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Is diabetes in my future?
I was gestational during my pregnancy 23 years ago and I have randomly here and there been checking my blood sugars. Last night before bed I was at 160 and this morning I was at 133. I am very active, I run 15-20 miles a week. I can run 13 mi without stopping and can run 7:30 mi.. I'm 142lbs at 5.5. Was this possibly just a bad day for me? Do normal people have levels like this? I also seem to urinate a lot 25-30 times a day? Just a bit nervous.. Concerned...
You are doing all the right things ...so you are on your way to controlling this ! Hang in there . It will get better . Pls post and let us know what happens at next dr appt!!
I was totally thinking exactly what you have stated above... I have my yearly checkup next month. I am going to wtrite down my fasting and evening post meals to show the dr I see... How ironic this am my fasting was 125. Thank you so VERY much for your informational posts! I want to be healthy and fit and totally be on top of anything that will affect my health.
COMMUNITY LEADER
Dear Run,
Your dr is not doing you any favors by refusing to test Hba1c.
Hba1c is used as a monitoring parameter and allows you to see what is happening with your blood sugar over time. In many cases, fasting blood sugar will be the last to be abnormal and your post eating numbers are quite high.
I think you need a second opinion and a new doctor who will encourage you to manage and treat this aggressively (whether by lifestyle alone or with drug help). If you just wait until your fasting numbers are very high, before you do anything you will already have done damage to your body.
Normal blood sugars are always in the range of about 70 - 120. With fasting always in the range of 70 - 90 for non-diabetics. Your numbers are at least 50% higher than completely normal.
You can test before meals from time to time to see if your sugars have gone down to fasting levels (they should).
Peak sugars after eating will typically be 1.5 - 2 hours after eating, though if eating something very fatty (like pizza) which slows digestion and absorption, the high can happen quite a few hours later.
Keep reading. Adopt low carb diet and learn to eat to your meter. Look into getting a second option and a much better workup. Given your history of GD, your weight, and your activity level (all of which should be helping) the doctor should be taking your case much more seriously. Is there any way you can be referred to an endocrinologist?
Your dr is not doing you any favors by refusing to test Hba1c.
Hba1c is used as a monitoring parameter and allows you to see what is happening with your blood sugar over time. In many cases, fasting blood sugar will be the last to be abnormal and your post eating numbers are quite high.
I think you need a second opinion and a new doctor who will encourage you to manage and treat this aggressively (whether by lifestyle alone or with drug help). If you just wait until your fasting numbers are very high, before you do anything you will already have done damage to your body.
Normal blood sugars are always in the range of about 70 - 120. With fasting always in the range of 70 - 90 for non-diabetics. Your numbers are at least 50% higher than completely normal.
You can test before meals from time to time to see if your sugars have gone down to fasting levels (they should).
Peak sugars after eating will typically be 1.5 - 2 hours after eating, though if eating something very fatty (like pizza) which slows digestion and absorption, the high can happen quite a few hours later.
Keep reading. Adopt low carb diet and learn to eat to your meter. Look into getting a second option and a much better workup. Given your history of GD, your weight, and your activity level (all of which should be helping) the doctor should be taking your case much more seriously. Is there any way you can be referred to an endocrinologist?
Oh, wow, thank you! It is scary, a wake up call!! I haven't had a chance to check out the site yet but I most definetly will. I am going to continue to monitor my blood sugar as well..
Hi again . I read in your original post that your blood sugar in the morning was 133 . I am thinking that is a fasting blood sugar . If so , that's really high for a non diabetic . Also the night time readings seem high . I know the doctor told you you aren't diabetic til you hit 200,but you already hit 188 2 hours after a meal . Your post meal readings seem high for a non diabetic . If you aren't diabetic , then you can turn this around . But you seem very close to being a diabetic . Please look at Sugar 101 website . There is so much helpful info there . I think your dr should have done the A1c test especially since the numbers are so high. I wish I could be of more help to you. Others on here are more knowledgeable than I am and can really help you. Keep posting so we know how you are doing. I know it's scary . But it will be ok.
Hi, yes I am a bit confused.... As long as my fasting # is below 126 I am not a diabetic? But numbers at not are high but not 200? I'm tempted to check it 4 hours after eating supper.. I will be checking out what you have recommended. I just don't want to be one of those people who go undiagnosed....
Hi! I'm kind of new here myself but I think if my doctor told me I'm not diabetic till I hit 200, I would try a different Doctor . I really don't mean any disrespect at all . It just is pretty high a number . I have learned a lot on here from other people who post really good info. Maybe check out "sugar 101" website and also dr Richard Bernstein . Lots of help there too. Good luck to you !
Well my dr is calling me pre diabetic. My dating blood sugar was 109. She said no needy do A1c.. She was not too concerned with my numbers that I gave her. Last night 2 hours after supper I hit 188.. She said as long as I don't hit 200 I would not be diagnosed with diabetes.. Makes me wonder if I did not run as much as I do where would my numbers be then? Also I see so many women my age that eat horrible and do not exercise at all ...are they walking time bombs? I even ask myself am I as well?? Clean eating here I come!!!
COMMUNITY LEADER
mmm. I also hope your meter was lying.
171 2 hours after eating is too high for non-diabetic.
You can experiment with what you eat (avoiding grains and starchy carbs), eat more non-starchy veges, and proteins and fats, to see if that helps your meter number come down.
the thing is that if you have autoimmune type diabetes (think adult onset type 1) things can progress fairly fast.
Your dr should also test your insulin levels at the same time as the Hba1c and fasting. Please see if that can still happen..... would give some useful information (If fasting glucose and insulin are both high it would skew the diagnosis towards type 2. If fasting glucose is high and insulin is on the low side, it would skew the diagnosis to type 1 - and needs further investigation).
