I'm very scared right now. I posted in the Pre-diabetes forums, but just today I've had a sudden spike in my BG readings.

This morning my fasting was 113, but I think I messed it up because the blood has smeared. I took it again and it read 85. Then in a couple of minutes was at 99.

I took it again 1 hour after having one piece of sprouted grain bread with an egg. It was 146. It's never gone this high and I have had this same meal, but with 2 pieces of bread and it was only 108.

I just had lunch and took it one hour after and it was 164. It was brown rice, with ground turkey and vegetables in a stir fry sauce. The last time I had this same meal, it was 101 at one hour.

What could be going on? I did the 164 reading twice because I couldn't believe it. Could my meter be screwed up. This is the first day I've ever had such high numbers that I know of. I'm going through peri-menopause, and have had a rough few days with butterflies (adrenalin) constantly in my stomach. Could that be it? Should I be concerned? I'm shaking, I'm so scared.

Here's what I posted in the PD forum for reference of what my numbers have been like over the last few years.
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Hi everyone, I've been lurking and thought I would post.

In 2006 I had my first pysical that included a BG test.

The test came with a reading of 113. The Dr. sent me back in 3 months and I insisted on having the OGTT done as well. That test came back at 103 fasting and 118 OGTT at 2 hours. I'm in Canada, and this is considered normal.

In 2006 I was Dxd with Ulcerative colitis. Thankfully it's a mild case of it and I've achieved remission for the most part...flares here and there though. It's thought to be an autoimmune disease, but from reading, some medical people aren't so sure.

In 2007 I had another test done and fasting came back at 104. Basically the same as the previous year. My Dr. asked me if I ever had GD and I told him I didn't know because my Dr. at the time didn't give me a test. He only tested my pee weekly. That was 27 years ago. My baby was large, 9lbs 13 oz, but he was more than 2 weeks late.

In 2007 I decided that even though considered 'normal' it would be beneficial to purchase a meter. Over cautious..perhaps.

I've tested myself at all different times of the day, fasting (then 2 hours after meals. Recently I've been testing at 1 hour to see if that's when I peak. My after meal numbers are usually around 110-115 at one hour (I've only done this a few times) and at 2 hours it's 100 or just a little over. This is after eating whole wheat spaghetti, turkey burger on a whole wheat bun, rice with meals etc, even a very occasional fast food burger. The highest I've ever been, and it was only 1 time is 158 at 2 hours after a filet 'o fish and fries at McDonalds . The odd time it's been 130ish, but very, very rarely.

I always make sure I'm having some lean protein and veggies with my carbs (low GI, usually).

I test for a week or so every few months to see what's going on...checking for changes. For months I had been at 84 fasting and 95-110 - 2 hours after most meals.

In the last couple of weeks my fasting has been 97-104 and my after meal nos. are about 100-115. It seems they've jumped just a little. I am having a slight flare with my colitis, so I'm not sure if that could have something to do with it.

This increase could be totally normal for me, as I go for weeks without testing and it could be that this does happen and I just don't know it because I'm not testing at the time.and around for a while?

The reason I'm posting here is to maybe see what you guys think could be going on with me. Am I PD, type 1.5 or normal?

I'm a 50 year old female, 5'6" weighing about 130lbs. I have low blood pressure, great cholesterol, so obviously not the typical type 2. I do know that type 2's can be slim though.

I don't know my family history as I was adopted, so I'm sort of flying blind as to what might be down the road for me. I'm also curious to know more about LADA. I assume that if I did have GD 27 years ago, and had autoimmune D it would have manifested itself by now in a bigger way than slightly high fasting nos., or can it hide in there waiting...I really don't know.

Would my fasting and PP nos. have gone up since I first found out my nos. were a little high 3 1/2 years ago? They've basically stayed the same even though I don't eat a totally low carb diet.

I realize no one can Dx me on a message board, but would be interested to read what your thoughts on my situation are. Thanks very much for reading this.

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I think you're getting worried over little. Your numbers are still quite very good, but if you feel uncomfortable, then you should call your doctor. You may be eating the same foods, but it is unlikely that your A) Activity B) stress C) mood or D) social environment is precisely the same. I would suggest drinking a lot of water and going for a walk, and then test again. See if your numbers come down. If they don't, don't stress, because that'll make them go higher. Just stay relaxed, and call your DR at your earliest convenience.
Hi Christine, Thank you for replying. I hope I'm getting worried over nothing. I've just never seen my numbers go this high before. It's a jump from one day to next almost. Even with LADA, I don't think it acts that way. I've always heard it's more gradual than within a few days.

I'm really trying not to stress, but my hormones seem to take over my brain and my regular brain goes on vacation. I hope I'll get some more answers from my Dr. when I go on Friday and ask for the A1c.
Hey Norma,
Just remember that while you are stressing over your numbers and their variations each day, that all the home glucose monitors we use, are only required to be 20% accurate compared to an actual veinous blood draw. That means if your BG is actually 100, the meter can read from 80 - 120 and still be 100% working and calibrated. Given a true BG # like 125, an your meter could read 150. This is the reason why they will not diagnose diabetes with a home meter. I have on many occasions taken several readings from the same drop of blood, with the same meter and came out with drastically different results. Other things like food and lotion on fingers can affect readings as well. Also, things like drugs (like tylenol & vitamin c) , dehydration and hemocrit can affect home monitors.

