Pre-diabetic athlete

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Pre-diabetic athlete


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Old 02-27-2014, 17:52   #1
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Default Pre-diabetic athlete

Fit, runner, 40 years old with pre-diabetic numbers, diet and exercise not helping...What can I do?
In October 2013 I went for a routine physical and the glucose came back at 100. This raised a concern, because one year prior, my glucose was 71 and 79 by lab work (measured twice). I'm 5'1" and in October, I weighed 120 lbs. I've always had a healthy diet, but I lowered my carb intake significantly and what carbs I do have, minimal, are complex. I run regularly, 20-40 miles a week depending on upcoming races, but I also added strength training twice per week. I've since lost 9 pounds and 4% body fat. In January I had an A1C done and it was 5.8, my insulin levels (fasting) <1.5, not sure exactly how low, and the c-peptide was at 1.4 (normal range is 1.1-4.4). The fructosamine level also rose from 170 to 234 in one year. The endo said she thought the insulin levels were low and had I been heading towards type 2, she would have expected higher insulin levels. My cholesterol, HDL and LDL levels are all great, I'm definitely not overweight, and I am very active. My fasting numbers have been slowly creeping up from the 90-105 range in October 2013 to the 105-116 range now. The endo tested for antibodies in January, but they did not show. Is it possible for them to show up later? Did I just happen to catch this early? Both the endoand my regular physician have no other advice for me to lower my numbers, what else can I do? I'm due for another A1C in April from my regular physician. What does this look like? I have no risk factors, no cardiovascular disease, no gestational diabetes, and I'm within normal weight.

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Old 02-27-2014, 18:22   #2
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Jenny, I am a pre, but I was obese, now slimming down to almost normal range. I am not as educated as a lot of folks here, but I hope you find an answer to your questions. Diabetes, as you will find, can hit anyone of any background, physicality, etc. One of my closest friends is morbidly obese- her thin husband is type 2. I know it is frustrating because you did and are doing everything right.

Will be interesting to see what your April numbers say. Please keep us posted!

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Old 02-27-2014, 18:40   #3
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Hi jenny and welcome!

You'll find some great help here.

From what you're saying my guess is you caught it early. Congrats on that! Though I must admit some of the tests you mention I'm not familiar with, so research for me when I get home!

Since you said you've cut your carbs, can you elaborate more on that? How much are you eating per day or meal or even the types? Many of us here have found the idea of "complex carbs" doesn't work like its "supposed" to work so we avoid them as well as the other more obvious offenders.

And a 5.8 a1c? Wow! That's good. Took me 6 months of insulin to get that nice of a reading.

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Old 02-27-2014, 20:00   #4
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Hi Jenny, good to meet you.

I will agree with David on the 'catching it early' issue. Your FBS went from 71 to 100 in a year, and in opinion, that's pretty significant. Also, your A1C shows an average blood sugar of around 120. While that may be good, it's not what I'd actually expect from someone that's as fit as you are.

I also have the same question as David - tell us more about your carb intake. Most of us find that by controlling carbs, we can take control over our blood sugar nicely.

Here are a reputable sites that discuss a low carb way of eating:

Blood Sugar 101
LCHF for Beginners


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Old 02-27-2014, 20:16   #5
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By conventional wisdom, you have been living a healthy lifestyle. But now you've had this rude awakening and learned that diabetes is no respecter of persons. There is no rhyme or reason to when or why most people become diabetic. Not family history, not bad food habits or reckless lifestyle, not anything that fits comfortably in a logical little 'box'.

Your next rude awakening will prob'ly be hearing from us that the nice complex carbohydrates you've counted on for a 'healthy balanced diet' are exactly what are raising your blood sugar levels. Another rude awakening will be that what we tell you may very likely be at odds with what you hear from your medical professionals.

Nothing I say here is likely to persuade you of the truth of our message, so all I will offer is that you try it. The proof is in the working. The advice the others have given is correct and the links provided are the best sites we know of.

I'm sorry this has happened to you when you've worked so hard living what society's 'experts' deem a healthy lifestyle. Everything you've worked for is still available to you, but as a diabetic, it will have to be without the carbs. We are living proof. I hope you'll be able to understand and accept what we offer.




