My personal GTT.

[ADSOFT]

As you guys know I don't believe in the morning 12 hr fasting glucose test to determine if you have D.

I believe in actually testing how much glucose you can handle and how long it takes to come down.

I'm over 45, 30 lbs overweight, High Blodd Pressure, and my Mom has D. And usually by 11:30 am I'm so run down I have to take a nap.

I drink a lot of water, avg 36 ounces of alchohol a day, eat salads, don't do much excercise because of my bad back: Too much computers.


I passed the morning test twice but I think it's because of my diet, If I were to take the Glucose Tolerance Test I don't think I would pass. There are many people who can control their D with diet, excercise and herbs. I sort of believe in water, herbs and diet, but I may not show D because of my quasi strict diet.

What I decide to do is to start monitoring myself over a weeks period and slowly up my carbs and sugar intake to see how how much sugar I can handle.

I'm going work my intake up to a Very Large Regular Coke, A Large Snickers Bar, A Carls Double Cheese Burger: .. well I might scale that down, that could be a reciepy for a Heart Attack : lol.

My mom haS D and some of the information that I would gain will help in controlling my mom's D.

I plan on not drinking alcohol for a week, I like beer but I don't need it, since it helps in bringing down your sugar.


So I'm on DAY 2 of my test here are my results

-Day two I plan to up Protiens and Fats but stay away from Simple Carbs(breads), Moderate complex carbs(carrots) and Eat High Protien and Fats (Breakfeast Burritos, Hash Browns) I will include Coffee in my day twice.


Day Two:

1. Breakfeast: 9:45 am

- Jack In the Box Breakfeast Burrito Combo, includes Hash Browns, Large coffee. I also have had 6 baby carrots and a clover of raw Garlic. Drank about 500 ml of water.

Ran some errands,mostly driving for 1 hr.
- 11 am: BG 134

- 12:30am BG 114
.. That's 2 1/2 hrs later, I bascilly had a Higher Protien breakfeast, and have been drinkng a lot of water the last few days, I would have expected something around 100 -105.

... I still think I wouldn't pass a full blown GTT.

... But I will up the sugar tommorrow,


-1:30 pm .. will post results later.




By the way I will include Day One's test results later.

[ShottleBop]

Coca-Cola has 27 grams of carbs (all of it sugar, I'm sure) per 8 oz. Why not buy a 20-oz. Coke (would have 67.5 grams of carbs) and test yourself at 30 mins., an hour, and two hours?

[sarahspins]

Orange Crush has 50g carbs per 12oz... 75g is a normal carb load for a GTT, so if you had a can and a half, or a 20oz bottle, that would more closely approximate a lab-run GTT.

You really cannot do a GTT based on fast food... the high fat will delay the carb absorbtion and delay the rise in BG.. nevermind that it's just plain NOT GOOD FOR YOU!

[Moonglo]

What was your bg reading before you ate breakfast?

[ADSOFT]

Orange Crush has 50g carbs per 12oz... 75g is a normal carb load for a GTT, so if you had a can and a half, or a 20oz bottle, that would more closely approximate a lab-run GTT.

You really cannot do a GTT based on fast food... the high fat will delay the carb absorbtion and delay the rise in BG.. nevermind that it's just plain NOT GOOD FOR YOU!

Thanks,

I knew there was a better way, lol. .... thanks.

Do you have a link on how much Sugar Carbs are in a GTT test.

From what I here many people don't get a GTT test, till they show symptoms of D. By that time tons of damage is done.

I'm going to do the Soda test, but If you have a link on GTT I would appreciate it.

If we can simulate one here on DF it might help alot of people who are here to help family members and think they might have it like myself.

Thanks again.

[fgummett]

I also understood it was 75g carbs (might be some leeway based on body size??)... and as above it is a *Glucose* Tolerance Test... not Fat or Protein ;)

[sarahspins]

Glucose tolerance test - Wikipedia, the free encyclopedia (http://en.wikipedia.org/wiki/Glucose_tolerance_test)

If you weigh more than about 95lbs you need the full 75g load :)

It's also important ot note that the GTT represents more of a "worst case" scenario in terms of how your body handles high amounts of carbohydrates... it is not a very good representation of how your body would react to a normal meal (which would also contain fats, proteins, fiber, etc that can all effect the absorbtion of carbohydrates), but of course, that's not exactly what it's used to determine.

I would strongly suggest that if you find abnormal results yourself, do not consider them diagnostic, but it would definitely be something to discuss with your doctor.

[foxl]

In research studies, the term used is, mixed-meal tolerance test, MMTT. And it is still considered valid (but I doubt they used fast food) ... I used 40 g for one meal, and 80 for another, when I was goofing around a couple weeks ago.

