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Normal Treatment

I currently have Gestational diabetes, and my father has diabetes type II. I check my sugar 2 hrs after every meal and my fasting in the morning. I take glyburide 5mg twice a day, which i think needs to be adjusted as my sugars bottoms out usually atleast twice a day. But my fasting sugar is always higher than my doctor would like. His (my doctor) expectations are under 90 for fasting and under 120 for my 2hrs.

I guess my question is this.... is this common practice for people with diabetes? Are those numbers that endocrinologist usually use for ppl with type II? My father says he checks his sugar before he eats and uses those results. What are the levels that doctors hope to achieve with people with type II?
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231441 tn?1333892766

I had GD when I was pregnant.  I gave birth 2 1/2 months ago.

Usual treatment is insulin to control blood sugar during pregnancy, not oral meds, but guess it does vary between doctors.

The target fasting bs in pregnancy is < 95 mg/dl.  Target 2 hours after eating is < 120 mg/dL.  This is more strict than you use for non-pregnant people with diabetes.

My fasting BS now is 90 - 100 mg/dL which my dr is happy with.  However he will put me on insulin again to bring it down when I am trying to get pregnant again.

All the diet & lifestyle information above is great. Hope it helps.
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Avatar universal
Sometimes being older helps in terms of motivation. When I was younger I would have said **** it (go ahead censors!) and ignored good diet and exercise. Now, I want every year possible to be as healthy as possible. I guess, though, some older people don't really get that they can make life better!
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141598 tn?1355671763
"I was curious as to how normal type II is managed"

Here are some tips to help control and lower your glucose:
1. Cut out sugar and processed foods. It’s the most important and hardest thing to do. Eat more fruits and veggies instead. Skip desert, period. Don’t be tempted to munch on bad foods between meals.
2. Eat a better breakfast. Your metabolism is faster in the morning than it is later in the day. Skip the man made dry cereals for they are loaded with sugar. Instead of doughnuts, eat foods high in fiber, protein and good fats, like a veggie omelet, or oatmeal with ¼ tsp cinnamon and handful of blueberries for the antioxidant compounds.
3. Learn to love your veggies. Although it’s contrary to many American meals, eat a main course of veggies with a small side of meat to provide the right nutritional balance.
4. Monitor the types of foods you eat by keeping a log.  Avoid those foods that raise your glucose.

Moderate exercise:
1. Go for a walk after eating to help burn off excess glucose.
2. Do some sort of moderate exercise daily or at least 3-5 times a week.

1. You’d be surprised how much lower your glucose will be if you shed those EXTRA pounds.

It’s all up to your father to start practicing a better lifestyle control to improve and maintain good health. It may be difficult for him to see this if he's at the age of being stubborn and not wanting change in his life. Then we can only wish him the the best and try to make his life as comfortable as possible.
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Avatar universal
gotcha. I figured the numbers might be a little lower for me since it has a greater effect on me and obviously the baby. I worry about my father and I don't think he takes care of himself like he should thats why i asked. I was curious as to how normal type II is managed. Thanks for the response.
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141598 tn?1355671763
Everyone agrees that normal 8-10 hr fasting (prandial) glucose ranges are 70-99 mg/dl. Then we have 2-4 hours after meal (postprandial) which is 140-145 mg/dl. This is what you father should aiming for.

BUT, and I say but because with your pregnancy it has a different outcome. An Endocrinologist (diabetes specialist) should be seen to get an expert opinion.
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Avatar universal
Sorry I didn't mean to keep anything a secret. lol I guess I just wasn't thinking.
1) Obviously if its gestational diabetes then yes im pregnant.
2)Usually 3-4hrs after breakfast
3) Around 40
4) Fasting for me is normally 110 on average
5) 8am and 8 pm
6) Not my endo. My OB

My original questions were concerning normal type II diabetes. What are the normal treatments for that.... I was just stating really what i knew about what i've been told about my gestational diabetes and trying I guess to figure out if my dads really taking care of himself and if his doctors are quacks...
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141598 tn?1355671763
Its really difficult to answer your question directly because you kept the following a secret:
1. Are your pregnant?
2. When/time your glucose "bottoms out"?
3. What is the test results when it "bottoms out"?
4. What is your fasting results?
5. When/time you take your meds? Before, with, or after meals?
6. Did your Endo tell you why he wants he wants below 90 and 120?
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