Differnt opinions on Blood Glucose levels

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Laker7491
Regular Member


Date Joined Aug 2015
Total Posts : 233
   Posted 4/18/2017 5:51 PM (GMT -6)   
Hi, I've never posted on this site before site before, but I have some questions regarding a blood glucose test. I have Lyme Disease and probably a couple of co-infections. I had my test done when I was right at the end of being sick with some virus. I also have hypothyroidism which had not been checked in about 6 months. I know all of those will raise your blood sugar. I have been on the AIP (Autoimmune Paleo Protocol) for 6 months, which means I only eat clean food - fresh veggies, fruits and some protein. I have not eaten gluten, sugar, dairy, alcohol and most nuts for quite some time. I do not eat processed food at all and try to limit starchy veggies.

My blood glucose reading was 120. My LLMD said I was prediabetic and needed to lose 20 lbs. Which I know I need to lose 20 lbs. easier said than done when you're sick and move like a sloth on Ambien. But I am trying as I much as I am able too.

Today I went and saw my GP and she said my levels were fine. So I'm confused. I'm getting another blood glucose test done. My GP said to not fast any longer than the 8 to 12 hours or it would affect the test. I can sleep sometimes ups to 14 to 16 hours. When I got my last blood glucose I woke up after 13 hours of sleep and went to the clinic which is 10 minutes away. Total time up before blood draw was less than 30 minutes.

Who should I believe? Does it matter how long you fast? Any other helpful info would be greatly appreciated.

Thanks much.
EBV- Diagnosed in 2014 - free of virus in 2015
Lyme Disease - Diagnosed in September of 2015
Babesia - just treated by symptoms. Free of Symptoms by 10/16
Bartonella - using Buhner's supplements and Spooky2 Rife machine
Hypothyroidism - diagnosed in 2009 on nature-throid
Not sure what else I may have since LLMD does not test for co-infections

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5731
   Posted 4/18/2017 6:57 PM (GMT -6)   
Hi Laker and welcome to the Diabetes Forum! You hit the nail on the head when you said there are different opinions on blood sugar levels depending on whom you're talking to. Different doctors, different medical associations, your neighbor on one side vs. your neighbor on the other side and your mom. tongue

Most doctors are looking for fasting to be under 100, yet non-diabetics' fasting will almost always be in the 80's. Look through the website whose link is in my signature and you'll find lots of information about blood sugar and there is also a search box so you can look for different things.

A blood sugar reading of 120 is elevated and not critical. In fact, doctors and ER personnel often see readings in the 200s, 300s, 400s and higher so to them 120 is almost normal but it is elevated as I said. A non-diabetic's blood sugar might get to 120 after a high-carb meal but then it would quickly go back to what normal really is: in the 80s. However, doctors have higher goals for their patients and accept higher blood sugar readings within limits compared to what a non-diabetic's reading would be.

In the stickies at the top of our forum you can read what affects blood sugar: illness, some medication, anxiety, carbs in food and drink, eating too much food at one time even if the food is not carb-laden, not eating breakfast and testing later in the morning (I'll explain this later.), being too heavy, being too sedentary, heredity, pregnancy. Lots of things as you can see.

Food that raises blood sugar: anything with sugar, honey, maple syrup, anything with grains including corn, potatoes, rice, carrots and other root veggies, fruit in any form, legumes (beans) but unsweetened peanut butter seems to work better for us.

about fasting for longer than 8 or 12 hours: There is a point which differs in each person at which blood sugar starts to rise by itself if he or she doesn't eat. This is actually a good mechanism which helps us take on the day until we can get some food. If our blood sugar gets TOO low, we can faint or feel dizzy and that's obviously bad. Normally, if we don't eat for about 10 hours because we've eaten dinner and we go to sleep, our blood sugar gets to a 'normal' low point which averages in the 80s in non-diabetics. But at some point later than 10 or 12 hours in probably everyone, their blood sugar will start to rise so they don't faint. This will last only so long and then that person really does need to eat. This is why a fasting test could be skewed if you fast 10 hours or longer.

Another way to mess up your fasting test is to exercise before or run to your fasting appointment. This activity will cause a temporary rise in blood sugar as your body tries to give itself some energy.

