Remember that the information presented here is not intended to replace the care of your own doctor. Before making any changes in the management of your own illness, you should consult your physician or other qualified medical professionals.
Question
I am 49 years of age, 6 feet 2 inches tall, and weigh 214 pounds. About nine months ago, I had a fasting glucose reading was of 123 mg/dl
[6.8 mm/l] so my doctor did oral glucose tolerance test about a week or two later.
My fasting glucose level was 115 mg/dl [6.4 mm/l], an hour later it was at 231 mg/dl [12,8 mm/l], and after the required two hours it was normal at 105 mg/dl [5.8 mm/l].
I have been taking my blood glucose readings at home (at various times of the day), and
my average for four months was 109 mg/dl [6.1 mm/l]. I have been on a
strict high fiber diet and have lost about 16 pounds. I never exceeded 126 mg/dl [7.0 mm/l] on my fasting tests and. I was in fact 140 mg/dl [7.8 mm/l] after two hours
In your professional opinion, do you think that I have prediabetes/diabetes, or am I normal? I would also like to know if heavy
stress could have made my glucose readings higher than normal?
Answer
You have
pre-diabetes
(also known as Impaired Glucose Tolerance [IGT]). An
oral glucose tolerance test
(OGTT)
or a fasting plasma glucose (FPG) can be used for diagnostic purposes. A FPG in the range of 100-125 mg/dl [5.6-6.9 mm/l] is called
impaired fasting glucose
(IFG) and is indicative of pre-diabetes. You are using an appropriate intervention for IGT, which is diet and exercise to promote weight loss.
Please keep that up in order to delay a frank diagnosis of diabetes.
slb
ED: Yes, heavy stress can elevate blood glucose levels.
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