Serum Glucose

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Blood Sugar Test

A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body, including brain cells. Carbohydrates are found in fruit, cereal, bread, pasta, and rice. They are quickly turned into glucose in your body. This raises your blood glucose level. Hormones made in the body help control blood glucose level. Continue reading >>

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  1. RebaKay

    I am hoping for advice from those who have found ways to effectively deal with doctors... I'm not having much luck so far! Please bear with me as I try to give a brief explanation of my current situation....
    I posted here a few years ago and got wonderful feedback/suggestions/support, but at that time I was looking for advice on how to be a good partner to my newly diagnosed husband. For quite a few years now I've kept an eye on my own blood sugar by testing fasting, before meal, and 2 hour pp every few weeks or so (Type 2 family history and personal history with hypoglycemia). In the past year or so I've noticed changes that I am NOT happy with, but that don't technically fit my primary care physician's idea of "pre-diabetes" so she tells me everything is fine.
    A little more history.... for about 15+ years I've known to manage some of my worst fatigue by eating mostly low carb. And, because my husband does best with a low or lower carb diet, it's pretty much a way of life now. Which isn't to say I'm 100% low carb, but overall I do watch things closely.
    At my request, my doctor ordered an A1c six months ago and then last week. The numbers were/are 4.7 and 4.9.
    However, I've increased the frequency of checking fasting and throughout the day. A few years ago fasting was typically between 90 - 110. In the past year, it's between 100 - 130. Test strips are fresh, and I obtained a second meter just in case it was a meter issue.
    Throughout the day, the range is between 80 and 130, most often over 100. Higher numbers 1 - 2 hours after eating, and more carb = higher numbers of course. Highest I have recorded in the past year or so was 167 2 hours pp (1.5 servings fiber one cereal, unsweetened almond milk, handful blueberries) but this same breakfast typically will produce 2 hour pp of about 120 - 130. By the way, the cereal is something I've used to successfully treat some very uncomfortable digestion/constipation issues... but have discontinued due to BG. Not having success in finding a lower carb solution... but that's another topic. =)
    Anyway, despite knowing I've been labeled "hypochondriac" by the doctor (who, by the way, also treats my husband's diabetes - and is scarily cavalier about it), I just don't like those fasting #'s!
    She has agreed to refer me to an endocrinologist. Before I go there only to be told "you're fine, stop worrying" I thought I'd check in with the good people here. Obviously, I know that cutting back more on carbs is needed, and increasing exercise also important (foot problems/foot surgery put a big kybosh on that for a while). I am not overweight but also not physically fit either. Losing 5 - 10 lbs or so would probably be good for everything all around.
    Any opinions to share? Resources I could look into? Suggestions on how to prepare for this appointment? Or.... is the doctor right and there is nothing to worry about?
    Thank you!!

  2. puzlnut

    Hi Reba---
    I read your post yesterday but didn't reply b/c frankly, I have only been dx for 2 months now and don't have much interaction with my doctor regarding the diabetes to share with you. But, since no one else has chimed in, I will offer my 2 cents worth. Mostly b/c I always have something to say about virtually everything (although I suspect that most of the time it is not very helpful or useful!!)
    To me, it seems that you are either now pre-diabetic or are heading there. I know that your A1C numbers are good---but they have gone up slightly as has your fbg numbers. You are responding post meals as a non-diabetic might but your fasting numbers are just like what mine were years ago when I foolishly decided to ignore this----oh, how I wish I could go back to that time and do things RIGHT. Oh well, you know what they say about hindsight.
    Anyways, I would certainly keep a record of all of your numbers (and I suspect you already are but , but if not then write them down in chronological order and take that with you to your first appointment with the endo.). I can tell you with great certainty that most doctors will take ANYTHING you say more seriously when you can show them some sort of documentation. they like stuff written down. :wink: Tell them how you have been been supporting your hubby since his diagnosis and then started random testing on yourself. Tell them you now know so much more about diabetes b/c of your husband and you want to nip this in the bud to give yourself the best possible chance at optimal health. Then, ask them "If I were your wife/mother/daughter what would you say about all of this? And what would you recommend I do ---- or meds you think might be helpful?" Make that doctor see you as a person like someone he/she cares for---hence, the wife/mother/daughter thing depending on the age of the doctor and of your age.
    Might I also suggest that it is time for you and hubby to find a new "regular" doctor who is not cavalier about either of you or your health?? A good physician will appreciate the patient who is proactive in caring for themselves---many patients are non-compliant and uncaring in regards to their own health---and I think this makes some docs a bit jaded (sort of "why should I care about them if they don't care about themselves?" sort of thing.
    Anyways, good luck----when is the appt? I hope maybe I helped somewhat. Post back and let us know how things go. You are a wise woman to see this trend and then act on it!! Good for you!

  3. RebaKay

    puzlnut, your reply was very helpful and very welcomed - thank you so much for your, well, your validation!
    I would love to find a new doctor... I live in a very rural area, though, and the benefit to this one is if I do the diagnosis myself (i.e. request a referral) then she's on it immediately. Sadly, my husband LIKES that she's cavalier, because he's the same way. In his favor, however, his A1c numbers are stable or go down each year so he's doing something right!
    Your advice here: Then, ask them "If I were your wife/mother/daughter what would you say about all of this? And what would you recommend I do ---- or meds you think might be helpful?" .... was brilliant and I plan to use it.
    I feel now that I am being treated as a person who is "trying" to get diagnosed with a disease. Very demeaning, unless of course the doctor is right and I really am worrying for nothing!
    I'm sure doctors get very tired of people coming in with "internet diagnoses", but still, I don't want to be brushed off if there is something I should be doing differently.
    I think my main concern now is that my primary care physician is comparing my numbers to "good for diabetics" numbers. I want my numbers to be comparable to a person WITHOUT diabetes!!! So why am I being made to feel as if I am a hypochondriac for this?
    No appointment yet - just got the name of the referral endocrinologist late yesterday. Hoping for something soon. Thank you so much for your response!!
    PS Can I ask you in what form you take the cinnamon? Every brand of capsules I've tried so far gives me terrible indigestion... a problem I already struggle with! Thanks!

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