Pre diabetic Hyperglyceamia

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Hodgie

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At risk of diabetes
I have for around 4 years been suffering with increasing fatigue/tiredness/headaches/thirst which is now getting steadily worse, to the point where I nearly collapsed twice in the last 7 days.

Registered as 36/38/34/42 over last few tests so not diabetic (over 48 ?) but pre diabetic hyperglyceamic, and suffer with dawn syndrome.

Which continuous glucose measuring system would people recommend and are there certain foods I should try to avoid to help control sugar spikes.

Ian
 
Your hba1c needs to be far higher than 48 to get those symptoms.

Avoid refined carbs (Rice, bread, etc) and starchy veg, and things like sweets/crisps. Or cut down, at least.
 
Hodgie said:
I have for around 4 years been suffering with increasing fatigue/tiredness/headaches/thirst which is now getting steadily worse, to the point where I nearly collapsed twice in the last 7 days.

Registered as 36/38/34/42 over last few tests so not diabetic (over 48 ?) but pre diabetic hyperglyceamic, and suffer with dawn syndrome.

Which continuous glucose measuring system would people recommend and are there certain foods I should try to avoid to help control sugar spikes.

Ian
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I don't know if you would be eligble for the free 2 week trial of the Libre that Abbott offer, you would need a compatible phone as that may give you some insight as to what is happening.
Those HbA1C results don't suggest that you would have high bloo/d glucose but your symptoms do, how long ago was the last test.
Otherwise a home blood glucose monitor which can be bought on line, as they are generally cheaper and have cheaper strips than the pharmacy. A couple people find easy to use are the GlucoNavii or Spirit TEE2.
Keeping a food diary of everything you eat and drink with an estimate of the amount of carbs and see if a high carb meal ties up with your symptoms.
Often some of the symptoms of low blood glucose can be similar to high blood glucose.

I would also suggest a call to your GP as the symptoms may not be related to blood glucose levels.
 
Hi @Hodgie Just as there are people within the Diabetic range of HbA1C who have no symptom, or so slight they aren't noticed. There are others (including a moderator in the 'red forum' who had quite strong symptoms but were only in the pre-diabetes range and so were not diagnosed by their GP.
However if yours are Diabetes they would be at the lowest HbA1C numbers I have heard of. Of course such numbers could be quite possible in the case of Reactive Hypoglycaemia. which is were caboydrates in the diet first drive blood glucose up high as the Insulin response is too weak/too slow; but eventually the Insulin response comes in very strongly and drives the blood Glucose crashing down so the person can experience a hypo. Note that this is much a much rarer condition than even Type 1 diabetes.
 
harbottle said:
Your hba1c needs to be far higher than 48 to get those symptoms.

Avoid refined carbs (Rice, bread, etc) and starchy veg, and things like sweets/crisps. Or cut down, at least.
Click to expand...
As I understand it the test via the NHS gives an average of your blood count over 3 months so the numbers as you say are prediabetic hyperglycemia i.e. not diabetic but an average is just that an average of the highs and lows so on a crash day my glucose levels may well have exceeded 48 but this has been averaged out when I am not feeling low/perfectly normal.
Doctor did not seem to know what range a normal fit healthy person was which surprised me but if it is say 24 then when I am normal that would average out a spike of 48 to an average reading of 36 ?
 
ianf0ster said:
Hi @Hodgie Just as there are people within the Diabetic range of HbA1C who have no symptom, or so slight they aren't noticed. There are others (including a moderator in the 'red forum' who had quite strong symptoms but were only in the pre-diabetes range and so were not diagnosed by their GP.
However if yours are Diabetes they would be at the lowest HbA1C numbers I have heard of. Of course such numbers could be quite possible in the case of Reactive Hypoglycaemia. which is were caboydrates in the diet first drive blood glucose up high as the Insulin response is too weak/too slow; but eventually the Insulin response comes in very strongly and drives the blood Glucose crashing down so the person can experience a hypo. Note that this is much a much rarer condition than even Type 1 diabetes.
Click to expand...
Hi

No I have been diagnosed as prediabetic hyperglycemic with the readings I gave out but getting worse diabetic type symptoms like your moderator ?

The symptoms of reactive hypoglyceamia are almost exactly the same as my hyperglycemia/pre diabetes - do you know if there is a condition called reactive hyperglycemia ?
 
Hodgie said:
As I understand it the test via the NHS gives an average of your blood count over 3 months so the numbers as you say are prediabetic hyperglycemia i.e. not diabetic but an average is just that an average of the highs and lows so on a crash day my glucose levels may well have exceeded 48 but this has been averaged out when I am not feeling low/perfectly normal.
Doctor did not seem to know what range a normal fit healthy person was which surprised me but if it is say 24 then when I am normal that would average out a spike of 48 to an average reading of 36 ?
Click to expand...

It has to be high for long periods of time to get symptoms such as thirst, probably in double figures.

Even a non T2 diabetic can see it rise to over 10 for a brief period, but this won't affect the average much if it falls quickly back to normal levels (5-7) If it stays at 10 for half a day, which is possible with T2s, then the average will be higher.

Your glucose level can't exceed '48', as this is a different measurement.

What 48 means is that the average is around 7.8mmol/l
 
Hodgie said:
The symptoms of reactive hypoglyceamia are almost exactly the same as my hyperglycemia/pre diabetes - do you know if there is a condition called reactive hyperglycemia ?
Click to expand...

Yes, it's called 'Type 2 Diabetes'.

The easiest thing to do is take some blood glucose readings to see what is going on.
 
Hodgie said:
As I understand it the test via the NHS gives an average of your blood count over 3 months so the numbers as you say are prediabetic hyperglycemia i.e. not diabetic but an average is just that an average of the highs and lows so on a crash day my glucose levels may well have exceeded 48 but this has been averaged out when I am not feeling low/perfectly normal.
Doctor did not seem to know what range a normal fit healthy person was which surprised me but if it is say 24 then when I am normal that would average out a spike of 48 to an average reading of 36 ?
Click to expand...

This sounds a bit confused. The HbA1C is supposed to be an average. It’s not measuring your blood glucose levels, it’s measuring how much glycated haemoglobin you have. So your glucose levels couldn’t have “exceeded 48” - glucose is measured in different units from the HbA1C.

Your symptoms sound extreme for your HbA1C. What do you mean by saying you almost collapsed this week? What happened? How did you feel?
 
harbottle said:
It has to be high for long periods of time to get symptoms such as thirst, probably in double figures.

Even a non T2 diabetic can see it rise to over 10 for a brief period, but this won't affect the average much if it falls quickly back to normal levels (5-7) If it stays at 10 for half a day, which is possible with T2s, then the average will be higher.

Your glucose level can't exceed '48', as this is a different measurement.

What 48 means is that the average is around 7.8mmol/New
Click to expand...
 
New to all of this so bear with me !

Doctor called saying I had pre diabetic hyperglycemia as I had a reading of 36 and said I would not be considered diabetic until my reading went over 48 so am inly repeating what I have been told.

Somebody else said one of the moderators had a rare illness that meant that although he was not strictly diabetic with his glucose levels he was reactive diabetic which is even rarer than T1 diabetes ?

Ian
 
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