Impaired fasting with normal post-meal sugar

Jewels · 10-10-2009, 02:40 PM

I have been dx with pre-diabetes with an A1c at 6.5.

My fasting blood sugar is between 100-120.

I have been testing at 1 hour, 2 hour and sometimes 3 hours after I eat and it's normal 100 or less or a little elevated (bleow 140) at 2 hours and normal at 3 hours.

I have been searching everywhere about this and can only find high fasting and post-meal glucose levels. Nothing about high fasting but normal post-meals.

I have read Blood Sugar 101 and it only mentions it but not much info about it.

Can anybody point me to some good references?

Thanks.

Julie

CookinsForMe · 10-11-2009, 07:47 AM

What are you eating? If you're eating VLC meals having a post prandial of 100 or less is not surprising. If I eat VLC my post prandials are often between 85 and 100. I'm not sure what references there are for this but that goal is to have those normal numbers.

Jewels · 10-11-2009, 10:25 AM

I've been eating about 60 carbs per day. Trying to reduce it futher but am suffering from the withdrawal headaches and crabbyness.

That 6.5 A1c seems a little high for just having morning highs if it's ok during the day. My post meal testing are around 100 give or take.

Griffen · 10-11-2009, 11:34 AM

Morning highs are a common problem for many people, even if you have normal sugars the rest of the day. It's also one of the first symptoms of type II diabetes. The 6.5 A1c is another danger sign.

You must get your carbs lower, even if it causes you crankiness and headaches. The crankiness and headaches will pass over a few days. We've all been through it.

I have found that taking a teaspoon of cod-liver oil morning and night has brought my morning sugars down to nearly normal - mid-110s. I'm hoping this trend continues. I've also observed that my sugars tend to be highest in the mornings and drop over the course of the day.

Jewels · 10-11-2009, 11:45 AM

Quote:

Originally Posted by Griffen

Morning highs are a common problem for many people, even if you have normal sugars the rest of the day. It's also one of the first symptoms of type II diabetes. The 6.5 A1c is another danger sign.

You must get your carbs lower, even if it causes you crankiness and headaches. The crankiness and headaches will pass over a few days. We've all been through it.

I have found that taking a teaspoon of cod-liver oil morning and night has brought my morning sugars down to nearly normal - mid-110s. I'm hoping this trend continues. I've also observed that my sugars tend to be highest in the mornings and drop over the course of the day.

Finally somone can tell me this is common. I was beginning to think that it was all in my head. Can you tell me where you found this info? That is what I am looking for. I've looked everywhere.

I am very proactive and will follow up on it. Lower carbs. More exercises.
My sister is type 2 and on insulin. I don't want to go there. Even if I can prolong it.

Gosh, do they ever still sell cod liver oil?? LOL I took it as a kid but didn't know they still recommended it anymore.

Griffen · 10-11-2009, 12:18 PM

Quote:

Originally Posted by Jewels

Finally somone can tell me this is common. I was beginning to think that it was all in my head. Can you tell me where you found this info? That is what I am looking for. I've looked everywhere.

I am very proactive and will follow up on it. Lower carbs. More exercises.
My sister is type 2 and on insulin. I don't want to go there. Even if I can prolong it.

Gosh, do they ever still sell cod liver oil?? LOL I took it as a kid but didn't know they still recommended it anymore.

Any book on diabetes will mention it as one of the first symptoms. Read Dr. Bernstein's book, and the Protein Power books. But really, it's just what I've gleaned by talking with many other diabetics over the years.

Jump on it now, and save yourself a lot of problems later.

You can get cod-liver oil at any health food store. Look specifically for Carlson's Lemon Flavor Cod Liver Oil (or do a google search and have it shipped to you). Just make sure you refrigerate it and use it up within a month or so, because it goes rancid *really* quickly and then there's no benefit to it. It tastes like lemon oil, no fishy taste at all. I look forward to taking it, that's how good it is.

CookinsForMe · 10-11-2009, 12:39 PM

Research "Dawn Phenomenon", Jewels. That 6.5 is too high but the morning issue is common. I struggle with it, myself. A lot of people find that Lantus insulin helps with the morning high. Others find that eating a little bit of carb with protein before bed helps. Others find just the protein helps. You'll have to find what works for you.

Jewels · 10-11-2009, 12:51 PM

Denise, I have searched DP but most of the info also says high post meals.
I've tried every combination possible and none seem to make any difference. I do have a snack around 11:30 and go to bed about 12:30 or 1:00.
I wouldn't think insulin would be given for pre-diabetes.
I pray I can get into another Dr. next week.

I've been reluctant to read Dr. B's book. I looked on his website but his carbs are really low. I guess I should break down and buy it.

hpjrt · 10-11-2009, 01:47 PM

If I'm not mistaken, the Dawn Phenomenon simply refers to blood glucose that is inexplicably higher than one's blood sugar the rest of the day.

