Insulin Resistance experience?

torinsmom

<font color=red>I have someone coming to scoop<br>
Joined
Apr 7, 2004
Messages
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Doctor just informed me that I appear to be becoming insulin resistant. She did an AC1 test and it was 5.8% and 6.0% is the upper limit of normal. I am a little upset, because my regular doctor(same practice) did an AC1 a few months ago and said it was normal--This doctor said it was actually 6.0% then. I think the old doctor has had me as a patient too long--15 years--and a new set of eyes may be a good thing.

I have been having symptoms such as fatigue, feeling stressed out, gaining weight despite the same diet, palpitations, and craving carbs.

So.....does anyone know about insulin resistance? I have people on both sides of my family with type 2 diabetes and I would like to avoid it getting that far. I know I need to cut back carbs and start exercising more.

Marsha
 
What you have is called prediabetes most likely. You need to push for a meter and start testing. Test your fasting readings. Anything over 100 is prediabetes, and anything over 125 is full blown diabetes. You also need to test two hours post meal as these are the first readings to show problems. Your fastings are the last to rise. You want to be below 140. Anything between that and 200 is prediabetes, and anything over 200 is diabetes.

Also, demand an Oral Glucose Tolerance Test. You will fast for at least 8 hours, then go and drink a drink that contains 75 grams of glucose. Depending on the lab, they may draw your blood at one, two, and even three hours. Some only do the two hour. This will give you a better idea of what exactly is going on and is considered the gold standard for diagnosis. Yes, it's a pain the butt, but doing these two things will help you.

A1c on its own is a lousy measure. Because it is an average, it can be easily skewed by too many lows. My a1c looks great, but I have readings well over 200 (the diabetes educators do not understand why I am still called prediabetic) but my frequent lows bring my average down. Do you ever experience low blood sugar?

The next thing you want to do is start carb counting. You want to limit yourself to no more than 45 grams of carbs per meal. Many people go even lower than that. This is where a meter comes in handy. Test after each meal- at least for awhile. If you have prediabetes, you should be able to at least get 100 strips a month. If you notice certain food or combinations of food are more likely to make you spike, avoid them.

Knock out soda completely. It's not doing you any favors. Really focus on gettin fat and protein in each meal as that will slow down the absorption of glucose, making it less likely to cause you to spike. Also, look at the source of your carbs. Occasional sweets are not off limits, but limit as much as possible any refined carbs and aim for more complex carbs. Avoid Chinese food, the sauces and rice cause your sugar to jump quickly- we call this the "Chinese Restaurant Effect." Most people find that pasta is difficult to tolerate as well. There is a company called Dreamfield's that makes a special pasta that will not spike you even though it has the same number of carbs. I find it helpful, and my family loves it- they can't tell the difference between that and regular pasta. Bread, potatoes, and rice are also very difficult for people to tolerate in any real quantities.

You also need to start exercising. Aside from helping you lose weight, exercise lowers blood sugar, and not just during the exercise itself. It has a longer lasting effect.

A recent mega study in diabetes prevention (known as the diabetes prevention plan) just published its results. They found that weight loss and exercise was the most effective at preventing diabetes in people with prediabetes than just a diet alone. The one thing I do not like is they did not run a group with the two combined: people were either on strict diet, or exercise and weight loss. I would combine the two to see better results and to feel better.

One place that has helped me tremendously is the diabetes forums: we have one board just for people with prediabetes. Everybody there is helpful, and I have learned so much through them. The address is: http://www.diabetesforums.com/forum.
 
I just wanted to say that I agree with everything EB said. http://www.disboards.com/showthread.php?t=2325732

A better way to think about IR is that it is a very early stage of diabetes. It needs to be managed and treated like diabetes with diet, exercise, and possibly medication (Metformin is the most common medication). Unlike full-blown diabetes, you can turn it around at this point, so it's a great time to make those changes to prevent (or significantly delay) progression to diabetes and improve your health in general! :)

My suggestion to you at this point would be to start getting on forums and getting educated (diabetesforums and dlife are good ones). Tell your doctor what you want (testing supplies are particularly important) and if they don't get on board, get a new doctor. You wouldn't believe how many medical professionals out there are miseducated about diabetes and prediabetes and will tell you rediculous things about it and/or just not take it seriously -- it's really a travesty!

Been there, done that -- I'm still working on the diet and exercise component of getting healthier with IR or prediabetes. I eat relatively low carb, monitor blood sugar, and am increasing exercise. I was on a low dose of Metformin and might eventually go back on that, as well. You won't believe how much healthier I feel when I do all that ... it's like night and day as far as my energy levels, stomach issues (carbohydrate intolerance basically causing lower stomach issues), weight gain problems, and moods.

best of luck to you on this journey!
 
What you have is called prediabetes most likely. You need to push for a meter and start testing. Test your fasting readings. Anything over 100 is prediabetes, and anything over 125 is full blown diabetes. You also need to test two hours post meal as these are the first readings to show problems. Your fastings are the last to rise. You want to be below 140. Anything between that and 200 is prediabetes, and anything over 200 is diabetes.

My lats fasting glucose at the doctor was 110. So I started using a free meter I had gotten. First thing in the morning, my readings were anywhere from 112 to 132. That is what really scared me the most.


Also, demand an Oral Glucose Tolerance Test. You will fast for at least 8 hours, then go and drink a drink that contains 75 grams of glucose. Depending on the lab, they may draw your blood at one, two, and even three hours. Some only do the two hour. This will give you a better idea of what exactly is going on and is considered the gold standard for diagnosis. Yes, it's a pain the butt, but doing these two things will help you.

