Can this be pre diabetes?

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Can this be pre diabetes?


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Old 03-15-2016, 19:51   #1
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Default Can this be pre diabetes?

Hello, for several months I have been having some strange symptoms. Dry mouth, eye pain, tingling in feet and ankles. That would come and go. I purchased a bg test kit and began to test my blood sugar. I have always had a fasting level from 79 to 88, so I always thought I was fine. Just today I decided to test my blood sugar at the 1 and 2 hour marks. I had a bowl of white rice for breakfast knowing this would spike my blood sugar. My morning fasting was 86 my 1 hour was 177 and my 2 hour was 147. After reading several things I'm now concerned I'm pre diabetic.

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Old 03-15-2016, 21:20   #2
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One isolated test isn't conclusive. However, that 177 spike is indicative of a poorly functioning glucose metabolism.

Have you read Blood Sugar 101 yet? A very informative, and accurate, site for all things diabetic. You might want to spend some time there learning all you can about diabetes.

If you are concerned about readings being high, especially after consuming a high-carb meal, then you might want to do more testing, and of more typical meals, following the "eat to your meter" method of testing - before the meal, 1hrpp and 2hrpp (as you did). Then, if any reading is above 140, reduce the carb load for subsequent meals (this is assuming that you are counting and know how many grams of carbs is in your meals and snacks).

Or, if you want a diagnosis, ask your doctor for an OGTT (oral glucose tolerance test).

FYI - the fasting level is usually the last to be affected by diminishing glucose metabolism, so it can be "normal" while all along the post-meal can be too high.

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Old 03-15-2016, 22:14   #3
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Bad news is that there is no such thing as being "pre-diabetic" you either are or you are not. If you are, there is no cure, but it can be controlled.

If you are concerned see your doctor only he can give you a proper diagnosis. We all do not agree on much the medical profession does on diabetes, but they are the best ones to tell us if we are diabetic or not! Also are you a type II, type I, or 1.5? See your doctor!

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Old 03-15-2016, 23:00   #4
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Originally Posted by Babyblueeyes View Post
. . . I had a bowl of white rice for breakfast knowing this would spike my blood sugar. My morning fasting was 86 my 1 hour was 177 and my 2 hour was 147. After reading several things I'm now concerned I'm pre diabetic.
The 177 may be of concern because it means that you definitely go up there, and you aren't back down very far after 2 hrs.

An HbA1c blood test can tell you if you regularly have high levels over the past ~90days.

Sounds like you can easily have good control with proper diet.

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Old 03-19-2016, 04:13   #5
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Originally Posted by div2live View Post
Bad news is that there is no such thing as being "pre-diabetic" you either are or you are not. If you are, there is no cure, but it can be controlled.

If you are concerned see your doctor only he can give you a proper diagnosis. We all do not agree on much the medical profession does on diabetes, but they are the best ones to tell us if we are diabetic or not! Also are you a type II, type I, or 1.5? See your doctor!
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®

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Old 03-19-2016, 14:04   #6
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Welcome to the forum Babyblueeyes, sorry you had to come find us. This forum is a good place to find though.

I agree you should be concerned, especially if continued testing has high results. The best thing to do is to visit your doctor and discuss your concerns. Do read the link VeeJay gave you, it will better prepare you for you doctor appointment.

I personally don't believe in pre-diabetic. My current A1c is 5.3%, fasting this morning is 70 mg/dL, OGTT I've never had one and I never will, 99.99% of the time random is always less than 140 mg/dL. Hey, OMG I'm not diabetic, not even 'pre' because the ADA charts says I'm not!!! They also say I need to eat 150 grams of carbs a day. Places I've seen that talk about pre-diabetes also talk about going from 'pre' to full blown diabetes. WTH is that???

I would put pre diabetes with the easter bunny, santa claus, and the great pumpkin, it's OK to believe, but in the end.....

Five years ago my A1c was 8.8%, fasting BG 130-150 mg/dL, a bowl of oatmeal would send my BG to 250 mg/dL. Even with the "normal" numbers I have today, I am diabetic. Diabetes only gets worse if you let it. If your test results continue to show high and you are told you are *diabetic, then doing something about it now can stop it from getting worse and over time, the symptoms caused by high BG should go away.

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Old 03-19-2016, 15:23   #7
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Pre-diabetes is just a label. It is one point on the spectrum of a broken glucose metabolism. Metabolic Syndrome and/or Insulin Resistant would probably the be at one end, and insulin-dependent T2 at the other end.

Doesn't really matter what its called, the treatment is the same. Drop the carbs.

I'm leaving out T1s on purpose as their's is an autoimmune condition.
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Old 03-19-2016, 15:35   #8
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I wish I had found Blood Sugar 101 and this forum when I still had the "pre" label. I may have been able to prevent progressing to this full blown state. South Beach wasn't low carb enough. But I hope I can keep from getting worse now and prevent complications.

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Old 03-19-2016, 16:02   #9
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I wish I had found Blood Sugar 101 and this forum when I still had the "pre" label. I may have been able to prevent progressing to this full blown state. South Beach wasn't low carb enough. But I hope I can keep from getting worse now and prevent complications.
I hear you MaJoie! I wish in that Pre-diabetic diagnosis that I received from my doctor before any treatment was started that I would have heard of LCHF. I did try a new way of eating which helped but then thought I was out of the woods, but I wasn't.

It seems that once we pass that threshold, there really is no turning back, just as VeeJay said, into the mode of metabolic problems. Need to watch the way of eating for life at that point I'm guessing.

My best to you all....

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Old 03-19-2016, 16:59   #10
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Originally Posted by VeeJay View Post
Pre-diabetes is just a label. It is one point on the spectrum of a broken glucose metabolism. Metabolic Syndrome and/or Insulin Resistant would probably the be at one end, and insulin-dependent T2 at the other end.

Doesn't really matter what its called, the treatment is the same. Drop the carbs.

I'm leaving out T1s on purpose as their's is an autoimmune condition.
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.

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