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03-10-2009, 12:33 PM
|  | Member | | Join Date: Mar 2009
Posts: 296
| | | just finished my 5 hour oral glucose... 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? | 
03-10-2009, 01:25 PM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,277
| | | 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"
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Frank 51 year old male, Metabolic Syndrome Dx Mar. 2003 | 
03-10-2009, 03:20 PM
|  | Senior Member
I am a: Pre-Diabetic | | Join Date: Oct 2008 Location: Blue Springs, MO
Posts: 1,222
| | | 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.
__________________ Jessi 24
Pre-D Sept. 2008 BS Range (45-280)
Diet and Exercise One Touch Ultra Smart named Alice (Thanks PaleFaceGirl!)
A1C: 5.7 | 
03-10-2009, 03:28 PM
|  | Member | | Join Date: Mar 2009
Posts: 296
| | Quote: |
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. | 
03-11-2009, 04:31 AM
| | Senior Member
I am a: Pre-Diabetic | | Join Date: Mar 2006 Location: Dover, NJ
Posts: 899
| | | 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.
__________________
Be well, do good work, and keep in touch [Garison Keilor]
Ronin (a.k.a, George N. Wells, CPIM)
Tandemist/Lay Theologian
Enjoying Life and Learning about myself everyday.
Pre-D -- Not on Insulin  (yet)
For Cholesterol though:
2500 mg Niacin
10 mg Zocor
2008 cycling miles: 5372 (29 Dec)
2009 Cycling Miles: 4843 (20 Nov)
Fasting C-Peptide 1.4 (02 Oct 08) HbA1c's:
01 July 2008 -- 5.0%
02 Oct 2008 -- 5.4%
01 Apr 2009 -- 5.6%
01 Oct 2009 -- 5.6%
01-Nov 2009 -- 5.4% | 
03-11-2009, 10:34 AM
|  | Member | | Join Date: Mar 2009
Posts: 296
| | | 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. | 
03-11-2009, 10:50 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,277
| | Check out this thread : Why Are ADA BG level Standards Higher/Less Healthy
and in particular this post : Quote:
Originally Posted by rotcoddam 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.
__________________
Frank 51 year old male, Metabolic Syndrome Dx Mar. 2003 | 
03-11-2009, 11:08 AM
|  | Member | | Join Date: Mar 2009
Posts: 296
| | | 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. | 
03-11-2009, 11:24 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 5,429
| | Quote:
Originally Posted by 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. |
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  .
__________________
Linda Initial A1c Feb 6 09: 12% Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30 metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8 According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA. | 
03-11-2009, 11:29 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,277
| | | 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...
__________________
Frank 51 year old male, Metabolic Syndrome Dx Mar. 2003 | 
03-11-2009, 11:29 AM
|  | Member | | Join Date: Mar 2009
Posts: 296
| | | 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. | 
03-11-2009, 11:33 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,277
| | | 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.
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Frank 51 year old male, Metabolic Syndrome Dx Mar. 2003 | 
03-11-2009, 11:40 AM
|  | Member | | Join Date: Mar 2009
Posts: 296
| | | 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. | 
03-11-2009, 11:19 PM
|  | Senior Member
I am a: Pre-Diabetic | | Join Date: Oct 2008 Location: Blue Springs, MO
Posts: 1,222
| | | 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.
__________________ Jessi 24
Pre-D Sept. 2008 BS Range (45-280)
Diet and Exercise One Touch Ultra Smart named Alice (Thanks PaleFaceGirl!)
A1C: 5.7 | 
03-12-2009, 10:39 AM
|  | Member | | Join Date: Mar 2009
Posts: 296
| | Quote: |
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. Quote: |
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. Quote: |
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! |  | | | Thread Tools | | | | Display Modes | Linear Mode |
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