Can this be pre diabetes? - Page 2

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Can this be pre diabetes? - Page 2


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Old 03-19-2016, 17:12   #11
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There most certainly is such a thing as pre-diabetes. It's often referred to as borderline diabetes.

Before people develop type 2 diabetes, they almost always have "prediabetes" — blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes.

Doctors sometimes refer to prediabetes as impaired glucose tolerance (IGT) or impaired fasting glucose (IFG), depending on what test was used when it was detected. This condition puts you at a higher risk for developing type 2 diabetes and cardiovascular disease.

There are no clear symptoms of prediabetes, so, you may have it and not know it.

Some people with prediabetes may have some of the symptoms of diabetes or even problems from diabetes already. You usually find out that you have prediabetes when being tested for diabetes.

If you have prediabetes, you should be checked for type 2 diabetes every one to two years.

Results indicating prediabetes are:
An A1C of 5.7% – 6.4%
Fasting blood glucose of 100 – 125 mg/dl
An OGTT 2 hour blood glucose of 140 mg/dl – 199 mg/dl
- See more at: Diagnosing Diabetes and Learning About Prediabetes: American Diabetes Association®
Shall we agree to disagree....my research tells me that once you have a problem with sugar (impaired glucose tolerance) , you always have a problem with sugar...you cannot be cured or make it go away. So telling someone that you are "Prediabetic" implies that you can somehow get cured, which you cannot in todays world.

Now we can agree that some do not progress to where they must take meds, but none once diagnosed will ever be able to ignore the fact they do not process sugar properly and are at risk accordingly.

Therefore having your physician tell you that you are prediabetic is like telling a women she is pre-pregnant....! You either are or you are not!

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Old 03-19-2016, 18:22   #12
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Thank you everyone for all your replies. This week I have mainly tried to eat low carb and have had good numbers. Yesterday I did have a three fruit smoothie for breakfast and did have a 1 hour of 140. Last night for dinner I decided to have a large portion of broccoli, a small portion of enchiladas, and a beer. My 1 hour was 121. I didn't think that seemed to bad. My numbers seem to be worse in the mornings. Have any of you been able to eat oatmeal for breakfast? What about alcohol? Not for breakfast of course. I'm gonna have a hard time giving up my occasional glass of wine and craft beer��

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Old 03-19-2016, 18:54   #13
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Have any of you been able to eat oatmeal for breakfast? What about alcohol? Not for breakfast of course. I'm gonna have a hard time giving up my occasional glass of wine and craft beer��
Wine should be OK. I have not yet experimented with beer - but it may be. [In moderation, of course]. The liver has a one-track mind. When it is processing alcohol (which it makes a priority), it cannot convert glycogen to glucose and ship it out.

For me, that background added glucose seems to be the equivalent to consuming around 30 carbs.

The general advice is that dry wines are ok; sweet are not. I've had a total of 5 or six glasses of wine since my diagnosis in October. Three of those were one of the sweetest wines (Moscato), and my blood sugar went down - even when consumed with a salad that would normally push my carb limit. (That's when I started exploring to figure out what is going on.) Further experiments allowed me to consume approximately 50 net carbs (wine carbs included) in a single sitting and stay below 140 (through 5 hours post consumption).

Theoretically, even though beer has been described as liquid bread, it should work the same way. Drink the beer, the liver temporarily stops adding its measure of glucose to the bloodstream, and during that period your body will only have to handle the consumed carbs (not the consumed carbs + glucose from the liver). I have not yet tested it.

I have discussed this on another forum, with other people who have discovered the same thing , and spent a bit of time looking up the science. But - as with everything else - each of us is different. This is my experience. There is a scientific explanation, but your body is individual and may react differently.

As for oatmeal - you're on your own there. Can't stand the stuff, so I have no reason to test it.

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Old 03-19-2016, 19:33   #14
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Have any of you been able to eat oatmeal for breakfast?
Some have, some haven't. The only way for you to find out if your body can tolerate that many carbs for breakfast is to test.

Many of us are more carb sensitive in the morning and need to go as close to zero carbs as we can at that time. So, one may find that oatmeal sends BG soaring when consumed at breakfast, but may be able to eat a small portion later on in the day. YMMV

BTW - there's a couple recipes for excellent hot cereal in our Recipe section - made with almond meal and flaxseed meal (I add shredded coconut and nuts to mine).

There is usually a LC substitute for traditional foods. A quick Internet search for LC ______ will turn up multiple recipes for just about anything you could desire.

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Old 03-19-2016, 21:21   #15
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I love oatmeal. It is one of the things I really miss. ut my meter says absolutely not. I even tried oat bran, thinking most of the starch was gone and it woulld be pretty much just fiber. But that was a no-go for me, too. Your meter will tell you.

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Old 03-19-2016, 22:53   #16
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If you grew up with the idea of something starchy and sweet for breakfast (aka standard North American breakfast) it can be surprisingly hard to break, but lots of delicious fatty things can help win you over. I suggest bacon.

