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Old 06-09-2009, 02:20 AM   #1
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Question when & what tests needed for pre-diabetes?

From time to time, I have hypoglycemic symptoms (shaky when hungry - just occasionally), so I thought to have my glucose level tested. My fasting glucose was 115,2 (6.4mmol/L) - 2 weeks ago. Not hypo for sure! I read some threads here and I know that's not a normal 'score'.

Please, could you advise what other tests I should do to determine whether I'm pre-diabetic or not? If it's insulin or A1c test, should I fast before it?

Concerning glucose tolerant test, how much sugar am I to take? I've read it's 50mg or 70 mg; which is better? I don't want to drink any "sugar syrop" prepared in a lab, so I want to make my own with unrefined sugar. Also, for this test, should I fast overnight and then have the glucose tested, then drink my syrop and then go back to the lab in 2 hours? Or should I have it tested in 30 minutes, then an hour, then 2 (I mean 3 times after sugar intake)?

Thanks

 
Old 06-09-2009, 08:05 AM   #2
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Re: when & what tests needed for pre-diabetes?

Your fasting blood glucose is generally considered to be within the pre-diabetes range.

An HbA1c test does not require fasting. Glycosolated hemoglobin that it measures is a proxy for your average blood glucose level over the past several weeks. Recent news is that an expert committee suggests that 6.5% or more indicates diabetes, and 6.0% to 6.5% indicates high risk for diabetes.

You may want to increase exercise and lose excess body fat[*] in order to try to slow down or halt the progression to diabetes (or get better control with less medication if progression to diabetes cannot be prevented). Also, choose carbohydrate foods carefully, favoring fibrous low glycemic carbohydrates over sugars and high glycemic carbohydrates.

[*] Try to get your waistline measured at navel level to be less than half your height and less than 0.8 of your hip circumference (for women; 0.95 of hip for men), if it is currently larger.

Last edited by tjlhb; 06-09-2009 at 08:08 AM.

 
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Old 06-09-2009, 08:37 AM   #3
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Re: when & what tests needed for pre-diabetes?

Thank you for your reply.

The measuring was fun. Navel level belly is more than half my height. I'm not sure if my belly is due to excess fat. It looks like a 5-months pregnancy, and it might have grown due to the ovarian cyst that I currently have. Though, actually, as far as I remember myself from teenage years, I've always had some belly, but never overweight. I wonder if that was caused by impaired metabolism due to lamblia giardia that I used to have as a child. My hepatic ducts were inhabited by lamblia, resulting in erosion of my duodenum.

I agree that I need exercise, but I find it hard to do anything normally because then my cyst/ovary starts to ache.

 
Old 06-09-2009, 10:43 AM   #4
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Re: when & what tests needed for pre-diabetes?

You may want to ask your doctor if anything can be done about the cyst, since it preventing you from doing much exercise and making waist / fat measurement possibly inaccurate is not doing you any good in terms of trying to slow or stop the progression of diabetes.

 
Old 06-09-2009, 11:22 PM   #5
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Re: when & what tests needed for pre-diabetes?

We (my doctor & I) are trying to get rid of the cyst, so hopefully I'll be able to do some normal exercise not too long from now.

Thank you for you replies.

 
Old 06-10-2009, 01:05 AM   #6
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Re: when & what tests needed for pre-diabetes?

What about glucose tolerance test? Can I make my own drink with simple unrefined sugar?

 
Old 06-10-2009, 10:50 AM   #7
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Re: when & what tests needed for pre-diabetes?

Quote:
Originally Posted by peace4health View Post
What about glucose tolerance test? Can I make my own drink with simple unrefined sugar?
You could, but you will not get as accurate results. Glucose and refined sugar are absorbed differently by the system.

If you want a proper diagnosis, you need to do the real medical test.

By the way, the drink they give you is not that bad. You can buy it at medical supply stores. I did.

 
Old 06-13-2009, 02:25 AM   #8
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Re: when & what tests needed for pre-diabetes?

Thank you!

 
Old 06-16-2009, 04:42 AM   #9
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Re: when & what tests needed for pre-diabetes?

Just an update. I had my glucose & glycosilated hemoglobin tested today. After reducing the little sweet I had in my diet (milk- lactose, & a little honey), my glucose is down to 5.6 (100.8). My glycoHb is 8.4% (lab range is up to 8.6).

