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Is a 300 mg/dl ?

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#1
Brian23

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Is a 300 mg/dl spike for 3 hours, once a week all that bad? How detrimental to health is it?
[Diagnosed: 7/30/2007 (323mg/dl 8hr fast) Type I or LADA,
A1C: 8.5 (7/30/2007) when D'd
A1C: 6.9 (12/15/2007) Diet & exercise
A1C: 6.9 (03/08/2008) 8 units of Lantus
A1c: 6.1 (6/17/2008) added humalog
A1C: 5.5 (10/15/2008)
A1C: 5.65 (2/15/2009)
Meds: 16 units of Lantus, 4-7 units of humalog with meals since 3/11/2008.
Multivitiman,

#2
JediSkipdogg

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You will get alot of different opinions on this. My opinion is it's not something you should have, but it's not that bad. I'd say I hit it at least once a week but I immediately correct upon discovering it.

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#3
duck

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Is a 300 mg/dl spike for 3 hours, once a week all that bad? How detrimental to health is it?


It's not good, but one could argue it is relative. 168 hours a week, three of those at 300 is about 2% of your week...so if the rest of the time you are 120, I'd say you are golden. So what are your other sugars looking like?

Most recently I was told by a CDE that we should aim to NEVER, EVER go over 200. I've had two other CDEs agree since that time, so that is what I am aiming for. Have I been able to do that? No, but my A1c last week came back at 5.7 so I guess I am doing well enough for government work. :D
Look what you've done to this rock-n-roll clown!

#4
Funnygrl

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The biggest problem with the 300 at the 3 hr post prandial mark is that at the 1 and 2 hour post prandially mark were probably higher.

#5
matingara

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my diabetes educator said to me at my last visit that i should aim for:

- a fasting reading of 72 to 108
- a postprandial reading between 108 and 144.

she also added that an occasional reading of between 162 and 180 is not a big deal.

then again, this is the same person who said i should eat more carbohydrates and control my BGL by adding more meds.

most of my pre prandial readings are between 72 and 108. and i get peeved at myself if my two hour post prandials are above 130.

i have overworked my pancreas by over twenty years of "healthy" a low fat, high carb diet. my aim is to give my pancreas a well deserved rest!

i think your 300 spike is too high. however, it may be OK if you can go back to normal after, say, 4 hours or so.

-- joel.
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___________________________

NUMBERS
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May 2010 : A1C (home) 5.5%: Feb 2010: A1C (home): 5.2% Oct 2009: A1C: 5.7%;
Triglycerides: 53 (0.6); HDL chol: 50 (1.2); LDL chol: 19.5 (0.5); total cholesterol 87.5
Lantus before bed - 30u; Novorapid for meals (averaging 20-30u per day); Lowish carb diet

#6
Harold

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Is a 300 mg/dl spike for 3 hours, once a week all that bad? How detrimental to health is it?

See your not on meds and your lowest A1c 6.4. You also do not know which type you are. My opinion on how a 300 is for you depends on which type you are. For type 1's I would agree a 300 mg/dL is not all that bad. However for a type 2 it is probably worse since type2's are prone to Syndrome X and a 300 will also contribute to increasing insulin resistance. Both of which increase the chance of or contribute to complications.

#7
wiseguy

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I try my hardest to never go above 140. A 300 reading is not an option for me. But then an A1c of over 6 would drive me crazy until I got it down.

If you're getting a spike of 300 once a week, how high are you spikes on average? 200? 250? Most of what I read suggests that damage starts occurring at BG levels over 140.

#8
Vicky

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Hi there, I am pretty new to all this having only just been diagnosed, but can anyone tell me what the high numbers mean - as when I test my blood I am told it should be around 6 and mostly when I wake up it is 8 or 9. What do the 300 and 200 levels refer to? They don't know whether I am type 1 or 2and I have to take Gliclazide tablets twice a day.

#9
ant hill

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but can anyone tell me what the high numbers mean

The high nubers is the MD/GL reading (American)

as when I test my blood I am told it should be around 6 and mostly when I wake up it is 8 or 9

Yep stay around 6 if you can. :)
The calulation is 18.

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Peter...


