[EeyoreButterfly]

I just got back from the three month follow up. Really nothing new, although I feel much better about everything now.

She reviewed the OGTT and said that is the definitive diagnostic test. She said that it is abnormal (IGT) but still in the prediabetic range and is something to keep an eye on. I asked her about the frequent readings over 200 and my impression that somebody with prediabetes shouldn't get that high. She told me that it is possible to go that high and still be a prediabetic.

She told me to work on losing 10% of my body weight. She did mention the idea of medication, but I asked for more time to work the diet and exercise. Now that my month long cough has gone away (thanks to Advair) I can finally breathe again and get back to exercising.

She did talk to me about the two tests mentioned here, the C Peptide and GAD antibody and why they were not apropriate for my situation. She told me to see her agin in three months at which point we will repeat all the blood work (didn't do it this time) and see how things are going. She said if I continue to progress with the diet and exercise but my numbers are still erratic to see her in a month and revisit the idea of medication.

I ended up not asking about the endo referral. She really listened to my concerns and seemed to be very knowledgeable about the situation. Since she said that going that high is not a concern and that it wouldn't change the treatment anyway I'm just going to keep a close eye on it and continue plugging away.

[fgummett]

EB, you are young with a whole life of this ahead of you. If I were you I would not accept levels of 200mg/dl... but of course it is your choice. I sincerely hope you had a chance to read the links I posted - before they were nix'd - about what constitutes a normal BG and why the ADA decided to keep the cutoff BG levels for Pre-D and D so high - in short they felt they were doing us a favour by not diagnosing D until it was "certain"... because at the time they had few treatment options and didn't want to put people in insurance difficulties with the diagnosis. You should also know that the group most affected (as in mis-diagnosed) as a result of the guidelines is women. I'm really not trying to make life difficult for you - I sincerely want you to live the longest and healthiest life you can.

[EeyoreButterfly]

I didn't see the links you are referring to Frank.

I am not happy with a BG over 140 post prandial, definitely not over 200. Neither is she. I just asked for more time to work the diet because I still make mistakes- that is what bites me in the butt. I went in intending to ask for an endo referral, but in the end was happy with how the visit went. I felt like she listened to my concerns and is carefully monitoring the situation.

I am going to really try to get my act together on this low carbing thing and see if I can get those sugars down. If in a month (as she suggested) that does not work I will go back and start talking medication.

[Rad Warrier]

Originally Posted by EeyoreButterfly

I am going to really try to get my act together on this low carbing thing and see if I can get those sugars down.

Glucose spikes definitely go away with low carbing.

Personally, I am not intentionally low carbing, but if my diet ends up with low amounts of carbs, that is fine with me. What I am trying to do is to eat in such a way that my glucose level does not spike - remains well within 7.8 mmol/L one hour after food and 6.6 mmol/L two hours after - and at the same time my body gets all the nutrition it needs. I also try to continue to eat as many as possible of the things I like.

This path requires a lot of testing and experimentation. In the process, the proportion of carbs, proteins and fat in my diet is changing. Happy to say that I find I can continue to eat most of the things I used to eat before (which also happen to be things I like). I am also introducing new items like eggs into my diet. Changes and improvements to the diet will be made continuously based on the feedback that testing provides me.

I find that exercise helps a lot in this. I burn about 500 cals a day, 300 in the morning and 200 in the evening. This is not very strenuous exercise, but this is what I am comfortable with at my age. Young people will be able to do much more than this.

Regards,
Rad

[fgummett]

The links I refer to were in your recent OGTT thread but my post was deleted by a Mod. for promoting another site. Try a web search for "blood sugar 101" for a site written by a woman with Type 2 D.