About Joslin | Contact Us | Locations | Clinical Studies | Business Partnerships

211 1h post breakfast

rated by 0 users
Answered (Not Verified) This post has 0 verified answers | 11 Replies | 4 Followers

Top 50 Contributor
9 Posts
Shinko posted on Mon, May 18 2009 10:58 PM

Hi everyone, 

I was diagnosed pre-d about a year ago. 

This morning I had a 211 1h post breakfast (cereals with milk), usually I don't have these kinds of breakfasts, but I'm abroad for study. How significant is 211, what could it mean? Could non-diabetics ever have this number?

Thanks,

All Replies

Top 10 Contributor
Male
365 Posts
Reply
Ron AKA replied on Tue, May 19 2009 1:31 AM

Home meters are not that accurate, but that is kind of high, - not immediately serious, but indicative of diabetes. It would be best to ask for an oral glucose tolerance test (OGTT) to find out for sure.

Ron

Not a med prof. Just diabetic type 2 on Prandin, Levemir, ramipril, indapamide, Crestor, & ASA. Diag. Feb/01.

"I have not failed. I have just found 10,000 ways that don't work." - Thomas Edison

Top 10 Contributor
Male
168 Posts
Reply
donw replied on Tue, May 19 2009 4:44 PM

Shinko, what kind of cereal was it?  With or without fruit? Did you add sugar?  has it happened again or was it a one time thing?  Need more info to get a better feel.

Don

"O Diem Praeclarum!"Big Smile

Top 50 Contributor
9 Posts
Reply
Shinko replied on Wed, May 20 2009 3:00 AM

Hi, I had Corn Flakes (Kellogg's) with milk and coffee: 211 1h post. It seems that every day I go about 180 1h post breakfast.

Today I tried fatty yoghurt with the same flakes: 153 1h post, and 2h was 78. I never add sugar.

Top 25 Contributor
40 Posts
Reply
nance replied on Wed, May 20 2009 3:27 AM

If you can get Unsweetened Plain Soy Milk, you could cut the amount of carbs by a third.  It has only 4g carbs per cup instead of milk's 12g.  And if you mix it with some water, you could cut the carbs further.  You might also want to see what difference eliminating the coffee might make.  And what about exercise?  Exercise really helps minimize blood sugar rise and keeps my postmeal levels down.  Not just the exercise around the 1 hour postmeal time, but also the exercise done previously, because once you get the metabolism going, it keeps on working for you.

Nance, T2 dx 7/98; diet and exercise/no meds 11 yrs; recently giving 500mg Glucophage XR a go to help combat A1c creep; A1c avgs in the 6s.  Workouts: 30 minutes treadmill walking, 20 minutes elliptical, and resistance moves.

Top 10 Contributor
Male
168 Posts
Reply
donw replied on Wed, May 20 2009 4:51 PM

Just with my limited knowledge of diabetes that seems pretty normal.  Your 2 hour reading is the one that counts.  Non-diabetics have similar reactions (as I've read). 

Don

"O Diem Praeclarum!"Big Smile

Top 10 Contributor
121 Posts
Reply
Answered (Not Verified) zrebiec replied on Thu, May 21 2009 10:12 AM
Suggested by Ron AKA

One of the diagnostic criteria for diabetes from the Clinical Practice Recommendations of the American Diabetes Association is:

"Symptoms of hyperglycemia and a casual plasma glucose greater than or equal to 200 mg/dl. Casual is defined as any time of day without regard to time since last meal. The classic symptoms of hyperglycemia include polyuria, polydipsia, and unexplained weight loss."

Recommendation: See you doctor.

John Zrebiec, MSW, CDE
Joslin Moderator

 

 

 

Top 50 Contributor
9 Posts
Reply
Shinko replied on Thu, May 21 2009 11:12 PM

Thank you, I did. However, the answer I got is that it has to be persistently high during the day + OGTT is not fit for diagnosis. They go with my normal a1c (5.6). Got the feeling I'm a hypochondriac.  The bg fluctuates between 65-210, usually in normal range (or below) at the 2h mark.

Top 10 Contributor
Male
365 Posts
Reply
Ron AKA replied on Fri, May 22 2009 2:12 AM

Shinko:

Thank you, I did. However, the answer I got is that it has to be persistently high during the day + OGTT is not fit for diagnosis. They go with my normal a1c (5.6). Got the feeling I'm a hypochondriac.  The bg fluctuates between 65-210, usually in normal range (or below) at the 2h mark.

You may want to go somewhere else for a second opinion. The OGTT is an approved diagnosis method, but the A1C is not. John's information that a random test over 200 is diagnostic is also correct. Your home meter is not, as it may be in error.

Ron

Not a med prof. Just diabetic type 2 on Prandin, Levemir, ramipril, indapamide, Crestor, & ASA. Diag. Feb/01.

"I have not failed. I have just found 10,000 ways that don't work." - Thomas Edison

Top 50 Contributor
9 Posts
Reply
Shinko replied on Fri, May 22 2009 2:31 AM

Thank you. Feel very tense , so had my blood pressure checked by a nurse: 153/95. It's friday now, but I will try to get to a doctor next week.

Top 10 Contributor
121 Posts
Reply
zrebiec replied on Fri, May 22 2009 7:30 AM

Ron provides consistently solid and informed advice. And, I agree with Ron's advice in this situation. I would also suggest that you seek a second opinion.

John Zrebiec, MSW, CDE

Joslin Moderator

 

Top 10 Contributor
Female
225 Posts
Reply
jen1229 replied on Fri, May 22 2009 8:33 AM

I agree.  I am 20 years diabetic and on insulin.  For several years my A1C was 5.3 befoe I let it get out of control.  My BS was ormal when I went to the doc and he still sent  me for an OGTT.  Otherwise I miht have gone for a long time without being diagnosed.

Jen  - LevemirConfused and Novalog Wink A1c 5.9 



Page 1 of 1 (12 items) | RSS
Joslin Diabetes Center and Joslin Clinic
One Joslin Place
Boston, MA 02215
© 2008 by Joslin Diabetes Center. All rights reserved. All materials contained on this site are protected by United States copyright law and may be used for personal, noncommercial use only. For permission for other use call (617-226-5815). You may not alter or remove any trademark, copyright or other notice from copies of the content.