#10
cheryl

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I dunno I am still alive, LOL....I think I lived near those numbers for ages and ages on end....but I never ever see a 300 again....unless my site on my pump got really really bad....or something to that affect....I even know how to fix over doing a low, so I won't see a 300 last one I saw was in October because I forgot to press the finally act button on my pump for my bolus for breakfast hmmmmmm...

When I started taking care of myself my aim was to not to ever see 400 again, hey that worked lol....then it was 300 and unless I or my site does something of a mistake....I do not see them, last year I had 6 300 reading that is a record...

This year so far zero...LOL...I think you need to see why you are hitting that 300 and figure out a way not to see it again.....it might not affect you now, but if you put your mindset that it is not a big deal you could very well put your diabetes on the way way side, Like i did for almost 16 years...and something really bad could happen....so yea, focus on why your getting them and avoid them unless it is something you just couldn't of avoided like forgetting to give yourself your med's (duh Cheryl), my focus was not to see a 200 again or rarely and I try for that, but I am not beating myself over this until...after sick season is over with errrrrrrrr.......cannot wait till March because I know I never ever get sick after Feb...right now I am battling some kind of stomach bug that has gotten, me going low, and I got so annoyed last night errrrrrrr, I ate more then I should of and saw a 199 boo....but I focus on not hitting those 200 unless being ill....being ill bites, cause I can either go really low or really high, I cannot judge until I see the numbers grrrrrrrrrrrr...

Cheryl
Don't know who I want as president, but I know I don't want to live like a communist....ENOUGH SAID.....

March a1c 6.4
Pumper 522 with Humalog

#11
mho357

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Hi there, I am pretty new to all this having only just been diagnosed, but can anyone tell me what the high numbers mean - as when I test my blood I am told it should be around 6 and mostly when I wake up it is 8 or 9. What do the 300 and 200 levels refer to? They don't know whether I am type 1 or 2and I have to take Gliclazide tablets twice a day.


I think it is a factor of 18 - your 6 equals 108 mg/dl for someone in the US. The 300+ would be around 16 or 17 for you.

Mark
Dx May 2007

A1C @ Dx = 7.0
9/15/07 = 5.1 (Biosafe home test kit)
10/9/07 = 5.4
1/18/08 = 5.4
6/11/08 = 5.3
11/4/08 = 5.6

Fortamet 500 mg

#12
Brian23

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Dr. thinks I am LADA type 1 GAD anti bodies came back negative, insulin level was on the low side of normal(but normal). I have not been on any meds, but got the flu on Christmas day; stayed in 200-300 for 3 days, then went back to Dr. I am now on 6-8 units of lantus and my fasting #'s are from 84-110 mg/dl. I work shift work and try to take my lantus at the same time everyday.. but i do not eat at the same time everday so I am trying to figure this all out.
[Diagnosed: 7/30/2007 (323mg/dl 8hr fast) Type I or LADA,
A1C: 8.5 (7/30/2007) when D'd
A1C: 6.9 (12/15/2007) Diet & exercise
A1C: 6.9 (03/08/2008) 8 units of Lantus
A1c: 6.1 (6/17/2008) added humalog
A1C: 5.5 (10/15/2008)
A1C: 5.65 (2/15/2009)
Meds: 16 units of Lantus, 4-7 units of humalog with meals since 3/11/2008.
Multivitiman,

#13
Alice

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I can certainly understand the "theory" of never going above the numbers quoted by CDE's and such "experts"...but honestly, those people normally aren't diabetics. They aren't relying on insulin and a perfect chemistry balance of diet to achieve those numbers.

Stuff happens. The point is more, for me, that I'm correcting and adjusting for the highs as well as the lows. They never seem too concerned about the lows, now do they?...

I just had a weird night out...ate oriental/"fusion" for dinner. Was already to take my normal "high" split bolus for such food, but was only 112 after eating. According to the "experts", I should have counted all my carbs and bolused prior or just after the meal. From experience, I know it doesn't happen like the textbooks would lead us to believe.

I was a low-normal before dinner. I only had a little rice (about 3 tsp)...but the glazes on my scallops are normally sweet. Also, wonton soup. A few wontons on the side...still, only 112 after we drove home.

(I took 2 units and will reassess in one hour)...preventing lows is as much work as preventing highs...I guess is my point.

I look at the goals "they" set...and try to live a safe, normal life in between.




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