I'm confused on whether or not I have pre-diabetes. My situation is complicated. Help

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I'm confused on whether or not I have pre-diabetes. My situation is complicated. Help


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Old 06-20-2014, 11:17   #1
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Default I'm confused on whether or not I have pre-diabetes. My situation is complicated. Help

I have been monitoring and testing my situation for about 3 months now.

I have what I can only describe as harsh diabetic symptoms. It's at it's worst after I eat.

My vision gets very blurry and just out of wack. I have no strength. I have bad neuropathy in my feet. I've had the neuropathy problem for a few years.

My feet get very warm. Very uncomfortable. Slight pain. Some numbness. They start sweating a lot.

When I get this flare up's, they'll usually last 3-4 hours. The neuropathy is constant, but not as bad.

I also get harsh hypoglycemic symptoms. I sleep about 5 hours then it wakes me up. Shaking, nauseous, numbness, heart pounding. Like I'm having a full blown panic attack.

I have read A LOT on the web about diabetes. There are a lot of different answers.

Some are strict. The ADA doesn't seem accurate while some believe the drug companies, that own the ADA want you on drugs and will say your pre or full blown when your not.

I have been testing and experimenting like crazy. My fasting BG is 70-90 on average. I check two hours after I eat a high carb meal and it's 130-140. Sometimes I check 1 hour after and it's usually the same as the two hour. Sometimes slightly less. From what I read, 140 and under two hours after is fine. 2 1/2 - 3 hours later I'm usually under 100.

Some foods like white bread on a simple sandwich will spike me higher than other foods. Which is about 30 grams of carbs. My reading will show 140. 1 and 2 hours. 2 1/2 - 3 hours under 100.

I ate a big mac meal with large fries. Both dipped in heavy ketchup. From what I read, that's over 100 grams of carbs. A glucose tolerance test is 75 grams. 1 hour showed 139. Two hour showed 126. 2 1/2 - under 100.

Pasta(about 40 grams) hits me 140-150 1 hour after. 2 hours slightly less. Again, 2 1/2 - under 100.

So weird. So confusing! Why highest when I eat 30-40 grams, but better when I ate over 100?

Did A1c test. 5.2 was the result. Doc says I'm good. Nothing to worry about. No diabetes or pre.

I read blood sugar 101. They're very strict.

I tried a low carb high fat diet for about a month and half. Well, really barely any carbs at all. I can't say I'm feeling better. I feel hypoglycemic like I mentioned. I also lost 15lbs in that time frame which can't be healthy. I'm already too skinny.

I've also read that you can eat all the calories you want, but you can't gain or maintain without carbs.

Even if I am pre, why the harsh symptoms?

Totally confused.

Appreciate any feedback.

Thank you.

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Old 06-20-2014, 11:22   #2
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Sorry, I don't see an edit button. Anytime you see 2 and 1/2 it should be 2 and 1/2-3 hours.

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Old 06-20-2014, 11:40   #3
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You have already found a very helpful site in Blood Sugar 101 and there's not a lot to add.

We are all different in how we react to the various forms of carbohydrate so some things will hit you harder than others.

Symptoms can seem harsh and this has little to do with the label the doctor chose to give your condition. The symptoms reflect how your body reacts to sudden changes in level rather than the absolute figure. So someone who normally has a high blood sugar will feel terrible when their number falls to a figure that might be considered normal.

The HbA1c reflects the average blood sugar over the previous few weeks and although 5.2% suggests your average is around 103 mg/dL it does not reflect the roller coaster effect that your sample numbers suggest you have been suffering. What I mean is that your 103 might arise from a mixture of figures between 95 and 107 or from a mixture of 50s and 150s.

As a rule someone without a problem handling carbohydrate won't ever see a blood sugar above 120, so if you do find you're seeing numbers in excess of this, you do need to examine your diet carefully.

Fasting numbers are generally the last set of numbers to slip from normal and equally the last to return to stable values when you start to take control. Your fasting numbers do seem to be reasonably good but your post meal numbers suggest that your carbohydrate experiments need to be curtailed.

I suggest that you ignore the question of the label for your condition. Once you start to have the pattern you currently see in your own numbers, you need to take immediate control. Most of us have, with hindsight, been able to identify issues that we can now associate with diabetes, that started long before we were officially labelled. And that's what it is - a convenient box for the medical profession to allow them to trot out a 'one size fits all' treatment regime.

Sorry, but to the club none of us wanted to join.

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Old 06-20-2014, 11:42   #4
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Welcome to the Forum, ItsJustMe!

You'll find lots of info, support and the best kind of nosiness here.

First of all ... KUDOS! You're taking on this challenge proactively. Most of all ... you are aware of a lot of the nonsense you may be given along the way.

The next thing you need to do (of course) is to check this out with your doc. When you do, make sure s/he orders full diabetic bloodwork, including GAD and C-peptide tests (GAD and C-peptide are used to diagnose diabetes Type -- this can make a major difference in treatment).

