Recently got diagnosed with type II. Haven't had any dietary counseling yet but my Internist says that first reading in the morning should be under 100, yet I read some information from insurance that it should be under 120 for diabetics....I'm not questioning my doctor, but I'm a bit confused because of information insurance company sent. Can anyone help?????? :rolleyes:

hi was doagnosed with type 2 last may. have it diet controlled. my readings are never under 105-120 in the morning. as the day goes on and i eat i usually maintain around 95. best advise i got was to eat no more than 2 carbs a day(whole grains,bread,potatoes) no more than 2 pieces of fruit(make sure you eat the 2) and make the rest of your diet protein and vegetables. i do cheat and eat donuts,cookies and ice-cream on occassion. eating like this has helped lose 40 pounds without effort and maintain my glucose readings and keep my A1C at 6. i don't exercise in any structured way since i have a very physical job and walk a lot during the day along with a lot of lifting.

best of luck,
angela :)

Nanax10,
The reason that the target for am fasting for diabetics is higher (up to 120) is that the effects of insulin and oral medication are being considered. For diabetics on insulin and/or oral medication, to try for a target of 100 puts them at risk for severe hypoglycemia during the night. Your doctor is asking you to shoot for the blood glucose of a normal person because you are not yet on medications, and keeping your blood glucose levels in the normal range could prevent the progression of the illness to the point where you would need medications or even, eventually, insulin.

Since diet and exercise play a key role for T2 diabetics, you should definitely see a registered dietician as soon as possible.

Also, I would recommend testing every day when you get up (or before breakfast), but also randomly scattering some tests throughout the week at pre-meals (lunch, dinner), bedtime, and 2 hours post-meals (lunch, dinner) so you can get a better idea of how your body is handling foods.

Ruth

Hi!

YES, I am on medication.....metphormin......and that is why he says it should be under 100 in the morning. I am exercising, watching diet (I've lost 14 lbs so far), etc....I just thought since I am on medication, that is where I read morninig readings should be no more than 120.....am I not figuring this out correctly?

Thanks!

Kathy :wave:

The ADA (American Diabetes Assoc) guidelines are 90-130 fasting and under 180 ppg. The ACE (American College of Endocrinology) guidelines are 70-110 fastings and under 140 2hr ppg. To reach an a1c of 7% and under, you must follow the ACE guidelines. The ADA guidelines are actually "politically set" and too high. In fact, if you are averaging 125-130 and a ppg of 175 you will NEVER get to 7% its impossible.

Al,
Sometimes you can keep your post-prandials under 150, even if your fastings are over 110. The problem with very low am fastings is that for some people, they are risking hypos while asleep.

It's very individual, though. If you can get the fasting down to 100 without going too low at night, then of course it's much better for you.

Ruth

I agree with all the advice here. The insurance company has unreliable and probably outdate information. Do as the doctor recommends, it is safer. Good luck in keeping under control. And be sure to exercise everday. Hugs for today.

trekgirl