Replies to This Discussion

Permalink Reply by Paul Curwen on January 25, 2011 at 8:56am

Hi, and Welcome!

Those numbers are very high. In Canada we use the mmol and in US mg/dl. I've been told and read (at bloodsugar101.com) that damage can occur if blood sugar is above 7.8 mmol for long periods of time. With those numbers I would think you are LADA or Type 1. I take Metformin twice daily and have morning fasting around 5 mmol. What is your A1C? This is an average over 3 months and will give you a better picture of whats happening, deally you want to be below 7.

Sorry, just saw your profile and 15 A1C...

I would certainly ask your Dr to be tested for LADA.

Paul

Permalink Reply by steelhead on January 25, 2011 at 9:08am

Thanks Paul. I will look into that. Don't worry you didn't freak me out. lol. It is what it is. Yah I am going to dr now as a matter of fact for the A1c fasting. I pricked my finger just now and it was 15.4 mmol. I haven't eaten for 1 hours. It is undoubtedly very high. I wonder if more exercise and salads for crying out loud is the only answer.lol.
After the results of todays bloodwork I will ask the dr about LADA..
Cheers

Permalink Reply by PJtype2 on January 25, 2011 at 9:38am

Can you tell us what you ate that gave you 15.4 reading.

Taking a reading 1 hr after eating is the peak of your glucose. Last night I had 1/2 cup muesli reading was 9.8 at the hour mark the cereal is now on my do not eat list.

Permalink Reply by Paul Curwen on January 25, 2011 at 10:00am

Please let me know what the Dr tells you. I too think I could be LADA but obviously not as far along as you. I have had a terrible time here in Ontario finding a Dr that even knows what LADA is. I'm 46 and have been slim all my life (currently 155lbs at 6') with no history of diabetes in my family. I have always exercised and taken relatively good care of my health. So when I was told I had Type 2 most of my family and friends told me my Dr was nuts ;)

I haven't had a LADA test because my numbers are not too bad especially now on the Metformin so will just stay the course until the numbers change.

What does your basic diet consist of? I'm on a very reduced carb diet (no bread, pasta rice and potatoes etc etc) My numbers would be 10-13 after eating high carb meals like a healthy serving of pasta so I just avoid it. I do miss these foods but have just accepted I cannot eat them in high quantities...

If you need any help with some food choices just drop me a message and if you could let me know what Dr says I would be interested... Good Luck!

Paul

Permalink Reply by PJtype2 on January 25, 2011 at 10:19am

How high is in terms of emergency 26 mmol and how long until medical issues arise at 15 mmol constantly? What would the issues be initially?

If you have a reading o 26mmol/l there is a possibility of diabetic ketoacidosis, this mostly occurs to type 1 individuals or LADA , what happens is there is no insulin in the blood the liver signals for ketosis(fat burning) ketone levels rise the combination of high BG and ketones is a very serious condition.Buy some ketone strips from your pharmacyand test for ketones get your Dr to order a GAD test.

A constant 15mmol/l would just a guess present with detectable diabetic complications in ~ 3 months.
You would start to present with microalbumin in your urine eye capilllaries would start leaking you would notice numbness or tingling in your feet and/or hands.

