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Hello all, I am new here and to diabetes, I don't have it but my husband has just been dx with blood/sugar concerns. As yet he has not been given a clear diagnosis but is doing some tests. This is what has happened so far....

Stan has just turned 60 and has for a long long time has had memory problems (both his parents had Alzheimers) and has been to the doctors a number of times with his concerns - no one would take these concerns further but recently a new doctors decied to run some blood tests which included blood/glucose and thyroid. All the tests came back 'normal' apart from his blood/glucose, this was slightly out of range at 6.4 (range 3 - 6) so doctor wants to run some more tests.

He was asked to attend the surgery at 7.30 am for a fasting glucose blood test, the first draw was taken and he was then given a measured amount of Lucozade and asked to wait in the waiting room - he did this and just read his book. At 9.30 am he was asked back into the surgery for the 2nd blood draw.

The result of this has got the doctor flumoxed. It seems that the second draw revealed that his blood sugar had gone down to 2.5, she expected it to go up. So they have now given him a little machine and some needles and paper strips on which he has to prick his finger and place a drop of blood on the paper strip and record the reading. This has to be done on 4 seperate occassions over this coming week. When he gives his doctor the readings she will send them to the diabetes section of our local hospital for anaylis.

She did say that although he does not - at this point - have diabetes, this could indicate that he may go on to develop diabetes.

He does have other issues besides the memory,these being a very low - almost non existant sex drive - his testerone level is 'in the normal range' but does register on the low side, he is always tired and can fall asleep anywhere - and often does.

I have read that he could have a B12 deficiency, but just wanted to ask members on here if any had heard of this type of 'pre' diabetes symptoms?

I hope you don't mind me asking, many many thanks- Carol in the UK
 
Hi Carol, welcome to the forum 🙂 This sounds to me like reactive hypoglycaemia. This is an overproduction of insulin in response to a swift rise in blood sugar levels caused by the glucose drink (the lucozade). This overproduction is greater than required to bring the blood sugar levels down to normal range, so it 'overshoots' and lowers the levels too much.

If this is the case then it might indicate that his mechanism fr balancing his blood sugar levels is a little off kilter which may suggest a possibility of future problems such as diabetes.

I hope that they are able to find what caused this in your husband. Please let us know how things go 🙂
 
Hi Carol

I've been having a little think about this!

Are the tests to be random or has the doc suggested what times he should test?

I'm going to suggest something.

What you could do - to see if Alan's theory is correct, which it could be ! - is run a couple of extra tests - one directly before a meal which contains a fair bit of 'fairly fast acting' carbohydrate - anything starchy, especially anything sweet - but which does not contain a lot of fat. So, say a white bread sandwich (not bacon or anything fried, not cheese, not anything in a lot of mayo because they are all 'fat') followed by a cake or anything sweet that you like eating. Or eg toast and marmalde/jam. Then test again one hour later, that's an hour after he started eating, then test again 2 hours later. (ie 2 hours after he started eating)

I mean if I were doing this to myself, I'd test half hourly, but I'm so used to making holes in me fingers that I'm quite blase about it by now, but I appreciate he isn't used to it and in any case you've probably only got about 10 strips?

This way (I'm thinking) he might catch the 'spike' that the carbohydrate in the bread and sweet stuff ought to cause - if he is diabetic or well on the way to being diabetic, that is.

I welcome other people's opinions on this, as I'm not 100% sure whether this would work to 'prove' it, or not.
 
Hi Carol and a warm welcome to the forum
 
Hello, thanks for your replies, the tests he is currently doing are random and not after any such particular meal.

He has done 2 random tests today - one at breakfast time and the other this evening at dinnertime. The results of which are:-

This Morning -Saturday 5.5.12 @ 6.25am
before breakfast - reading = 6.4
2 hours after breakfast - reading = 5.8

This evening before dinner @ 7.10pm
before dinner - reading =5.6
2 hours after dinner - reading = 8.0

He has to do 2 more random tests to give to the doctor sometime next week.

Any thoughts on the above results so far?

