Random testing

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Prayerful
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Date Joined Oct 2005
Total Posts : 295
   Posted 11/25/2005 5:04 PM (GMT -7)   
I had Chinese food for lunch and I was just wondering when did the BG test at home 2 hours after eating (136) and then a test maybe a half hour later (119), and then another test maybe another hour later and the reading went up (140) and then a half hour later it went down (126)... would that be possible? Would the BS go up and down? Could the Chinese food (white rice) still be in my blood and causing these up/down readings? As I said in previous posts, when I had my annual physical a few weeks ago, my Blood Glucose was 111 and A1C 5.2. Doctor did another A1C and it was again 5.2. At that time I considered myself prediabetic and thought about testing at home. (I do not take any type of diabetic medication.) Am I just getting too concerned about these numbers? Thanks for any insight.

Jeannie143
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Date Joined Apr 2004
Total Posts : 6056
   Posted 11/25/2005 11:20 PM (GMT -7)   
Robert,

Your readings will be different depending upon where you take them, how much physical activity you have had, what is being absorbed at any given time in your intestines and whether or not the day ends in "y". I'm not trying to be flip here, but your numbers are excellent! I know diabetics who would love to see anything under 180 two hours after a meal! You do seem a bit concerned about some great readings. You appear to be doing everything right and I would start doing less readings after meals and start checking in the early morning and before dinner. Elevated readings at those times would be more of a concern for me since those are the readings my doctor wants to see.
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


Prayerful
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Date Joined Oct 2005
Total Posts : 295
   Posted 11/26/2005 9:13 AM (GMT -7)   

Jeannie..

Thank you for your kind reply. My fasting reading this AM was 93.

You mention that "I know diabetics who would love to see anything under 180 two hours after a meal!" Would that also apply to me since I am not taking any medication and could/might be considered a prediabetic? One book I am reading said my (normal) reading two hours after a meal should be less than 120; another book said it should be less than 140. Which would be the right number: 120; 140 or 180? As you can tell, I am new at this home testing, and quite confused.

Am I right in considering myself a prediabetic?

(FYI= On my physical back on 10/11/02 my Glucose was 127. I then began watching what I ate and began 2 mile walking. My physical on 2/28/04 had glucose at 114. And my annual on 10/22/05 had glucose at 111 and A1C at 5.2. I thought this was fairly good and considering I am 70 years old (155 lbs). But get a bit upset/confused when taking the at home BG testing (Ascencia Contour) and all the different readings. When I see a high reading, I tend to want to take another reading in an hour to see if it has gone down. As I said, 2 hours after the Chinese lunch (peppered steak with rice), my reading was 136, and 1/2 hour later it was 119. So I didn't know what was going on. Thanks again.)


Post Edited (Robert2) : 11/26/2005 9:16:35 AM (GMT-7)


wa5ekh
Regular Member


Date Joined Nov 2005
Total Posts : 68
   Posted 11/26/2005 9:37 AM (GMT -7)   
A question- Chinese foof-meat and vegatables -2 differnt digestive processes, right....then a more complex question-wiith 30+ feet of intestine, how long can this "stuff" produce sugar levels high enough to read??

(think about it...complex? or what?) eyes

Prayerful
Regular Member


Date Joined Oct 2005
Total Posts : 295
   Posted 11/27/2005 8:05 AM (GMT -7)   

I 'recentl'y joined this forum to get informative and helpful answers to my questions. And I must say that the answers I have received have been very informative and helpful. Including the one from Jeannine regarding this recent post. I then posted a reply question. However, I cannot understand the post that was made by 'wa5ekh.' Was thate post supposed to be an informative and helpful answer? If so, I cannot understand what it was meant to convey. Maybe it is this old mind of mine not seeing the obvious.


Warren
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Date Joined Oct 2005
Total Posts : 534
   Posted 11/27/2005 9:54 AM (GMT -7)   
Hi Robert,
 
Jeannie is right on the money.  You are worrying to much and taking to many readings.  Your critical reading is the fasting reading and that is normal, normal, normal.  Your postprandial is also normal at 130-140.  The ONLY reason many of us who are diabetic do that postprandial reading is to see how badly we are spiking as it is the spikes that can do us damage, especially if they don't recede fairly quickly.  YOU have no such problem with those numbers. 
 
Enjoy life and don't worry unless those fasting numbers start to consistently be above 120.
 
PS - here is an illustration of why a diabetic needs to do a number of readings until they are certain they are under control.  Fasting =100   3 hours after eating = 145   BUT
 
heres what really happened to that diabetic.  15 mins after Lunch = 245  30 mins after lunch=220   45 mins = 215 
1hr = 210  1.5hrs = 200  2hrs=190  2.25 hrs=180   2.5hrs=160  2.75hrs=152  3hrs=145
 
Now that huge spike with sustained levels above 180 can hurt you.  If this person had taken only one reading 3 hours after eating and one in the morning after fasting, well, they would appear normal when actually they had a problem that should be addressed.  You on the other hand, eating chinese food with all the fat from the oil and the white rice; well that meal would have sent the BS of a diabetic skyrocketing, but obviously, your endorcrine system rallied and you produce really normal BS.  So did all that testing tell you something?  YES, as Jeannie said, stop doing so many tests and stop worrrying.  Live a healthy lifestyle but your body is telling you that you don't need to be so vigilent. 
 
