Your A1c is not a bad number. That being said, it is still above the average for a non-diabetic. Most doctors say that an A1c above 5.7 is an indicator of developing diabetes.
Please note that I said average for a non-diabetic. A non-diabetic will average 85 daily with an A1c of 4.6.
An A1c of 5.5 indicates an average blood sugar reading of 111 daily for the past three months. Your fasting BS is only one number taken throughout the 24 hour period. What about the rest of the 23 hours throughout the day? Do you ever test two hours after a meal? After exercise? Before bed?
As I said, a non-diabetic will average an 85 reading at any given time of day, except for right after eating any carbs. However, if that number rises after the meal, it generally returns to the 80's two hours after any meal.
This is a forum for diabetics. There are no medical professionals on board here. You will need to talk with your doctor. Does diabetes run in your family? Are you overweight? Do you exercise? If not, are you physically active?
Familial history of diabetes, inactivity, overweight, high blood pressure, high cholesterol, etc. are risk factors for developing diabetes. If any pertain to you, it would be a good idea to talk with your doctor.View Thread
Fruits have a lot of natural sugar in them. Some more than others. Juice alone is pure sugar with vitamins and minerals. As Michelle stated, whole fruits are better for you.
Do you test your blood sugar? Does not hurt to experiment. Take your blood sugar before you drink that juice. Take your BS about 1/2 hour later and one hour later. See what the juice does to your blood sugar.
Everyone is different when it comes to things we can eat and drink. I sniff carbohydrates and my blood sugar goes up. That's me. You might be different.
I am just generally speaking when it comes to fruit juices. It raises the blood sugar of many. That is why when a diabetic or anyone else has a hypoglycemic (low blood sugar) episode, fruit juice is recommended as a therapeutic agent to bring the blood sugar up.View Thread
There is something going on here if you cannot get your numbers below 199.
I am not a medical professional. Only another diabetic living daily life.
The post is a bit vague. Exactly what is "watch everything that I eat." Were you given a carb count per meal by your doctor and/or a dietician? Do you eat more complex carbs than any other carbs? Carb counting diligently is essential in maintaining your glucose numbers.
When do you test? Is is just once a day? Do you test two hours after a meal? Before bedtime?
If you cannot figure out what is going on, the first step would be to write down EXACTLY what you eat per meal and how many carbs are in that meal. Take your BS reading before you eat. Test exactly two hours after that meal to see where you stand. That two-hour post-prandial number should be under 140. Also, read all the nutrition labels on everything you purchase. Invest in a carb counter, so you know exactly how many carbs you are eating.
I do not know what kind of insulin you take or what the dosage might be. There are different kinds of insulin. Basal insulin, which is a 24-hour acting insulin designed to keep your numbers within range. If you take this insulin and your numbers are not within range, you need to talk with your doctor about this dosage. 199 is too high on a daily basis. This is probably doing organ and vascular damage. The right dosage of the right insulin should bring your numbers down.
I take two insulins, the basal and a rapid-acting insulin with my meals. The rapid-acting insulin is designed to keep your BS numbers from going up if you eat carbs. My doctor gave me a ratio of 1 unit of insulin to every 12 carbs I eat. I am supposed to test before I eat to see if my BS is above 120. If that is the case, I need to take an additional unit of Humalog besides the carb ratio dosage. Essentially, I adhere to the insulin-carb ratio along with a sliding scale, if needed.
Regarding the basal insulin - it may take some time for you and your doctor to get the dosage correct. You need to let him/her know that your numbers are not coming down where they should be. My doctor started me out on Lantus, injecting 18 units every morning. That dosage did not touch my BS readings. He upped the dosage in increments until I reached 40 units every morning.
I have been able to bring down the dosage of Lantus because of being very active at my job. I also don't need to take the rapid-acting insulin at lunchtime thanks to this activity.
Talk with your doctor. Everyone is different in how they manage their diabetes. It is important to bring your numbers within range to avoid doing any damage to your body.View Thread
Ann, your numbers are indicative of diabetes. You are concerned, otherwise you wouldn't have posted here. Also, you are testing and watching. If diabetes runs in your family, you may be predisposed. Any extra pounds will show in your blood sugar readings. Being sedentary does not help your blood sugar numbers. I do not know your age and/or physical capabilities, but keeping your blood sugar readings within the normal range entail being active and eating right. Eating right for most of us requires attention to the amount of carbs we ingest.
As we are all individuals, our diabetes is individual. Many can get their numbers under control by eating right, exercising or keeping physically active and being within their weight range. They require no medication. Others do the same but need meds to help control their numbers.
Since you have not been diagnosed, I don't know if your doctor would refer you to a registered dietician.
A non-diabetic's average blood glucose will be around 85 at any given time of day. The blood glucose will rise right after eating meals with carbs but soon returns to normal.
An A1c of 6.2 indicates an average blood glucose of 131 daily. Ann, that is not normal. Your BS can be any given number throughout the day, but you are still averaging 131. That is a far cry from the non-diabetic average of 85.
