Technically, based on current protocols, you will not be diagnosed as diabetic until your fasting BG exceeds 125 mg/dL. However, that is somewhat arbitrary because there is virtually no difference between someone who tests 125 mg/dL and one who tests 126 mg/dL. It is a matter that is more of semantics than reality. In your case, your system is clearly challenged regardless of the label that is assigned to it.
The "Target" range is what many physicians advise their diabetic patients to strive for in order to maintain "good" control. The "normal" range applies to those who are non-diabetic and have no elevated risk factors for diabetes.
If it were me, I would modify my lifestyle and behave as though I were diabetic. That entails paying more attention to diet (avoiding/reducing starchy foods) and exercise protocols, including shedding a few pounds if your BMI exceeds 24. An ounce of prevention is better than ten pounds of treatment.View Thread
PCOS acquired its popular name due to the appearance of multiple (poly) ovarian cysts during ultrasound examination. These "cysts" are actually immature follicles and not true cysts. A majority of people with PCOS have insulin resistance, may develop diabetes and/or are obese. Teenagers diagnosed with the condition often have an attitude of being "immortal." If they choose to continue with a lifestyle that fails to combat their condition, it will contribute to obesity and may result in the "reverse ugly duckling syndrome." WebMD has an excellent article on PCOS (just click on the link for the mono page view) that you and your daughter should read if you haven't already. It's different from the one that Lynn provided, You may also find the "Further Reading" links to be enlightening. MedicineNet.com also has a highly recommended 6-Part article (a mono page view is not provided so readers must "page" through six separate pages/parts).
Exact causes of PCOS are not known but it does have a genetic component, vitamin D deficiency may play a role, and gluten sensitivity may also be a factor. Diet and lifestyle changes (including a healthy dose of exercise) are the best methods for managing PCOS and not medication such as clomid or metformin. If your daughter changes her diet so that the majority of her carbohydrates come from fresh vegetables, she will discover that PCOS can be managed even though it is a lifelong condition in many women. The PCOS Diet Support website provides some decent examples of a PCOS Diet vs. Normal Diet and might be worth a look (note: it is a commercial site that peddles diet/menu plans that I am not endorsing but the information itself is still worthwhile reading; especially the comparisons of nutrition facts).
One final note: I noticed that you posted three separate duplicate threads. Whether it was by accident or in hopes of getting a faster response, please bear in mind that forum posts are places where opinions and blogs are posted but members may be infrequent visitors. A forum/community is NOT a chat room. As a consequence, it may take many hours or even days before a visitor spots your post and responds. Just be patient and understanding. Teenagers need enlightenment, not nagging, so it is important that your daughter be given factual information blended with love, care and concern but without undue editorializing.View Thread
Flute, you were partially correct the first time. Fiber is generally not digested in the stomach or the small intestine and passes into the large intestine virtually unchanged as a waste product. However, the large intestine harbors over 700 species of gut bacteria. Undigested polysaccharides (fiber) are metabolized by these bacteria into short-chain fatty acids including acetate, butyrate and propionate. The digested products are then absorbed via passive diffusion. This digestive process is slow and some of it may even take place in the colon after it passes from the large intestine. For most people, it will not impact blood sugar levels. However, in PWDs who have impaired insulin production, fiber could have a small effect that cannot be totally dismissed or ignored. This was emphasized in a number of forum posts online by T1 diabetics who no longer make any insulin. That's the nice thing about the Internet. You can post or read about actual experiences from real people that often fly in the face of "common wisdom." Cellulose is the only fiber that is not digested at all in humans.
An_11642, have you ever bothered to test your blood glucose levels before and after eating a pasta meal (both ONE hour after as well as two hours after)? I get the impression that you think that because you have an Italian ancestral background, that you have a God-given right to include pasta in your diet. But did you know that Italians did not invent pasta? Earliest historical records indicate that pasta originated in China (4000 B.C.) but it was made from millet, not wheat. It wasn't until centuries later that wheat was used. And Marco Polo didn't introduce pasta from China to Italy either (it's a cute story but untrue). Best available historical evidence suggests that pasta was introduced to Italy by Arab invaders (and traders) around the 8th century, A.D. If you're truly interested in low- or no-carb pasta products, investigate Kelp noodles, Shirataki noodles, and Tofu noodles. I personally prefer vegetable alternatives such as zucchini strands and spaghetti squash (both have much less impact on blood sugars and are far more nutrient-dense). Of course, if you prefer to continue your fantasy instead . . .View Thread
About 58% of ingested protein does convert to glucose although it is at a very slow rate. Often, patients still have beta cells that secrete enough insulin to keep up with the demand that protein requires. In your wife's case, she may not. This is a quote from a forum post regarding the use of glyburide:
"It is going to be important to get your fasting numbers down one way or another, as those are the most crucial readings, and sometimes it's just not possible with diet control alone (my problem also started with fasting, then spread to everything else).
That said, glyburide does cross the placenta, it is not FDA approved for use in pregnancy, and it does carry a very small risk of stillbirth (so does untreated GD). Insulin, on the other hand, does not cross the placenta and is the medically recommended method for treating GD, but it does involve multiple daily self-injections versus the ease of a single pill a day with glyburide. Many doctors and women prefer the pill for that reason. Doctors will often say that they believe glyburide to be safe, and that the clinical experience has simply outpaced the FDA proceedings.
