Prediabetes or Diabetes per OGTT Results???

[Golferette]

Hello All,

Newbie here. This prediabetes/diabetes is all pretty new to me. My FG a few weeks ago was 104. I just had a 2 hr OGTT done. My #'s are:

FG = 103
1 Hr = 209
2 Hr = 83

My PCP has not officially called me yet but I got the #"s from the dietician at the clinic. She thinks they still indicate Prediabetes but would leave a message for my PCP to clarify since the 1 Hr # is 209. I was wondering if any of you could give me your unofficial opinion/s of these results. Do you think I'm still Prediabetes or would it be considered Diabetes?

I'm still about 50lbs overweight after losing 15lbs on the Jenny Craig diet in the last 2 months which I'm still on. I'm female, 58 yrs old, play golf 4-5x/wk and usually always walk the 18 holes each time so I have been getting exercise. The dietician told me the diet was OK, but I should buy a particular pedometer, use it for 3 days, take that average and then get an additional 2000 steps /day to that average. No one has mentioned my getting a meter and monitoring my sugar levels. I get very drowsy on the days that I do not exercise and usually require a nap or two lasting anywhere from 1 to 3 hrs. I mentioned this to my PCP on my visit a few weeks ago and she wants me to have a sleep study...did not feel it was related to my FG of 104.

Thanks a lot for any help/info you may be able to provide.

Golferette

[stel2006]

Here is what I know (from what docs told me) abt. diagnosis of diabetes mellitus:

Normal people (without diabetes):

Morning (A jeun / 6.00 am - 7.30 am) values:

70 - 99 mg/dL

Random levels (more than 2 hrs after starting eating, anytime before meals):

70 - 110 mg/dL (some say 70 - 99 mg/dL)

The 1 hr values after starting eating are not significant to the diagnosis of DM

2 hrs after staring eating:

70 - 110 mg/dL (some say 70 - 99 mg/dL)

Pre-diabetes (this is relatively new diagnosis in clinical medicine; doctors however say that people with such a condition have 50% chance to develop diabetes within the next 10 yrs and are at an increased risk of developing vessel disease - heart attack, stroke compared to people with normal blood sugar levels); Here how this is disgnosed:

Morning values:

100 - 126 mg/dL

Random values:

111 - 200 mg/dL (without symptoms of DM)

2 hrs after starting eating:

111 - 120 mg/dL

Doctors usually request a OGTT (Oral glucose tollerance test) - they give you a 75 mg glucose load and measure the blood sugar levels 2 hrs afterwards;

normal people: 70 - 139 mg/dL
pre-diabetes: 140 - 200 mg/dL
diabetes: more than 200 mg/dL

Interestingly, some people have morning blood sugar levels between 100 and 126 mg/dL on repeated testing but normal OGTT values; these are called people with abnormal fasting glucose levels; they are too at increased risk of developing the above complications;

On the other hand, some people have prediabetes values with prediabetes OGTT values; these people are at the most increased risk of developing diabetes within the next 5 years and diabetes-related complications;

Diabetes diagnosis:

Morning values: more than 126 mg/dL on two occasions;
Random values: more than 200 mg/dL with or without symptoms
2 hrs after starting eating: more than 200 mg/dL
glucose & ketone bodies in urine
symptoms specific for diabetes mellitus

Here is what doctors will advise you if they find pre-diabetes values of your blood sugar:

1. change your daily diet (eat healthy food: fish/chicken meat, lots of fruits and vegetables)
2. do physical exercise regularly (at least 3-4 times a week, at least 30 mins each time)
3. avoid stress (it releases stress hormones that will increase your blood sugar levels)
4. control your blood pressure levels

[stel2006]

I myself have abnormal blood sugar levels; I will give you below the blood sugar values considered as "good DM control" for people with DM 1/2; However, these values may vary from person to person, so they are just for your help:

Morning values:

Excellent control: 80 - 99 mg/dL
Good control: 100 - 109 mg/dL
Poor control: 110 mg/dL and more (some doctors say 120 or even 130 mg/dL; the lower the values, the better, trust me)

Random values:

Excellent control: 80 - 99 mg/dL
Good control: 100 - 129 mg/dL
Poor control: 130 mg/dL and more (some docs say 140 or even 150 mg/dL)

2 hrs after starting eating:

Excellent control: less than 120 mg/dL
Good control: 120 - 139 mg/dL
Poor control: 140 mg/dL and more (some docs say 180 mg/dL !!!)

Guys, don't let yourselves fooled by docs;); you will find on all medical sites that the people without diabetes have random bloood sugar levels between 4 and 8 mmol/L (that is between 70 and 144 mg/dL); that means that with 145 mg/dL complications occur !!!!; so, a patient with diabetes should never had random values more than 140 mg/dL (right?); so, if some docs say 140 or 150 mg/dL, send them to medical school again:mad: !!!!

Here is how to stay healthy if you have diabetes (remember: controlling the blood sugar levels prevents most of complications, right?)

