Am I Really "Borderline" Diabetic?

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Am I Really "Borderline" Diabetic?


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Old 01-19-2012, 21:38   #1
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Default Am I Really "Borderline" Diabetic?

Am I really "Borderline" Diabetic?
Join Today Free and remove this ad! Hello everyone. Well, this is one forum I never thought I'd be visiting but here I am. A quick history, I'm a 39 year old male that hadn't seen a doctor in nearly 15 years because I've been otherwise pretty healthy. I've always been active/exercise and am at an otherwise healthy weight. As the big 4-0 approaches, my wife "encouraged" me to go get a physical and make sure everything was still up to factory specs. When the blood work came back it showed my fasting glucose at 104. Doc said that was a little above normal and wanted me to have a 2 hour glucose tolerance test. Did the GTT earlier this week and got my results today:

75g Glucose (disgusting fruit punch flavor)
Fasting - 101
1 hour - 187
2 hour - 125

According to everything I've read those numbers (with the exception of the fasting one) are well within normal limits yet my doc has labeled me as "borderline diabetic" and wants me to follow the 1800 calorie ADA diet and follow up in three months. Now granted my diet could use a little tune up but I'm a bit concerned and confused about my new label.

My question is this, given my numbers is this "borderline" label a bit off base? The whole world of diabetes is foreign to me so right now my head is spinning a bit. Any suggestions in talking to my doc or any idea why a doctor would label these numbers "borderline"? I would certainly appreciate any help or insight. Thanks.

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Old 01-19-2012, 21:54   #2
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Most of us remember that "head-spinning" initiation into the world of diabetes. But the good news is, you can turn off the alarm bells - it is not a death toll - it's a wake-up call.

In my opinion, your doctor's advice is good and bad . . . I don't truly believe there is a borderline or "pre" diabetic situation, but he's right - if your numbers are edging up, then you're diabetic and have caught it at a very early stage. A stage where it can be reined in and prevented from causing dire complications in the future.

His advice to follow the ADA diet/guidelines is totally wrong. Far better to follow the advice of another good doctor and start the LCHF way-of-eating. And one of the best resources for diabetics both old & new, is BloodSugar101.

Sure sorry you had to come looking for us, but am thankful you found us. Ask any other questions you have & you'll find scads of wisdom & knowledge here.

Take care and visit often.




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Old 01-19-2012, 22:11   #3
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When I went to the doctor my fasting blood sugar was 119

They drew blood and off to the lab it went. When the lab results came back, my blood sugar was 119, same as office test but my hemoglobin a1c came back at a whopping 10.6%

whamo, the said I was a type 2 diabetic.

Get your a1C checked if you really want to know

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Old 01-19-2012, 22:25   #4
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Welcome, marb4!

Not to scare you, but, since you asked, I would say you're in the early stages of diabetes. I don't really like the phrase "borderline diabetic," and I LOATHE the term "prediabetes." IMHO, neither term takes the condition seriously enough. And it is serious. Not because you'll have any trouble if you manage the condition, but because you'll have a heap o' trouble if you don't. So lifestyle changes are in order.

It may not feel like it, but you're lucky to get those results now, before you're having grossly elevated blood glucose levels and experiencing complications. By "encouraging" you to get a physical, your wife probably added years to your life, and QUALITY years at that. Once you're over the shock of having early diabetes, buy her flowers.

As for what you eat . . . You'll find people on other forums (and maybe a few here) who think the ADA diets are just peachy, and they do work for some people. My father was diagnosed in the very early stages of diabetes and followed the 2100 calorie ADA diet religiously for 40 years. He never had another elevated bg reading and he died at 83, from Parkinsons, with no complications from diabetes. BUT, my dad and mom (who shopped and cooked for him) were a special case. From my experience and reading, eating low carb and to the meter is the way to go.

BTW, did your doctor do a HbA1c? That would also help you understand better what's going on and give you a yardstick by which to measure your progress.

