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Prediabetes, possible diabetes, for a decade, yet undiagnosed

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Posted 9/5/2018 7:32 AM (GMT 0)
Pretty dangerous, right?

I checked the blood work record 10 ys ago. Y2009, Found that my fasting blood sugar is 6.0 mmol, which can be diagnosed as pre diabetes, yet in Asian standard, it's still normal for their reference number is under 6.1 

In Canadian ER, Random blood sugar 8.5mmol, 9.5mmol, 12.5 mmol, 7.0 mmmol, 7.9 mmmol, 7.8 mmol, undiagnosed again.

Fasting blood sugar 5.8mmol once, others are all under 5.6mmol, undiagnosed again.

I used to have protein in urine, slightly blurry vision, unhealed injury for years, but never think if it's diabetes, for I have hypothyroidism and autoimmune disorder as well.

BTW, my lipid is bad, high cholesterol, high triglycerides, high LDL.family doctors don't link it with possible diabetes.

My fasting insulin is higher than the normal range, 176mmol, 205 mmol, 2 hours after meal was 295 mmol. 5 to 190mmol is the normal range. Apprently hyperinsulinmia.

Plus, I also have about 4 year of fatty liver.

Now it's 2018, last time fasting blood sugar 6.5 mmol, finally showed impaired glucose fasting in the report . According to Canadian standard.

However, my Ha1c is always at 5.1-5.6. 

Canadian doctors refused to diagnose as prediabetes. As those numbers are pretty bad.
Posted 9/5/2018 3:43 PM (GMT 0)
Welcome back, Old Buddy. Are you back in Toronto now? For the most part, your blood sugar results are too high and it's a puzzle to me that your doctor is not pursuing this. Some of the results are around normal but others definitely are not. The A1c is an average so it's impossible to say how the results came to be between 5.5 and 5.6, for example. Was your blood sugar pretty steady for three months? Or, did it swing greatly? Both ways could produce a 'normal' A1c. From what you wrote, your blood sugar does not seem to hold steady.

Protein in the urine, blurry vision, wounds not healing, high triglycerides and cholesterol are all associated with diabetes, the first three especially with very high blood sugar over a long period of time.

I am not familiar with insulin measure so I cannot comment on that.

Basically, I feel you have blood sugar problems or have diabetes because of what you wrote and have had raised blood sugar for awhile. If I were you, I would find another doctor because of all these results.

Are you checking your blood sugar daily? What are you eating? I'm glad you posted but please come back!
Posted 9/6/2018 2:55 AM (GMT 0)
I just bought a glucose meter and check my blood sugar.

It's a shame that doctors in ER and some family doctors are so irresponsible.

I am sure that I have IFG, pre diabetes, and insulin resistance.

Started intermittent fasting plus minor activities.

For h1aC, My number is always normal.

Thanks Lanie
Posted 9/6/2018 12:57 PM (GMT 0)
Old Buddy, I'm glad you got a meter. Test yourself when you get up before eating or doing anything. Then, test before you eat a meal and about two hours after your meal. Keep a log of those readings.

Please read the two stickies at the top of the Diabetes Forum and be sure you read the website in the link in my signature. That link will give you all the information you need to know about blood sugar.

Again, I think you need another doctor. The symptoms you describe are a real concern.

In the meantime, you can help yourself by what you're eating. Can you write what you eat for meals?
Posted 9/6/2018 2:09 PM (GMT 0)
Lanie, very unfortunate that I eat very irregularly.

I eat tapricao pearl because of my autoimmune thyroid. I also started small amount of rice noodles with lots of liquid, which is low carb than the solid rice I used to eat three meals every day.

I also eat some fruits, but I hate veggies, like lots of meat

Post Edited (Oldbuddy) : 9/6/2018 8:14:36 AM (GMT-6)

Posted 9/6/2018 2:25 PM (GMT 0)
Old Buddy, the control of your blood sugar starts with you and what you eat. If you are eating a lot of carbs and starch, your blood sugar will continue to remain high. In your first post you mentioned some symptoms like blurry vision, fatty liver, protein in the urine, etc. These might all result from high blood sugar and diabetes. As I said, control of your blood sugar starts with you.

Please read the link in my signature about what normal blood sugar is and suggestions about diet. You say that your doctor and the hospitals that you have been in have not done much for you despite all these symptoms but if you don't change what you're eating, these problems will get worse. At this point, it's up to you to take care of yourself.

Tapioca is full of carbs when prepared and so are rice noodles. With a little effort you can eat "riced cauliflower" which is an excellent substitute for rice and you can spiralize vegetables like zucchini squash and daikon as a good basis for a meal with a piece of meat and vegetables.

Good luck.
Posted 9/8/2018 7:05 AM (GMT 0)
Thanks again Lanie, so grateful that I met with you.

What about oatmeal and brown rice? Whole grain carbs?

Post Edited (Oldbuddy) : 9/8/2018 4:52:02 AM (GMT-6)

Posted 9/8/2018 12:20 PM (GMT 0)
No, no and no.

In order to keep your blood sugar down near normal, you have to stop eating all those high carbs. Please read the link in my signature for valuable information about food.

Vegetables, leafy greens and proteins like meat, chicken and fish. Nuts and cheese. These will help control your blood sugar.
Posted 9/8/2018 1:17 PM (GMT 0)
Arms numbness when woke up at midnight, blood sugar level tested 6.5mmol.

Is it too high more than 5 hours after meal?

Blood sugar should be under 5.6 mmol 3 or more hours after meal?
Posted 9/8/2018 1:37 PM (GMT 0)
6.5 is not bad five hours after a meal but it is in the area of pre-diabetes. If your blood sugar is about 5.5 three hours after eating, I would think that is ok but again it is higher than a non-diabetic's.

Numb arms after waking up or after lying on your back might only be that a nerve was being pinched so that may not be significant. I don't know and of course I'm not a doctor. Sometimes that happens to people's legs if they sit on the floor cross-legged but it goes away when they get up.
Posted 9/9/2018 5:21 PM (GMT 0)
Thanks Lanie, you're very helpful.
Posted 9/9/2018 5:38 PM (GMT 0)
Thanks Oldbuddy. I'm only telling you what I know and what I think. I just wish you could find a doctor that understands that you have been having issues with high blood sugar!

Do you have anyone in your family with diabetes? Parents, uncles, aunts, sisters, brothers?
Posted 9/10/2018 1:58 PM (GMT 0)
No. I have no family history.
Posted 9/10/2018 3:08 PM (GMT 0)
That's good because diabetes frequently runs in families. If you are overweight and if you do not get a lot of exercise in you normal day and if you are eating a lot of carbs (I commented on your food earlier!), then you may have raised blood sugar for those reasons. I'm glad you're posting.
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