My point is not to panic over small changes in home meters, I would be more interested in lab values and A1Cs over time.
Hi Mandy, Thanks for the reply. I do understand what you're saying about meters and their fallibility. I've been monitoring off and on for a couple of years with my own monitor and don't ever sweat the small deviations.

These last few days have worried me, because they are consistently higher than they've ever been before. I've never, ever had a readings this high before. For example today at lunch I had homemade turkey barley soup. Normally at 2 hours this has never gone above 95 or so at 2 hours. Today it was at 117, and even at 3 hours it hasn't gone below 108.

It's the change in pattern that has me concerned. I eat a fairly consistent diet from week to week, so it's easy for me to compare what a meal did last week, last month compared to today.

It is strange about meters though isn't it? The other morning I got an 85 and 103 from the same pin prick using different strips. I'll definitely feel like I know more once I get an A1c done. Thanks.
I know this won't happen ....but give up worring about it ;aniexty doesn't help. Aniexty will in fact cause a raise in BG.This is part of the "fight or flight" response. Being diabetic regardless the type ,T1 ,T2, or LADA isn't the end of the world; itis a chance to start living a healther life style.

GD 27yrs. ago would increase your chance of T2 not auto-immune types such as LADA. Around middle age the chance of T2 is most likely to happen .Diabetes is also an inflamatory disease which is also increases with age. Insulin is the one hormone that doesn't decrease normally with age . In type 2 it is more of a metabolic disorder ,this is one reason over weight be comes an issue. When the amount of insulin is greater than the demand the body becomes resistant to insulin . The number of receptor on the cell reduce in number. Another factor is that the body maybe making enough insulin but there is a chance in the structure of the molecue and the receptors no long respond .... sort of like trying to fit a wrong key in a lock. Trans Fats can cause diabetes ; give up the fast food french fries ! 5% of those with T2 have no risk factor such as family Hx ,weight Race ,ect.

15 to 20% of all adults Dx as T2 are reallly LADA .The only way to tell for sure is a GAD test to check for anti-bodies and to check c-peptide levels. For the LADA there is the "honeymoon period" during this time the pancrease will still produce enough of your own insulin .However ,the production may be spuratic and there is no rhyme or reason for BG level .This is very frustating ,especially when you have be careful with your diet. Often LADA follows a bout with a viral infection.

Morning BS are often higher ,this is call the "dawn phenomenom" This is due to the fact that the body releases a stress hormone to wake us. Non-diabetics have it as well the difference is theirs goes back to normal shortly there after.

Don't even worry about 1 hour readings of glucose after eating ,this still in the normal time for glucose to spike . You want to look at 2 hour and if it is high check it again in a 1/2hr. What you had to eat with effect the time of recovery.

Regardless Non-diabetic or what type diabetic must people can benifit from the same things ..... A low glycemic diet , higher amounts of Omga 3 oils exercise . The Zone diet seems to be very effective. The one thing that has proven to increase longavity in all animals including humans is caloire reduction.

The change in your hormone will have an effect on every thing including BG but the good news the same step will also help with the hormonal changes.
Hi Joe Dennis, Thanks for taking the time to reply to me.

I truly, truly am trying not to stress about this, but it's like my old brain is gone :P

I never used to test at anything other than fasting and 2 and 3 hours. I think seeing how high it can go after one hour is what's really freaking me out. From the studies I've read, most people peak at about 45 minutes. The soonest I've ever done is one hour. I imagine if peak is even before an hour I could be even higher then.

Another thing I find interesting is how many articles I read and people on message boards that say a normal person NEVER ever goes above 120. I've actually found some studies that show this isn't true. I suppose you could say that they just happened to pick a bunch of people that really aren't' normal, but I highly doubt it.

I found one that I cited on page 1 of this thread in my reply to Libby. Here's another one I found from the 1920's. They took the readings from young people 15-20 times over 3 hours. It clearly shows that normal people do go quite a ways up there, come down, then some go back up again before levelling out. Interesting read.

http://www.jbc.org/cgi/reprint/67/3/629.pdf

That's why I laugh when I see Dr. Bernstein's claims that no matter when he tests a normal person they are always around 85. How could that be?
You should be checking your BG 2 hours post meat to get an accurate picture of how the food is effecting your blood sugars.
It's common for a non-diabetic to shoot up to 150 after eating something. My son's best friend has 1.5 LADA and his BG are to die for from a Type 1 diabetic's stand point. He takes one shot of Lantus in the morning and he's good for the day. His A1C is never over 7.
Thanks Mattie Shaw. I agree that normal people do go up higher than we're led to believe. See my post above to Joe Dennis. There's a link to a study done in the 1920's.
Hi Emmy, Thanks for replying. I've been reading what stress can do, even to normal people's BGs and wonder if that's what's happening to me. The anxiety I've been feeling since starting peri is something I never would have imagined. I never used to be a stressed out person at all.

Now, having butterflies like I'm about to give a speech in front of thousands is an all day, everyday occurence sometimes. I was actually in this same state when I had my first BGs done in early '06. My BGs levelled off and were very stable up until recently when this attack of nerves came back.

I'm going to watch my carb intake, be more active and really work on the anxiety and see where that gets me. I don't know why, but I fear type I so much more than if I was told I had type II. I want to have the GAD done, but really there isn't much evidence at this point for my Dr. to agree.

I HATE being irrational!!

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