Many thanks - Carol in the UK
 
Those readings do look a little on the high side, although they would not be considered diabetic, so I return to my original thoughts about reactive hypoglycaemia. In the test he had, he drank lucozade which immediately hits the bloodstream and raises levels - the pancreas reacts to try and lower the blood sugar levels and it sound like it over-reacted and dropped him low. However, when eating ordinary meals his body tolerates things quite well, with just a slightly raised blood sugar level.
 
Hi Northerner - thank you for your reply, makes so much sense and brings us relief that he is not at present showing any diabetec symptoms other than a slightly lower reading than he should have.

But to take this further and possibly prevent this getting any worse can you suggest anything that he/we may do - should we look at diet and lifestyle in an attempt to prevent further issues? Anything we should look at in particular?

Your comments are very much appreciated. - Carol in the UK
 
Hi Northerner - thank you for your reply, makes so much sense and brings us relief that he is not at present showing any diabetec symptoms other than a slightly lower reading than he should have.

But to take this further and possibly prevent this getting any worse can you suggest anything that he/we may do - should we look at diet and lifestyle in an attempt to prevent further issues? Anything we should look at in particular?

Your comments are very much appreciated. - Carol in the UK

Hi Carol, I would see what the doctor says when you go back. Certainly, there would be no harm in following a 'diabetic-friendly' diet, since this is simply a diet that is healthy for everyone, but with a few extra considerations. I would recommend getting hold of a copy of The GL Diet for Dummies as a good introduction to how to eat so that your food releases its energy slowly and steadily without causing any sharp 'spikes' in blood sugar levels. It would also be worth asking the doctor if you could discuss things with a dietician. 🙂
 
hi me new too... but i do know that diabete is diagnosed with a HIGH blood glucose level.. your husbands situation does NOT sound like he has 'pre diabetes' can i ask..🙂 does he have a family history of diabetes? is he over weight?
 
What was breakfast and what was dinner out of interest?

It could still be "pre-diabetes" since both the fasting and the post meal (for the dinner at least) is raised. It's just not into the sort of numbers that an undiagnosed diabetic might see.

A non-diabetic would be in the 4's.

That 5.8 after breakfast could be a confusing one, but I've had that when I've been coming down for a high overnight. I've been higher then normal at breakfast and the post breakfast has been lower (you would expect it to be higher).
 
Hi Andree - as far as we know there is no history of diabetes in his direct family (but as I stated atthe top of my post both his parents hadAlzheimers before they passes away- but he could do with losing a couple / three stone - but then couldn't we all.........lol ... Carol in the UK
 
Hi Mark,
Thanks for your reply - breakfast was a few shredded mini bites, with some sugar puffs and bran flakes, with banana and honey on top then milk. With a cup of tea.

Dinner this evening was a battered fish (haddock), chip and mushy pea supper - we share a portion between us. We don't normally have fish and chip shop suppers but we had been out all day and were too late to start cooking.

Carol in the UK
 
Hi Mark,
Thanks for your reply - breakfast was a few shredded mini bites, with some sugar puffs and bran flakes, with banana and honey on top then milk. With a cup of tea.

Dinner this evening was a battered fish (haddock), chip and mushy pea supper - we share a portion between us. We don't normally have fish and chip shop suppers but we had been out all day and were too late to start cooking.

Carol in the UK

That's interesting what you say about the breakfast, as it contains quite a lot of fairly quick-acting carbohydrates, and his levels were lower after 2 hours than they were before eating - perhaps another indication of an overproduction of insulin, but not enough to send him hypo like with the pure glucose/lucozade test.
 
Hi Carol

Your husband's BG results sound a little like mine. I am prediabetic (ie levels not high enough to diagnose full blown diabetes). However, my OGGT (the fasting gluscose test) confirmed my diagnosis. Levels below 11, but not low enough to consider 'normal'. Unfortunately I didn't ask what my reading was! However, with a formal diagnosis of prediabetes, I now live my life as if I am a diabetic, because with a family history of diabetes I am considered high risk for going on to develop it. In fact my doctor said "I probably will." I was diagnosed last May and have since lost 3 stones and have about another stone to go to ideal BMI. My review is this month, so hoping these steps have helped me to normalise my BG levels. My problems are high morning readings (around 6-6.5). No matter what I do I can't seem to get these down.🙄 Anyway, good luck with everything and let us know how you get on. Best wishes. Katie
 
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