Of course, the object of the entire process is to get one's blood glucose to be close to "normal" readings. I get the DP ... but my post meal blood glucose isn't necessarily "high". I do find that about 2 oz of dry white wine consumed prior to going to bed has helped to reduce those morning high readings. I've experimented with snacks at bedtime ... but the wine seems to work the best ... although the results aren't always predictable.

Generally speaking, if I have 2 oz of dry white wine prior to going to bed, my morning readings will generally be about the same as the "before bed" reading.

My numbers are coming steadily down ... and I stay within the 6s at this point.

Dr. B's book was essential for me in terms of understanding what's happening in my body with Type II Diabetes. It's been invaluable.

Hope this helps.

Mary

Jewels · 10-11-2009, 02:06 PM

Mary, I am a recovering alcoholic and so the wine isn't an option for me.
Wonder about vinegar? I've heard that having some with meals even helps. Maybe I'll try some of my balsamic vinegar before bed.

CookinsForMe · 10-11-2009, 02:54 PM

Julie, that's worth a try. The balsamic vinegar I mean. I know some people who do well with lemon juice and vinegar before bed. It doesn't work for me but we know how that goes...

Jewels · 10-11-2009, 03:01 PM

I will....

Marvin · 10-17-2009, 04:31 PM

I'd watch the balsamic vinegar....think Dr. A said that they often have added sugar???

jem51 · 10-17-2009, 06:34 PM

my FBS seems to want to stick at about 120....actually, it is 118 very often.
i keep trying. it seems that i have the diet down to a science to maintain a normal FBG the all of a sudden it rises again...
then i have to re evaluate all the food items that i thought were safe. sometimes it is just quantity, ( too much protein, especially in the evening is a common problem for me).
or when my garden is in full swing, too many cherry tomatoes!!
this summer, i made peace w the fruit trees by giving it all to the neighbors...i am not missing it which is nice.

10-10-2009, 02:40 PM	#1
Jewels Very Gabby LCF Member!!! Join Date: Sep 2002 Location: Pacific NW Posts: 9,335 Gallery: Jewels Stats: Maintaining 126	Impaired fasting with normal post-meal sugar I have been dx with pre-diabetes with an A1c at 6.5. My fasting blood sugar is between 100-120. I have been testing at 1 hour, 2 hour and sometimes 3 hours after I eat and it's normal 100 or less or a little elevated (bleow 140) at 2 hours and normal at 3 hours. I have been searching everywhere about this and can only find high fasting and post-meal glucose levels. Nothing about high fasting but normal post-meals. I have read Blood Sugar 101 and it only mentions it but not much info about it. Can anybody point me to some good references? Thanks. Julie __________________ *Julie*

10-11-2009, 11:34 AM	#4
Griffen Senior LCF Member Join Date: Aug 2009 Location: Southern California Posts: 156 Gallery: Griffen Stats: 397/347/220 WOE: Primal/Protein Power/Atkins Start Date: August 2009	Morning highs are a common problem for many people, even if you have normal sugars the rest of the day. It's also one of the first symptoms of type II diabetes. The 6.5 A1c is another danger sign. You must get your carbs lower, even if it causes you crankiness and headaches. The crankiness and headaches will pass over a few days. We've all been through it. I have found that taking a teaspoon of cod-liver oil morning and night has brought my morning sugars down to nearly normal - mid-110s. I'm hoping this trend continues. I've also observed that my sugars tend to be highest in the mornings and drop over the course of the day. __________________ 28.2% complete Mini-Goals: 340 pounds by 11/01/09; average BGL 105 mg/dl (5.8 mmol/dl) by 11/01/2009 MET 11/11/09 325 pounds by 12/01/09, average BGL 100 by 12/01/09 To the human body, a spoonful of flour and a spoonful of sugar are identical.

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10-11-2009, 07:47 AM	#2
CookinsForMe Senior LCF Member Join Date: Jul 2009 Location: Northeast Texas Posts: 819 Blog Entries: 1 Gallery: CookinsForMe Stats: 188.8/171.2/140 WOE: Lower carb, moderate fat, & workouts 6 days a week Start Date: 6/24/09 for the umpteenth time.	What are you eating? If you're eating VLC meals having a post prandial of 100 or less is not surprising. If I eat VLC my post prandials are often between 85 and 100. I'm not sure what references there are for this but that goal is to have those normal numbers.

10-11-2009, 10:25 AM	#3
Jewels Very Gabby LCF Member!!! Join Date: Sep 2002 Location: Pacific NW Posts: 9,335 Gallery: Jewels Stats: Maintaining 126	I've been eating about 60 carbs per day. Trying to reduce it futher but am suffering from the withdrawal headaches and crabbyness. That 6.5 A1c seems a little high for just having morning highs if it's ok during the day. My post meal testing are around 100 give or take.

