Hi, blood glucose levels can be affected by poor sleep and it's important that you get to the bottom of your sleep problems not only because of your pre-diabetes but because poor sleep can predispose you to high blood pressure, heart disease, work and concentration problems, and decreased quality of life! Fixing your sleep problems isn't guaranteed to correct blood glucose but it can't hurt. I'd suggest a frank discussion with your health care provider regarding your sleep problems and whether or not you are at risk for sleep apnea. Kind regards, Laurie View Thread
Hi, Glucose readings in a person without diabetes when tested 2 hours after meals tend to be in the "normal" range of 70-to less than 125 mg/dl, however according to most sources it can be as high as 140 in the time frame and still be considered normal. The goal for people with diabetes is less than 180 when tested 2 hours after a meal, however there are health care providers who recommend tighter control on an individual basis, depending on factors such as type of diabetes and age of the individual. In a young person it is likely to be recommended that the individual have tighter control to prevent long term complications. In an lder person it may be recommended to have slightly higher goals throughout the day to prevent low glucose and the potential consequences, sich as falls. Here are two reliable sources of additional information; I have included the Joslin site because it shows a comparison between those with and without diabetes.
Hi, there are other medication options and you are not on a very large dose of the medication that has already prescribed, so you have options. Some of the newer medications are very expensive, however if you are able to try one of them through doctors samples and find that they help, you can apply for assistance (reduced cost coupons or free) to be able to afford them. It is also helpful to keep your blood glucose under control. The evidence is that controlling glucose with prevent neuropathy early in the course of the process and keep it from worsening once it's etablished. Kind regards, Laurie Anderson, RNPView Thread
Hi, what time do you take your Lantus? Most people don't have a peak with this type of insulin, but some do experience a low sometime in the 24 hours that do make one wonder about a peak or irregular absorption for them.
Secondly, early AM low blood glucose can result from correction for high blood glucose before bed. If you are high as the day wears on, as you seem to be, and you correct with a bedtime bolus of Humalog you may need to back off on that dose to prevent early AM lows. Also be careful of "stacking" insulin, which means taking several doses close together (to cover a meal plus hyperglycemia later in the evening, then taking a bedtime dose for elevated glucose before the previous dose has worn off). Stacking can result in a low blood glucose and can particularly happen when your absorption is irregular. This happens to some people with the frequent use if the same, convenient injection sites. If you have any scar tissue it can delay absorption or result in uneven absorption.
Medtronic has a device called the IPro which is a 24 hour glucose monitor that one can wear for 5 days in a row. It provides continuous data on your blood sugar readings that can be invaluable when attempting to figure out the pattern of your glucose. If you have access to this through your health care provider it might help to wear this device. Working with a rep from Medtronic would also give you an opportunity to ask about insulin pump use, and whether or not it would be right for you. I agree with the previous poster that a pump can really make a difference in one's glucose control and increase flexibility of management. Kind regards, Laurie
The term "diabetic sock" is made up for marketing purposes and it allows for a big price tag. What tends to set them apart is that they don't have seams that rub and are made of fibers that wick away moisture such as cotton, wool, hemp, and bamboo and they aremore stretchy so they don't dig in to your skin. Others are more elastic support hose and these would compress the tissues possibly improving the edema, but they atr very tight and could be challenging to put on. I would look for socks that meet your needs with an emphasis on natural fibers, lack of seams, and a cut (height on the leg) that you find comfortable.
It is a misconception that people who are healthy and not overweight can't develop diabetes; unfortunately they can! You are correct, an A1C of 5.7 to 6.4% are considered to be in the "prediabetes" or glucose intolerant range. At 6.5% you would be a person with diabetes.
Factors such as your previously being overweight could play a part in your elevated A1C (a small percentage of the A1C number actually goes back as far as your blood glucoses 4 months ago), so working toward a healthy weight is a great way to decrease your risk of developing diabetes. Your family history also plays a large part in your risk.
You are barely within the range of abnormal A1C, so try not to be too hard on yourself! I would suggest that you continue to take good care of yourself by exercising and eating well, and discuss rechecking your A1C with your doctor in about 6 months to see how things are going.
I'd also recommend that people test their blood glucose before starting their exercise (swim, gym, walk, bike etcetera) and have a pre-exercise snack if lower than 100 mg/dl. If you are exercising more than an hour I would also consider checking in the middle of your workout, especially if you tend to go low. If you don't check before the end of your workout then please check before you drive away from the gym. These simple steps could prevent a life-threatening low blood glucose. Snacks taken before a workout will be burned off with the exercise so it should not be a signicant source of weight gain.
Hi, A1C is based on a 3 month average and was not affected by our morning yogurt. Your random glucose of 65 mg/dl was influenced by your AM yogurt and it looks like it was a good thing that you ate it! Kind regards, LaurieView Thread
In addition to the great comments already posted I want to emphasize that when one is ill the effect on the blood glucose is often for it to be higher than usual. This means that even if you are nauseated and/or vomiting, you must check your blood glucose and take your medications. This is critical for people with type 1 diabetes and also very important for those with type 2, who may be able to "last" a little longer than their type 1 counterparts, but who'll eventually become very ill with high blood glucose as well if unable to keep themselves hydrated and take their glucose lowering medications. Please test often and call your health care provider if your glucose is consistently elevated. Attempt to take the equivalent of a teaspoonful of liquid every 5 minutes while awake to stay hydrated. If you are vomiting wait 2 hours after an episode then try the sip every 5 minutes routine to regain hydration. There are over the counter medications that will help nausea; ask your pharmacist for help and put your selection in your "sick day box" so you have it when you need it. Considerations for choosing these medications would be allergies and conflicts with your other medications.
A "sick day box" is a box that is in your house and ready to go for when you are ill. It contains medications that might help when you are ill, such as a sugar-free cough medication, anti-nausea medications, decongestants that are safe for you (such as a decongestant that is safe even if you have high blood pressure), and foods that you can eat to maintain hydration and nutrition without eating heavy meals. Some examples are Jell-O, juice boxes, broth, puddings, and ginger ale or other soda of choice. These ingredients should be a mixture of sugar-free and a few full sugar options so that you can eat what's needed to address your blood glucose at any given time. You should talk with your health care provider about things that he or she suggests for your individual box. For example for some of my patients their box includes short-acting insulin to use to control their blood glucose when ill. They have a written sliding scale to use to "cover" a high blood glucose when they are ill and have been taught how to inject before they ever need to do this. Being ill is a challenge for all of us, but this can be especially true for those living with diabetes. Planning ahead can help you to meet this challenge successfully! Laurie
Spike, lots of things could be causing that blood gluose rise. Are you also eating at that time? Having breakfast would cause your glucose to rise as well. If you'd like me to comment on specific medications please list them for me. Thanks, LaurieView Thread