Personally, when my diet control began to fail, I insisted on insulin. It is clearly superior, with fewer risks, plus I'm an LPN, so I am familiar with injections of all kinds and handling insulin in particular. I love it!! It has given me perfect control over my blood sugar, with zero complications or concerns. I had been sicker than I realized for some time, and the insulin fixed me up overnight. It has also given me the flexibility on special occasions (ie. baby shower, Thanksgiving) to tailor my doses to my food intake so that a splurge didn't blow out the numbers. (For the record, you shouldn't do something like that without talking to your doctor, unless you have the training for it, which I do.)" — Babycenter Community Forums
My own endocrinologist uses insulin for the vast majority of his GD patients. It provides much more precise control without the potentially adverse side effects of oral medications that could harm the fetus. Also, oral meds do not provide the degree of control that your wife seems to require. It might be wise to explore the use of insulin with her doctor or a specialist as Flutetooter suggested. As the post above stated, "the insulin fixed me up overnight."View Thread
Welcome to the forums, Sophia. Most of the "regulars" on this site are old enough to be your parent or grandparent but together, we do have many decades of experience dealing with diabetes; some of us more successfully than others. Since our bodies are all somewhat different, every experience, whether it applies to you or not, may be helpful for you in understanding the disease that we all share in common. There aren't very many teens that frequent these forums and if that is your primary interest, you may want to explore other sites. But if its advice and tips that you desire, then you've come to the right place. You state that you "don't eat (any) carbohydrates at all." If you consume any vegetables, fruit, or processed food products (stuff that comes in a box, bag, bottle or can), then you are ingesting carbs, probably a lot more than you realize. Treat your body as your own private science experiment. Try eliminating all processed foods from your diet for just ten days (virtually anything that is prepackaged; especially anything that contains grains and starches). Test your blood sugars before and after your meals and keep a diary of the results. Post back with any questions that may arise before, during and after you conduct this exploration into self. Most PWDs will lose weight just by eliminating grains and processed food products from their diet. I would be interested in your own experience.View Thread
The photo did not display due to the damaged server-forum software that WebMD has still not fixed. To view the picture, which is a snapshot of the actual quiz and wrong-headed answer, just highlight and copy the portion in the above post that begins with "http" and ends with ".png." Then paste it into your browser.View Thread
That's the impression that a newly-diagnosed PWD got after taking one of the Diabetes Quizzes on this site. I had to double-check her answers to confirm this. Of course, the misinformed advice follows the protocol originally formulated by the "A.D.A." To wit, "PWDs can eat anything they want . . . as long as their portions are reasonable." Is that why 90% of PWDs go on to develop complications, that 75% of us suffer a cardiac-related death, that 80% of those in the kidney dialysis clinic are PWD, that PWDs represent the lion's share of non-traumatic amputations, that diabetes is considered to be the 6th or 7th leading cause of death (varies, depending on the survey)? Isn't it time to end this nonsense and provide advice that will truly protect and improve health and not degrade it? Shucks, even people who are NOT diabetic should be avoiding processed sugary foods.
Although the A.D.A. now shies away from making specific dietary recommendations for carbohydrates on their site, the vast majority of dieticians and medical personnel continue to recommend high-carb diets even in the face of the declining health of their patients. Is it because they just don't see the connection or is it because they just attribute it to aging or the "natural progression" of diabetes? View Thread
Your question contains contradictions. A sweetener can't be both "artificial" and "natural." Only food manufacturers apply the terms interchangeably to deceive consumers and sell unhealthy products. Both stevia and SOME sugar alcohols are natural; the best ones being erythritol and xylitol. Stevia extract is approximately 300 times sweeter than sugar and comes from a natural plant. Because of its sweetening power, only very small amounts are needed to impart a sweet taste to beverages and dishes. To assist in measuring out the tiny amount needed, most manufacturers use a filler to add bulk. Earlier Truvia products used dextrose (glucose) as their choice of filler and it was not a good choice for PWDs. The manufacturer has since changed over to erythritol as the filling agent making it a reasonably good choice. However, the Truvia Baking Blend product still contains sugar (approximately 2 grams per teaspoonful) and may be unwise for those still struggling with good blood glucose control. The long term use of Splenda may lead to health problems(just Google it or use Yahoo, Bing, or any other search engine). I won't bother to provide links since WebMD's server-forum software is still dysfunctional and doesn't display links, line breaks, and some punctuation properly (that should answer your separate post asking about "What do all those brackets mean?").View Thread
There are many ingested substances that will raise blood sugar, even a B vitamin. These include antipsychotics (tricyclic antidepressants), beta blockers, corticosteroids, diuretics, epinephrine, estrogen, lithium, vitamin B-3 (niacin), Omega-3 supplements. Most of us already know that many food products will also raise blood sugars but some of the worst offenders are food products that contain refined grains and starches (including so-called healthy whole grains; once ground into flour, they are no longer "healthy" for diabetics), fruit juices, dried fruit and many, many more.View Thread
Brunosbud and Lynne have provided you with good general advice, especially Bruno's. The best way to determine what is right for you is to actually perform before-and-after blood glucose testing (it will require an investment in a meter and strips but the ones sold at WalMart are accurate enough for your self-experiment and are relatively inexpensive). You can download a PDF file from the Blood Sugar 101 site named "Flyer.pdf" that will provide the relatively simple instructions involved. To access the flyer instructions, go to the www.bloodsugar101.com website and click on the link on the left side entitled, How To Lower Your Blood Sugar. There will also be a link near the bottom of the page to download a streamlined PDF copy. You won't have to give up pasta if you're not yet diabetic but with a BG Meter, you can actually see the impact that it has on your blood sugar levels. This becomes even more critical as you age. There is a neat little appliance-tool called Veggetti that is sold at Bed Bath and Beyond for around $15. It will shred zucchini squash into spaghetti-like strands that will provide a faux-spaghetti that can be quite satisfying. WebMD's posting software is still fouled up and doesn't display links, line breaks or even some punctuation properly. That's why this post is one long paragraph - to make it easier to read. To locate the product I mentioned, just go to the Bed Bath and Beyond website and do a search for VEGGETTI to locate it.View Thread