Permalink Reply by steelhead on January 25, 2011 at 10:46am

Thanks for all the replies. I appreciate the input and information. As for what I ate before most morning readings around 14-16 mmol it was at least 8 hrs before the test so there should be sufficient time to allow for a drop in readings. I have completely cut out alcohol but for a splash of baileys in a coffee once in a blue moon, but I haven't been as diligent on my diet lately. Christmas and all I suppose. Anyways The consistency of 14-15 mmol is there, and it seems now regardless of what I do save for proper diabetic dieting it is consistent. I still am 20-30 lbs overweight. The tests this morning are done and they included urine sample for protein I understand. Never had that one before. The 26 mmol reading was only once but it took about 2 days to get below 16 mmol. At the diagnosis time I was around 19-24 all the time. I have never heard of this LADA either. I have yet to Google that one. About the symptoms...Has anyone had a bout of what seems like restless leg syndrome. I have that lately from time to time but nothing tingles. It seems like the symptoms but my feeling is it is not exactly like the description of the syndrome. I wonder if it's a symptom or not. I just know I haven't felt sharp mentally or physically for quite some time. I guess bottom line is exercise and diet. I lately have been doubling the dose of metformin to two 500 mg pills three times a day and think that is too much so backed off to the prescribed 500 mg 3 times a day. Lots of stuff. Thanks again. I realize my post is kind of all over the place...

Permalink Reply by steelhead on January 25, 2011 at 10:53am

Sorry in the post near the top I said I didnt eat for 1 hr-that was supposed to be 11 hrs..

Permalink Reply by PJtype2 on January 25, 2011 at 10:54am

I lately have been doubling the dose of metformin to two 500 mg pills three times a day and think that is too much so backed off to the prescribed 500 mg 3 times a day.

Thats good max Met dose is 2.5 gm you were dosing 3 gm possibility of lactic acidosis very serious condition.

Permalink Reply by PJtype2 on January 25, 2011 at 11:06am

Ok log everything you eat and what your readings are ie before meal 1hr after and 2hr after waking BG and bed BG take to your Dr you need more than Met he will probably prescribe insulin.

Permalink Reply by Andy Taylor on May 15, 2011 at 1:02pm

What feels like restless leg syndrome is hot feet, caused by the high blood sugar.

As a quick measure, I wrap a frozen gelpack in a thin towel and put my feet on it for awhile. This relieves the horrible symptoms, but doesn't cure the underlying cause. If in a bind, you can stand on a cold floor or put a coupla inches of cold water in a tub and stand in it. I've gotten so that I don't sleep with my feet covered. These are, of course, danger signs that your blood sugar is way too high.

Now the choice is about food. You'll be going to a nutritionist and they will explain a healthy diet to you, show you how to read nutritional labels and give you plenty of pamphlets and good stuff if they haven't already done so, according to "Health" Canada. On top of that, you might want to look at food ingredient lists. There is plenty of poison in processed food. I personally am indignant about all of the lab-developed sugar and sweeteners that are out there. In my coffee, I use just a teaspoon of raw agave in my huge mug. Agave is a plant. I'm sure there are plenty of wise people on here to give you better tips than I'm doing...?

Permalink Reply by Lila on January 25, 2011 at 11:09am

I was dxed with A1C of more than 20 which meant that for the three months before that, my BG had been consistently above 20. However, due to a different medical condition, I've been having super-duper-deluxe, all-bells-and-whistles eye checks for the past 10 years and had had an eye test just 6 weeks before dx, and there was no sign of any retinopathy. No other complications either, thank goodness.

But 15 *is* really high and it sounds like insulin is in your future. I would disagree with those saying Type 1 or LADA because you *can* run that high and not have any antibodies which would make you a classic Type 1. I wouldn't be too worried about 'type' labels as long as you're getting the right medical treatment.

Permalink Reply by steelhead on January 25, 2011 at 11:25am

Thanks all. Just read about the LADA. Wow. Seems to describe my situation but for fear of trying to be a Dr when I'm not I'll just pass along the research when the Dr phones me to give me crap about my diet and numbers..lol :)
I am pretty sure the A1c will come back at above 13 closer to 15 if by my own tester after 11 hours no food or drink other than water this morning, I had 15 mmol. Like I say they were all around 15 over the last couple months. Even when I was taking the overdose of 3000mg day of metformin. They dropped a bit but not substantially. I will better log and take regular readings a the times you say PJ and see what's up. I was hoping to stay off insulin but if it'll help me feel clear headed again and physically more energetic then I guess I will. Thanks again all. Good discussion. Wait to see results in a few weeks.

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