The Diabetes Forum Support Community For Diabetics Online banner

1 - 9 of 9 Posts

·
Registered
Joined
·
21 Posts
Discussion Starter · #1 ·
Want to check your 1str phase insulin response as well as sensitivity ,depletion and resistance IMO very easy here's how I do it

Go to the pharmacy and get 40 gm of pure glucose, now you will need five test strips. I created a graph to show you how mine looks you will note at the 30 min marker a 11.6 mmol/l spike(multiply by 18 ) to ge t209 mg/dl.

This is a very high spike yet all is good at the 1hr 1.5 hr and 2hr markers.
Since I have quite acceptable numbers at the 1 and 2 hour timings it suggest to me that my problem is 1st phase insulin release .

http://i943.photobucket.com/albums/ad271/phraedus_IV/Diabetes/1STRESPONSE.png
 

·
Registered
Joined
·
930 Posts
Cool! That indicates to me that you are a beginning type 2 diabetic because at 90 minutes you are dropping lower than the original level. This indicates to me that you still have sufficient insulin capabilities but may be suffering from mild autonomic neuropathy. Some of us get (on our own in the USA at Walmart) some fast acting/regular insulin to inject one half hour before meals to blunt that spike, thus preventing that spike from further damaging our autonomic nervous system.

So are you undiagnosed or a beginning type 2 diabetic?

Any anti-diabetic medications?

Have you had a recent A1c test?

This is of course just the opinion of an ignorant old hillbilly :p

ColaJim
 

·
Registered
Joined
·
21 Posts
Discussion Starter · #4 ·
Cool! That indicates to me that you are a beginning type 2 diabetic because at 90 minutes you are dropping lower than the original level. This indicates to me that you still have sufficient insulin capabilities but may be suffering from mild autonomic neuropathy. Some of us get (on our own in the USA at Walmart) some fast acting/regular insulin to inject one half hour before meals to blunt that spike, thus preventing that spike from further damaging our autonomic nervous system.

So are you undiagnosed or a beginning type 2 diabetic?

Any anti-diabetic medications?

Have you had a recent A1c test?

This is of course just the opinion of an ignorant old hillbilly :p

ColaJim
I have been diabetic for 7 years FBG 13.6 mmol/l 245mg/dl
Metformin 500x2
Last A1c 5.1

Why do you feel it is indicative of autonomic neuropathy?
Why do you feel going below baseline and then returning is the beginning stages of diabetes I thought it was a good return to my baseline?
 

·
Registered
Joined
·
930 Posts
Is "FBG 13.6 mmol/l 245mg/dl" your FBS at dx? It is inconsistent with an A1c of 5.1%.


I have been diabetic for 7 years FBG 13.6 mmol/l 245mg/dl
Metformin 500x2
Last A1c 5.1

Why do you feel it is indicative of autonomic neuropathy?

Because the first thing that usually happens even before one is diagnosed with high blood sugar is that one develops caustic high levels of insulin that damage the fine nerves which then causes insensitivity to metabolic signaling like the delayed insulin response that you have.

Why do you feel going below baseline and then returning is the beginning stages of diabetes I thought it was a good return to my baseline?

Because as diabetes progresses blood sugar only returns to base level after 3 or 4 hours, then as diabetes progresses further blood sugar does not return to base line.
 

·
Registered
Joined
·
21 Posts
Discussion Starter · #6 · (Edited)
Is "FBG 13.6 mmol/l 245mg/dl" your FBS at dx? It is inconsistent with an A1c of 5.1%.
My FBS was 9.8 mmol/l
Then they tested again the next day
FBS 13.6 A1c was 5.6
In Canada we diagnose on FBS or OGGT A1c is not a reliable indicator of course if your A1c is lets say 6.5 they will certainly be
running a OGGT.

5.1 is what my A1c is last checked about 6 months ago Dr. says I may be a low glycator.
 

·
Registered
Joined
·
930 Posts
"Why do you think I may have mild autonomic neuropathy( delayed stomach emptying (google)"

That is google's definition, not mine and I never mentioned "delayed stomach emptying".

I maintain that neuropathy caused by high caustic insulin levels starts long before high blood sugar levels and usually proceeds type 2 diabetes.

But then I am not an expert and neither are the google contributors.

ColaJim

My FBS was 9.8 mmol/l
Then they tested again the next day
FBS 13.6 A1c was 5.6
In Canada we diagnose on FBS or OGGT A1c is not a reliable indicator of course if your A1c is lets say 6.5 they will certainly be
running a OGGT.

5.1 is what my A1c is last checked about 6 months ago Dr. says I may be a low glycator.

Why do you think I may have mild autonomic neuropathy( delayed stomach emptying (google))
 

·
Registered
Joined
·
21 Posts
Discussion Starter · #9 ·
I have been diabetic for 7 years FBG 13.6 mmol/l 245mg/dl
Metformin 500x2
Last A1c 5.1

Why do you feel it is indicative of autonomic neuropathy?
Why do you feel going below baseline and then returning is the beginning stages of diabetes I thought it was a good return to my baseline?
whatever:

ok this is my line of reasoning on insulin deficiency.
at the 1.5hr mark I go below my baseline this indicates to me that the pancreas has over shot the setpoint determined by the liver.
At the 2 hr mark there is a slight rise back to baseline

I have performed this test a number of times with just carbohydrate food to avoid any interference from fat protien and fiber. I always overshoot and return to baseline by inference If I have sufficient insulin I must be more insulin resistant .

The only thing that troubles me is the first phase response being so high. But is not really a concern I find high fat and fiber dampen this response to quite manageable levels.

What do you think of my reasoning yes/no/maybe?
 
1 - 9 of 9 Posts
Top