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Originally Posted by felinefan67 One quick thing; I've read on other websites that the A1C isn't a tool to diagnose Diabetes (so how can it confirm pre-diabetes then?) It is more of tool to see how well a diagnosed Diabetic is managing their blood sugar. Some have said to not rely too heavily on the A1C for a diagnosis (I'm guessing that means for PRE-D people as well?) |
I don't follow diagnosis issues very closely. I would not discount an A1C. I think it is much more telling than a few high spot tests.
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If I'm pre-d then why are my after meal readings so "normal"? I haven't done many (just a few really) but they've all come out SOLIDLY normal.
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I am no expert, but here's my theory. There are two sources of sugar: food and liver. Food intake triggers insulin release. You seem to respond well to food. You don't seem to respond as well to your dawn phenomenons. I think often fasting numbers show rises before post-prandials.
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Also, if I don't have a family history (except for my dad who may have got his due to binging on sugar and carbs for YEARS) then is it still considered genetic based on ONE case in several generations on both sides of the family?? My mother's Grandmother (I think) or great Aunt) had it, but that was it as far as we know.
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Two cases is enough for me. Keep in mind that many cases have never been properly diagnosed. Some may have lived out their lives with it and never knew. Others may have succumbed to other causes before it hit. Also, it's something that many do not like to talk about. There is a bit of guilt often associated with it.
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I guess I'm trying to figure out if stress and injury could have caused a temporary high that had gone back to normal numbers now. Can that happen? I was under a great deal of daily pain for over three months with my femoral nerve in my right leg. Every day was excruciating (pain-wise) for about the time that was tested under the three month A1C average.
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Stress and injury are definately causes. D does not usually come on linearly though. There are usually ebbs and flows.
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Now my leg is far less painful and I'm getting much more active plus I cut out most of the refined carbs I used to binge on. I'm hoping that the numbers will stay normal from now on.
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Whether you are D or not, these are excellent decisions. Rock on!
Michael Pollan on The Hour with George Stroumboulopoulos on CBC