Here are some random thoughts: I don't know how Lyme Disease affects blood sugar so I can't comment on that. Carbs in any food or drink will raise blood sugar, as I wrote. Pure alcohol like wine, vodka, gin will actually lower blood sugar but a mixed drink with sugar will raise it. Fortified wine like Porto, sherry, vermouth will raise it. Check out the carbs in beer. Breading on food or pie crusts will raise it because of the carbs in the flour/breading. (Bye bye KFC and not because of the fat. It's the breading.) Protein does not raise it so meats, poultry and fish are great to eat. Fruit raises blood sugar. (You can find all the nutrients in fruits in colorful vegetables.)

So, that 120 is elevated. Was it fasting? Or, was it random?

I think your GP is right about fasting longer than 8 to 12 hours, according to what I've read.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

Laker7491
Regular Member


Date Joined Aug 2015
Total Posts : 233
   Posted 4/18/2017 7:35 PM (GMT -6)   
Thanks, Lanie, great information. I really appreciate it. I just mentioned Lyme, coinfections, and a virus all cause inflammation which can raise blood sugar.

I will definitely check out the stickies. I'm not real knowledgeable about this whole subject.

Have a great evening.
EBV- Diagnosed in 2014 - free of virus in 2015
Lyme Disease - Diagnosed in September of 2015
Babesia - just treated by symptoms. Free of Symptoms by 10/16
Bartonella - using Buhner's supplements and Spooky2 Rife machine
Hypothyroidism - diagnosed in 2009 on nature-throid
Not sure what else I may have since LLMD does not test for co-infections

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5731
   Posted 4/18/2017 7:37 PM (GMT -6)   
Good luck and come back any time!

yeah
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

Laker7491
Regular Member


Date Joined Aug 2015
Total Posts : 233
   Posted 4/18/2017 8:05 PM (GMT -6)   
Thanks much!
-L
EBV- Diagnosed in 2014 - free of virus in 2015
Lyme Disease - Diagnosed in September of 2015
Babesia - just treated by symptoms. Free of Symptoms by 10/16
Bartonella - using Buhner's supplements and Spooky2 Rife machine
Hypothyroidism - diagnosed in 2009 on nature-throid
Not sure what else I may have since LLMD does not test for co-infections

Betsy12
Regular Member


Date Joined Feb 2017
Total Posts : 45
   Posted 4/20/2017 11:41 AM (GMT -6)   
How old are you? I know it's said that non-diabetics will have fasting numbers in the 80's, but I only after saw numbers that low when I was younger. I am probably bordering on a "pre" situation now, but my fasting was in the 90's for at least 10 years. Many people my age (early 50's), including my spouse, have fasting numbers in the 90's as well. Maybe we are all headed toward diabetes, but I do think after a certain age that 80's aren't as standard.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5731
   Posted 4/20/2017 12:18 PM (GMT -6)   
True normal or average fasting for non-diabetics of any age is still in the 80s. There may be several reasons for rises in fasting in later ages: increased insulin resistance which leads to higher blood sugar which although elevated can still be controlled with diet and exercise and minimum medication, increased weight, change of diet, decreased activity, some medications which raise blood sugar as a side effect, heredity catching up to us.

Betsy, I made a new thread about fasting blood sugar.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

Betsy12
Regular Member


Date Joined Feb 2017
Total Posts : 45
   Posted 4/20/2017 6:11 PM (GMT -6)   
Okay, another question on the fasting time. It makes sense what you said (Lanie) about blood sugar rising to start the day. And if 8-12 hours is "ideal", does that fly in the face of trying not to eat late the night before? I like to finish eating before 7:00 PM, but rarely eat anything before 7:00 AM, is that too long? My home testing, which runs a little borderline, is probably taken a good 11 or more hours after last eating, even longer if done at a lab.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5731
   Posted 4/20/2017 6:39 PM (GMT -6)   
I think it's hard to answer that question because everyone's metabolism is different. Some people have a better fasting result if they eat a small snack after dinner like a piece of cheese, some peanut butter, handful of nuts, or part of a container of no-sugar yogurt. So if your lab tests are at 8:00 a.m., and you're told to fast for 8 hours, then you might have a little snack like this around 10 p.m. That is 10 hours before your lab tests.

