Borderline questions

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Diabetes

Diabetes This section of the forum can be used to discuss anything and everything to do with Diabetes. Please use this general Diabetes section for any comments or discussions that don't fit into the more specific forum categories below. Please also ensure that all posts and threads are on topic, about Diabetes.


Like Tree1Likes

Borderline questions


Closed Thread
 
Shared Thread Thread Tools
Old 07-26-2011, 19:41   #1
 
Join Date: Jul 2011
Posts: 27

Member Type
Type Pre
Diagnosed in 2011

8 likes received
4 likes given
Default Borderline questions

I have been lurking for a while and reading posts. I also went to bloodsugar101 and read the information there, but I am still confused when it comes to borderline or pre vs full-blown diabetes. 6 months ago my A1c test was 6.0, my doctor said I don't have diabetes, but I'm right on the line and he told me to cut down on carbs, and I have been doing that and testing my bg and trying to keep it below 120. But after reading posts, I know that my A1c translates to 125 and that is above normal, so how can I not have diabetes, or at least be borderline or pre?

What is the difference between borderline and full-blown diabetes? Do I have to eat low carb the rest of my life so I don't become full-blown? If that is the case, then doesn't that mean that everyone who has been diagnosed pre or borderline actually does have full-blown diabetes? If so, why would the doctor tell us we are pre or borderline if we already do have full-blown? This is very confusing.

AnnV is offline  
Old 07-26-2011, 19:52   #2
 
Join Date: Jul 2011
Posts: 27

Member Type
Type Pre
Diagnosed in 2011

8 likes received
4 likes given
Default

My doctor said I am not pre-diabetic and not borderline, but he said I am close.

AnnV is offline  
Old 07-26-2011, 20:18   #3
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

I think it's confusing because there are too many pseudo experts making decisions about things they know nothing about. My contention is that diabetes is like pregnancy - you either are or you aren't. The doctors seem to be compelled to follow policies which have more to do with politics than they do with either healthcare or medicine, and now are apparently making an additional distinction between pre-diabetic & borderline - good grief! But that's neither here nor there.

Unless you're running normal BG, with fasting in the 70s and postprandials around 100, you prob'ly should be taking precautionary measures of reducing your carb intake on a permanent basis. And there are no guarantees that this will prevent any progression of the disorder, but it will reduce your risk of developing complications from it. Forewarned is forearmed, right?




Shanny is offline  
 
Old 07-26-2011, 20:50   #4
Senior Member
 
Join Date: Apr 2011
Location: United States
Posts: 8,795

Member Type
Type Undiagnosed
Diagnosed in 2010

6333 likes received
12139 likes given
Default

I fully agree with Shanny on this topic. My father had blood sugar higher than his doctor wanted it to be, but I never heard the word diabetic used by the doctor. He never was treated for it, but ate few carbs other than desserts, when I tested at 6.9 and began to read everything I could find on it, it seems I'm diabetic, but controlled by diet. I also asked a first cousin of mine about the family history and it seems we had a number including him and his son who ran high blood sugars. Anyway, I stay around 90-100 fasting, and I watch what really raises my sugar after eating. In a year of being very careful, I pretty well know what I can eat and what I can't...so I consider myself diabetic at this point.




__________________

View Patdart's full Diabetes Forum profile here.
Patdart is offline  
Old 07-26-2011, 22:14   #5
 
Join Date: Jul 2011
Posts: 27

Member Type
Type Pre
Diagnosed in 2011

8 likes received
4 likes given
Default

Quote:
Originally Posted by Shanny View Post
My contention is that diabetes is like pregnancy - you either are or you aren't.
That's what I was afraid of. So doctors are telling their patients they are pre or borderline, so they are going away thinking they can cut down on carbs for a while, then be cured. Or thinking they don't have to watch what they eat that closely because they don't have diabetes. It seems like diagnosing people with pre or borderline is making things a lot worse for people. It is bad enough being diagnosed as pre, then you have to go through that worry and stress all over again once your bg goes up and you are diagnosed as having full-blown. I don't understand why doctors do this, unless they also believe that borderline and pre-diabetes can be cured.

Since the number of diabetics is now so high in the U.S., if they counted in all of the pre and borderline, the number would probably amaze us.

Shanny likes this.
AnnV is offline  
Old 07-26-2011, 22:40   #6
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

Exactly! But if you go to the ADA website & see the outrageous things they promote as fact, you'll be more confused than ever. They operate on donations & their biggest donors are big corporations. http://www.diabetes.org/donate/spons...upporters.html

American Diabetes Association Corporate Sponsors Big Pharma | HoldTheToast! by Dana Carpender

Docs are apparently bound to follow ADA guidelines, whether they believe it or not.




