prediabetes?

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beachgirl Posted: Wed, Aug 19 2009 4:54 PM

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Hi

A year after having a GTT of 143 that treators told me to not worry about I have lost weight and been exercising.  My A1C at a recent appt was still 5.5!  Today I ate some intense carbs....a trader joes tamale at 27 grams  and a little over an hour later....was drinking iced coffee too....my finger stick was 150, at two hours 88.  I am devastated.  It seems like if I ate a sugary dessert I would make the casual mark of 200 fairly easily.....Have scheduled an appt. with PCP to follow up, but my thought is that it may be time to enlist Joslin treators, or at least a could endocrinologist.....Still reversible with intense work...I hope so, but I am discouraged....

Also, I have been overweight and struggling with food for a lifetime...though I have made huge progress it is really hard to process having a life altering illness because of my own behaviors....others struggling with this?

Bummed out Beachgirl

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Simi_Papa replied on Wed, Aug 19 2009 5:57 PM

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Your reaction to the foods you eat depends a great deal on the quality of the carbs you consume.  I hope you have been made aware of the glycemic index (GI) of foods.   Foods with a high GI, like sugar, most white bread, i.e. highly processed foods, will raise your bg levels fast and high.  Low GI foods have a lower, longer bg curve and are better for you.  Please google glycemic index for more information.  By the way, the numbers you mentioned are very good and are readings a non-diabetic would have.

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Spirit replied on Wed, Aug 19 2009 6:22 PM

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Beachgirl:  First, your weight loss and exercise routine are defintiely the way to go.  Congratulations on that!

I'm not sure you should feel devastated by a 150 at one hour, especially because you were putting quickly assimilated carbs (iced coffee) into your system.  In a liquid form, no less, not much digestion time needed there! So, you were skating kind of close. But by the 2 hour postprandial mark you had rapidly recovered and showed a very respectable 88.  That's a postive thing.  Remember, even non-diabetics show fluctuations in their glucose levels. Very often the problem with diabetes is this lack of being able to recover within a reasonable time frame. 

But followup with your PCP might be a good idea for a closer look at your overall situation. 

Weight is an issue for many diabetics.  But genes play a significant role in there, too.  So the important thing is to focus your efforts on managing your weight and exercising.  By the way, exercise not only works for weight reduction, it also can be a big player in reducing insulin resistance as well, which is a significant issue in the development of diabetes.   So, every time you exercise you are getting double your money's worth in terms of delaying full blown diabetes.  Keep that up!!!!!

Spirit

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Ron AKA replied on Sat, Aug 22 2009 12:23 PM

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Here is a technical report on the Prevention or Delay of Type 2 Diabetes, which may help some.