Re: to MAS768 & others Re:can anyone help with my glucose readings
From: anonymous (anonymous@obgyn.net)
Fri, 25 Oct 2002 10:09:47 -0500 (CDT)
The numbers on lab tests will probably always be different every time
you get tested. They can fluctuate for many reasons.... what you ate
the day before, how long you have fasted, etc. That is why I do not
agree with the fasting blood test as being an "end all" determination of
what is going on.
You sound very concerned, and you should be. You want to know if anyone
else has had similar experiences, and I will say, yes, I have. My
fasting blood tests, 4 of them, showed fluctuations also, but all came
out "normal" even though I AM ABSOLUTELY insulin resistant and
hypoglycemic and have benefited TREMENDOUSLY on Glucophage. Diabetes
runs in my family also even though it's the exact opposite of what I
have.
I also agree with you that there is no such thing as borderline. You
either have a disorder or you don't. A problem that many of us face
because it just doesn't show up on this fasting blood test.
You can do a couple of things. You can request a 3 to 5 hour IGTT
(Insulin Glucose Tolerance Test) which shows what happens in your body
over hourly time after ingesting pure carbohydrate over time.
Or you can write down ALL your symptoms, which from the sound of things,
are IR related. Everything from PCOS, your high cholesterol and blood
pressure problems, and other issues such as any headaches or dizziness,
frequent drops or intense hunger shortly after eating, low toleration to
carbs, etc. And ask your doctor if you can TRY a small dose of
Glucophage (I mean small...like 1/2 a pill) for one month and see if
there are any changes in your symptoms. It is becoming normal practice
to use Glucophage in treating PCOS so this would not be out of line.
Good luck.
At Fri, 25 Oct 2002, Red wrote:
>
>Hi,
>
>Thanks for the responses. I was intrigued by what your endo said about
>the body releasing the sugars after longer periods of time, but that
>makes we wonder if I would go (for instance after a 16 hour fast) to a
>higher number which would be truly borderline diabetes if a I get
>higher. If I have all that sugar in my system -it sounds like it is
>indicative of my body having an abnormal response to things. As I said
>before my family has a lot of diabetes and I know that the "you are
>borderline line is really incorrect" You either are or your not and if
>they tell you are borderline you can still be having devastating changes
>from diabetes. Basically I don't want to find out later rather than
>sooner. Has anyone had a similar experience in terms of numbers but
>later found out by other testing the were IR or diabetic (like with an
>insulin/GTT) Just wondering if there is something more specific I can
>request or suggest (seeing a reprod. endo next week). Thanks again for
>your time!
>
>Denise/NC
>
>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
>
>--
>Red Roo
>
![[ PCOS Discussion Forums ]](../../images/pcos_at_obgyn.gif)