Ann, lose the weight as your doctor has asked you to. You might find your numbers dropping as your weight drops. You can also get a second opinion from an endocrinologist (specialist in glandular disorders) if you wish. He/she will probably tell you the same thing about losing weight in order to get your numbers under control.
Watch your nutrition labels carefully. Diabetes is a disease of carbohydrate metabolism. Your body is not using the glucose properly which may be due to several reasons. The TOTAL CARBOHYDRATE line is the one to watch.
If your insurance permits, ask your doctor for a referral to a registered dietician. We are all different in how many carbs we can eat throughout the day. I, myself, am restricted to a lower number than many because I was diagnosed as an uncontrolled diabetic. For example, my dietician recommended 35-45 carbohydrates per meal. These numbers were given to me when she looked at my BG numbers and my A1c. My first A1c was 13.2. Little bit out there. LOL. By watching my carbs and being much more active, plus insulin, I have been able to get it down to 5.6.
If you can, get active. It does not have to be formal exercise. I am very active because of the job I have. For 3-4 hours per day, I am constantly moving. This keeps my numbers where they should be.View Thread
First of all, Lizz, so sorry about your loss. Devastating for anyone.
Lizz, there is a learning curve when it comes to managing diabetes. As alcf stated, carbs are the thing to watch carefully. It is not just sugar. Any foods you buy that have a nutrition label, look at the TOTAL CARBOHYDRATE line. Any sugar(s) in that food will be INCLUDED in the TOTAL CARBOHYDRATE line. In the absence of nutrition labels, find a carb counter, i.e., THE CALORIE KING. This is just one example.
When I was diagnosed, my doctor referred me to a registered dietician. If your insurance permits, ask your doctor for a referral. I had a few appointments with her. I was diagnosed as an "uncontrolled diabetic." This is not a friendly label, I assure you.
Getting your numbers into the "normal" zone takes a lot of hard work and determination. It is an actual lifestyle change. Changing your eating habits, losing weight if you need to and maintaining physical activity every day, if possible. I see that you have physical pain. I don't know what this entails, but if you can manage any physical activity (does not have to be formal exercise), this is a huge bonus in getting your numbers down to normal. Being active will burn that glucose running around in your bloodstream. Our skeletal muscles need glucose to function properly.
If you have enough test strips, take your BS reading before you eat, then two hours after you eat. Record this along with what you eat. It would also be helpful if you recorded the amount of carbohydrates you ate at that meal.
Eventually, this will be become "old hat" to you. It takes a bit of time and lots of patience. We all started at the same point you are at. Do not lose sight of the fact that eating better will make you feel better and give you more energy.
Incorporate as many veggies and lean proteins into your diet as you can. All of our foods have carbs in them except for your proteins and fats.
The lunch you gave as an example was probably chock-full of carbs. I don't what kind of bread you had or if it was a roll/bun, but the nutrition label of the bread I have says that one serving is one slice of bread. That one slice of bread is 21 grams of carbs. Make a sandwich = 2 slices. Right there, just the two slices is 42 grams of carbs. The fries, well, was it a small serving, medium serving, large serving? Can you tell where I am going here? Then the soda - more carbs.
Your a.m. fasting should be between 70-110. Two hours after a meal your BS should be below 140. Before bed: 70-110
When you test two hours after a meal and your reading is above 140, it's a good indication that you ate too many carbs at one sitting.
The glyburide you are taking is one of the most potent sulfonylrea drugs on the market. It works by sensitizing functioning pancreatic beta cells to release insulin if presence of high blood sugar is detected. This is the natural work of a pancreas; release insulin if high blood sugar is detected.
Each and every one of us is different when it comes to diabetes. Since diagnosis, I have been on two insulins. I was never overweight and ate normally. I was and am active. My first A1c was 13.2 - through no fault of my own. I hear you on working hard and being dedicated to bringing this disease under control. I have too. I've brought my A1c down to 5.6. Very hard work. Watch the carb intake, stay active and, of course, take the insulin.
My doctor believes my pancreatic cells just pooped out meaning I do not make insulin naturally any longer. He believes that I had had diabetes for many many years before being formally diagnosed...and, yes, it runs in my family with my mother also being an insulin-dependent diabetic.
No, you have not failed. Best of luck with your doctor appointment. Let us know how things turned out.View Thread
Anon is right. Is your diabetes under control with the insulin usage? Did you start off using insulin at diagnosis?
It is likely you may have had diabetes many long years prior to diagnosis. This happens with many diabetics. Blood sugar readings above the norm slowly do damage to nearly everything in our bodies.
It will be soon nine years that I have been using insulin. I have had no changes at all in my teeth or my mouth. As I said, BS readings above the norm can do a lot of damage before diagnosis.
One thing that I would change ASAP is your ingestion of diet soda. These drinks contain phosphorus and carbonation which will wear away the enamel on your teeth. Foods with lots of acids in them will do the same thing. Switch to water. If you do drink the soda, try chewing sugar free gum to help free your teeth of the acids from the soda.View Thread