My primary doctor says she will have to refer me for this. She thinks I may not be down the road far enough for it to show up as prediabetes, and then I may not be able to be referred again soon after. She wants me to start the low carb and exercise and them come back in 2 months. If the AC1 and fasting blood sugar are the same or higher, she will refer me then.


A1c on its own is a lousy measure. Because it is an average, it can be easily skewed by too many lows. My a1c looks great, but I have readings well over 200 (the diabetes educators do not understand why I am still called prediabetic) but my frequent lows bring my average down. Do you ever experience low blood sugar?

Not sure. I don't know the symptoms of that.

The next thing you want to do is start carb counting. You want to limit yourself to no more than 45 grams of carbs per meal. Many people go even lower than that. This is where a meter comes in handy. Test after each meal- at least for awhile. If you have prediabetes, you should be able to at least get 100 strips a month. If you notice certain food or combinations of food are more likely to make you spike, avoid them.

I have done low carb for weight loss before, so I know I can reduce carbs. For me, it is hard to limit a little, I need to really limit or I continue with the cravings. I have a meter, just need more strips. I don't think insurance will cover it until I have been diagnosed officially with prediabetes, but I will call my doctor and ask.

Knock out soda completely. It's not doing you any favors. Really focus on gettin fat and protein in each meal as that will slow down the absorption of glucose, making it less likely to cause you to spike. Also, look at the source of your carbs. Occasional sweets are not off limits, but limit as much as possible any refined carbs and aim for more complex carbs. Avoid Chinese food, the sauces and rice cause your sugar to jump quickly- we call this the "Chinese Restaurant Effect." Most people find that pasta is difficult to tolerate as well. There is a company called Dreamfield's that makes a special pasta that will not spike you even though it has the same number of carbs. I find it helpful, and my family loves it- they can't tell the difference between that and regular pasta. Bread, potatoes, and rice are also very difficult for people to tolerate in any real quantities.

You also need to start exercising. Aside from helping you lose weight, exercise lowers blood sugar, and not just during the exercise itself. It has a longer lasting effect.

Ugh, that one is hard except on weekends. I am a teacher and then babysit for a preschooler after school. I take the dogs for brisk walks when I get home before dark. I may start trying to walk in the morning, but I am SO not a morning person, LOL.

A recent mega study in diabetes prevention (known as the diabetes prevention plan) just published its results. They found that weight loss and exercise was the most effective at preventing diabetes in people with prediabetes than just a diet alone. The one thing I do not like is they did not run a group with the two combined: people were either on strict diet, or exercise and weight loss. I would combine the two to see better results and to feel better.

One place that has helped me tremendously is the diabetes forums: we have one board just for people with prediabetes. Everybody there is helpful, and I have learned so much through them. The address is: http://www.diabetesforums.com/forum.

I'll check the forum out. Thanks!
 

Hon, your doctor does not know what they are talking about with the OGTT. If you are gettin fasting readings that high, not only could you be considered diabetic, but it will show up on the OGTT. My fastings are almost never over 100, and yet my OGTT showed me at over 200 the first hour and 197 the second hour. If you are as far along a you say you are in your fastings, something will show up.

As far as low blood sugar: Many people with prediabetes and type 2 get what is known as reactive hypoglycemia. As your body loses tight control, your blood sugar spikes up, your pancreas panics and produces too much insulin, and then you crash. The symptoms are feeling lightheaded, shaky, irritable, and craving sweets like none other. This is actually what lead me to being diagnosed. (I manage some very impressive lows without the help of medication, people can't believe how low I go.) If you get that feeling, test. Anything less than 70 is considered a hypo. The rule is to treat with 15 grams of glucose, wait 15 minutes, then treat again if necessary. I use glucose tablets and keep them with me at all times.
 
If you want to go a more natural route, combine the diet and exercise with cinnamon. It actually works quite well at helping to stabilize blood sugar. There are also a couple other supplements out there too, chromium picolinate is another one that works quite well too. I refuse to take metformin due to it's side effects, so I'm doing the picolinate and the cinnamon and am seeing nice low fasting numbers and very good after meal numbers. Good luck!
 
You wouldn't believe how many medical professionals out there are miseducated about diabetes and prediabetes and will tell you rediculous things about it and/or just not take it seriously -- it's really a travesty!

That's the truth. I had been trying to get my mother, a 75yo retired RN, on board with this. For at least the past 2 years her numbers have been going up, but as long as the doctor didn't say "diabetes" she didnt feel like she needed to change anything.

Well, in the past 2 years her fastings have hovered in the 110-130 range, her A1c peaked at 9.5 and she has lost all feeling in both feet.:scared1: And yet, her quack doctor only "diagnosed" her with diabetes last Christmas. :confused3

Mother has been to the nutrition classes. She knows what to do. She says she just doesn't want to do it. She doesn't want to be diabetic and have to take meds and test blood, so if she just refuses to acknowledge it then diabetes won't exist.:headache: Mother knows that her thinking is skewed--she is fully aware of what she's doing. But she is so mad at herself for developing diabetes.

The weird thing is my stepdad also had type 2 diabetes and she was after him like a hawk on a rabbit. His idea of a diabetic diet meant non-alcoholic beer and only one slice of cake after dinner. He never ate a green veggie in his life. His blood sugars were constantly in the 300-400 range. And Mother was on him day and night!

Two weeks ago my own doctor told me she suspects pre-diabetes in me. My BMI is 33, my triglycerides are over 200--all symptoms of insulin resistance. I'll get the results of the blood work on Monday but I've already started making changes in my food choices and exercise. Having, or possibly having diabetes scares me to death. I *will* do whatever it takes. My youngest sister has type 1 diabetes, my 22yo DNephew has type 1 diabetes. I don't need a lighted billboard for me to see the signs.
 












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