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Old 10-22-2002, 11:35 PM   #1 (permalink)
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Question Can anyone help with glucose results??

Hi,

I asked that my fasting insulin and glucose be repeated as I have a significant history of hypoglycemia (due to overreleasing insulin) and my many other PCOS complaints including infertility. My first results were after about an 8 hr fast:

Glucose 93
Insulin 9

Just three weeks later my second test after about a 13 hour fast were:

Glucose 105
Insulin 8

My question is why is my blood sugar going up after more time? Am I glucose intolerant or on my way to diabetes. I have 3 first degree relatives with diabetes and this most recent blood work shows my cholesterol at 309 (the worst ever!) I have also been suffereing from episodic blood pressure elevations (my BP has always been like 100/60 and now has been as high as 165/145 after working out). My docs keep pushing me off but I have a new appointment next week with a new doc at Duke. I am hoping for answers and solutions. Anyone have experience with this. I have read that blood sugar levels over 110 fasting indicate high risk for Type 2 diabetes and that some docs treat with glucophage with fasting insulins over 10 - well I'm borderline for both and worried about getting lost in the "within normal range" grouping when my body might be going downhill.

Please share with me your input and please let me know if you know more about fasting insulin/glucose readings - I'm very anxious - we are TTC and I want to be healthy to have and raise children!

Denise/ NC
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Old 11-27-2002, 07:43 PM   #2 (permalink)
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I just read your post and thought I would answer some of your questions. First off your levels are in the normal range so far. They will go up and down depending on what you have eaten, when you take them, how much stress your under, recent illnesses and the list goes on. The most accurate way to tell if you are diabetic is getting a 1hr glucose tolerance test (GTT) and having your hemoglobin A1C taken (a blood test that shows how much sugar has been in your system over a period of about a month). When I was diagnosed my fasting was readings for the GTT were 1hr 150, 2 hrs 242 & 3 hrs 292 which by this point they should have been going down. My A1C was 8.1 normal being 5-6 should be under 7 when TTC.

What you are looking for when TTC is keeping your post meals below 120 1hr after meals and when not TTC under 150 2hrs after meals. Since you are TTC I sugest you get your regular dr to do the 3hr GTT & taking your A1C because if you are diabetic you are at risk of birth defects if your sugars are not under control before conception. In order to be diagnosed w/ Type II you have to have 2 consecutive readings above 150 on the GTT.

If you have any other questions email me lorimckenzie@earthlink.net.
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Old 11-27-2002, 11:36 PM   #3 (permalink)
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I have to agree with Lori that the 3hr Glucose tolerance test is much more accurate!

My fasting bloodsugar was within the high side of normal and I wasn't tested any other way until after I became pregnant. My 3hr GTT had numbers of 1hr 218, 2hr 425, 3hr 243 severely diabetic!!

Once they saw that they checked my fasting insulin and it was 55, so just a random fasting glucose test is not the best way to diagnose diabetes.

If you are concerned about your risk especially with the high cholesterol and fluctuating bp I would ask the new doctor about sending you for a GTT.

Good luck!
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Old 12-31-2002, 02:01 AM   #4 (permalink)
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Hi

I just had my results from the 2hr GTT and they show that I'm within the normal range (not even borderline). I'm really surprised by the results as I was convinced that I was developing diabetes as I feel thirsty most of the time (drinking 8 to 12 glasses of water a day), had tingling sensations on and off in my fingers and toes, sometimes experience blurry vision....

Worse still, my doctor thinks that I'm worrying too much (she didn't use the word hypochondriac but I'm pretty sure that's what she was thinking). Is this test the most accurate for diabetes or am I just being a hypochondriac? If so, how would you explain the symptoms?
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