I have an issue regarding blood glucose. Over the years all my fasting blood tests have been fine, but I have noticed once or twice highish readings in the emergency room, and yesterday 8.6 in the walk in clinic. I decided to get a meter and have tested today 4 hours after my light lunch it was down to 5.9 and 2 hours after my evening meal 11.0.
I will check again in a while and first thing in the morning. A few months ago I got some urine dipsticks and have got through about 90 of them and nor once have they shown any glucose, my primary care blood sample (fasted) a few months back was likewise normal
I'm not thirsty, but fatigued often
I am wondering what do doctors do if the fasting tests ( the ones they do via the lab) are normal results but the patient gets high readings 2 hours after food, which have normalized after 3 to 4 hours ???
I will be letting my primary care doctor know my results but I wonder what people here think of this ?
Hello and welcome! For one, the figures you gave are not consistent for a glucose level. For example, a normal glucose fasting level may be 70, whereas a postprandial glucose level (after eating), may be 120. Perhaps you meant to post the #'s without the decimal point? That would make more sense.
Have you been diagnosed with pre-diabetes, or diabetes? Who instructed you to check your blood glucose and what were the instructions? There are good reasons why your sugar is to be checked at certain times during the day. Otherwise, the values can be taken out of context. Sounds like you took it upon yourself to get the meter. Only your doctor should be advising you to check your sugar at home. People can easily go overboard thinking they need to be checking it at home all the time. Not everyone needs to be doing that...certainly not if they don't understand how a glucose level will fluctuate. You need to discuss home monitoring with your doctor, and ask for specific instructions. IF the doc wants you to be checking it at home, he will tell you how and when to do so, and give you a journal to log your results. Also, whose idea were the glucose dipsticks? There are pretty specific situations where one would use a dipstick, I doubt they are necessary at all for you. Just a waste of money. A urine dipstick is seldom going to show glucose, unless you have a very high level.
In all honesty, it sounds like you've taken a lot of this in your own hands, which is never a good thing to do. You really need to be going by what your doc says. If you don't need home monitoring at this point, great! Your doctor will advise you when and if you do.
glucose doesn't usually show in the urine until levels are high.
Fasting glucose normally should be in the 80s/18 = around 4.5 - 4.9 (convert by multiplying by 18). There are 2 different measurements of blood glucose that are used. These can be confusing.
A level of 5.9 x 18 = 106 2 hours after a light lunch are within nromal range.
A level 11 x 18 = 198 2 hours after your evening meal is a concern and is way too high. What did you eat?
Next step should be to get your Hba1c tested to see what your average sugars are.
In the meantime reduce your carbs (breads, grains, pasta, sweet fruits, etc). and use portion control for carbs. Take regular exercsie and if you are overweight focus on getting closer to ideal weight.
2 hours after eating blood sugars should be < 120 (6.6).
In the States blood sugar measurements are presented in mg/dl. In the UK it is mmol/l.
First things first, unless you went to ER because of extreme high blood sugars toss out [ignore] those test results. An illness, an infection, and/or trauma can elevate blood sugars levels above normal. Consider them false positives. Here are your blood sugar goals:
Normal fasting is 3.33/3.88 to 5.5 mmol/l
Postprandial [2-3 hrs after a meal] same as normal fasting. Above 6.72 mmol/l indicates diabetes issues
Please understand testing and nutritional plans provided. Reply back to this thread if you need more clarification. Good luck -
Thanks for that. I hope it will be
In the meantime my own testing indicates most mornings before breakfast just under 6.0 and at no time of day is it under 5.0 plus between meals as high as 11 But knowing my doctor as I do (he said "11.0 isnt really high or a worry" ) he will find an abnormal result nothing to worry about !!
I'm going to have to wait and see though. My last fasting blood test (lab ) a few months back was 5.8
It would depend on the time of test for your doctor to say "11.0 isnt really high or a worry". Some doctors allow diabetics to have postprandial up to 10.05 mmol/l, some say <7.83 mmo/l is OK, although most wish the patient to strive for <6.72 mmol/l. Mind you these levels are for diabetics, not normal folks.
Your last fasting lab of 5.8 mmol/l says you tiny bit over the normal limit of 5.5 mmo/l. Eat healthy, exercise daily, lose excess weight, and no stress all help to lower blood sugars. Stress elevates blood sugar levels. As the saying goes "No worry, no stress". : -)
I'm going to take note of that 3 month test and even if ifs OK or 'just within' normal I intend to make lifestyle improvements, but for the last 2 years I've drunk little alcohol, have never smoked, and am not ( I believe) overweight...BUT I am always feeling stressed, and need to change that
Here in the UK, I think the fasting lab level is higher than 5.8
"The 11.0 was 2 hours after an evening meal high in carbo a lot of rice after another 2 hrs it had dropped right down to normal"
Ah, yes, an high carb meal laden with starches [white rice] will skyrocket your blood sugars. Use Google search to learn about simple vs complex carbs and what they do to your health.
Scroll down and read this thread on preventing diabetes. Nursegirl provides valuable tips.
TIPS FOR DIABETES PREVENTION
By nursegirl6572 Jul 01, 2012
Currently there is no cure for diabetes. If you can prevent diabetes from happening the more power to you. In its early stages those non-genetic people who make lifestyle changes are able to reverse it. Others who fail to make lifestyle changes are at high risk of becoming diabetic. Please don't fall into the latter group. Good luck -
In the last my A1C has been between 7.7 and 8.5. It isn't unusual to be in the 170's - 180's. I have been able to be do what I wanted medically till last friday got denied for foot surgery. I am frustrated cause that is where I have been. A couple months ago I got switched to glipizide. Not sure how it will get turned around.
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