Input on my numbers please?

[janieann]

Hi Everyone,

I've been diagnosed with idiopathic Small Fiber Neuropathy which I'm sure as many of you know is a common malady with diabetics.    The "idiopathic" is hard to accept, so I've been doing a lot of reading and research myself, and requested an Oral Glucose Tolerance Test.   I'd like to share my results of that test and other glucose-related tests and get some opinions if I could.

Fasting Glucose:  Low 80s  (consistently)
A1c:   5.2%   (consistently)

OGTT:  

Fasting: 80 mg/dL
1/2 hour: 144 mg/dL
1 hour: 181 mg/dL
2 hour: 71 mg/dL

I would become hyploglycemic within another 30 minutes which wasn't surprising to me.  I know I have a problem eating sugary things on an empty stomach.

Self-monitory Glucose Levels After a Very High Carb Meal:

30 minutes post-meal:  166
1 hour post-meal:   162
2 hours post-meal:  166
3 hours post-meal:  148
4 hours post-meal:  128
6 hours post-meal:    82

I'm seeing conflicting information on the web about what "normal" results are.   One source says a "normal"  person's glucose should never exceed 140.      Another says anything under 200 is ok.  

I've also read that within 2 hours of a high carb meal, your glucose should be back under 100.  

Any thoughts on this?

Thanks much.

Jane

[janieann]

I'm just amazed at all the conflicting information out there.    I've been trying to sift through it myself, and it's like flying blind.    

Again, thanks much for your help.

[diabetes86]

It is too bad that MDs use fasting as THE test.  Fasting is the last thing to go.  By the time the fasting is bad your well into diabetes.  early intervention will help slow the progression down or stop it, we hope

[janieann]

Ok, thanks very much.  

I wouldn't know any of this if I hadn't requested the OGTT myself, and bought a glucose meter as well.

It sounds like the usual fasting glucose and A1c screening tests are not enough.    I have no symptoms other than the Small Fiber Neuropathy.

Taking action now.  

[diabetes86]

Your numbers are what "they" call PRE-diabetes.  Many of us dont believe in PRE  your diabetic... your pancreas is still working a little.  now is the time start controlling your blood sugars (BG ) so you dont develop  the complications that go along with high BG.

The distinction between pre-diabetes and diabetes is a line drawn in the sand.  "They" have been moving the line, lowering the number for the threshold.

now the threshold is ANY reading over 200 your 181 is real close.  the generally accepted normal limit is never 140.