Please also realize that if you really stress out about this stuff, it can physically affect your blood pressure and BS readings.
 
scool  Warren

Prayerful
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Date Joined Oct 2005
Total Posts : 295
   Posted 11/27/2005 3:03 PM (GMT -7)   
Hi Warren:
Thank you so much for your very, very enlightening and well explained response. I have made a copy of it and will read it several times over. I am so glad you took the time to write such a long and helpful explanation.
From your knowledge and background in this subject - would you consider me a pre-diabetic? (Or should everyone consider themselves pre-diabetics?)
Thanks again and glad you are on the board.
Bob

Warren
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Date Joined Oct 2005
Total Posts : 534
   Posted 11/27/2005 5:34 PM (GMT -7)   
yeah  I'd call you NORMAL, not anywhere near pre-diabetic!! Im not a doctor, but those numbers are just, well, NORMAL!!
 
scool  Warren

Prayerful
Regular Member


Date Joined Oct 2005
Total Posts : 295
   Posted 11/27/2005 5:44 PM (GMT -7)   
Once again, a BIG Thank You. I think everyone would be wise to look at the foods on the glycemic index and adjust their diets accordingly.
Thanks again,
Bob

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 11/27/2005 6:00 PM (GMT -7)   
Robert,
You mentioned something about your 'old mind'... You are understanding this blood sugar reading stuff very well so I don't know what the 'old' has to do with it.... (Some of the rest of us are 'old' too!) The one thing that you need to see is that your readings vary from finger to finger and from minute to minute. Glucose readings are something like the view on the old radar screens. You only get a 'blip' every time the needle goes over the object. You make your decisions based on some incomplete indications of what seems to be happening.

Glucose readings are tools to help us make decisions about exercise, diet and medication. They give a hazy picture of what's going on with our pancreas and how well we are handling our carbohydrate load with the insulin we have on hand. They are like snapshots and can't really tell a whole story so it's best not to be too concerned with each one, but instead to just record them and take them to the doc the next time you go. He/she will be the one to tell you what to do about them.

Hope this helps.
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


N17
Regular Member


Date Joined Oct 2005
Total Posts : 87
   Posted 11/27/2005 6:40 PM (GMT -7)   
I would like to add to this thread with a few recent readings.  A few times recently, I have had a higher reading after 2 hours than after 1.  One time it jumped 1.5 mmol.  That one I was a bit suspicious of.  I tested after 3 hours, which was the same value as after 4.  I know that our monitors are not perfect and there will be a + or - factor, but that test was 'interesting'.  I should say that a score of up to 10 is acceptable for 2 hours after eating (up to 8 is ideal) and my scores were: 5.3, 6.8, 6.3, 6.3.  A few other tests have shown my 2nd hour result to be sometimes up to 1.0 higher than the 1 hour result.  I'll be doing further tests over the next few days to see if this is an ongoing trend.
"I love Italian.......and so do you"
"Yes"


Warren
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Date Joined Oct 2005
Total Posts : 534
   Posted 11/28/2005 1:02 PM (GMT -7)   

David Medosa in his Update newsletter discusses testing and "when to test".  To summarize his article, the prevailing belief is that post prandial testing should be 2 hours after the first bite of your meal.  However, research has shown that this should probably be 90 mins vs 2 hours.

Of course, many people routinely do a fasting blood test every morning. In addition, we have the opportunity to test before and after each meal, before and after exercise, and when going to bed. Which of these are the most important times to test? Targeting fasting plasma glucose is more beneficial when your A1C level is very high, like about 10, while targeting postprandial glucose is more effective when you have a lower A1C, say about 7.

The whole update on preprandial and postprandial testing can be found at: http://www.mendosa.com/diabetes_update_77.htm

Hope this helps with those of us who have tendencies to be "serial testers" (myself included)

scool Warren

Post Edited (Warren) : 11/28/2005 1:17:26 PM (GMT-7)


Prayerful
Regular Member


Date Joined Oct 2005
Total Posts : 295
   Posted 12/1/2005 8:34 PM (GMT -7)   

I am really embarrassed to add this note to my original post. I was visiting with several friends today and they suggested we go our for lunch. Where? To a Chinese restaurant they all 'loved.' I was a bit hesitant, but since I did not see them in a long time, I decided to go (at 3pm). I thought I would be smart and order something different that what I usually would order (peppered steak). And so, I order just shrimp lomein (kind of pasta). When I got home about 2 hours later I decided to check BS and it read 142. But I remember what Warren said in his answering posts, that Chinese food could do that to your BS. about fours later (7:30pm) I just thought I would have a light meal of All Bran (with fat-free milk) and an apple. Then at 9;30pm I thought I would check BS again to see what was going on and it had risen to 162. That really scared me. But then I wondered if the Chinese food could have still been in my system and adding the All Bran and apple, increased the BS. Does anyone have any comments on this?

