Supposedly not pre-diabetic with Idiopathic SFN, but...
 

Hi all,

I've been doing some additional reading tonight, and am wondering if anyone has thoughts on this, or has perhaps been through this already.

Thus far, I've been diagnosed with idiopathic SFN after a gazillion tests have been performed by three different doctors. Like most of you, the "idiopathic" isn't sitting well with me, so I've been doing a lot of research and even requested one test be done, an Oral Glucose Tolerance Test. As I understand it, this is the best test for predicting diabetes.

So here's my glucose situation:

My fasting glucose as tested twice in the past year is about 80 mg/dL. Based on what I've read, normal is 70 - 100, but 92 and above sets off red flags for possibly developing diabetes in the next decade. Bottom line, I'll well below any red flags.

My A1c which is another diabetes-detecting blood parameter is 5.2%. Normal A1c is 4.6 - 5.4.

So those values are fine.

With the Oral Glucose Tolerance Test (OGTT), however, I didn't fare so well it seems:

Fasting: 80 mg/dL
1/2 hour: 144 mg/dL
1 hour: 181 mg/dL
2 hour: 71 mg/dL

Within another half hour, I was hypoglycemic...shaky, sweaty, rapid heartbeat. This was not a surprise to me as that's what happens when I consume something sugary on an empty stomach.:confused:

These seem to be the general "normal" guidelines for this test:

Fasting: 60 to 100 mg/dL
1 hour: less than 200 mg/dL
2 hours: less than 140 mg/dL

In doing more reading and research, however, I'm seeing statements like this:

- Anyone who is 155 or above one hour into the OGTT is at diabetic risk.
- Normal people do not go over 140 mg/dL ever and are only rarely over 120 mg/dL no matter what they eat.

Even more concerning to me is some monitoring I've been doing at home. I've been on a low carb diet for about three months now, but tonight really ate a high carb mean when out with friends. When I checked my glucose here at home 1 hour, 2 hours, and 3 hours post-meal, I've been in the mid-160s and haven't budged. This is not good as far as I can tell.

Am I seeing the real cause of my SFN in elevated glucose levels that have gone undetected by normal monitoring tests?

Does anyone have any thoughts?

Thanks.

Janie

I've been told by someone on a diabetes forum that I should definitely consider myself a pre-diabetic. They said the line is "moving" on values that are normal and pre-diabetic.