[didi1]

Hi Ronin. I have been browsing and no one has posted since you (about the 1st week of nov). I always like to hear about new ideas about prediabetes and hope new ones will post soon. You sound like you are pretty well informed on the subject and I am glad to hear advise from you and others who know their subject matter in order to help others. Thanks so much to everyone who takes the time to answer questions to help others.

[Ronin]

Hi Dora, et al.,

Thanks to Dora for the compliment. This forum is here so that we can share knowledge with each other.

This topic, however, is about Diabetes in general. Most of us "suffer" from the Dawn Effect/Phenomenon to some degree. While science has unlocked most of the mystery of how the endocrine system attempts to manage BG levels the knowledge is generalized and still not down to specifics. On the other hand with tools like the "Gluco-Watch" (a device that tests BG levels every so many minutes all day long) we are beginning to understand what happens to BG levels while we sleep and when we awake.

I had an interesting experience on Wednesday. It all started on Tuesday when Linda and I did our daily tandem ride, we were both feeling really good and decided to "hammer" (ride at maximum output) and we set a personal record for our 22 mile loop. My leg muscles were screaming, largely because my system had gone anerobic on all the climbs on the route. The next morning my legs were stiff and a bit sore. My FBG was a whopping 128! One hour post breakfast I was back down to 95. Actually, this works out. Lactic acid (the chemical that produces that sore achy muscle feeling) is actually a signaling device to tell the liver and fat cells to release glucose as the muscle cells are at empty on the energy scale. Therefore, my body (specifically my liver) was called on for a large dump of glucose when I got up Wednesday AM.

This does lead into the use of FBG levels to "diagnose" Pre-Diabetes. There are a lot of MD's who, after one high FBG level, hand out pills and tell folks that they are Pre-D. That is bad medical practice. More than one high FBG needs to be recorded as well as an HbA1c and perhaps a Fasting C-Peptide in conjunction with a OGTT to make a firm diagnosis.

The bad medical practice leaves a lot of people like Genial in a world of panic (exactly where I was when I was "diagnosed"). FWIW: I am actually Pre-D but for the reason that my Pancreas isn't producing as much insulin as is considered "normal." Some of that is simply age related, some of it may be due to sliding towards becoming a Type-1.5 (the jury is still out on that one).

Shared knowledge is power.