Scary episode, question

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Pratoman
Veteran Member


Date Joined Nov 2012
Total Posts : 4801
   Posted 10/8/2017 6:17 AM (GMT -6)   
I'm new to this forum but not to healingwell, I'm active on the Prostate Cancer Forum.
I'm not diabetic, nor have I been diagnosed with pre-diabetes. But, my morning blood sugar (I.e. Fasting BG) is almost always just above 100, usually 105-115, once in a while 120. I test myself (long story) but when my Dr tests and sees the 100+ reading, he does an A1C. It's always below 5, last reading was a month ago at 4.7 and in fact when I test late afternoon, unless I've had a high carb lunch which I almost never do, it's between 75-88.

I also have a history of high triglycerides, as high as 750, once, but in the 300's for a long time. I got it under control using weight watchers then the Wheat belly diet (low carb, no grains) got it as low as 85. But lately TG is back above 200.
I also have atherosclerosis with 2 stents.
So Ive been try to get back to low carb. However the last 10 days has been really hard, with business dinners every night, and family get together.

Last night was bad. I had dinner out, had a lot of bread, then shrimp, but with a baked potato, a martini, and a big piece of chocolate fudge cake. Came home, had a half a bagel with butter, and went to sleep. I know, disgusting.

So I woke up this morning at 4AM, with heartburn, and a sudden unexplained tenderness in my big toe (not gout, its not in the joint, more in the corner by the toenail). My heart rate (I wear a Fitbit) was in the high 70's it's usually in the low 50's when I wake ,(I'm on a beta blocker)
So I took my blood glucose - 205!!!.
Took it again thought it was an error, 188. Then Half hour later, 175. Crazy, never saw that before. Made me nervous,

Got back to sleep, woke at 7am. Another reading, 203!!. Nothing wrong with the meter or strips, because I tried another meter and got similar readings,

Got up, brushed my teeth, washed up. Took it again. 160. And again 2- minutes later, 164.
I haven't eaten since 10:30 last night.

I'm curious to get some thoughts,
Prior to today, I haven't measured BG in about a week, but as I said, in the past, it's always low 100's first thing in the morning.

I'm very nervous about this.

Post Edited (Pratoman) : 10/8/2017 6:20:44 AM (GMT-6)


Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5926
   Posted 10/8/2017 7:43 AM (GMT -6)   
Good morning and welcome! Sorry about these high blood sugar readings this morning. I think they're most certainly because of the meal you had last night. And from what you described, it had a lot of carbs.

But your A1c is totally normal. Since it's an average test result, it would cancel out the morning fasting of over 100 IF your blood sugar is totally normal the rest of the day. I think what you're eating reflects that. What you usually eat, that is. Last night was an exception.

This morning's readings would have me think you are not metabolizing carbs efficiently. You can call it pre-diabetes or diabetes because of the high readings but you need further testing, I think. What you did last night was effectively give yourself a glucose tolerance test. This is the test when you drink a very sugary liquid and they test your blood over one or two hours. It's called the GTT and 'maybe' your doctor should order it to see if you do have a blood sugar problem.

I don't know about the toe. If it's not gout, could it be an ingrown toenail? Are your toes swollen?

Also, keep in mind that some medications, illness and stress can raise blood sugar in any case. However from what you ate last night, it seems like a carb overload and then you went to bed. You were not active as you are during the day to help control the blood sugar, so the blood sugar is not used up overnight and you see the results in the morning. It could be a fluke because of the food and then bed.

You should mention this to your doctor though especially if the toe keeps bothering you. I hope you see better numbers today!
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/

Pratoman
Veteran Member


Date Joined Nov 2012
Total Posts : 4801
   Posted 10/8/2017 10:23 AM (GMT -6)   
Lanie, thanks very much for the detailed response.

What's weird, is that after all of the numbers described in my post, I went back to sleep. Woke at 10:30AM, tested again and BG was down to 93, then 40 minutes later, before breakfast, down to 86.

I've been told by some people on another forum, including Dr William Davis, who is the author of the book Wheat Belly, that in some people A1C is not a good test, and it was recommended, as you said, to do the IGGT. At my next Dr visit, I'm going to request it.

Thanks so much for your quick response.
Dx Age 64 Nov 2014, 4.3
BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5)
downgraded to 3+3=6 by tDr Epstein, JH
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margivns, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033
Decipher test, low risk, .37 score

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5926
   Posted 10/8/2017 10:52 AM (GMT -6)   
So, your blood sugar recovered fine on its own. That's a good sign! Maybe you created the perfect storm last night: overloading on carbs but then going to bed, hence no activity to use up the glucose in the system. I have read that we can do our own GTT at home by testing our blood sugar, eating about two bagels and then testing after one hour and then two hours. So, really you had many more carbs than two bagels! And you freaked yourself out!

The GTT has you drink 75 gr. of glucose within a certain amount of minutes. If you examine your meal and afterwards, I'm sure you had a lot more than that.

In any case, yes, mention it to your doctor. And have your toe looked at. And no more binges unless you plan to run in a race!

And the A1c, is not a good diagnostic tool. I can "pass" the A1c when I do a lot of exercise along with my very low carb diet, but I could not fool the GTT. That is the test that tells you how you really metabolize carbs, not the A1c.

(edited to correct the dumb grammar)

Good luck and I hope you are doing better today!
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/

Post Edited (Lanie G) : 10/8/2017 11:17:17 AM (GMT-6)


Pratoman
Veteran Member


Date Joined Nov 2012
Total Posts : 4801
   Posted 10/8/2017 11:08 AM (GMT -6)   
Thank you.
Dx Age 64 Nov 2014, 4.3
BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5)
downgraded to 3+3=6 by tDr Epstein, JH
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margivns, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033
Decipher test, low risk, .37 score

theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 19782
   Posted 10/8/2017 7:59 PM (GMT -6)   
very common for sugars to elevate overnight. you might have peaks at certain times, ie dinner. lanie gave you good info.
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