From the info I got on this board, I understand that 8.4% is something to get concerned for. But I hope that having less milk from now on will bring also that down. No milk would be better, but I've been taking 2 cups daily for another health issue (since 3 months now). I add live culture/bacteria into it, to make probiotics (the kind I need is not sold in capsules here). So I'm down to 1 cup.

Last edited by peace4health; 06-16-2009 at 04:43 AM.

 
Old 06-16-2009, 07:23 AM   #10
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Re: when & what tests needed for pre-diabetes?

The "healthy" range of HbA1c is usually listed as 4.0% to 5.9%.

A common target for people with diabetes is to try to get HbA1c down to 7% or below.

 
Old 06-16-2009, 07:32 AM   #11
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Re: when & what tests needed for pre-diabetes?

Quote:
Originally Posted by peace4health View Post
Just an update. I had my glucose & glycosilated hemoglobin tested today. After reducing the little sweet I had in my diet (milk- lactose, & a little honey), my glucose is down to 5.6 (100.8). My glycoHb is 8.4% (lab range is up to 8.6).

If that 8.4 is your HB1ac, that is quite high. Since the 1ac is an "average' glucose level, and your fasting is 5.6 that means there are times you are going very, very high.

You may want to get a glucose meter and check how high. I suspect there may be more than a need to reduce more than your milk/honey consumption.

I don't want to scare you, a lot of things can be done, but if that 8.4 is your HB1ac, that is considered not under control. Is it your HB1ac ? Is your doctor putting you on medication of some sort ?

Last edited by itotito; 06-16-2009 at 07:50 AM.

 
Old 06-16-2009, 11:44 AM   #12
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Re: when & what tests needed for pre-diabetes?

No medication, we're still in the process of diagnosing.

I'll take the paper tomorrow to see if it's Hb a1c (1ac). I got the result over the phone, but the test is called glycohemoglobin in the price list.

Do you think glucose tolerance test is a must for final diagnosis? Or is the glucose meter enough to monitor the changes during the day and to be diagnosed? I've read/heard the glucose quantity in the solution puts a lot of pressure on the immune system.

Concerning diet, as far as I've read what diabetics can or can't eat, I seem to have a good diet in this regard. And the honey was just a teaspoon or two a day. I wonder what's wrong with my glucose...

Last edited by peace4health; 06-16-2009 at 11:57 AM.

 
Old 06-16-2009, 11:51 AM   #13
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Re: when & what tests needed for pre-diabetes?

You mentioned previously that you have a big belly and you do not exercise due to a cyst. In people with genetic tendency to diabetes, lots of body fat and lack of exercise tends to aggravate the blood sugar problem. Regardless of whether you go on medication, cutting the body fat and exercising (which means dealing with the cyst that is preventing your from exercising) will help your blood sugar control (likely reducing or perhaps even eliminating the need for medication).

Also, some non-sugar carbohydrates are fast digesting and produce blood sugar spikes (high glycemic). For example, things like white bread, white rice, and other refined grain products, even with minimal or no sugar, can spike your blood sugar. You may want to move your carbohydrate intake to slower digesting carbohydrates like vegetables (other than potatoes), most whole fruits, beans, and some whole grains like oatmeal. Lactose from milk tends to be slow digesting and is probably only a minor concern in this respect.

 
Old 06-16-2009, 12:01 PM   #14
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Re: when & what tests needed for pre-diabetes?

Quote:
Originally Posted by tjlhb View Post
The "healthy" range of HbA1c is usually listed as 4.0% to 5.9%.

A common target for people with diabetes is to try to get HbA1c down to 7% or below.
You say for people with diabetes? So higher than 7% is in the diabetes range, not prediabetes? Is it normal for a diabetic to have a normal fasting glucose level? Thanks.

 
Old 06-16-2009, 12:09 PM   #15
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Re: when & what tests needed for pre-diabetes?

Indeed, tjlhb, I think it's mostly the belly factor & no exercise. By the way, I try to walk at least 1 hour daily, though I fail to do it every day. I know it's not enough exercise, but I'm trying to encourage myself by thinking it is something

White bread, and other "whites," as well as sugar, cakes, etc, have been out of my diet since around 10 years, though rice 'went out' maybe 3 years ago. That's the reason I'm perplexed about this glucose issue. So maybe belly fat and almost no exercise could explain it.

Thank you so much for taking time to reply.

 
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