Doubt it proves much, but I did it.

[ADSOFT]

Thanks, guys


I really appreciate that.

I haven't posted Day Ones Results but Yesterday, which was Day One went something like this.

I had coffee in the morning and ate about 3/4 lb of baby carrotts and water all day.

I went from 3am to about 11pm on a Cup of Coffee and the carrots, I was falling asleep on the keyboard 3 hrs after the coffee that's when I started on the carrots. Didn't take any naps all day. I haven't fallen asleep on the keyboard for a while, I think the coffee excited my system and then I came crashing down. The Carrots picked me up. I don't have a tester at home, so had to wait till I got to mom's house.

I tested myself twice yesterday at 5pm and 6pm: Readings where 102 and 98.

I just tested myself today after the 9:45 am breakfest, at about 2:30 pm.: BG 94!!

Wow, my numbers where higher on carrots than the Breakfeast Burrito Combo, which agrees with the point that my morining test was not all carbs, and unforntiontly my fear that I would not pass a GTT.

... well, I'm going to keep testing.

Might do the soda test tommorrow. Will keep you guys posted. :)

[Granny Shanny]

So I'm on DAY 2 of my test here are my results

-Day two I plan to up Protiens and Fats but stay away from Simple Carbs(breads), Moderate complex carbs(carrots) and Eat High Protien and Fats (Breakfeast Burritos, Hash Browns) I will include Coffee in my day twice.
Day Two:
1. Breakfeast: 9:45 am
- Jack In the Box Breakfeast Burrito Combo, includes Hash Browns, Large coffee. I also have had 6 baby carrots and a clover of raw Garlic. Drank about 500 ml of water.
Ran some errands,mostly driving for 1 hr.
- 11 am: BG 134
- 12:30am BG 114
.. That's 2 1/2 hrs later, I bascilly had a Higher Protien breakfeast, and have been drinkng a lot of water the last few days, I would have expected something around 100 -105.

... I still think I wouldn't pass a full blown GTT.
... But I will up the sugar tommorrow,
-1:30 pm .. will post results later

I must be totally misunderstanding you, because I'm reading that you had a high protein/fat breakfast, and yet by my calculations (and the Calorie King), the JITB breakfast burrito and hashbrowns together are 26g protein, 39g fat and 42g carbs.

Those hashbrowns & the tortilla wrap of the burrito are about 100% carbohydrate, aren't they?

[ADSOFT]

I must be totally misunderstanding you, because I'm reading that you had a high protein/fat breakfast, and yet by my calculations (and the Calorie King), the JITB breakfast burrito and hashbrowns together are 26g protein, 39g fat and 42g carbs.

Those hashbrowns & the tortilla wrap of the burrito are about 100% carbohydrate, aren't they?

Probobly, I'm not a Carb counter; I havent' had time to develope that skill since there is so much to learn about D.

I just wanted to get an idea how I would do with a heavy meal, since I'm a light mealer.

I'm going to get into counting carbs though. A definate skill.

I don't have time to look it up, but what is the recommended carb count for breakfeast?

[Granny Shanny]

Just get hold of a carb counter like the Calorie King . . . they make a pocket-size that's pretty portable & it has good content on many restaurants & fast food outlets.

http://rtimages.calorieking.com/branding/ck/runtime/products/119.jpg

Hard to recommend a carb count for others - my breakfast carbs are nil - I'm usually higher than I like in the morning, so I just have bacon or sausage & eggs, with a little cream in my coffee.

You can work out what works best for you when you get a better fix on your situation.

[ADSOFT]

Good Job Granny,

I'm going to recommend that to my sister. I will help with mom's D.

... it will help me too:)

[ADSOFT]

I didn't really have a meal today after that breakfeast in the morning but I've snacked on 4-6 baby carrots, two or three pieces of brocs, and had a miller lite. Drank about 700 ml of water during the day. Oh also ate an apple.

I didn't write down when I had the miller lite but I was sipping it down probobly finished at around 9:00 pm.

11:30 pm .... BG 96.

I was hoping something in the 80s.


I'm going to do better documentation tommorrow.

[binnieman]

I am also determinded to do my own experimental OGTT as my doc refused to give me one. The bottled Starbucks coffee frapuccion's have 37 g of carbs each. I will take two of those on a convenient day this week and test before and after and let you guys know how it goes. That would be a good substitute for my morning coffee for the day. But if someone strongly suggests that this would be a bad idea, I would appreciate the advice.

[PERKDOUG]

To approximate a GTT you should not use a food containing much sugar. The fructose in the sugar or hfcs confounds the result. Therefore soda pop is out. A reasonable approach is to eat a bagel or 2 slices of white bread as a test, after fasting 12 hours. Test before and each hour after for 4 hours.

