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1461994 tn?1285897132

Glucose levels

Hi,
I've been on Interferon/Ribavarin therapy for 3 weeks now for HCV Genotype 2B.  When I started, my glucose was 78 but it jumped to 90 this week.  Is this normal?  Should I be concerned that I'm going to develop diabetes if I continue with tx for 21 more weeks?  My blood sugar has always been in the 70's or 80's, no family history of diabetes, I'm 59, thin and in good physical condition otherwise.  I get weekly labs and was told on Monday (the day of the labs) by my doctor's nurse coordinatior that everything was ok, to continue with the same dosage. Then today, I got a copy of my blood tests in the mail and it kind of freaked me out that my blood sugar increased so quickily. I made the decision to undergo Tx now since my chances are good with 2B and I have no liver damage yet but I do not want to trade one serious disease for another.  Before Tx, I felt healthy and energetic, walked 5-10 miles everyday. Now I get tired just walking a couple of blocks to the store, I had to take a medical leave from work. Still, I'm more than willing to put up with the fatigue and all the other side effects but Diabetes is a deal breaker for me. Any help or advice would be much appreciated. Thx in advance!
6 Responses
87972 tn?1322661239
Hi there,

Why would you think you’re at risk for diabetes? The reference range for fasting blood glucose is <99, I believe. Occasional increases are to be expected; prediabetes isn’t suspected until several fasting BG tests are between 100 and 125.

Fatigue is very common with HV therapy; don’t be surprised if you sleep much more than you’re accustomed to. You do want to keep an eye on hemoglobin, as well as white blood cells (absolute neutrophils, actually) and platelets.

Remain hydrated, exercise as much as you feel comfortable doing, and if you experience body pain or headaches, you might consider taking a Tylenol (acetaminophen) before your IFN injections.

Good luck and welcome to the discussion group—

Bill
979080 tn?1323433639
90 is still normal and not diabetic !
what else changed from before , you walk a lot less.
if you keep the same diet but burn less energy your blood sugar will likely increase

some follow a low GI diet on tx others SVR  by mostly eating ice cream

if you are really concerned do a fasting insulin and glucose test from the same blooddraw
and calculate your HOMA score for insulin resistants.



1461994 tn?1285897132
Thank you both for the good advice.:)
Avatar universal
My blood sugar consistently ran a little high during my entire treatment.  Once I stopped it returned to normal.  Some people also experience low blood sugar while on treatment.  A reading of 90 is not concerning at all and is actually quite a normal read.
Avatar universal
You don't seem in any danger at 90 glucose. Did you mention already if you were fasting each time you too the test. I assume you realize that you should be, but who knows. It can't hurt to ask.
Dave
1461994 tn?1285897132
Thx for the responses. yes, I'm fasting before the test.  I was concerned b/c I had seen blood sugar changes listed as a side effect that could lead to diabetes in some cases, even tho it is still in the normal range, I was surprised to see it rise so soon. good to hear it's happened to others and resolved after Tx.  Thx again...
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