Lowering Blood sugar in non diabetic or pre diabetic

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Lowering Blood sugar in non diabetic or pre diabetic


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Old 09-05-2012, 06:15   #1
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Default Lowering Blood sugar in non diabetic or pre diabetic

Hi, I am getting so much conflicting info from the web so I have decided to come here in hope to get some questions answered. I think my problem is that most info on the web is for diabetics and not for non diabetics.

I am a 32 year old male who just a few months ago got my fasting blood sugar and a1c results. Fasting was 90 and a1c was 5.4. My doctor told me this in fine and told me to be on my way. Also during that appointment I found from my ultrasound that I have mild fat infiltration of the liver. Again he said this is normal. Unfortunately after spending days on the web I started to believe this is not normal and I got all anxious and worried about my results.

A few weeks ago I borrowed a home glucose machine to test myself. I consistently get low to mid 90's for fasting (which is a little higher then the labs results), and I get mixed results after meals. I try to check 2 hours after meals and sometimes I'm around 100 (if I'm a little active after a meal) and other times I'm around 120 or maybe a bit higher. One time I tested an hour after and I was at 150. This freaked me out so I tested a few times and was consistently around 145 up until the 2 hour mark until it started dropping. I'm worried if this means I have a problem as I'm reading this shouldn't happen.

The question I can't get answered is what can I do about this if it is a problem and can I lower my fasting level? I mean if I were a diabetic I can find a hundred sites and thousands of suggestions but because I don't think I am diabetic I don't think those suggestions apply to me. I have been told cutting out sugar and carbs only helps diabetics. Not me. My doc even told me that there is nothing I can do to lower blood sugar, especially because I am not over weight. I am 6 feet and 170lbs. I do have most of my fat around my belly and the liver infiltration thing.

I also am worried because exercise comes up a lot and I already exercise. I go out for hours at a time on my bike and run about 15 miles a week.

I eat or used to eat excessive amounts of refined sugar. I started to keep track and I was consuming hundreds of grams a day. It was nasty but I have been told regardless of how much sugar I eat I can't do anything to lower blood sugar, well maybe the a1c but not the others.

I am also using the trueresult strips and I did wonder why they are giving me higher results then my lab. Could my fasting gone up a few points in a month or two?

Any thoughts?

Thanks

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Old 09-05-2012, 07:09   #2
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Ok, first here's a great site for a diabetes primer Blood Sugar 101

Now on your own numbers. Your HbA1c is notionally in the "normal" range which runs from 4.3% to 5.7%. So, while it's "normal" it is on the high side.

Meters are a great tool, but their accuracy still leaves a bit to be desired. I've got an Accu-Chek Performa - supposedly one of the market leaders. Its quality control stipulates that 59.3% of readings are within 5% of correct, 91% within 10% and at 99% of reading, I should be within 20%. I think mine reads about 10% low.

So, you're not likely to get a consistent exact match with the lab figures so don't worry about that.

Blood sugar is driven by the intake of all carbohydrates. As you will find on Jenny's site (Blood Sugar 101), the official normal fasting value is considered as below 100 mg/dL. In non diabetics post meal figures rarely go over 120. In fact, normal seems to be below 90 rather than 100.

The standard rule of thumb for good diabetic control is that you are below 140 one hour after the meal, and 120 after two hours.

In your own situation, the numbers you quote suggest that you are glucose intolerant. In other words, your pancreas is starting to slip. So I suggest you start thinking like a diabetic and take control yourself.

Basically that means cutting back on carbohydrate intake - not just sugar, but potatoes, pasta, rice, bread and cereal products. This should bring your numbers down closer to true normal.

Good luck

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Last edited by John.in.France; 09-05-2012 at 10:31.
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Old 09-05-2012, 09:20   #3
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John has laid it out for you, herder . . . and I think there's a lot of horsefeathers mixed up in what your doc says. People don't have to be diabetic to benefit from lowering their carb intake. Even if you don't have metabolic issues or weight to lose, lowering your carbs can keep your cholestrol stable for one thing - especially triglyerides, which are directly tied to carb intake. Take a gander at my signature and you will see my trigs at 339. That high level is a result of a 3-day carbfest I indulged in only two days before having my blood drawn for those labs. All the rest of my lipids look fine, but those three days of high carbs bounced my triglycerides from 212 to 339. Just THREE DAYS!

There's so much monkey business going on in the food industry today that it's almost impossible to know what you're eating unless you fix it yourself from raw materials. If being healthy is your goal - and it looks like it is - I would just quietly start eliminating the most egregious carbs from my diet - stuff like refined sugar and grains. Ease off on the rice & pasta - these are the elements that drive blood sugar, and while your fastings seem safe enough, it merits concern that your postprandials pop up a little higher than those of a non-diabetic. As you'll find at BloodSugar101
Quote:
Post-Meal Blood Sugar (Postprandial):
Independent of what they eat, the blood sugar of a truly normal person is: Under 120 mg/dl (6.6 mmol/L) one or two hours after a meal. Most normal people are under 100 mg/dl (5.5 mmol/L) two hours after eating. (emphasis by Shanny)
You were wise to borrow a meter & check after your meals - you may not believe it, but you were even lucky to have made a few tests at the one-hour interval (sorry it freaked you out!) because it showed you how your body is really handling carbs: not too badly, but not exactly stellar.

What I would suggest is getting a meter of your own, and continuing to check. I think you'll see that those postprandials will fall into line when you reduce the carbs in your meals. And who knows? Your fastings may even drop a little - stranger things have happened.

Another good site that goes along with lowering carbs being good for everybody . . . LCHF for Beginners.