Shanny is offline  
Old 07-26-2011, 22:45   #7
Senior Member
 
Join Date: Jul 2011
Location: California, USA
Posts: 3,076

Member Type
Type 2
Diagnosed in 2009

4566 likes received
542 likes given
Default

Maybe it's true that you "are or you aren't" but that's not the same thing as saying we actually know how to determine which it is.

Is 6.0 just your body's "set point" where it DECIDES to keep your glucose or is it the beginning of your system being overwhelmed and will continue to get worse. Hard to say. Non-diabetics are not in some very narrowly defined range. Like all biological phenomena, any population will display a mean value and values distributed according to a standard deviation over a bell curve.

Please look at this graphic of a constant glucose monitoring trial of a healthy, non-diabetic population (their average A1C was 5.4):

CGM Trial

As you can see, normal people are not simply "in the low 70's fasting". Actually, the AVERAGE is 80 and within 2 standard deviations they range from 61 - 99. None of these people are diabetics.

Also note that A1C is notoriously inaccurate for a variety of reasons having nothing to do with actual blood sugar levels or the presence of absence of diabetes. One example is the average lifespan of your red blood cells. If they 'cycle' (die and are replaced) faster than average, your A1C will read lower, if they cycle slower it will read higher.

In reality there is no conversion from A1C to average BG the one you find is only based on an average for a sample population. That doesn't tell you where you are on that particular bell curve. If you really want average BG, test every 30 minutes for an entire typical day and take the average!

Having said all that, I'll say YES, you should test and monitor your BG carefully and another PROBABLY, eating low-carb for the rest of your life is no doubt an excellent idea and may just be necessary for good health.

smorgan is offline  
Old 07-26-2011, 23:03   #8
Senior Member
 
Join Date: Jun 2009
Location: North East Ohio, USA
Posts: 4,368

Member Type
Type 2
Diagnosed in 2007

1790 likes received
1507 likes given
Default

I think doctors do a lousy job treating pre diabetes. I remember about 10 years before I was dx'd with D my fasting was 104. All my doctor said is watch your sugar. Well, I rarely ate sugar so I thought I was OK. Fast forward 10 years and I was dx'd full blown D with fasting of 240. So I should have been told to test so I could have prevented lots of damage. Now I watch all carbs, not just sugar and keep HbA1c around 5.3, which is still higher than normal. A normal HbA1c runs from 4.0-5.2 or so. So even at 6.0 you are well above normal, although not diabetic quite yet. You are in that risky zone. If you are over weight they may call it metabolic syndrome or glucose intolerant but it is all part of the same disease diabetes. Since you have been testing I would rotate testing some fastings, some after meal bgs just to keep abreast of if your disease starts to progress. A normal non D will usually be back to fasting after he eats. So use that as your cue to keep after meal bgs as close to 100 as possible.

__________________
diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
jwags is offline  
Old 07-27-2011, 00:04   #9
 
Join Date: Jul 2011
Posts: 27

Member Type
Type Pre
Diagnosed in 2011

8 likes received
4 likes given
Default

After reading all of your replies, I am even more confused than I was to begin with. I guess the question I should have asked in the first place is, does anyone know anybody who was pre or borderline, who ate low carb for a certain length of time, then could go back to eating whatever they wanted and were cured of pre or borderline? If the answer is no, it seems to me there is no other conclusion to reach than that pre and borderline are actually diabetes.

Sorry to be so dense, but if someone has actually been cured of it, I want to know how to do it so I can do the same.

AnnV is offline  
Old 07-27-2011, 00:16   #10
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

Quote:
Originally Posted by AnnV View Post
...anybody who was pre or borderline, who ate low carb for a certain length of time, then could go back to eating whatever they wanted and were cured of pre or borderline?
I firmly believe the answer is a resounding NO. Low-carbing is a preventive maintenance lifestyle, not a cure. There is no cure.




Shanny is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Many questions njoy New Member Introductions 11 05-21-2011 00:21
Questions ConnieB525 Diabetes 5 05-02-2011 13:07
New and have questions chhf New Member Introductions 6 08-07-2010 22:59
Several Questions inspiredbyjonas Diabetes Complications 4 07-21-2010 21:38
New with questions dallasrechelle New Member Introductions 19 06-08-2010 17:40

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 07:27.




Powered by vBulletin®
Copyright ©2000 - 2021, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2021 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2021 DragonByte Technologies Ltd.