This experiment should not kill or maim anyone willing to eat a burrito.

[butterflykisses]

!/3 c of white sugar plus about 3 teaspoons equals a little more than 75 of carbs that is in GTT. You could dissolve it in water, simple syrup kind of thing. It'll be more like what is used in the GTT. Not the tastiest way to go, but more accurate.

[foxl]

Or you could buy glucose tabs from the pharmacy ... glucose digests more rapidly than sucrose.

[PERKDOUG]

Let me go at this again. This is not a fructose tolerance test its a glucose tolerance test (GTT). Sucrose (table sugar) is 50 % fructose and 50% glucose. HFCS is 55%+ fructose. The starches in bread are broken down by an enzyme in your saliva into mostly glucose. That is why, for a "Poor Boy GGT" using a plain bagel or some bread you get a good approximate result. Fructose interferes with glucose metabolism.

[ShottleBop]

What else is in one of those? Best to avoid, as much as possible, any ingredients other than water and glucose (as just noted by PerkDoug). (Even my prior suggestion to use Coca-Cola would have been less than optimal, because of the caffeine.)

What if someone just used 75 gm worth of glucose tablets?

[EeyoreButterfly]

You are making this way more complicated than this needs to be, not to mention the havoc you are wreaking on your body. They will do an OGTT for a prediabetic or anybody who suspects they are. I have had two so far. Just tell your doctor you want one and get a proper one done instead of playing with fire. Your results will not be definitive in any way shape or form, and I'm not entirely sure why you are stretching this over several days.

[ADSOFT]

You are making this way more complicated than this needs to be, not to mention the havoc you are wreaking on your body. They will do an OGTT for a prediabetic or anybody who suspects they are. I have had two so far. Just tell your doctor you want one and get a proper one done instead of playing with fire. Your results will not be definitive in any way shape or form, and I'm not entirely sure why you are stretching this over several days.

Your right, I should just go ask for one, but I want to get a little experience with what my system can handle, and possible clean out my system and raise my metabolism with anearobic excercise before I go.

If I just go get one done and I'm not ok, I don't want to get put on meds.

If I go and I'm ok, then I'm just going to start eating worse.

If been 30lbs overweight for over 2yrs, it's just not me.

My test results, with soda or glucose if I can get a hold of some should be close to there's.

I'm not doing the fast food thing anymore, but I'm eating healthy, and working out and testing different foods. I'm sorta getting in shape so I can pass and stay in shape.

That's my approach.

[jps]

EeyoreButterfly is right. Have your doctor order the test. If he won't, he's a rectum and you should find another doctor IMO. A doctor won't comply with a proactive patient who has legitimate concerns? Makes no sense, unless you are a hypochondriac that hasn't left him alone.

There are other things to consider when you look at a home GTT versus a lab GTT. Not only may the mixture you create not be accurate (glucose content vs fructose, fat as mentioned in the starbucks drink, etc), but your meter itself has a large margin for error (+/- 20%). That means a TRUE value of 140 may register as a 112 or a 168. A laboratory analyzer is, as Marisa Tomei would say, "dead on balls accurate".... A TRUE glucose value of 140 will range from 138-142.

Glucola is standardized. It's always the same. It's the Gold Standard for the test. That's what you want to use. The laboratory analyzers are standardized as well. That's what you want to be using for diagnostic purposes.

You say you don't want to be put on meds if it's not ok. Cross that bridge if and when you come to it, people are here to help. And if you are worried that you'll be ok and you'll start eating poorly - well, just read some of the sad posts here and see what can happen if you do that. If that's the case, don't look at it as a free pass, look at it as a strong warning sign that you were fortunate to get - and then do something about it.

[ADSOFT]

EeyoreButterfly is right. Have your doctor order the test. If he won't, he's a rectum and you should find another doctor IMO. A doctor won't comply with a proactive patient who has legitimate concerns? Makes no sense, unless you are a hypochondriac that hasn't left him alone.

There are other things to consider when you look at a home GTT versus a lab GTT. Not only may the mixture you create not be accurate (glucose content vs fructose, fat as mentioned in the starbucks drink, etc), but your meter itself has a large margin for error (+/- 20%). That means a TRUE value of 140 may register as a 112 or a 168. A laboratory analyzer is, as Marisa Tomei would say, "dead on balls accurate".... A TRUE glucose value of 140 will range from 138-142.

Glucola is standardized. It's always the same. It's the Gold Standard for the test. That's what you want to use. The laboratory analyzers are standardized as well. That's what you want to be using for diagnostic purposes.