Oops - just one more thing: Interesting that you're presenting with a 'mild fat infiltration' of your liver, and even more interesting that your doc sez in essence 'no big deal'. You aren't overweight, you aren't diabetic (at least not so far), you don't seem to be any of the other things associated with a fatty liver (alcohol abuse? high cholesterol?). If you've had a lipids panel lately, tell us what your cholesterol numbers are. Let's just dig a little deeper here - okay with you?





Last edited by Shanny; 09-05-2012 at 09:31.
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Old 09-05-2012, 14:35   #4
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Thanks you and I will definitely check out those this morning. As for the mild fat infiltration I would assume and the doctor assumes its from diet. I don't abuse alcohol (maybe a little in college), actually hardly ever drink anymore. Again my intake of refined sugar and simple carbs was very high. I followed my diet for a few days and it was disgusting. For the past few weeks I have started to eat better and have got my carbs down to around 40-45% but now my fat is up. Fat reaches 35% on some days, although I am usually good with the saturated fat. Too much peanut butter and almonds I believe. I have lost weight on my skinny frame but the pot belly is still there, its going to be tough.

As for monitoring daily, I have stopped for now. I will take a look in a few weeks or so, I get too much anxiety over bad news. When I was checking I was always in the 120 range 2 hours post or even lower. Even after a high carb breakfast. The only time it scared was when I had a bottle of gatorade (1 hour before my meal) and then I had stuffed peppers (white rice and ground beef) with a few slices of bread.

Anyway it seems like walking really helps so no I plan my exercise which consists of jogging, biking and walking 45 minutes after meals if I can. If I have a bad meal I at least try to go walk it off. I'm fairly certain I can bring down the a1c a little bit but not sure if this will help the fasting or reverse any damage that has already been done.

As for the cholesterol. I'm trying to increase HDL as it was 40mg/dl or 1 mmol. My LDH was 100mg/dl or 2.6mmol. and triglycerides where 1.48 mmol, Not sure how much mg/dl that is.

Again thanks for the help. I'm going to check out those links now.

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Old 09-05-2012, 15:04   #5
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Snippit of information - that spare tyre is ALWAYS the last thing to go. When I lost my 30 pounds, it took a few weeks after I had reached my final weight for it to go.

Walking is basically my only exercise. We've got an idiot labrador and she gets about 5 miles a day at a brisk walk. If the weather is good, we get her into the forest. We walk our five miles - she runs her fifteen.

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Old 09-05-2012, 15:05   #6
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One more question, sorry for all the info. Basically I have reduced my sports drink intake considerable but I still do have a little on longer rides. When I was checking with my meter I remember one ride where it lasted 120 minutes and it was fairly intense. the first 60-80 minutes I drank water and then I started with the gatorade for the next 40 minutes or so. I had a whole bottle during this time but I was sweating and tired. Anyway, as soon as I got home my reading was 114. I waited 15 minutes (advice I found online) and my three readings where 69,70,70. Is this normal? dropping from 114 to 70 in 15-20 minutes?

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Old 09-05-2012, 15:13   #7
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This could have been what is called "reactive hypoglycemia".

Your blood glucose goes high and your pancreas waits a bit before it reacts. Then it goes into overdrive and your numbers crash.

And no, it's not a particularly good sign - sorry. However, the good news is that 70 is on the floor of normal rather than really hypoglycemic but I suspect that when it happened you felt more than a bit hungry?

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Old 09-05-2012, 16:05   #8
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Weight located around the midsection is indicative of insulin resistance, not necessarily Diabetes, if your pancreas can't keep up with your demand for insulin you become diabetic. Having signs of the beginnings of NAFLD and weight around the middle means you are more than likely in the beginnings of a path you do not want to go down. Try treating your body as if it was diabetic for a period of time. Cut out all carbs for several weeks, then introduce complex carbs back in to your diet after your weight changes. Its worth a try.

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Old 09-05-2012, 18:47   #9
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Quote:
I have been told cutting out sugar and carbs only helps diabetics. Not me. My doc even told me that there is nothing I can do to lower blood sugar, especially because I am not over weight.
I would say that is absolutely untrue - blood sugar and HbA1c can be lowered by anyone by reducing carb and sugar intake. Dr. Berstein says that the only real difference between a diabetic and non-diabetic is an impaired indocrine system. It is also a fact that severity level of diabetes is all over the map. We have some who control their condition with diet/exercise and others like me who have to have insulin to survive. So diabetes is not black or white and all people will have a response to changing the diet from high to low carb. For some non-diabetics blood sugar and HbA1c changes may be relatively small, but you can bet the farm over a long haul they would change.

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Old 09-05-2012, 21:20   #10
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Quote:
Originally Posted by frankly View Post
I would say that is absolutely untrue - blood sugar and HbA1c can be lowered by anyone by reducing carb and sugar intake. Dr. Berstein says that the only real difference between a diabetic and non-diabetic is an impaired indocrine system. It is also a fact that severity level of diabetes is all over the map. We have some who control their condition with diet/exercise and others like me who have to have insulin to survive. So diabetes is not black or white and all people will have a response to changing the diet from high to low carb. For some non-diabetics blood sugar and HbA1c changes may be relatively small, but you can bet the farm over a long haul they would change.
I don't think that's necessarily so. Some non-diabetics have BG readings which are completely unaffected by what they eat. I have a 300 pound son who read 83 basically all the time including after the worst meal imaginable. Eating LC/HF or any other diet would not decrease his BG in the least because his pancreas (and related systems) is "large and in charge".

On the other hand - and arguable MUCH more importantly - a non-diabetic could take steps to reduce their INSULIN by reducing carbs and increasing fats.

IMO, as long as your BG stays under 140 (or maybe even 180), it is not as important as taking steps to reduce your insulin. Although we don't currently have any economical home test for this, if we did, we would begin addressing this condition about 5 to 10 years earlier. Insulin rises first. Glucose comes much better.

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