#1- Could the Chinese meal at 2PM remain for that long a period of time in my system?

#2- Would the best thing to do is give up Chinese food altogther?

(I remember what was told to me (by Warren and Jeannie) about testing too often, but this time I really wanted to find out if this adjusted Chinese meal would have made any difference in the BS reading. My fasting this AM was 95. Guess you can tell by now I am a bit of a worrier.)

Thank for any suggestions.

 

 

 


diamond911
Regular Member


Date Joined Oct 2005
Total Posts : 66
   Posted 12/1/2005 10:49 PM (GMT -7)   
How much rice/or pasta did you eat?   For me, I cant eat rice or pasta AT ALL.  It will spike my blood sugar enormously high and take hours and hours to go down, even into the next day. 
 
You may have a bit of carbohydrate intolerance, or prediabetic, as they say, and it sounds like only the worse culprits may be affecting you.  Stay away from too much  white rice, pasta,  large amounts of milk, sugary cereals and you should never have a problem.  Its the processed, refined carbohydrates that go into your bloodstream too quickly that raise those sugars and stay with you.  If you do have them, limit your serving size to 1/2 cup.   Better carb choices are whole grains or vegetables. 
 
I don't think  you have to give up eating Chinese.   Just cut your rice/pasta serving down a bit.  Also, if thats all thats raising your sugars, forget about it and enjoy it.  As long as your not doing it 7 nights/week. 
 
It makes no difference if it's Chinese, Italian, or Whatever.....Its the carbs, baby.....!!!


Lisa

Post Edited (diamond911) : 12/1/2005 11:02:46 PM (GMT-7)


Prayerful
Regular Member


Date Joined Oct 2005
Total Posts : 295
   Posted 12/2/2005 9:11 AM (GMT -7)   

I believe the shrimp LoMein would be considered a shrimp and noodle meal. I had a plateful. I asked the waiter what oil they used in their cooking and he said they use vegetable oil.

Warren in his post stated: "heres what really happened to that diabetic.  15 mins after Lunch = 245  30 mins after lunch=220   45 mins = 215  1hr = 210  1.5hrs = 200  2hrs=190  2.25 hrs=180   2.5hrs=160  2.75hrs=152  3hrs=145." I was wondering if I should do that because my reading after 15 mins (30 mins, etc.) could be over 200, etc. I just get so confused sometimes about what to do (with regard to taking the readings and their results). When I get an especially high reading (like the 162) I tend to want to take another test. I did that again last night 2 hours after the 162 (3 1/2 hrs after the All Brand and apple) and the reading was 110.

Sorry for such a confusing post.

 


diamond911
Regular Member


Date Joined Oct 2005
Total Posts : 66
   Posted 12/4/2005 12:30 AM (GMT -7)   

Robert-chill out.  You're way too  obecessed with your blood sugars for a person with possibly only mild prediabetes.  Its not necessary to do that many tests a day. 

Whenever I change my medication, I will do more testing.  For instance, after a new med change, I'll do a fasting before every meal, a two hour post prandial and a bedtime gluc.  But I only do that until I am able to determine that the regimen is working.  After a week or so, I go back to ramdom testing, maybe a couple of times a day and at different times.  If a number comes up high, I'll test at the same time the next day to see If I have a pattern forming. 

Its good to be concerned about your blood sugars, but it sounds like its becoming the main focus of your day.  Remember, glucose meters have a range of results and a few points in either direction is not necessarily a true reading.  You cant over analyze them.  Its more of a screening tool for changes in patterns over a period of time.  It sounds like your numbers are good, overall, and you don't need to worry at this point.  . 

With an A1C of 5.2, you are doing VERY WELL.   Enjoy your good health. 



Lisa


Prayerful
Regular Member


Date Joined Oct 2005
Total Posts : 295
   Posted 12/4/2005 8:42 AM (GMT -7)   
Thanks Lisa. As I stated in another post - for my entire 70 years I have been a nervous person and have 'gone overboard' thinking "what if." Such as: what if my readings are over 250 or higher fifteen minutes after a meal. What if this reading of 180 after 1 1/2 hours after eating a light meal means my body is losing control, etc. Sorry.

wa5ekh
Regular Member


Date Joined Nov 2005
Total Posts : 68
   Posted Yesterday 7:55 AM (GMT -7)   
I worry too...hope we all do....protect us, right? I noticed when I eat too much my BGs go high, my

"sitting resting(5 minute) normal breathing Heart Rate(at least 3 hour after eating a small meal)"

goes from low 70's to 90 BPM (BGs above 150 mg/dl) and I get sleepy...right...recognize this. Later I feel like crap! At OA(over eaters anon.) we call this a food hang-over. This can't be good for us. I keep trying to stop.....I do it less and less(actually seldom nowdays), but ...stopping is probably the correct answer. I am not sure all people, Diabetic or not can have these issues. What do you think?
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