I went in for a glucose test this morning. The test results were puzzling.
I began, after a 10 hour fast, at 107 blood sugar.
After 1 hour, I was up to 178. (They expected me to spike over 200)
At 2 hours I was down to 110.
At the third hour I was at 64!
While the Dr. will interpert the results, apparently my insulin is really kicking in.
Prior to the third hour test, I competely crashed and burned! I had to "nap" there in the waiting room. After the third test, I was weak and shaky. A quick trip the Waffle House cured that!
What say all of you? My wife, and others, say it will probably be controlled by diet, eating many small meals during the day, rather than waiting gorge myself.
I await the Dr.'s findings .....
Monty
Answer
A Trip to the Waffle House??? Oh I am sure that's good for the soul.
And to think, I thought you were "okay."
Going to hide now
Answer
O Kathy, a trip to the Waffle House is not only good for the soul but has got to be good for the body.
After the 6 hour flight to my daughters I stopped on the way to her house at 2AM I got the works along with a porterhouse steak.
Heck I was good for the day.
Yes Monty is right, the Waffle House is the best medicine.
Wish they would build one by me....
LOL
russell
[This message has been edited by RUSSELL E. FULLINGIM, CTP (edited December 30, 1999).]
Answer
Uhhhhhhh Monty........Did you say Insulin?
Houston, we have a problem!
Now if you are referring to the natural insulin produced by the body we are OK. If not, you need to e-mail me ASAP!
It is always better for a person to eat 6 small meals a day vs. gorging themselves once or twice a day. (See archives for healthy foods on the road )
If you revert to this type of eating pattern you will also notice that weight is more controllable as well.
------------------
Keeping you safe, healthy, and on the road.
Nurse Red
Visit us at www.Truck.net/abmsVisit us at
Answer
Hi Monty, Its me ufoman but Ive changed my name,just so ya know. My doctor told me last week to start eating atleast 6 meals a day and have my main meal no later than 3pm cause of my blood pressure! Im lucky that im home and local,I go in for a sugar test next month, Ill keep you posted.Hope your ok, my friend. Mike
Answer
The Oral Glucose Tolerance Test or OGTT usually is not necessary for diagnosis of diabetes. If it is used, the following methods should be strictly adhered to in order for the test to be accurate:
- Exclude people who are at bedrest, malnourished, on restricted carbohydrate intake, or with acute medical or surgical illness.
- Discontinue all medications 3 days prior to testing (do this only under the advice and supervision of your doctor).
- Patient should consume at least 150 grams of carbohydrate per day for 3 days pre-test.
- Perform OGTT in A.M. after person fasts for 10 to 14 hours (water is allowed). Keep person quiet during test with no smoking or coffee.
- For non-pregnant patients, use a 75 gram load (or a 1.75 gram per kilogram load in children up to 15 yrs), and draw plasma glucose every half hour for 2 hours.
- In pregnant patients, use a 100 gram load and draw plasma glucose every hour for 3 hours.
Impaired Glucose Tolerance (IGT)
Impaired Fasting Glucose (IFG)
- Glucose levels are higher than normal, but not diagnostic of diabetes mellitus.
- Impaired glucose tolerance (IGT) defined as: -2hr 75 gram OGTT value greater than or equal to 140 mg/dl but less than 200mg/dl.
- Impaired fasting glucose(IFG)defined as: Fasting Plasma Glucose equal to or greater than 110mg/dl and less than 126 mg/dl.
- 25% of people with IGT/IFG develop diabetes later in life. IGT/IFG is thought to be a forerunner to both Type I and Type 2 diabetes.
- 5-11% of people ages 20-74 have IGT.
- IGT/IFG is associated with cardiovascular disease.
Use a fasting plasma gluose as a screening test for nonpregnant adults and children. Fasting is defined as no food or beverage except water at least eight hours before testing. In pregnancy use the 50 gram glucose challenge test.(See below under gestational diabetes.)
- Fasting Plasma Glucose less than 110 mg/dl=normal.
- Fasting Plasma Glucose greater than or equal to 110 mg/dl and less than 126 mg/dl=IFG = Impaired Fasting Glucose.
- Fasting Plasma Glucose equal to or greater than 126 mg/dl= diabetes which must be reconfirmed with repeat test.
- Fasting Plasma Glucose greater than or equal to 110 mg/dl and less than 126 mg/dl=IFG = Impaired Fasting Glucose.
Diagnostic Criteria For Diabetes Mellitus In Non-Pregnant Adults:
- Symptoms of diabetes plus casual plasma glucose concentreation greater than of equal to 200mg/dl. Classic symptoms include polyuria, polydipsia, or unexplained weight loss.
- FPG greater to or equal to 126mg/dl.Fasting is defined as no caloric intake for at least eight hours.
- Two hour blood glucose greater than 200mg/dl during an oral glucose tolerance test.
Gestational Diabetes Mellitus(GDM)
- Characterized by glucose intolerance with onset during pregnancy.
