One-hour glucose spike

[cleome]

I've been monitoring my blood sugar in the last couple of months because of increasing Hba1c levels, though my highest overnight fasting level was 89. Thought I was doing pretty well -- my highest 1 hour post prandial reading had been 140 -- until this afternoon. One hour after eating a tray of takeout sushi from the grocery store I got a reading of 236, immediately followed by a reading of 244 (to make sure it wasn't a machine error). Two hours, some aloe vera juice and a bit of exercise later, it was back down to 88. What does this indicate and how serious is it?  

[WaveRider]

the censor wagon has a broken spoke in its wheel, the ***** was a s e s s [ah-sess]

[WaveRider]

sonnys - Would you be so kind to elaborate on the meaning/description of a "perfect pancreas"? I have heard/read/undertaken tests to ***** the state of an healthy and normal pancreas but not perfect.

[sonnys1]

Technically 2 readings like yours indicates type 2. A1c will only give you an average. It will not account for spikes very well and that is where the damage occurs.
I have prediabetes and have never been over 190 no matter when I test.
A person with a perfect pancreas would rarely go above 120 anytime at all.

[WaveRider]

Well, kinda sorta. Let me attempt to clear your misunderstanding.

For t2 diabetics a postprandial level of 120 mg/dl is optimum. This is does not hold true for normal ppl. Postprandial levels for a normal ppl are normal fasting levels, 60/70 - 99 mg/dl.

If you remove the words "at anytime" it would be considered true. Random testing [at anytime] is useless as it only provides false/positives. Excess glucose over a period of time is expelled by the kidneys into the urine. Sugar in urine, however, can mean other things beside diabetes.

I suggest you see your care provider and ask for an A1c [HbA1c, HgbA1c, HA1c] test. Currently, the A1c is the gold standard in testing for determining type 2 diabetes.

[cleome]

I've been reading one of Dr. Bernstein's books. I think he mentions a post-prandial limit of 120, but that may be two or three hours after eating. Somewhere I recall hearing that blood sugar over 200 at any time is classified as diabetes and that at that level glucose is likely to spill into the urine. Hence my concern.

[WaveRider]

"What does this indicate and how serious is it?"

Testing one hour after eating results in a false/positive. Glucose [blood sugar] from food consumed has not plateaued in your bloodstream and still is on the rise.
Proper test times are:
1. Fasting - 8-10 hours no food or colored liquids, usually done first thing in morning.
2. Preprandial - Before meal to get a baseline measurement
3. Postprandial - 2-3 hours after a meal to see how foods consumed affected glucose levels.
4. Bedtime - Going to bed with high glucose means 1/3rd of your day is spent with above normal levels. Also a good reference to compare against morning fasting level.

Your 2 hour reading of 88 mg/dl appears to be normal. Check at 3 hours to be certain you're not experiencing hypoglycemia.

Lastly, avoid white rice as it turns into sugar after eating.