Sunday, October 07, 2012
I just purchased a glucometer even though I am not diagnosed diabetic. Clearly, I am "pre-diabetic". My mom and some sisters have been diagnosed diabetic. I am trying to avoid complications and even perhaps prevent a future Diabetes diagnosis in myself. My A1C is 6 %, FBS by doctor was 110. I will be rechecked in 3 months. The numbers below are from my new glucose meter. The 2 hr postprandial number is so bad that this is the number I will focus on. I will change things and record what I do under my nutrition notes if anyone is interested. I need to get a handle on ACTIONABLE things I can change to manage the Postprandial sugars. DH suggested eating the same breakfast that I had today but go to the Y for my sweaty workout and see what that does to the 2 h PP reading. I can also do an oatmeal breakfast that leaves out the raisins and prunes and 2 tsp brown sugar. Maybe I will need to re-train my palate to get rid of these things in my oatmeal---use more cinnamon, ginger and cardamom.
This will be interesting.
FBS 9:45 am 98
Controls: 97, 102, 98
1 hr Postprandial breakfast of oatmeal, black coffee 156, 206 repeated on same blood drop and was 'scooping' up the blood on the 2nd test and I don't believe it. We think there was some evaporation and there was the start of coagulation that would account for the 50 point increase above the first test.
2 hr Postprandial breakfast 186, 192 repeated on same blood drop and consistent.
prevalence of retinopathy does not start to go up until FBS >109 and 2 hr PP >165 and A1C >5.9% according to NHANES data
Kumamoto study using same protocol as DCCT Diabetes Control and Complications Trial: rate of microvascular complications increased 10x and 6x respectively for nephropathy and retinopathy when 2 hour PP went from 180 to 260!!!! DO NOT GET WORSE, ALYFITN. MONITOR 2 HR POSTPRANDIALS AND SEE WHAT YOU CAN DO TO DECREASE TO LESS THAN 140----WEIGHT LOSS? EXERCISE?? TWEAK YOUR TYPE OF FOOD AND FOOD COMBINATIONS.
DRUGS FOR PRE DIABETES Metformin was used in the Diabetes Prevention Program DPP and acarbose 100 mg tid in STOP-NIDDM Study to Prevent Noninsulin Dependent Diabetes
Patients in DPP that did the best were those in the intensive lifestyle change study arm—they did better than those in the metformin group. Metformin it was noted worked best in younger heavier patients whereas intensive lifestyle changed worked in all groups across many ages and weight