- All pregnant women should be screened at 24 to 28 weeks gestation with a 50 gram glucose challenges test (does not need to be fasting). If the plasma glucose at 1 hour is equal to or greater than 140 mg/dl, do a 3 hour OGTT using a 100 gram load.
- Diagnosis of Gestational Diabetes is made if two or more plasma glucose levels equal or exceed the following on a 3 hour, 100 gram load OGTT:
- Fasting: 105 mg/dl
- 1 hour: 190 mg/dl
- 2 hour:165 mg/dl
- 3hour145 mg/dl
- Six weeks post partum, the woman should be classified by diagnostic testing into one of the following categories: (1) Diabetes (2)Impaired fasting glucose (3) Impaired glucose tolerance (4)Normal glycemia.
You do not need to screeen women at low risk
(Caucasian, less than 25 years of age, normal body weight and no family history).
Screening for Diabetes Mellitus
- Testing (which involves fasting plasma glucose) for diabetes should be done in all individuals at age 45 and greater; and if normal, repeated at three-year intervals.
- Testing should be done at a younger age in individuals who:
- Are obese (equal to or greater than 120% desired body weight or BMI equal to or greater than 27 kilograms/mass squared)
- Have a first degree relative with diabetes.
- Are members of a high-risk ethnic group (African-American, Hispanic-American, Native American, Asian-American, Pacific Islander)
- Have delivered a baby weighing greater than 9 pounds, or have been diagnosed with gestational diabetes.
- Are hypertensive
- Have an HDL cholesterol equal to or greater than 35 and/or a triglyceride level equal to or greater than 250
- On previous testing had IGT or IFG.
Hope this sheds some light on those numbers.
[This message has been edited by RunningSoLate (edited December 31, 1999).]
Answer
Monty,
I had the OGTT test about 4 years ago after my ex could not awaken me after consuming 2 Archway cookies and a pint of milk, and a 6 hour sleep. (I had not eaten a meal for about 12 hours--who says running team is always easier?)
I don't remember the numbers, but a nap was definitely in order after the third consumption of that foul stuff.
The doctor's opinion was that if I continued my eating (or not eating habits), I was running a high risk to develop insulin dependent diabetes. His recommendations were in line with NurseRed's, i.e. small snacks during the day, increase my carbs, and reduce the sugar intake and limit it to only after I had eaten a decent meal, etc.
I am glad to say that when I follow his advice, I feel much better. Wish I were more disciplined; I hope a crisis won't force me to be.
Was greatly relieved that he did not tell me to cut sugar out absolutely. My old gang in Dallas used to refer to my best friend and I as the "sugar twins". Might have had something to do with our motto, "Life is uncertain; eat dessert first". So now when I'm being a good patient, dessert comes last, if it comes at all.
Terry
[This message has been edited by Flying Nun (edited December 31, 1999).]
Answer
Runningsolate,
Thank you! You have covered several things that Monty and I have been discussing over this condition.
First of all, I had never taken the Glucose Tolerance Test before being diagnosed as diabetic.....Type II, only a fasting blood test. That was almost 2 years ago. My D.O. put me on a supplement which along with diet modifications controlled my sugar. However, about 4 months ago my endocrinologist informed me that he didn't want me on anything because the fasting sugar was borderline, and he believes that it is tied in to my thyroid disease... which we have been trying to get under control. So far, we've not been successful....sigh.
Anyway, years ago my mother was diagnosed with low blood sugar after passing out and falling down a flight of stairs. Many years later she developed diabetes, but is doing very well with medication and diet.
Monty's numbers were elevated if I remember correctly (178) and then way down to 64 on the low end. Now, just today I was reading that there are 2 kinds of hypoglycemia. Hypoglycemia WITH diabetes and hypoglycemia OUTSIDE of diabetes. I'm not asking for a diagnosis here, but wonder what the differences are between the two?
Seeing as it is extremely hard to eat so many small meals on the road, what are some good carbo snacks to munch on during the day to help keep the insulin level stable?
One other question.....would it be beneficial to carry a glucometer to keep track of one's sugar level?
Thanks a bunch!
------------------
~ Mary ~
[This message has been edited by Mary (edited January 01, 2000).]
Answer
Thanks all .....
Yes Sharon, I'm spekaing of MY insulin, not injections.
And the test was a 10 hour fast, with entry level at 107, and highest test at 178, (2 hour), bottomed out at 64, (3 hour).
Hence .... the interim diagonisis is MY insulin is kicking in to hard, reducing the sugal level to low.
But all this was just informational, I still await the Dr.'s rulings.
Monty
Answer
Monty,
I am hoping that once your physician has given you the 'final ruling' that he will also educate you on the correct dietary intake. If not, give me a holler and I will be happy to produce one that takes the trucking aspect into consideration.
It's not as difficult as one might think with proper planning and preparation.
------------------
Keeping you safe, healthy, and on the road.
Nurse Red
Visit us at www.Truck.net/abmsVisit us at