diabites scare

[jippytum]

Evert twelve months i have blood tests and medicals.

Recently i had problems with injuries to both feet that would not heal

Recent blood tests reveal my FBS reading has shot up to 176mg/dl.Last year it was 117mg/dl

I am 69 lead a healthy life style sensible diet .I am a non smoker not overweight and excercise every day.

Indications from blood tests and local doctors suggest i need diabetic medication .This has never been a problem in the past.

The only major change was i read a book called 'WHEAT BELLY ' and from 23/9/2013 i removed wheat products from my diet .Ironic the book details wheat products as the major source of amputations caused by diabites worldwide.

My questions are why has my blood sugar increased so suddenly with no change in life style ? What further tests would pinpoint the part of my system that is the cause of the trouble.Maybe i am in denial but i would like to know the reason why my bood sugar has changed suddenly before srating life long treatment

[Ulysses G.]

"My questions are why has my blood sugar increased so suddenly with no change in life style ?"

It sounds like bad luck or your family background. I know a number of people with diabetes that are not overweight and have a healthy lifestyle.

As far as stopping wheat products or gluten. In my opinion, it is pretty much just another silly fad, unless one has celiac disease in which case going gluten free is a necessity.

Edited May 5, 2014 by Ulysses G.

[Sheryl]

Actually your prior level was "pre-diabetes" and this usually does progress to diabetes. The rate of progression in your case, for someone your age, is not unusual or surprising.

Some people are able to control type 2 diabetes solely by diet and exercise but many are not and require medication. Whether or not you would be likely to do well on diet along depends on what your current diet is like.

The wheat thing is irrelevant unless it led you to consume a larger amount of processed carbs/sugars in its place.

BTW wheat products do not in any way "cause" diabetic amputations. An excessive intake of carbohydrates -- wheat or other -- ill contribute to poorly controlled blood sugar, though. Nothing special wheat, the issue is carbs, especially simple as opposed to complex carbs.

[Issangeorge]

Do you drink any pop? I had a blood sugar count over 170 and the doctor wanted to start me on medicine. I drank a lot of pop and said wait a minute let me try to change my diet. I stopped eating sugar, which was mainly I stopped drinking pop. Within two weeks my blood sugar was down to 100 to 110 and within three months I lost over 15 kilos.

Sent from my i-mobile IQ 6 using Thaivisa Connect Thailand mobile app

[sustento]

Buy a meter and measure. Read bloodsugar101.com.

[healthbkkbkk]

Have you done a second test to confirm? If not then no honest doctor would diagnose diabetes.

Do one and maybe do it at another hospital.

I truly am wishing you the best.

[sustento]

For a proper diagnosis he needs to do an oral glucose tolerance test. An FBS (or two) just isn't good enough.

[rajyindee]

Ask your doc to do a hba1c (hemoglobin) test . That'll give you an average over three months ... there are lots of reasons why a single FBS test could be high.

[Sheryl]

glucose tolerance test is not necessary, and given the prior reading and assuming this was a fasting level, it meets the criteria for a diagnosis of diabetes.

The only thing that would throw this result into serious question would be if it were not fasting i.e. if the OP had eaten or drunk something within the 8 hours prior.

Accepted criteria for diagnosis are any of the following:

hb1AC 6.5% or above

OR

fasting glucose (at least 8 hour fast prior) over 126 mg/dl

OR

glucose tolerance test with result glucose over 200 mg/dl, test must be performed in a specified manner

OR

clinical symptoms of hyperglycemia accompanied by a (non-fasting) glucose level above 200 mg/dl.

http://care.diabetesjournals.org/content/36/Supplement_1/S11/T2.expansion.html

Any one of these alone is sufficient to meet the diagnostic criteria, and the result reported by the OP is in no way surprising given his prior reading and age.

That said, no harm in doing an hb1AC and he should certainly do them every 3 months until stabilized and then about every 6 thereafter.

A GTT on the other hand is time consuming, expensive and unwarranted.

[ignis]

500 mg tablets of Metformin [lots of people take them with type 2] cost 299 baht for a tub of 500 here so is not expensive, been on them for about 16 years

[healthbkkbkk]

glucose tolerance test is not necessary, and given the prior reading and assuming this was a fasting level, it meets the criteria for a diagnosis of diabetes.

The only thing that would throw this result into serious question would be if it were not fasting i.e. if the OP had eaten or drunk something within the 8 hours prior.

Accepted criteria for diagnosis are any of the following:

hb1AC 6.5% or above

OR

fasting glucose (at least 8 hour fast prior) over 126 mg/dl

OR

glucose tolerance test with result glucose over 200 mg/dl, test must be performed in a specified manner

OR

clinical symptoms of hyperglycemia accompanied by a (non-fasting) glucose level above 200 mg/dl.

http://care.diabetesjournals.org/content/36/Supplement_1/S11/T2.expansion.html

Any one of these alone is sufficient to meet the diagnostic criteria, and the result reported by the OP is in no way surprising given his prior reading and age.

That said, no harm in doing an hb1AC and he should certainly do them every 3 months until stabilized and then about every 6 thereafter.

A GTT on the other hand is time consuming, expensive and unwarranted.

General protocol dictates 2 positive FBT before a diagnosis of diabetes can be pronounced.

Confirmed diabetes is different from a hyperglycemic crisis. Was the subject stressed and dehydrated, on medication, has an illness, were the machines calibrated correctly ......................

If he has a doctor not trying to create another life long patient with the income that provides he will further investigate before pronouncing.

[sustento]

A GTT on the other hand is time consuming, expensive and unwarranted.

In the UK a GTT is the standard method of confirming a diagnosis of diabetes.