been normal or borderline so people who get diabetic neuropathy are the ones that have had it uncontrolled at high levels for a long Lo g time.

But my neuro told me if I am glucose I tolerant that might be a cause!! So this is just crazy
She said I can try meltformin but doubt it will do anything for my symptoms.

She said it is a clue to watch my diet for the future.
Plus I ha her run some anyibodies to thyroid and repeat tsh panel.
Asked her about thyroid, paratheoid disorders and link with gtt and vitamin d deficiancy but she didn't seem to e bothered by anything.

If I am glucose intolerant should I check my pancreas?

Oh and she told me to do vitamin d3 drops. I have the nome written down but it's OTC.

Plus it turns out she has same symptoms as me and
Has seen same neuro as me and is in the same boat with no answers.
It was funny as we discusse same symptoms!! She was like man I thought I was the only one. I told her to go online and see how many of us are sufferig!

Tulips

Hi, you do not have to have high uncontrolled glucose to get nerve damage, prediabetes is a pretty well known cause of nerve damage these days, I was only at prediabetic levels when I had all my nerve problems.