Why isnt my fasting blood glucose going down?

[prediabetes]

my dr told me I might have prediabetes fasting glucose 110, a1c 5.7 so I've been following her advice eating better exercising more. i wasnt overweight but i still lost 6 lbs. i also bought a glucose meter and been recording for the last month. i eat 3 times a day at 6am 12-1pm and 6-7pm. my blood glucose on waking is 100-110, one hour after eating 130-170 depending on what i eat. 2 hrs after eating always < 120 regardless of how high the 1hr was 3 hrs after its back to 100-110. and then it stays at 100-110 until the next meal. why doesnt it drop below 100?

thanks.

[prediabetes]

what i trying to say is i expected result too fast from reading other people posts

[prediabetes]

thanks. i think it just take time. i got confuse reading people post where they say they eat a little more carb and next day fasting is high or they do a little more exercise and next day fasting is low. but those people are full diabetic. for them every little thing make huge difference. for me maybe not so fast yet.

[Super_sally888]

Great job.  Keep up your efforts!
It is very nice and motivating when you can see that what  you are doing is working!

[prediabetes]

i think i slowly winning... nothing over 100 fasting in week. all in 90s even one 89. still eat lot of carbs but less than before also make sure they all complex carbs. exercise more too.

[prediabetes]

yes i will watch and wait. finally got hard copy of lab reports. in 2013 glucose was 97 cant find hba1c because was a cbc test. in 2015 glucose 108 but hba1c is 5.3 not 5.7 like i thought. i make mistake saying 5.7 because that what i thought i hear dr say on the phone. so 5.3 equal average glucose 105 which mean it must drop below 100 sometime. i wonder when? this morning my fasting was 98 if i believe the meter. so seem like not much progression in 2 years. that 108 lab reading could be just unlucky day. some mornings i get 109 even. but mostly now in low 100s. also i eat less carbs now and exercise more lost 10 lbs hoping that enough to stop any progression. so watch and wait. good thing caught this still early. i read many people catch it when fasting is already above 200.

[Super_sally888]

Seems that your basal (background insulin) insulin output is the one that is not working so well at this time (if you eat moderately, you are not having a big rise in blood sugar (30 - 40 points)).  IF you were able to get your fasting and background level down by 15 - 20 points (ie. low 80s), then your post eating becomes in range.

If you dr would agree (depends on what your dr. considers is worth treating - some like aggressive management and some are content with hba1c of 7 for all their patients with diabetes), then you could try a drug like Glucophage / metformin, to see if it pulls down your numbers.

In my case, I use insulin.  Not because my numbers without insulin are terrible, but because i want excellent numbers.   My fasting numbers without insulin would be somewhere between 100 and 150.  So I use basal (slow acting) insulin. Depending what I eat, I also use fast acting insulin (very low dose - only 1 - 3 units).  Using this approach I have kept my hba1c in the low to mid- 5s for the past 7 years.

The alternative is to watch and wait, keeping up your excellent efforts with diet and exercise.  If your numbers start to deteriorate, then progress to taking meds....