You say you don't want to be put on meds if it's not ok. Cross that bridge if and when you come to it, people are here to help. And if you are worried that you'll be ok and you'll start eating poorly - well, just read some of the sad posts here and see what can happen if you do that. If that's the case, don't look at it as a free pass, look at it as a strong warning sign that you were fortunate to get - and then do something about it.

Your right I'm going to have to go in an have myself tested. The more I read about D, there more evidence that I'm Pre-D.

My readings after meals are in the 120-130 after two hours. The falling asleep and drowsyness after 3-4 I would get after meals sometimes are also an indicator.

Many say that they have to have a candy to pick themselves up.

I just saw a waveform of what a Pre-D's glucose readings look like, after 4 hrs they are really run down. ..... that's me after a large meal.

I know that I can pass the 7hr fasting my BG's are 96-102 but those are also normal numbers for a pre-d.

I should be 85-90 FBG to be safe.

Anyhow, thanks for the motivation. I definatly have to get the GTT done by a doctor.

[jps]

The readings being in the range you mentioned after two hours, the tiredness - especially after a large meal, a family history, etc... they all seem to indicated that there's a good possibility that you might be pre-D. But obviously, that's up to your doc and the GTT.

If you are, instead of getting angry, which is normal, you might want to look at the silver lining. Catching this thing early on gives you a much, much better chance of avoiding future complications.

I know it sounds odd, but so far, the diagnosis of T2 has been one of the best things to happen to me in the last 10 years. Because of the diagnosis, I became extremely aggressive in getting my life back in order and I feel like I'm 20 years old because of that. Not only did I get control of my blood glucose, I got control of my life back.

Fingers crossed that I can keep it going like this until I'm 90-something.

[ADSOFT]

The readings being in the range you mentioned after two hours, the tiredness - especially after a large meal, a family history, etc... they all seem to indicated that there's a good possibility that you might be pre-D. But obviously, that's up to your doc and the GTT.

If you are, instead of getting angry, which is normal, you might want to look at the silver lining. Catching this thing early on gives you a much, much better chance of avoiding future complications.

I know it sounds odd, but so far, the diagnosis of T2 has been one of the best things to happen to me in the last 10 years. Because of the diagnosis, I became extremely aggressive in getting my life back in order and I feel like I'm 20 years old because of that. Not only did I get control of my blood glucose, I got control of my life back.

Fingers crossed that I can keep it going like this until I'm 90-something.

Your right.

I'm glad I caught it.

I did a lot of thinking last night and started excercising more. My diet is healthy and I drink lot of water but don't excercise much like I used to.

Had oatmeal and milk last night just to stress my system. Did some excercise. Got a BG 96 this morning.

I think excercise is the only thing that is going to save me, and cutting carbs.

I'm going to excercise more today, not sure if I want to stress my system again tonight or eat a low carb dinner.

Anyhow, I agree Pre-D education definatly woke me up. I probobly would have slacked off till it was too late.

I have to post the waveform of a Pre-D type, that pretty much confirms my personal diagnosis.

[EeyoreButterfly]

Most likely you will not be put on meds right off the bat. I wasn't, and during my week of testing (before meals, not sure why she had me do that) I was as high as 180. They really do want you to control with diet and exercise first. There is only one drug that is even approved for prediabetes, and that is metformin. Any other diabetes drug would be considered off label for a person diagnosed as pre-D. I did have a doc talk about metformin, but I told them about my stomach problems and they agreed I could hold off. It wasn't hard at all.

[ADSOFT]

I wasn't, and during my week of testing (before meals, not sure why she had me do that) I was as high as 180. .

That is very high for pre meals. My mom is not even that high and she has full blow Type 2.

What are you now, Pre or Type II

[Funnygrl]

All of your glucose results you've gotten thus far at beautifully normal.

[ADSOFT]

Q: How does the OGTT define diabetes and pre-diabetes?


A: In the OGTT, a person's blood glucose is measured after a fast and 2 hours after drinking a glucose-rich beverage. Normal blood glucose is below 140 mg/dl 2 hours after the drink. In pre-diabetes, the 2-hour blood glucose is 140 to 199 mg/dl. If the 2-hour blood glucose rises to 200 mg/dl or above, a person has diabetes



Frequently Asked Questions about Pre-Diabetes - American Diabetes Association (http://www.diabetes.org/pre-diabetes/faq.jsp)

I guess that is the answer I've been looking for, over 140 after 2hrs you have Pre-D.

There is other literture that says that normal is 110 after two hours. That should be my goal to stay within 110 after 2hrs.

Of course I still have to go get tested. If after a large meal I'm under 110 I think I will pass the OGTT.

[EeyoreButterfly]

Officially I am a "pre" but I do very much question that designation.