blood sugar

[DES530]

ok my thing is  my Dr. said he doesnt want to see me unless i get to lows under (60) this was what i was testing for well. Also he siad check a hour after eating since i can feel weird at that time and not to see him tell i get 2 high over 190. so far my readings after i eat are about 144 an di have had 1 low at 54 but i feel real low with any thing under 95 and worse at 70 i cant wait for it to drop lower i give in and eat. i have had 1 reading at 201 2 at 180 and i just got one at 197 i dont get thursty i kinda feal like i drank a lot of caffien i mean a lot. my head would hurt a bit. i dont know if this is normal when it it high. My ??? is even thow i got 2 highs but they are almost 1 month apart is there something going wrong? I know i should go make a apt, but i want more info before i go in. I have tried to get a hold of him but no luck he wont call back so i turn to you all. you are all a good help and i would be lost with out you all. My Dr. think every thing is ok. ever time i go to him he thinks its in my head . ( turns out ever time there is some thing like. low platlets then anima, then ulcerative colitis and i just had to get my gallbladder  out due to Acalculous Cholecystitis)

[Zoelula]

Not sure what to tell you besides following the instructions for diet and see if it makes a difference. It's important to be able to trust what the meter says. If your meter uses control solution (read the instructions) get some and test to make sure it is right. If it includes a code number, be sure you insert the right code tab for your strips (not all meters use these things). If you continue to feel your meter is not accurate you might want to get a different one. Yes, hypos are only below 70 or even below 60. If you have been high though and come down fast it can feel like a hypo. I would get confident with your meter as I described above and then test as often as you can afford (test strips are expensive!) two hours after meals. Perhaps the changes the dietician suggested will help. If not and you keep seeing highs as well as lows, then it is time to see a different doctor or an endocrinologist who is more skilled with blood sugar issues than regular doctor. (and who knows that anything above 140 is a problem, not above 190!)

[DES530]

oh and how they did the test was i had to go in at 8 in the morning and have not of eaten any thing after 9 the day before and every hr they took my blood from my finger and my arm at the same time witch when to the lab. they did this every hr. tell 4 pm.  I wished they would of did a drink test so she can see if my numbers would go up and plus it would of made me feel hypo fast after 1-2. but she was rude the whole time and seemed like she didnt care. since the time i went in the first time she checked my blood and it was 95 on the meter and i was feeling hypo then and shaking. she thought it was all in my head and that i was faking it. since hypo is below 70. she was like this to at my fast tell my lab came back in the 70- when the meter was still saying 90s.

[DES530]

all she told me was that my diet is my problem. first thing she does not know what diet i  have. so  they put me on a diet of all wheat or whole grains no white, lots of protein with every meal  and to eat 6 times a day and eat fat. She said nothing with my high number. that's why i think my a1c was not so low as to high because i would get lows and high. I feel low all the time so i have to eat all day to keep them up. she said my number for high are not high and not to worry about them. And i think i have reactive hypoglycemia because it gets worse after i eat some thing if i  go with out eating it really dosent drop fast but after i eat 1 -2 hr later i can feel it and then have to keep eating or i start feeling hypo.  aww its just makes me made, I was wondering to when i feel hypo my meter always say in the 90. but lab shows that im in the 70 - should i just fallow what my body is telling me and not my meter? or should i know that i am hypo when it says in the 90 and feeling hypo? I also read that being anemia messes with the meters. i wonder if this is true. this is why my nurse said  the blood from my arm at the lab is right not the meter one.

[Zoelula]

There is no way to answer that question unless your doctor gives you an accurate diagnosis. This could be hypoglycemia, reactive hypoglycemia or diabetes. I am still concerned about those high numbers you report that are not normal in a non-diabetic. Frequently diabetes presents initially as hypoglycemia, but you are already showing hyperglycemia as well (high blood sugars). If you are having lows regularly those would make your H1C which is an average appear lower.  Probably the dietician will encourage you to manage hypoglycemia with eating frequent small meals rather than less frequent large ones. If, however, she encourages you to eat a high carb diet, look out. If you are on the verge of developing diabetes (and my guess is you are)  that would only make it worse.