10-11-2009, 12:39 PM	#7
CookinsForMe Senior LCF Member Join Date: Jul 2009 Location: Northeast Texas Posts: 819 Blog Entries: 1 Gallery: CookinsForMe Stats: 188.8/171.2/140 WOE: Lower carb, moderate fat, & workouts 6 days a week Start Date: 6/24/09 for the umpteenth time.	Research "Dawn Phenomenon", Jewels. That 6.5 is too high but the morning issue is common. I struggle with it, myself. A lot of people find that Lantus insulin helps with the morning high. Others find that eating a little bit of carb with protein before bed helps. Others find just the protein helps. You'll have to find what works for you.

10-11-2009, 12:51 PM	#8
Jewels Very Gabby LCF Member!!! Join Date: Sep 2002 Location: Pacific NW Posts: 9,335 Gallery: Jewels Stats: Maintaining 126	Denise, I have searched DP but most of the info also says high post meals. I've tried every combination possible and none seem to make any difference. I do have a snack around 11:30 and go to bed about 12:30 or 1:00. I wouldn't think insulin would be given for pre-diabetes. I pray I can get into another Dr. next week. I've been reluctant to read Dr. B's book. I looked on his website but his carbs are really low. I guess I should break down and buy it.

10-11-2009, 01:47 PM	#9
hpjrt Senior LCF Member Join Date: Apr 2004 Posts: 74 Gallery: hpjrt	If I'm not mistaken, the Dawn Phenomenon simply refers to blood glucose that is inexplicably higher than one's blood sugar the rest of the day. Of course, the object of the entire process is to get one's blood glucose to be close to "normal" readings. I get the DP ... but my post meal blood glucose isn't necessarily "high". I do find that about 2 oz of dry white wine consumed prior to going to bed has helped to reduce those morning high readings. I've experimented with snacks at bedtime ... but the wine seems to work the best ... although the results aren't always predictable. Generally speaking, if I have 2 oz of dry white wine prior to going to bed, my morning readings will generally be about the same as the "before bed" reading. My numbers are coming steadily down ... and I stay within the 6s at this point. Dr. B's book was essential for me in terms of understanding what's happening in my body with Type II Diabetes. It's been invaluable. Hope this helps. Mary

10-11-2009, 02:06 PM	#10
Jewels Very Gabby LCF Member!!! Join Date: Sep 2002 Location: Pacific NW Posts: 9,335 Gallery: Jewels Stats: Maintaining 126	Mary, I am a recovering alcoholic and so the wine isn't an option for me. Wonder about vinegar? I've heard that having some with meals even helps. Maybe I'll try some of my balsamic vinegar before bed.

10-11-2009, 02:54 PM	#11
CookinsForMe Senior LCF Member Join Date: Jul 2009 Location: Northeast Texas Posts: 819 Blog Entries: 1 Gallery: CookinsForMe Stats: 188.8/171.2/140 WOE: Lower carb, moderate fat, & workouts 6 days a week Start Date: 6/24/09 for the umpteenth time.	Julie, that's worth a try. The balsamic vinegar I mean. I know some people who do well with lemon juice and vinegar before bed. It doesn't work for me but we know how that goes...

10-11-2009, 03:01 PM	#12
Jewels Very Gabby LCF Member!!! Join Date: Sep 2002 Location: Pacific NW Posts: 9,335 Gallery: Jewels Stats: Maintaining 126	I will....

10-17-2009, 04:31 PM	#13
Marvin Senior LCF Member Join Date: Oct 2004 Location: Bellevue, Nebraska Posts: 618 Gallery: Marvin Stats: WT=410/345/225 WOE: Atkins Induction/Dr Bernstein's Diabetic Diet Start Date: Restarted July 18, 2009	I'd watch the balsamic vinegar....think Dr. A said that they often have added sugar???

10-17-2009, 06:34 PM	#14
jem51 MAJOR LCF POSTER! Join Date: Jul 2005 Location: south central OR Posts: 2,452 Gallery: jem51 Stats: oh so happy at 120 WOE: EFGT Start Date: controlled carb '97-98	my FBS seems to want to stick at about 120....actually, it is 118 very often. i keep trying. it seems that i have the diet down to a science to maintain a normal FBG the all of a sudden it rises again... then i have to re evaluate all the food items that i thought were safe. sometimes it is just quantity, ( too much protein, especially in the evening is a common problem for me). or when my garden is in full swing, too many cherry tomatoes!! this summer, i made peace w the fruit trees by giving it all to the neighbors...i am not missing it which is nice.