I don't know which little snack would give you the best results. This is where keeping a food journal would come in handy. You could try these on different evenings and see how your morning fasting results are at home. Also, keep in mind that what you eat for dinner would have a big impact.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

Betsy12
Regular Member


Date Joined Feb 2017
Total Posts : 45
   Posted 4/21/2017 7:54 AM (GMT -6)   
What would be the benefit though of eating a snack to "fake" the lab result, assuming it's higher every other day? One of my main goals now is to lose weight, so I'm trying to cut out unnecessary snacking.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5731
   Posted 4/21/2017 8:07 AM (GMT -6)   
I don't think it's faking a lab result. If your blood sugar is elevated, no matter on what lab tests, I think it is to your benefit healthwise to control your blood sugar which is what having an evening snack would do.

If you can eat a pasta dinner with bread and have normal blood sugar readings after two hours, this would not be an issue, but if your blood sugar rises too much and takes longer than a couple of hours to come down under 100, then you need to realize you do not metabolize carbs efficiently. In that situation (which is exactly my situation), adjusting what you eat to control your blood sugar is important.

Do you know what your A1c result is?
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

Betsy12
Regular Member


Date Joined Feb 2017
Total Posts : 45
   Posted 4/21/2017 8:15 AM (GMT -6)   
So you are saying that you should have that snack every day then? You specifically mentioned before lab test days.

My A1c was borderline at 5.6, with a fasting that day of 99. (Had been 110 a few months earlier, and runs 105-115 at home on one meter, and 95-105 on the other.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5731
   Posted 4/21/2017 8:59 AM (GMT -6)   
No, I did not mean you should eat a small evening snack every day or just before lab test days. I mentioned it as a possible way to have a better fasting result - which really depends on how your body metabolizes food. For the evening before lab tests, you follow the directions given to you. If it's fasting for 8 to 12 hours, you do not eat or drink anything but water in those hours up to the test.

Besides the instructions for the fasting test, what I'm saying is: see if having an evening snack as I described gives you a better fasting result the next day, then you will see how your blood sugar behaves. The goal is to have better blood sugar readings, isn't it?

I wouldn't be here in the Diabetes Forum if I had exactly normal blood sugar all the time no matter what I ate. If I ate like my husband does, I'd be on a couple of medications for diabetes, but I don't eat any bread or potatoes or rice and my blood sugar is still elevated but not critically high. If I were able to do all the cardio I did ten years ago in addition to my no-carb eating plan, I wouldn't be on metformin. But since I've cut back on the exercise, my blood sugar crept higher, so I'm on metformin even though I still eat no-carb. My goal is to keep my blood sugar as near normal as I can and I prefer to do it with diet and exercise and now with metformin. So, if I know that my fasting is higher than normal after not eating anything after dinner until the next morning (which is about 12 hours) and if I can bring my fasting lower by having an evening snack, then that's what I will do.

Diabetes type 2 is on my mother's side and my two siblings and I also have it. It killed my mother and grandmother so I have a serious interest in controlling my blood sugar.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

Betsy12
Regular Member


Date Joined Feb 2017
Total Posts : 45
   Posted 4/21/2017 9:03 AM (GMT -6)   
Oh I get you! And I appreciate your insights. I don't mean to be controversial. I'm sincerely trying to figure this all out for myself. I'm trying to work with diet/etc at this point. My mother and sister both have pretty serious diabetes, so I have a genetic component too. I guess what I was really asking was whether a regular "fast" of 12 plus hours was generally a good idea.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5731
   Posted 4/21/2017 9:16 AM (GMT -6)   
Well, again, if it's fasting for a lab test, you follow those instructions. Otherwise, the rest of the time, you will need to see how your blood sugar behaves and that's an individual thing. Keeping a journal of time, food eaten and blood sugar results before eating and about 2 hours afterward will help you know the best choices to make. Cardio exercise does help keep blood sugar more controlled, but again that's an individual matter. People's bodies react differently to the same food and exercise.

So, the best advice I can give is to ask questions, learn as much as you can about blood sugar and about your own blood sugar. I found the website that I have in my signature is really informative as well as the book Diabetes Solution by Richard K. Bernstein, MD.

Unfortunately, this does not "go away". It is not cured but it can be controlled. You'll find some people who are happy to take different medications for diabetes and they will eat what they want. That's not how I am dealing with this.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/
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