suspicious newbie

[yunussarihan]

Hello everyone,

I am 31 years old male person from Turkey. As you understand from the thread i have really big questions in my mind. Everything just started because of my curious behaviours. My grandma has type 2 diabetes and she uses a glucometer. One day i wanted to check my blood sugar just because of curious. I wasn't feel anything bad or i wasn't feel ill or sick. Just wanted to check. Than i shocked. It was 188. I ate really so heavy carb meal. And i measured my bg after 1 hour. I ate 1 big boiled potato with some chicken, nearly 1 porsion rice, 1 turkish bagel(it includes around 60 gr carbs). Than after 10 minutes i ate like half porsion profiterole. 1 hour after that meal my bg was 188. After that i decided to check my bg more. Sometimes if i ate so heavy carb meals my bg spikes around 160. Even i saw 200-205 rarely. Than i decided to go a endocrinologist. I told my story to him. He made some blood tests. My hba1c was %4.6, fasting blood glucose was 80. My ogtt results was for first hour 180, second hour 106. Doctor said to me you are just normal. I said to him everyone says in internet if you see even one time more than 200 you are definetly diabetes. Than he said to me its meanless. Every person can rarely see this number after huge carb meals.What is your experience about this subject? So really non diabetic person can go high as 200? Still i am anxious about my spikes. My English is not good at all but i am trying my best. Sorry for this. Best regards.
Edit: I would like to add photos if you don't know what is the Turkish bagel and profiterol

 

[trophywench]

I agree with your doctor - here in the UK they would never use a couple of glucometer results to diagnose anyone with diabetes - they always check the HbA1c test result. Any glucometer result ONLY shows what your blood glucose was in that tiny drop of blood at that particular split second, The HbA1c test however checks on how much glucose has stuck to your red blood cells over the previous 90 or so days.

If you had diabetes the HbA1c result would need to be AT LEAST 6.5% and is often well over 10%.

The OGTT result may well have been high after the first hour - but then would never have reduced back down to 106 after another hour and would have either stayed at 160, or increased to more than that.

Generally though it isn't particularly healthy for anybody anywhere in the world - to eat very large amounts of carbs at mealtimes, except occasionally - so try not to!

 

[everydayupsanddowns]

180mg/dl is approximately 10 mmol/L, and 200mg/dl is 11.1mmol/L

You are right in noticing that these are quite high, but your 2 hour reading of 106mg/dl (5.8mmol/L) is perfectly normal.

None of these spot checks are accurate enough or give enough information to confirm a diagnosis of diabetes (you would need an HbA1c that measures glucose exposure over approx 120 days for that), but it does seem to suggest that your metabolism is struggling with high carb foods, and perhaps that your ‘first phase’ insulin response may be not quite up to keeping your BG in the ideal range.

So the best approach for you would seem to be to keep an eye on the carbohydrate content of foods and meals, and to avoid very high carb meals and generally moderate/reduce your carbohydrate intake to help your body cope better.