BG Levels Question

[Bubbsie]

Hi Vince, To be honest, what would have happened if you hadn't been Diagnosed with Type 2 Diabetes, would your Blood Sugars gone higher, somebody has saved you the agony, of being rushed to hospital.
My undiagnosed Diabetes led to my Blood Glucose Reading in the High 20s, a trip in an ambulance and nearly two weeks in Hospital, and more Medication and self monitoring. Now you are controlling your Diabetes, losing weight and feeling better. The future is looking rosy. Soon you will be full of beans all the time. All the best clive55555

All good points Clive...however...I think the issue is Vince is concerned he may have been misdiagnosed with diabetes?...not had sufficient tests to establish his status...apologies if I have that wrong Vince...that's how I evaluated your thread.

 

[Vince_UK]

Hi Vince, To be honest, what would have happened if you hadn't been Diagnosed with Type 2 Diabetes, would your Blood Sugars gone higher, somebody has saved you the agony, of being rushed to hospital.
My undiagnosed Diabetes led to my Blood Glucose Reading in the High 20s, a trip in an ambulance and nearly two weeks in Hospital, and more Medication and self monitoring. Now you are controlling your Diabetes, losing weight and feeling better. The future is looking rosy. Soon you will be full of beans all the time. All the best clive55555

I totally agree Clive, I just want to know facts that all to be honest.🙂

 

[Vince_UK]

All good points Clive...however...I think the issue is Vince is concerned he may have been misdiagnosed with diabetes?...not had sufficient tests to establish his status...apologies if I have that wrong Vince...that's how I evaluated your thread.

Totally Correct Bubbs. Was there enough data to allow them to give me that diagnosis and the associated life changing effects in the way it was communicated to me? This was 3 days before I left. Overall it was a wake up call and spurred me into action to do something about my general health. I want to know if this is the rest of my life.

 

[Vince_UK]

Hi Vince, To be honest, what would have happened if you hadn't been Diagnosed with Type 2 Diabetes, would your Blood Sugars gone higher, somebody has saved you the agony, of being rushed to hospital.
My undiagnosed Diabetes led to my Blood Glucose Reading in the High 20s, a trip in an ambulance and nearly two weeks in Hospital, and more Medication and self monitoring. Now you are controlling your Diabetes, losing weight and feeling better. The future is looking rosy. Soon you will be full of beans all the time. All the best clive55555

and look 40 years younger lol

 

[Bubbsie]

Totally Correct Bubbs. Was there enough data to allow them to give me that diagnosis and the associated life changing effects in the way it was communicated to me? This was 3 days before I left. Overall it was a wake up call and spurred me into action to do something about my general health. I want to know if this is the rest of my life.

I thought so Vince...in that case the only one who can answer that question definitely is your GP...otherwise it's just guess work.

 

[Vince_UK]

Vince...stop driving yourself to distraction with this...you have all the right questions/points to put to your GP...time to get your thoughts in order before your appointment...you are managing well...adjusting your diet...increased activity...lost weight...you have good numbers as a result of your hard work...doesn't mean you are doing anything wrong at all......I don't believe you need the Libre or FGM...that's just an example of what continuous monitoring would be...as for future appointments you need to realise some GPs will not know a great deal about diabetes...unless they specialise or have a particular interest in it...I asked mine if he knew much about T2...,his reply was 'no not really'...each time I have a review...he learns a little more...he told me he has started recommend the Gretchen Becker book to his T2 patients...at my last review said he had something to show me I would like (no innuendo please😉😉😉)...he showed me a screen show of a course recommended for him to update his knowledge of diabetes...he is a work in progress...engage your GP...be sure of your facts...be concise...book a double appointment...he will have to address your concerns...particularly when you ask him relevant questions which indicate you know what you are talking about...but...be gentle with him.

I genuinely like the guy so I will be kind. He has enough to contend with. I don't envy his task at all.

 

[Wirrallass]

and look 40 years younger lol

Wouldn't we all?🙄🙂

 

[everydayupsanddowns]

Totally Correct Bubbs. Was there enough data to allow them to give me that diagnosis and the associated life changing effects in the way it was communicated to me? This was 3 days before I left. Overall it was a wake up call and spurred me into action to do something about my general health. I want to know if this is the rest of my life.

World Health Organisation diagnostic criteria for fingerstick BGs are listed by DUK here https://www.diabetes.org.uk/profess...nitoring/new_diagnostic_criteria_for_diabetes

1. Diabetes symptoms (e.g. polyuria, polydipsia and unexplained weight loss for Type 1) plus:
   • a random venous plasma glucose concentration ≥ 11.1 mmol/l or
   • a fasting plasma glucose concentration ≥ 7.0 mmol/l (whole blood ≥ 6.1 mmol/l) or
   • two hour plasma glucose concentration ≥ 11.1 mmol/l two hours after 75g anhydrous glucose in an oral glucose tolerance test (OGTT).
2. With no symptoms diagnosis should not be based on a single glucose determination but requires confirmatory plasma venous determination. At least one additional glucose test result on another day with a value in the diabetic range is essential, either fasting, from a random sample or from the two hour post glucose load. If the fasting random values are not diagnostic the two hour value should be used.

Doesn't seem to match what you experienced at all Vince - sounds like it would be well worth discussing with your GP in the light of the results you've been getting.

 

[Martin Canty]

I want to know if this is the rest of my life.

To be honest, Vince, though I'd rather not live with a chronic condition for the rest of my life, my DX was a life changer for me in so many positive ways.

 

[Bubbsie]

Vince ask your doctor to explain how you were diagnosed...as I've said otherwise it's just speculation...no matter how many of us advise you...how many links you read...it really is all guess work...just continue what you're doing...it appears to be benefitting you tremendously... once you get an appointment...speak to him directly....he'll be able to set your mind at rest...give you some resolution on this.