I'm not sure when you were talking about fasting and getting your blood sugar measured over intervals at the doctor's office if you were given an OGTT. That is a test that measures your reaction over a couple hours to a sugary drink. If that is what they did and your numbers went lower rather than higher that is showing you have reactive hypoglycemia which means when you eat a lot of carbs your body pumps out insulin excessively and you go low. The solution to this, if that is what you have is to limit carb intake, the same as for diabetes or pre-diabetes.

My advice? Ask exactly what you are being diagnosed with. Work on lowering carbs, exercise and losing weight if you are overweight. Then continue to test and follow up with an endocrinologist in a month or two not a pcp if you continue seeing periodic highs as well as lows. Remember A1Cs are an average of 2-3 months.

[DES530]

do you know what can cause you to have hypo?

[Zoelula]

People who have only low blood sugars may be suffering from hypoglycemia or reactive hypoglycemia.  It's good you are seeing a dietitian. They will help you manage your blood sugars. If you can do that with just changes in diet that is the ideal

[DES530]

ok so i went to a endo. they did a a1c test and it is only at 5. i had to go in for a all day fast. for the first couple hr my blood stayed ate 95. they also was taking blood out of my arm every time they checked my blood with the  meter. my labs were coming back as below 70. so this whole time when i started to feal hypo when my blood sugar was in the 90, it was really in the 70 and below. the endo said i have low sugars and i have to see a dietitian tomorrow to learn how to keep my sugars up. she didnt tell me why my sugars are dropping low at all. all she said is that its probably my diet. how does your diet make you have low sugars? so any one can have hypo or can it be something that is causing it and i need to be on a special diet to keep them up.

[DES530]

thank you both.

[Super_sally888]

Hi,

like said, anything over 140 is causing damage.  Your doctor is uninformed and irresponsible to be allowing your blood sugar to go so high without advising you to do anything.

As Zoelula said, it is your health.  It is up to you.  Get yourself educated and get it under control.  Else there will be consequences.  This is the plain and ugly, but necessary truth!

[Zoelula]

Your doctor has very uninformed standards. I would educate yourself and set your own targets and if you are unable to meet them with just diet and exercise, then see an endo who will care about your health and prescribe appropriate meds. You have been given this answer several times and it's up to you how much you want to fight for your own well-being.

[DES530]

k well i talk to my Dr. on the phone and he said 157 is ok after eating. he said he might run test to see why i wen to 57. and thats it. :(

[Super_sally888]

i think your current doctor is not taking this seriously enough. This is your life and your health.  I would recommend you consider getting a second opinion / finding a doctor who specialises in management of diabetes.

The tighter (better) control you can have the less likely you are to have complications.

Best wishes

[DES530]

oh and when i tested at 2 hr it when to 138 from 197 1 hr before

[DES530]

i test 1 hr after eating and then at 2 hr. 1 hr is when i spike and at 2hr im lower. i also test in the morning before i eat and it is between 100-and 109, but the other day i did get one in the 130. i only have been testing my sugars for one month so i dont know if they were high then, but they could be since that is why i went in cause the fealings i get. so would i have a high ha1c if i go over 140 when i eat and had a few high ones ?(181,201,197)  And i did read that 140 is high but my Dr. thinks its not high tell 190. :( i wonder if i need to go to a Dr. that knows stuff about this.

[Super_sally888]

Hi,

i think your doctor is doing you a disservice by not properly evaluating this.  The numbers you are mentioning are indicative of diabetes.  Any level over 140 is already known to be causing damage.

However, you didn't say how long after eating you test.

You need to be tested for HA1C, which gives a measure of blood sugar control over the past few months.

In the meantime I would strongly suggest that you assume you do have diabetes and adopt the lifestyle (diet and exercise) measures that are necessary to control it.