Now, I'm afraid it's time for some Bad News: Many of us believe there is no such thing as pre-diabetes. Diabetes has its stages. The stage we call "pre-diabetes" is a very early stage of the real deal. I'm sorry to say this ... but ... your post-prandial numbers indicate that you do have a real problem with carbohydrates.

One bit of nonsense many of us have faced is that docs may be slow to diagnose, or unwilling to diagnose at all.

Back to Good News: There is no need to progress to a more advanced stage!

Others will, no doubt, show up soon. In the meantime, here are a couple of links you may find helpful:


Please read a lot, ask lots of questions and ... most of all ... please keep us posted!

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Old 06-20-2014, 12:15   #5
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So am I going to be a diabetic? Or can I stop it? What should I aim for? I'm assuming never going over 120?

I've read everything there is to read at blood sugar 101. Is that what should be considered the truth? Even there it says keeping it it 140 and "if you can do better, go for it".

I've read through the LCHF for beginners. It's definitely the way to go to keep your blood sugar low. However, I do not agree with a lot of it.

Not eating carbs is not healthy. Losing so much fat and weight rapidly like I have is not healthy. You also have to believe that the theory of evolution is actually fact. Which I do not believe. Also, let's say it is, carbs have been around since the beginning of time. People didn't just survive off meat. Fruit was one of the main sources of food. Which fruit contains carbs. I believe one apple is about 12 grams.

If my A1C suggest averages of 103, shouldn't that be perfectly normal because I'm always under 120?

isn't everyone different? Does the "standard" apply to everyone?

I've read about C-Peptide tests. At this very moment, I'm not a diabetic. So how can it show whether I'm type 1, 2 or even 1.5?

Sorry for all the questions. Thank you for the advice and encouragement.

This is all very confusing. I'm doing my best to understand it all. I do believe I have diabetes or "pre" otherwise I wouldn't suffer from these symptoms. Which is another thing, isn't it too early to suffer from these complications? I always thought symptoms don't happen until actual diabetes damages you.

Thanks again.

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Old 06-20-2014, 13:21   #6
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NO - you're not going to be diabetic. Basically you already are. Sorry but true.

You cannot, currently cure it but what you can do is stop the issues that arise from uncontrolled diabetes.

It means simply that now is the time to apply the ideas you get here - How to Lower Your Blood Sugar and here - LCHF for Beginners | DietDoctor.com and stick to it as a long term way of eating.

Four years ago I ended up in hospital going into Diabetic Keto Acidosis with a blood sugar of around 400 and an HbA1c of 8.2%. That was my introduction to the condition.

My fasting blood glucose now averages 85 and my HbA1c on the last test was 5%. Medication? - don't need it.

Yes, I do have to watch what I eat but other than that? Diabetes - no sweat.

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Old 06-20-2014, 13:37   #7
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Quote:
Originally Posted by John.in.France View Post

Yes, I do have to watch what I eat but other than that? Diabetes - no sweat.
John, you are the man.

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Old 06-20-2014, 13:40   #8
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If you don't mind me asking John, what does your diet look like? I've already started the LCHF diet for over a month. Lost 15lbs. Don't want to lose anymore so somehow I have to try to figure out a good eating plan so I can gain and maintain.

The LCHF diet just tore away at my fat.

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Old 06-20-2014, 13:45   #9
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Quote:
Originally Posted by Itsjustme View Post
John, you are the man.
Thank you, I take that as a compliment but the credit has to go to my BH who does all the really hard work in keeping my scoff interesting and tasty.

With this condition we have basically two simple choices. We live on medication and the roller coaster to complications or we bite the bullet and change our way of eating.

Contrary to the current dogma, eating high fat doesn't do any harm. My lipids in August 2010 had low HDL and relatively high triglycerides. Three months down the track, the numbers had swapped over and have stayed that way since.

I lost some weight in the first six months dropping from a BMI of 28% to my current 22%. Nothing changed at that time except that the weight lost stopped at where, I like to think, my body was happy with it.

Again, I have to repeat, you do have a hard choice today. Please stay with us and see the impact. And don't lose that blood glucose meter - again, contrary to what you doctor probably says, you do need it!

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Old 06-20-2014, 13:46   #10
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You gave us two examples of what you eat. Keep a food diary and keep track of how you feel, BS readings, etc. You will soon see a pattern emerging. If a certain meal spikes you higher than 140/150 analyze the meal. If another meal does the same, what are the similarities? Could it be a particular food? (Milk was for me for quite a while.) Could it be a combo? Are you aware of all the contents of your meal? Knowing what to eat and what will be the result is important. You eat what works and avoid what doesn't. Whether or not you are "technically diagnosed" as a diabetic is secondary to getting a diet that keeps you feeling well. I have a friend who had severe swings of blood sugar and would faint when her BS got too low. For over thirty-five years she has paid close attention to her eating and is not diagnosed as diabetic to this day. She has impaired insulin response that usually results in a diabetes diagnosis and expected by this time to be diagnosed. However, she knows herself and her body well and is controlled. She only loses weight when she chooses to.
Good luck.

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