 

[Bubbsie]

To be honest, Vince, though I'd rather not live with a chronic condition for the rest of my life, my DX was a life changer for me in so many positive ways.

Exactly the same for me Martin...I had no doubts about my diagnosis...could look back...associate the tiredness with it...the lethargy...inactivity...weight gain...always believed that was work related...over a year on the changes my diabetes 'imposed' on me have all proved a hugely positive benefit...I'm sure once he gets a definitive answer...he can then move forwards.

 

[Vince_UK]

To be honest, Vince, though I'd rather not live with a chronic condition for the rest of my life, my DX was a life changer for me in so many positive ways.

I agree Martin totally. I am not in denial either. All indications to me are I am T2 but I just want it confirmed completely.

 

[Vince_UK]

World Health Organisation diagnostic criteria for fingerstick BGs are listed by DUK here https://www.diabetes.org.uk/profess...nitoring/new_diagnostic_criteria_for_diabetes

1. Diabetes symptoms (e.g. polyuria, polydipsia and unexplained weight loss for Type 1) plus:
   • a random venous plasma glucose concentration ≥ 11.1 mmol/l or
   • a fasting plasma glucose concentration ≥ 7.0 mmol/l (whole blood ≥ 6.1 mmol/l) or
   • two hour plasma glucose concentration ≥ 11.1 mmol/l two hours after 75g anhydrous glucose in an oral glucose tolerance test (OGTT).
2. With no symptoms diagnosis should not be based on a single glucose determination but requires confirmatory plasma venous determination. At least one additional glucose test result on another day with a value in the diabetic range is essential, either fasting, from a random sample or from the two hour post glucose load. If the fasting random values are not diagnostic the two hour value should be used.

Doesn't seem to match what you experienced at all Vince - sounds like it would be well worth discussing with your GP in the light of the results you've been getting.

Thanks Mike, that is my plan.

 

[Bubbsie]

I genuinely like the guy so I will be kind. He has enough to contend with. I don't envy his task at all.

His job Vince...your diabetes ..you need some answers...firm but fair...nothing wrong with that😉.

 

[Carolg]

World Health Organisation diagnostic criteria for fingerstick BGs are listed by DUK here https://www.diabetes.org.uk/profess...nitoring/new_diagnostic_criteria_for_diabetes

1. Diabetes symptoms (e.g. polyuria, polydipsia and unexplained weight loss for Type 1) plus:
   • a random venous plasma glucose concentration ≥ 11.1 mmol/l or
   • a fasting plasma glucose concentration ≥ 7.0 mmol/l (whole blood ≥ 6.1 mmol/l) or
   • two hour plasma glucose concentration ≥ 11.1 mmol/l two hours after 75g anhydrous glucose in an oral glucose tolerance test (OGTT).
2. With no symptoms diagnosis should not be based on a single glucose determination but requires confirmatory plasma venous determination. At least one additional glucose test result on another day with a value in the diabetic range is essential, either fasting, from a random sample or from the two hour post glucose load. If the fasting random values are not diagnostic the two hour value should be used.

Doesn't seem to match what you experienced at all Vince - sounds like it would be well worth discussing with your GP in the light of the results you've been getting.

Informative and interesting link Mike. Thanks for sharing. Good luck with your gp Vince, and hope you make a list of questions you want to ask your gp, and the ones you want the answer too.

 

[navigator]

My wife's doctor has advised that he consider her to be prediabetic, based on blood test results taken 1 year and 1 month ago. He did not provide the HbA1c results. We have used the diabetes UK "know your risk" questionnaire which shows she is likely to be at risk.
She has been referred to the NHS support team and that will start things moving. I have to hand Blood glucose testing strips and the one-touch Select plus instrument. As is mentioned here the trend in BG test results is important. Today at midday 3 hours after a porridge breakfast and not other intakes, her test results is 5.1. Should ongoing tests be taken 2 hours after meals and on waking?

 

[Mark Parrott]

My wife's doctor has advised that he consider her to be prediabetic, based on blood test results taken 1 year and 1 month ago. He did not provide the HbA1c results. We have used the diabetes UK "know your risk" questionnaire which shows she is likely to be at risk.
She has been referred to the NHS support team and that will start things moving. I have to hand Blood glucose testing strips and the one-touch Select plus instrument. As is mentioned here the trend in BG test results is important. Today at midday 3 hours after a porridge breakfast and not other intakes, her test results is 5.1. Should ongoing tests be taken 2 hours after meals and on waking?

Yes. This will give her a better idea to how she is coping with carbohydrates as it's these that raises blood sugar levels. 5.1 is a very good figure & perfectly normal.

 

[mikeyB]

I think you need a proper evaluation, Vince. Those figures you quoted at your original diagnosis would pass unremarked in a muggle after a breakfast like that. It would be necessary to check an hour or later to be even suspicious of a diagnosis. I’m not surprised you are asking questions, so ask them when you get back to Englandshire. Only then, as Bubbsie says, can you move forward.

Though we wouldn’t like to lose you as a fraud.🙂

 

[Mark Parrott]

I think you need a proper evaluation, Vince. Those figures you quoted at your original diagnosis would pass unremarked in a muggle after a breakfast like that. It would be necessary to check an hour or later to be even suspicious of a diagnosis. I’m not surprised you are asking questions, so ask them when you get back to Englandshire. Only then, as Bubbsie says, can you move forward.

Though we wouldn’t like to lose you as a fraud.🙂

@mikeyB, don't know if you noticed, but this is an old thread.

 

[mikeyB]

Apologies, senior moment