just finished my 5 hour oral glucose...

[angelsbridges]

that was the most boring thing ever! Needless to say, I got a lot of Chemistry homework done until towards the end.

I took my tester and tested my BG after they took blood. I don't have their results (other than my fasting, which was 90 - my meter said 82 - it's always in the 90's when I first wake up though).

The glucose was like drinking regular soda except worse (I've never been able to drink regular soda because it makes me sick to my stomach and makes my mouth feel funny).

I took it after the first hour and it was 245, second hour was 162, but then it got weird - I skipped the third hour, and then at the fourth, I was starting to feel clammy, so I took it and it was 70 (I've come to realize that when it gets in the 70's is when I start to feel like **** and need to eat), then by the 5th hour I had the shakes really bad and when I took it the meter said 66.

Is it weird that it dropped so quickly?

[fgummett]

It seems that in some people when D is developing, they may overproduce insulin in response to carbohydrate intake.

Do some research on "reactive hypoglycemia"

[EeyoreButterfly]

I'm assuming this was done in a lab and you were testing on your meter so you would know the results sooner?

That low is definitely a reactive hypoglycemic episode. I did a two hour test and only went up to 185 or so. On my way to lunch after I crashed to 45, and that was about 2.5 hours after the drink. Worst I have ever felt with diabetes.

Basically, in the beginning stages of type 2 or 1.5 your body is losing that tight control of blood sugars. Your insulin creeps higher either ecause your pancreas is impaired or you have insulin resistance and your pancreas cannot keep up. Either way, your pancreas overreacts and kicks out more insulin than necessary sending you hypo.

[angelsbridges]

I'm assuming this was done in a lab and you were testing on your meter so you would know the results sooner?

Yes...I admit I'm a bit too curious :) Hopefully I'll find out the rest of the results tonight or tomorrow. That's good to know, I was wondering how I could be feeling so bad after drinking that much glucose/sugar/nasty thing.

[Ronin]

Hi Angles!

This test is never nice. I cannot interpret the results from your meter, but your reaction clearly says that something is not working in a "normal" fashion. I do hope that they also did C-Peptide readings along with the BG levels. That will tell how your pancreas reacted to the high glucose levels.

Please keep us informed of the results.

[angelsbridges]

GLUCOSE, FASTING 88 /70-100 mg/dl
GLUCOSE, 1 HOUR 186 /<200- mg/dl
GLUCOSE, 2 HOUR 135 /<140- mg/dl
GLUCOSE, 3 HOUR 103 /- mg/dl
GLUCOSE, 4 HOUR 68 /- mg/dl
GLUCOSE, 5 HOUR 77 /- mg/dl

These were my results that the lab got. According to my MD, there is nothing wrong with me. I see him tomorrow for f/u, but I'm pretty sure he's just going to tell me the same thing that's in the email he sent. Like I said, he's a believer in the results, not the symptoms, so it seems.

I don't know what to do now. So according to this, I'm not prediabetic? I got different results with my meter for the 1st and 2nd hour (245 and 162), but all the rest were very close.

I sort of feel like crying, this is so frustrating.

[fgummett]

Check out this thread : http://www.diabetesforums.com/forum/type-2-diabetes/35928-why-ada-bg-level.html

and in particular this post : At a diabetes technology meeting a couple of years ago, some guys from Germany presented some performance data for a continuous (actually every 15 minute) glucose monitor to be worn for three days. In adults with normal glucose metabolism (BMI under 25, fasting glucose under 100, 2 hour glucose on a GTT of under 140), 80 percent of the readings were under 100. That's 20 out of 24 hours. So after meals, the glucose goes up for an hour or two at the most, and then is back under 100 (not 140!). That is PERFECTLY NORMAL (or healthy) glucose.

You may also want to search on a web site called Blood Sugar 101 which discusses "normal" BG in more detail.

[angelsbridges]

How accurate is that site?

The numbers are very different than the ones they use at the clinic, or that the ADA use.

I'm sorry, I just don't know what to do. Maybe I should schedule with an endocrinologist.

[foxl]

How accurate is that site?

The numbers are very different than the ones they use at the clinic, or that the ADA use.

I'm sorry, I just don't know what to do. Maybe I should schedule with an endocrinologist.


Or you could try diet and exercise, and METERING, for a year or so, and request a re-test in a year or if you see anything amiss? That is what my DH is basically doing, since his consciousness has been raised ;) .

[fgummett]

I agree... at a minimum: I would keep testing, make dietary changes and request follow up A1Cs at regular intervals.

I do not believe that a spike of 185mg/dl at 1 hour after eating -- no matter how much sugar -- qualifies as "perfectly normal".

Just because your numbers may not fall into what the guidelines specify; Type 2 D is progressive... to me that means it makes sense to catch it as early as possible... an ounce of prevention...

[angelsbridges]

I guess I'm more concerned with all the symptoms.

I'm tired of being thirsty all the time. I'm tired of going to the bathroom all the time. I'm tired of being TIRED all the time, and taking forever and a day to get better from colds and sinus infections.

And I suppose I'm more concerned, too, with the drop. I know I feel sick after drinking that much sugar (there's a reason I don't drink regular soda, and NEVER have), but that I was having hypo symptoms at hour 4 concerns me. He didn't even mention that, he said the OGTT was great.

[fgummett]

You may not need medication at this time anyway, so look to other ways to manage your BG... this approach makes sense no matter what your Doctor says AND it gives you a measure of control.