Treatment for type 2 (early) is insulin sensitisers (and low carb diet, exercise) etc..
Treatment for type 1 is preferably insulin, even in early adult onset type 1 (along with low carb diet and exercise).
Let us know how you go.
171 2 hours after eating is too high for non-diabetic.
You can experiment with what you eat (avoiding grains and starchy carbs), eat more non-starchy veges, and proteins and fats, to see if that helps your meter number come down.
the thing is that if you have autoimmune type diabetes (think adult onset type 1) things can progress fairly fast.
Your dr should also test your insulin levels at the same time as the Hba1c and fasting. Please see if that can still happen..... would give some useful information (If fasting glucose and insulin are both high it would skew the diagnosis towards type 2. If fasting glucose is high and insulin is on the low side, it would skew the diagnosis to type 1 - and needs further investigation).
Treatment for type 2 (early) is insulin sensitisers (and low carb diet, exercise) etc..
Treatment for type 1 is preferably insulin, even in early adult onset type 1 (along with low carb diet and exercise).
Let us know how you go.
Before I went to bed last night which would have been about 2 hours after supper my reading was 171..... Hopefully meter was lying
COMMUNITY LEADER
Good luck. Let us know how you go.
112 fasting is on the high side, but is 'pre-diabetic'.
112 fasting is on the high side, but is 'pre-diabetic'.
I have made my appointment with my Dr. For Friday morning at 8 am.. Fasting blood sugar and hba1c test will be done... I'm a bit nervous, my fasting blod sugar this am was 112... Hopefully I'm going to be diabetic free!!
COMMUNITY LEADER
Hi,
Unfortunately diabetes during pregnancy does put you at much higher risk of developing diabetes later in life. Type 1 and/or Type 2.
You are not overweight and you are very physically active. But you have now had 2 readings that are higher than they should be. You are also urinating more frequently than usual. This is often a sign of diabetes and you definitely need to get checked out.
You need to test fasting as soon as you wake up in the morning. It should be < 95 (ideally in the high 70s to mid-80s).
You should then test 90 minutes to 2 hours after eating. It should be less than 120 (ideally less than 100).
Do a few tests and take this info to your dr. Ask to have your Hba1c tested. Ideally it is < 5.0 and anything above 5.7 will get you diagnosed with at least prediabetes. Assuming your a1c is higher than it should be and your fasting and post eating are high (fasting above 125 will get you diagnosed, as will post eating above 180).
I suggest that they test you for adult onset type 1 (LADA). They can test for this with antibody tests (though false negative is possible), and also they can test something called C-peptide (this should be tested at the same time as fasting glucose), which can help determine if your body is making too much insulin or not enough. Adult onset type 1 type of diabetes frequently does better if insulin (typically low dose) is used early in the course, rather than oral meds. If your Dr does want you to try oral meds then please avoid the sulfonurea drugs (these force your pancreas to put out more insulin and make it burn out more quickly).
Please look at eating a low carb diet (Moderate protein and high in healthy fats - unprocessed naturally occurring fats), which will also help with controlling blood sugar and may even help delay requirement for insulin.
I recommend you go to Utube and take a look at "Bernstein Diabetes University". He has many short sessions on diabetes and diabetes management using low carb approach.
Please come back and let us know how you go. And ask more questions.
Unfortunately diabetes during pregnancy does put you at much higher risk of developing diabetes later in life. Type 1 and/or Type 2.
You are not overweight and you are very physically active. But you have now had 2 readings that are higher than they should be. You are also urinating more frequently than usual. This is often a sign of diabetes and you definitely need to get checked out.
You need to test fasting as soon as you wake up in the morning. It should be < 95 (ideally in the high 70s to mid-80s).
You should then test 90 minutes to 2 hours after eating. It should be less than 120 (ideally less than 100).
Do a few tests and take this info to your dr. Ask to have your Hba1c tested. Ideally it is < 5.0 and anything above 5.7 will get you diagnosed with at least prediabetes. Assuming your a1c is higher than it should be and your fasting and post eating are high (fasting above 125 will get you diagnosed, as will post eating above 180).
I suggest that they test you for adult onset type 1 (LADA). They can test for this with antibody tests (though false negative is possible), and also they can test something called C-peptide (this should be tested at the same time as fasting glucose), which can help determine if your body is making too much insulin or not enough. Adult onset type 1 type of diabetes frequently does better if insulin (typically low dose) is used early in the course, rather than oral meds. If your Dr does want you to try oral meds then please avoid the sulfonurea drugs (these force your pancreas to put out more insulin and make it burn out more quickly).
Please look at eating a low carb diet (Moderate protein and high in healthy fats - unprocessed naturally occurring fats), which will also help with controlling blood sugar and may even help delay requirement for insulin.
I recommend you go to Utube and take a look at "Bernstein Diabetes University". He has many short sessions on diabetes and diabetes management using low carb approach.
Please come back and let us know how you go. And ask more questions.
Random test give random results (I know, MDs love random tests).
Non Diabetic fasting <100
Non diabetic rare to never over 140
test your self 1 hour after biggest meal of the day and see what you get.
When testing fasting BG is the LAST BG that shows up being bad.
Ask your MD for an OGT test make sure he tests every 20 minutes NOT just the 2 hour BG.
Non Diabetic fasting <100
Non diabetic rare to never over 140
test your self 1 hour after biggest meal of the day and see what you get.
When testing fasting BG is the LAST BG that shows up being bad.
Ask your MD for an OGT test make sure he tests every 20 minutes NOT just the 2 hour BG.
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