I explain diabetes to most people as like stage 4 of a disease, and it really is especially if you have read dr. Kraft's work.

Stage 1: insulin resistance - high insulin, normal bg
Stage 2: worse insulin resistance - high insulin, high postprandial bg, normal fasting
Stage 3: worse insulin resistance - high insulin, high postprandial bg; elevated fasting and a slightly raised a1c (they call this pre diabetes)
Stage 4: all of the above with high fasting and high A1c

That's the problem. By the time you have a diagnosis of pre diabetes, you're already stage 3. Too late to reverse the effects. The system is already broken and you need a permanent change of lifestyle to avoid diabetic complications.

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Old 03-19-2016, 23:39   #17
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Thanks Tropopause. That's a good explanation with the 4 stages.

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Old 03-20-2016, 02:20   #18
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I did have a three fruit smoothie for breakfast and did have a 1 hour of 140. Last night for dinner I decided to have a large portion of broccoli, a small portion of enchiladas, and a beer.

My numbers seem to be worse in the mornings. Have any of you been able to eat oatmeal for breakfast? What about alcohol? Not for breakfast of course. I'm gonna have a hard time giving up my occasional glass of wine and craft beer��
You seem to be playing mind games with yourself and this disease! A smoothie, enchiladas, beer, oatmeal.....REALLY?

Low Carb....NOT!

Spend more time reading Blood Sugar 101, then go look up what the health issues WILL BE if you do not get control of your blood sugar every day! Blindness, loss of limbs, heart problems, liver problems, etc. etc. Don't play at getting control of diabetes....you can do it, but stop the mind games.....for yourself and your family!

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Old 03-20-2016, 04:28   #19
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Wow div2live! Chill. I've only thought I may have Diebetes for 5 days now. I'm still in the test to your meter stage.

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Old 03-20-2016, 04:30   #20
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Perfectly said - diabetes is a spectrum, and the dividing line between two recognized phases of a broken metabolism is not particularly useful from a treatment perspective. I'd even go a step farther and say that the magic line between non-diabetic, and a broken glucose metabolism is also not a particularly helpful one either.

Anyone with numbers consistently on the high end of normal, but not quite high enough to be quite over the magic line that designates the formal starting point of prediabetes, would be well-advised to start eating as if you have diabetes.

Because diabetes is a spectrum, rather than binary like pregnancy is (you either are or are not pregnant) I don't find pregnancy a particularly useful analogy. There just there isn't a magic point at which your glucose metabolism is broken (pregnant), but was perfectly healthy (non-pregnant) the moment before. It's more like the frog in the pot of boiling water. On one extreme end, the water is a perfectly acceptable and healthy temperature for the frog - but as the temperature heats to boiling - the frog will clearly die. Exactly where, between healthy temperature and boiling, the temperature becomes toxic for our little friend the frog is insidiously difficult to pin down - so our medical profession has drawn a few arbitrary lines and labeled the portions of the spectrum non-diabetes, pre-diabetes, and diabetes.

The problem with the label pre-diabetes is not that it doesn't exist (from a medical perspective, it does). The problem is that the message it sends is "Whew, I'm not in trouble yet!" Most doctors still treat it as an innocuous diagnosis - if they even mention it at all- even though we now know that many with prediabetes already have undiagnosed kidney damage, at least).

The message it needs to send is that you already have a broken glucose metabolism, and if you start acting as if you have diabetes now, regardless of what label is attached to your position on the spectrum, you have the best opportunity to minimize the damage.
I was certainly diagnosed with Pre-diabetes by a reputable doctor. I'm not saying it means that it can be reversed and you don't have issues. I agree with the subject matter in that a person may not require more than diet to control it once they arrive at a pre-diabetes status, with diet and not end up requiring medications, or insulin.

I agree that the literature speaks equally if not leans more towards a borderline diabetic status. What that means is the issue we seem to not agree on. I do feel that had I eaten a LCHF diet at the time, that it could have been controlled with that alone. I don't believe now that it will ever get to that point because I have too many variables that keep me from being about to obtain a low enough blood glucose level.

Each patient is different in what they suffer from and how other illnesses and medications affect them individually. So I don't like labels either. I prefer each case to be looked at uniquely for that person individually. I don't claim to understand it all and how it would work because I don't know each persons story with there other health issues and how they relate to the diabetes.

I think there is a lot of room for investigation and research in this field just like all areas of medicine. We have only scratched the surface I think on understanding the way the human body works. WE are all after all just human.

Our common goals are to feel better and live a better quality of life. What ever that entails. Searching for the answers is about what I spend at least 50% of my life doing to help myself and others get out of pain, and live better and longer. I try to contribute to the overall flourishing of the human race and people out of love and respect for our differences. My opinion are just that due to where I'm at during any given period of my life.

I have a lot to learn obviously, but also have an open mind. I plan to keep in mind the things that I've heard here from ya'll. And apply it where it fits. I appreciate you offering your opinions. Thank you!

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