1. Strictly control your blood sugar levels (even 10 times a day if necessary !!!!); aim for the above mentioned levels;

2. Strictly control your blood pressure levels (increased levels will further damage your arteries and kidneys; remember: diabetes itself does that !!!!)

Excellent control: SBP = 110 - 129; DBP = 60 - 74
Good control: SBP = 130 - 134; DBP = 75 - 84
Poor control: SBP = 135 and above; DBP = 85 and above

SBP = systolic blood pressure
DBP = diatolic blood pressure

Aim for SBP = 110 - 125; DBP= 60 - 74; take medicines if necessary to achieve these values; talk with your doc if you have high BP levels;

3. Change your diet:

eat plenty of fruits and vegetables (should be 80% of your diet)
meat - eat fish and chicken meat
avoid fat/cholesterol rich food (McDonald's, KFC, Big Boy etc)
remove salt from your diet for good; fruits and vegetables contain enough salt to support your body !!!! Always look on the back of the products you buy (especially cans) to see how much salt they contain; if it's more than 4%, throw them away !!!!

4. Do physical exercise at least 30 mins a day, at least 3-4 days a week; preferably, do that bewteen 7 pm and 10 pm to ensure normal morning blood sugar levels; don't overexrecise (you might develop serious low blood sugar levels during night);

5. Pay regular visits to your doc for being tested for complications (usually every 3-4 mos if possible); remember: a diabetic with good disease control should see his/her doc every 3 mo (not sooner); ask your doc about anything you consider important; they are there for you !!!!!

step 3 & 4 should lead to step 6 = lose weight !!!!

I hope it helped a bit

Don't be scared you have DM1/2:D; if you successfully control the disease, it's like you never had it !!! A diabetic with excellent control of his/her disease should develop complications 30-35 years after diagnosis was made:), and they are always mild and easy to treat !!!!!!!

[stel2006]

Guys, I've read on the net that there are two ways to keep blood sugar levels under control if diet and physical exercise cannot do that:
1. pills (I'm terribly sorry, but the medical word is however difficult to remember)
2. insulin

Now, here is what I think abt pills: they are pieces of true medical **** !!!! Why? Guys, all people having diabetes type 2 (pills are not given in type 1 !!!!!) who took the pills to ensure relatively normal blood sugar levels eventually developed complications (liver or kidney problems or even nerve problems !!!); Why? Because these pills are metabolized in the liver and eliminated through the kidney (with some exceptions); now, the problem goes like this: most people with DM2 have some kind of liver or kidney problems at the time of DM2 diagnosis;) !!!! By taking pills that are toxic to your liver/kidney you do nothing but to further damage these organs !!!

I'll give you a very good example to justify what I said: 2 weeks ago I visited my "faimous" doc to have some tests done to see how my "abnormal blood sugar levels" did lately; I met there a 54 yo male who had been diagnosed with DM 2 for 10 yrs (1997); he was given initially insulin (for 3 yrs) then he was switched to pills (don't know what); he complained that he could not make water well and he felt very very tired; he also said that he had been feeling strange sensations (burning, pain, needles) in his hands and feet; he also complained of feeling dizzy when standing and of having problems of digesting food (I looked on the net and he had the following complications: peripheral neuropathy (???) = nerve damage as I understood and autonomous neuropathy (???) = this I don't know; pls explain); Now, this guy had some labs done for him and it was nasty: his liver and kidneys were badly damaged!!!

So, I asked my doc abt this case; He told me that pills decrease your blood sugar levels but don't protect you against complications (nerve and vessel damage); moreover, in 5-10 yrs they damage the liver and kidney (or speed up the existing damage)!!!So, he recommended me insulin only and I've been taking insulin only since the time I was diagnosed; I will never accept any pill !!!! Hope you might learn sth from the experience of the above guy.

Here is how I manage my so-called "severe insulin resistance syndrome"(this is the final diagnosis I was given since I had pre-diabetes values on all tests):

Rapid insulin: I don't do it any longer, but I used to do it twice a day (10-15 mins before breakfast and lunch, 2-6 units in the belly) and checked my blood sugar levels 1 or 1,5 hrs after eating; they were always b/w 95 and 105 mg/dL decreasing to 70-90 mg/dL 3-4 hrs later
I haven't done rapid insulin for 3 mos now since I lost weight (90 lbs), controlled my diet and have been doing regular exercise (1-2 hrs daily; 1 hr in the morning and 1 hr in the evening); I can even eat a whole chocolate (!!!!) or 5-6 slices od bread and my blood sugar levels are never more than 120 mg/dL 2 hrs after eating it!!!
Lantus insulin (Glarcine) = slow acting (20-30 hrs action) - 14-16 units every day b/w 7 and 9 pm
Physical exercise daily (twice a day)

With the above lifestyle, here are my blood sugar levels:

Morning (6-7.30 am): 70 - 105 mg/dL (80% b/w 80 and 95 mg/dL)
Random: 75 - 110 mg/dL (80% b/w 75 and 95 mg/dL)
1,5-2 hrs after starting eating: 80 - 120 mg/dL (80% b/w 80 and 105 mg/dL)

So, they are pretty good I say; My doc said that too. And that without any rapid insulin at all:p. But I aim for better values in future:D.