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Last edited by Shanny; 02-27-2014 at 20:23.
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Old 02-27-2014, 20:48   #6
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I've limited my carbs to about 1/4 cup to at most 1/2 cup per day of a grain, being brown rice or quinoa, I've avoided all pasta. I have had a small slice, about the size of an index card, of pumpernickle bread about once per week. Fruit is highly limited, I know apples will raise my blood sugar the next day, so I might only have one or two bites if it is in the early morning right after a run. Other than that, per day I might have 1/2 cup of fruit total, berries or grapes. I do eat a lot of vegetables and I cook the food myself, so I know I'm not adding sugar. I'm definitely feeling the lower carb intake, less energy to run. I guess I was really expecting to see the numbers go lower, at least a little bit, with the diet changes, weight loss, and added strength training.
I appreciate all the help and I will start logging my food to accurately measure the amount of carbs as well.

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Old 02-27-2014, 20:49   #7
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Welcome!

I visited my doc and submitted a comprehensive blood test in Nov '13. He said everything looked great and to keep doing what I had been doing in the way of diet and exercise. His PA said my BG was a touch high and wanted another blood test sometime in the next 12 months.

I starting researching on my own and found this place. My FBG levels have been over 100 I just found out looking at previous tests. No doc has ever said anything about it. I have lowered it on my own with diet and feel much better, I never knew I felt bad before. I ate way too many complex, slow release carbs before, fruit, whole wheat grain products, etc. This would bloat me, make me hungry, and increase BG levels. I always thought I ate healthy before, but have actually found fat to be much more to my bodies liking than carbs. I've been on 30-40g cars per day, 10% of what I have eaten for years.

Read a lot here, you'll find what works for you.

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Feb '18 A1c 5.2
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FBG
Chol 262
HDL 45
Trig 108
LDL 194
Insulin 4.7 (2.0-19.6)
11/15/17 30 Day FBG average 109


Male 68 157 lbs. 6'


Self diagnosed 11/'13, eating LCHF, Ketogenic. My Cardiologist is trying to help me manage my BG levels as I have no PCP
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Old 02-27-2014, 20:53   #8
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My FBG have reached over 100, but I havent had a big response from Doctors until last May when my endo said I was pre, my FBG was 110 and my A1C was 5.9. Blew him off, and ended up going up by my next appt. Bought a meter, taught myself how to test, etc, and, like Nick, became my own researcher. Thus, found this place. I am finding that my body isnt reacting well at all to red meat (never at a lot of it, so this uptick is giving me not nice side effects), so I adjust. I needed a tad more carb intake at lunch, so I added literally a blop of greek yogurt. You try and adjust.

its nice to be in the driver's seat- and not have the disease control my life. I am all about it not progressing.

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Old 02-27-2014, 21:01   #9
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Jenny? The loss of energy isn't a given when decreasing carb intake. The essence of the low-carb/HIGH-FAT way-of-eating is in that we increase our fats intake to give our bodies a new source of fuel for energy - one which doesn't raise our blood sugar.

The demonizing of fats all these years was a hoax from the get-go, and little-by-little this myth is loosening its grip on the public consciousness. Good natural saturated and unsaturated fats are good for us, and especially good for us diabetics. There are still 'bad' fats, of course - the trans fats, the filtered/bleached/disinfected/deodorized vegetable oils so heavily marketed, anything hydrogenated - but plain ordinary butter, ghee, cream, lard, tallow, schmaltz - these are good fats.

In short, we try get off the glucose energy system and onto the ketogenic way. What little glucose requirements (5%) our bodies have, can be quickly covered by the process of gluconeogenesis, the metabolic pathway by which glucose is generated from non-carb sources such as protein.




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Old 02-27-2014, 21:08   #10
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Your numbers look great, so relax a bit. Except (as Mary said) for the fact that your fasting BG went up by about 30 points in a year. I would say get a home meter & test it on many occasions on your own. One skewed reading is possible for a lot of reasons. If you see a higher fasting trend developing that would only mean that you are metabolically challenged & it's time to do something about it. I would prefer to define it as diabetic tendency rather than pre-diabetes, simply because that "pre" tends to add a lot needless medication.

On the dietary side, simply lowering carbs or improving their quality is not enough. It needs to be supplemented with something else. As an athlete you would know that proteins need to be restricted to a certain level and that they act as a fulcrum between the carbs & the fats. With the carbs coming down, the fats will need to go up. Many here, eat LC/HF as a therapy towards gaining better BG control & improving all other parameters. But don't believe me, give it a try.

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