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A1c
11/2011: 8.8 | 03/2012: 5.6 | 08/2012: 5.9 | 09/2013: 6.0 | 03/2014: 6.2 | 03/2015: 6.2 | 02/2016: 6.9 | 01/2017: 6.8 | 05/2017: 7.1 | 09/2017: 6.8 | 01/2018: 6.5

Diabetes meds
Metformin 1000mg BID

Diet
Low-ish carb (~90-150g per day)
Low-ish calorie (<1800 kcals per day)

Exercise
I really should exercise.

Last edited by WV Mom; 01-20-2012 at 00:48.
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Old 01-19-2012, 22:32   #5
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Welcome to a group which can give you a lot of guidance, but the first as Shanny says is you are really lucky to know what you do right now. I've had a similar experience and it really is easier now that I know. I wish the same thing for you. If needed drop a bit of weight and learn what you can eat, drink, etc. and you'll do great!




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Old 01-19-2012, 23:00   #6
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Borderline and Pre Diabetes to me are all part of Diabetes. Although your numbers are still at the high range of normal they indicate that your Endocrine system is beginning to become dysfunctional. I was similar to you when I was dx'd. I was normal weight, exercised a ton and was a vegetarian with no family history of diabetes. I remember at one doctors visit in my mid 40's my fasting was 101. All he said was watch your sugar. Since I didn't eat sugar I didn't pay attention. Fast forward ten years and I was dx'd a full blown Type 2 with a fasting of 240. So I guess what I am saying is to heed your doctors warning and learn as much as you can about diabetes and what it does to you. Just a few simple tweaks in diet can help a lot.

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Old 01-19-2012, 23:13   #7
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As far as the ADA diet, many of us are very suspicious of it. What I would suggest is you go to Walmart and purchase a Relion BG meter and test 2 hours after you eat. Start recording your meals and 2 hour numbers. Eventually you will see some patterns. A non diabetic will never spike much over 120 and be back to fasting pretty quick because they still have a good insulin response. Diabetics are asked to keep after meal bgs 120-140 or less. To me this is a much better way of eating. We call it " Eating to your Meter" I don't ever count calories, only the carbs in my meals. I spike if I eat much over 10-15 carbs per meal so I try to keep it around there. You need to find your own set point. If you are an active man who is not overweight an 1800 calorie diet may not be enough for you. The majority of my diet is protein and fat with a few carbs from nuts, seeds and veggies thrown in.

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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
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Old 01-19-2012, 23:29   #8
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Thanks for all the responses so far. Wow, I've got a lot to consider. I'm trying not to get overwhelmed but to be positive and take one step at a time. As a little added info, for a number of years I've had what I describe as hypoglycemia type symptoms from time to time (shakieness, excessive craving for sweets, fatigue, just not feeling "right"). I've dealt with some anxiety issues over the years as well so I've always just attributed those episodes to that. Recently I've noticed that these hypo type symptoms have become more pronounced and frequent. Maybe I'm onto something here. In some sense, I'm actually looking forward to making some positive changes and seeing what happens.

I find a lot of general info, such as "reducing carbs", etc but would love to find some more specific dietary info so any pointers in the right direction would be greatly appreciated.

I have to be honest, I wish I had never had a need to find this forum but I'm glad its here and am thankful for the help of those who have been where I am and are moving in the right direction.

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Old 01-19-2012, 23:31   #9
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Welcome!

You may be surprised to find out that if you measure your BG during a "hypo" it might not be that low. Sometimes the body learns to accept a higher BG level as "normal" and then when you start cutting back on carbs you'll get "false hypos". This happened to me, but hasn't happened in a while now. Your meter is your friend.

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Old 01-19-2012, 23:52   #10
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I think you will find out that lots of diabetics started out with "hypo symptoms". What that indicates is your endocrine system is beginning not to function properly. In a perfect world your hormones glucagon and insulin would act in a perfect balance always keeping your bgs in a tight range. When something goes wrong these hormones get out of whack. Sometimes it is insulin resistance, sometimes it is siganling problems , sometimes it may be your stress hormones or thyroid that are out of balance. Your body is a fine tuned machine and just like your car when one thing is out of whack, all sorts of things get out of whack.

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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
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