So guys, if I can do it, you can do it. Remember, DM2 is a metabolic disease. Controlling your lifestyle controlls the disease; Don't let the disease control you !!!!

[stel2006]

Guys, don't fret over your blood sugar levels too much since they are done only to give you an idea how you manage your diabetes; it is more important to do physical exercise regularly and eat a healthy diet;). Why? Here are 3 examples:

1. a person with DM type2 who does insulin 3-4 time a day, manages to keep his blood sugar levels almost close to normal ones but does not do any physical exercise and eats an unhealthy diet; he also smokes and drinks regularly;

2. a person with DM type 2 who does insulin 2-4 times a day, has acceptable blood sugar levels (although sometimes out of accepted range) but does physical exercise regularly, eats a healthy diet, avoids stress, does not smoke and drinks only very rarely;

3. a person without diabetes who does not do physical exercise, eats all kinds of **** food, smokes like an engine and drinks alcohol like a thirsty cow;

Question: which of the above three people will do best in future?

Answer: person no.2

So, you see!!! It's essentially important to do what the person no.2 does instead of making sure of having excellent blood sugar levels all the time without any other measure;);

So, don't get too stressed of your blood sugar levels for not being "perfect":cool:; that's difficult to achieve even for the most motivated of us; it's better instead to live a healthy life and thus keep under control all possible complications:).

[stel2006]

Hello All,

Newbie here. This prediabetes/diabetes is all pretty new to me. My FG a few weeks ago was 104. I just had a 2 hr OGTT done. My #'s are:

FG = 103
1 Hr = 209
2 Hr = 83

My PCP has not officially called me yet but I got the #"s from the dietician at the clinic. She thinks they still indicate Prediabetes but would leave a message for my PCP to clarify since the 1 Hr # is 209. I was wondering if any of you could give me your unofficial opinion/s of these results. Do you think I'm still Prediabetes or would it be considered Diabetes?

I'm still about 50lbs overweight after losing 15lbs on the Jenny Craig diet in the last 2 months which I'm still on. I'm female, 58 yrs old, play golf 4-5x/wk and usually always walk the 18 holes each time so I have been getting exercise. The dietician told me the diet was OK, but I should buy a particular pedometer, use it for 3 days, take that average and then get an additional 2000 steps /day to that average. No one has mentioned my getting a meter and monitoring my sugar levels. I get very drowsy on the days that I do not exercise and usually require a nap or two lasting anywhere from 1 to 3 hrs. I mentioned this to my PCP on my visit a few weeks ago and she wants me to have a sleep study...did not feel it was related to my FG of 104.

Thanks a lot for any help/info you may be able to provide.

Golferette

Golferette, you have what's known as Impaired Fasting Glucose (IFG); Please read below to see what risks you are exposed to and what measures you should take;

Nevertheless, it's not diabetes!!!It is true however that you may develop diabetes sometime in future if you go like this;

OGTT results: the 1 hr levels are not improtant unless they are 240 mg/dL and above (glucose appears in urine once your blood sugar levels exceed 180-200 mg/dL and ketone bodies appear once you reach 240 mg/dL). I know lots of people who had OGTT values like this: 1 hr - 180 - 230 and 2 hrs - 70-120; it is possible to have 1 hr levels of 200 or even more and decrease to 70-90 at 2 hrs; Why? Here is the explanation:

Normally, your pancreas starts ti secrete insuline 5-15 mins after you start eating; this is called the first peak of secretion; the pancreas will try to bring your glycemia to 140 mg/dL or less 1 hr after you started eating; if the glycemia is above 140 at 1 hr, the pancreas will release more insulin (a second peak) so that it can bring your insulin levels to less than 100-110 mg/dL 2 hrs after starting eating; if at 2 hrs the glycemia is still not below 110-100, the pancreas will release more insulin to bring it to normal levels; however, this third peak never appears in people without diabates / insulin resistance; if it appears or if 2 hr blood sugar levels are more than 100-110, than you must see a doctor; it is possible that you have pre-diabetes or even diabetes; they will do a OGTT;

Now, your situation: 83 at 2 hrs; that is normal !!!! So, you only have now IFG; that may progress to pre-diabetes or frank diabetes if left alone;

Hope it helped a bit.

[ramesh68]

Hi there,


Pre-diabetes is a condition where diabetes is not diagnosed and its a stage before diabetes. Meaning you may get diabetes in future as per the dietitian is concerned. So you have to take some preventive measures to stop the onset of diabetes. Exercises will help you lot and you will reduce weight and reduce in sugar levels. You have to go for check-ups for every 3 months and check up with the doctors to confirm whether you are diabetic or not. The info given by our members here will help you lot and you can use it as reference for future checkups. Hope you follow them.


Thanks