[angelsbridges]

Oh, I know. I keep it low sugar and low carb and have met with a dietitian.

I also love to exercise, but have been limited due to a broken foot.

[EeyoreButterfly]

Get your doc to write you a prescription for a meter/strips. Test when you wake up, and two hours after at least one meal a day. This will allow you to keep an eye on it, and quite frankly, I am surprised your doctor did not do that. I was diagnosed with numbers similar to yours. The week between my first visit and official diagnosis I was given a meter and told to test. She then wrote me out a prescription and told me to test everyday. My doc's knowledge of diabetes is limited, but I'm more and more grateful every time I see people come on here who have never been told any of this stuff.

It is also recommended that people with pre-diabetes or diabetes have a check up every three months since as Frank said it is progressive. No way in hades I would wait a year. At the minimum I would do six months. You also need to get your doctor to address your symptoms. Your blood sugar simply is not that high and I strongly suspect that something else is contributing to your symptoms.

Finally, eat to your meter. Every body is different. I find that I need to have more carbs at lunch to keep me from going low while I am teaching, probably because I move around so much. (We do jumping jacks to spell our words for crying out loud!) At dinner time however, I have to be much more careful with my carbs. I would never know that if I weren't testing. Try to find exercises you can do even with a broken foot.

Our Wal Mart sells this cycle by in Stamina that you can put on a table top, it is just the pedals so you can do it with your hands or feet. You could work out your arms for now and then when your leg heals you can put it under a chair or desk and use while you are working on stuff. I'm considering getting one for myself when I move.

[angelsbridges]

Get your doc to write you a prescription for a meter/strips.

I think I need to find a new doctor. He would honestly laugh at me if I told him I was using a meter. He says I'm totally fine, nothing to worry about. He's an older doctor, and I think he bases things off the old ADA numbers.


It is also recommended that people with pre-diabetes or diabetes have a check up every three months since as Frank said it is progressive.

They told me to come back in a year to get retested (the OBGYN who got the original results of my FBS), my current doctor didn't even tell me to do that. Once again, I think I need to find a new doctor.

Finally, eat to your meter. Every body is different.

This is what's weird. Sometimes I can eat 2 pieces of pizza for dinner and have a totally normal number, other times, eating the same thing for dinner, my numbers are way higher. It's been a pain trying to figure it out. I'm usually at high 90's fasting, but this week, I've been really prone to lows, and my bs fasting this week has been in the low 80's. I'm trying to figure it out.


Finally, I am sort of mad at my doctor. I went in today, and he went over my results. He basically told me I have a "mental disorder" where I think I need to drink tons and tons of water ("tons" in this case is about 40oz a day). He said this is what's causing me to urinate so much. I'd just like to ask this: If it's a "mental" problem, why do I wake up out of a dead sleep needing water? How the **** is 40oz of water a day too much?? It's TWO bottles of water! He also told me to stop drinking the ONE diet Pepsi I have per day because it has "too much caffeine" in it. I don't get it, but I'm frustrated!

[angelsbridges]

Ack, I can't edit the previous post, but I wanted to add that I made an appointment with an endocrinologist, but it isn't until June 1st (their first opening is May 18th, and I'm in Alaska at that time, so I have to wait a bit longer).

He seems younger, and he specializes in diabetes. I hope he's good.

[EeyoreButterfly]

I think I need to find a new doctor. He would honestly laugh at me if I told him I was using a meter. He says I'm totally fine, nothing to worry about. He's an older doctor, and I think he bases things off the old ADA numbers.




They told me to come back in a year to get retested (the OBGYN who got the original results of my FBS), my current doctor didn't even tell me to do that. Once again, I think I need to find a new doctor.



This is what's weird. Sometimes I can eat 2 pieces of pizza for dinner and have a totally normal number, other times, eating the same thing for dinner, my numbers are way higher. It's been a pain trying to figure it out. I'm usually at high 90's fasting, but this week, I've been really prone to lows, and my bs fasting this week has been in the low 80's. I'm trying to figure it out.


Finally, I am sort of mad at my doctor. I went in today, and he went over my results. He basically told me I have a "mental disorder" where I think I need to drink tons and tons of water ("tons" in this case is about 40oz a day). He said this is what's causing me to urinate so much. I'd just like to ask this: If it's a "mental" problem, why do I wake up out of a dead sleep needing water? How the **** is 40oz of water a day too much?? It's TWO bottles of water! He also told me to stop drinking the ONE diet Pepsi I have per day because it has "too much caffeine" in it. I don't get it, but I'm frustrated!


Ditch your doctor quick! I know you have to wait awhile for the endo, but you need to make an appointment with another GP ASAP.

I really could have written the middle part of your post (in fact, I have posted similar things on here). One meal can send me soaring over 200 one night and be under 100 the next. I have found that night time seems to be much worse for me than day time, but the inconsistency drives me wild. It also seems like the lower I am before eating the higher I am after. For instance, if I am at 100 I will soar over 200 pretty easily. But the other night I was at 130 prior and had a not so diabetic friendly meal and ended up just barely over 100 (and I did test the one hour, no problem there). It's bizarre and frustrating sometimes.

[angelsbridges]

This week I seem to be hanging really low, which sucks, because I'm hungry all the time, and worse, I'm hungry for carbs. I've been not good about the diet at all this week. UGH.

[Ategeler]

I think it is a great idea to go see an Endo who specializes in Diabetes. He will most definitely take your condition much more seriously than your last doctor.