[Tropo]

Originally Posted by wiseguy

Since you have made no lifestyle changes, and your condition has not worsened in the past two years, and your A1c is in a range that many consider normal, what is your doctor basing your pre-diabetes diagnosis on?

Have you considered that you may have been completely misdiagnosed?

I've considered it, but my FBS's are usually between 110 - 120. I sometimes post 1 hr PP's in the 160's. My numbers are worse than Ronin's and he's adamant he's pre-diabetic.

When I was ill (cholestasis) back in mid-2005 I was posting FBS's in the mid 200's...and they were tested in a lab.

I do consider myself pre-diabetic, however I don't lose any sleep over it and just keep a watch for now.

I don't have a physician working on this. The one I did use in the Philippines back in 2005 was useless. He was type 2 himself and I saw him down at the local supermarket once with a trolley full of chocolates! I now live in Thailand where I don't relate well to doctors.

[Larry H.]

Here is a line from a long discussion on the progression of PD to possible type II. I couldn't get it to take the whole paragraph, this is from a finnish study, just part of a lot of information on this topic. Wiseguy, I know you at one time realized this was a possibility! You were an advocate of keeping your numbers down, but perhaps your situation was previously such that your goals were not possible.. Maybe for some they still are..

From Consulatantlive.com

(When patients reached all 5 goals (more than 30 minutes per day of exercise, fat intake less than 30% of calories, saturated fat intake less than 10% of calories, fiber intake more than 15 g/d, and a weight loss of 5% or more),the rate of progression to diabetes was almost zero)

You may be misreading the intent of many here. It isn't that anyone thinks they can just go on and do as they please, I think that there are those for whom a good warning of as you say, possible progression to type II, are able at least for a reasonable time to prolong the onset, and some say prevent it. There are endless sites that agree with that. I doubt that anyone who bothers to come here wouldn't be interested in doing what they can to reduce the chances of progression, even though many, and perhaps most will go on to type II.

In the type II discussion group there was recently a good article linked that told of how the progression of the problem worked.. Something paraphrased like at a certain level of blood sugars your body begins to not be able to handle the carbs as it used to.. That might be the intolerance theory, but that after enough high levels of sugars the system eventually trips and no longer can deal at all with the carbs and that is when the high, difficult to control numbers come in to play. From what I recall it says something to the effect that if blood levels remain at over 140 for periods of time the breakdown begins and eventually the ability for the cells to work stops.. type II...

From that report I feel that the idea some have here of keeping a watch on the situation and keeping active and eating well can slow or maybe stop that damage that would lead to type II.

Sorry for the layman reporting, but you get the idea.

[wiseguy]

Originally Posted by Tropo

I've considered it, but my FBS's are usually between 110 - 120. I sometimes post 1 hr PP's in the 160's. My numbers are worse than Ronin's and he's adamant he's pre-diabetic.

When I was ill (cholestasis) back in mid-2005 I was posting FBS's in the mid 200's...and they were tested in a lab.

I do consider myself pre-diabetic, however I don't lose any sleep over it and just keep a watch for now.

I don't have a physician working on this. The one I did use in the Philippines back in 2005 was useless. He was type 2 himself and I saw him down at the local supermarket once with a trolley full of chocolates! I now live in Thailand where I don't relate well to doctors.

The way you explain your present lifestyle pretty much mimics the prescribed lifestyle that a type 2 diabetic would need to follow in order to control the disease without medication. If it weren't for this I would imagine that your BG levels would be much higher. Hopefully you will be able to keep control this way for years to come.