Hi Janet, I'm glad the doctor is asking for these blood sugar readings so he/she can see how they are in general and if there are any trends. I'm presuming you'll also have some blood tests so the lab can get accurate readings, too, and do the A1c to see what your 3-month average was. There are wide
ranges for what the medical profession thinks is "acceptable" for fasting, postprandial (after eating), etc. The guidelines that I've found in the literature from the doctor's office, the ADA and several online medical websites say that 2 hours after eating the blood sugar should be under 145 or under 160 (from 2 different sources). Then, another source (can't remember where but it was online) says a 'normal' person's postprandial would be 100 - 120 but a diabetic's would be under 160. Ok, but according to what I've read in some more recent literature, blood sugar should not be in the 140's or 160's at all for anyone on a regular basis. If your blood sugar is going up to those figures, you are not metabolizing carbs normally (oh really? what a surprise) and you have to get the blood sugar down. Unfortunately, this is where patients and doctors end up butting heads sometimes. Following the old guidelines, a doctor would prescribe meds to keep the blood sugar under control and advise the ADA diet. The problem is that the ADA diet is high in carbs and will keep your blood sugar high, so you will need meds. It'll be a never-ending cycle unless you take steps to break it. I'm presuming you would turn out to be type 2 - and even if they call you borderline or insulin resistant, it's still diabetes. From what I've read now, over the long run, blood sugar running as high as what's been accepted will probably do damage to our hearts, eyes and kidneys over the years, so it's in our best interest to keep our blood sugar lower, nearer to normal. How to do this is the question because our bodies metabolize differently. What might work for me might not work for another person but there is one fact we can't ignore: carbohydrates drive the blood sugar up. Keep the carbs to a minimum and the blood sugar will not be as high. We do not need the carbs in bread, rice and potatoes. We can get all the nutrients we need in the vast range of vegetables, nuts, salad food, etc. that we can eat. Sorry to be long-winded. These are things I've learned as I've gone through the road to diabetes myself but I'm not a doctor. I would suggest reading up on nutrition and metabolism in the South Beach Diet Phase 1, The Insulin Resistant Diet
by Hart and Grossman and Diabetes Solution
by Dr. Richard Bernstein. Good luck and keep us informed. Also, read through the past topics here to find out information about
how some members eat, etc. and what works for them.
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds