Now I am totally confused!

Amazon_1969
By Amazon_1969 Latest Reply 2010-08-23 11:31:15 -0500
Started 2010-08-21 10:22:33 -0500

I developed gestational diabetes when I was pregnant each time with both daughters and had to regulate blood sugar via diet. Cutting out just about all carbs got my blood sugar under control and I lost like 25 - 30 pounds by the time my daughter's were born both times. The human body needs a certain amount of carbs to live and eating like that forever is not a healthy option. I rapidly regained the weight afterwards too.

My blood sugar was fine after they were born and then when my youngest almost turned 1, I noticed that same tingleing in my feet when I awoke every morning and started checking my blood sugars again. I made an appointment with my family doctor and sure enough I was diagnosed with Type 2 Diabetes. My fasting blood sugar count was 119 at that appointment. The only blood sugar count that seems to be off is the morning fasting one each day. The rest all come out fine.

At least I thought they were high. There are so many differing opinions as to what is "high" and what is "normal" that now I am totally confused! My fasting blood sugar was 130 this morning but then my birthday was yesterday and I had a piece of "sugar free" cake and carb smart chocolate ice cream a bit late last night before bed. Given that fact, I would have been shocked if it hadn't been high this morning. My problem is this, who has the correct info on what is considered high or not about blood sugar counts. Because it seems to change with who does the research or who you talk to. I do not even know if I really am diabetic at this point. My morning blood sugar is the only one that seems to be off. The after meals readings seem to be well within accepted peramaters 99.9 % of the time unless I eat something totally rediculous.

Someone please help. Thanks.


8 replies

kdroberts
kdroberts 2010-08-21 11:07:35 -0500 Report

Diagnostically, a fasting of 126 or more is diabetes. For a diabetic there are several official guidelines for blood sugar, all are quite loose though. The best goals are the ones you personally set for yourself with your doctor. Not ones that are based on the general diabetic (never met one of those yet!) or ones that the doctor tells you, you need to be involved in the process and base it around your lifestyle and what you want to achieve.

Amazon_1969
Amazon_1969 2010-08-21 11:14:17 -0500 Report

Thank you for your reply. Then since my fasting was 119 at the time I was diagnosed, does that mean I was misdiagnosed? I did have pasta for dinner before that appointment. I told him that. I am still not sure if I am diabetic given those "diagnostic" guidelines. I have lost 20 pounds since that appointment and still could stand to lose 55 more pounds. I am not denying I am obese and need to lose the weight. Changing my diet was something I needed to do anyway. I am just not so certain I was diagnosed correctly.

kdroberts
kdroberts 2010-08-21 11:33:32 -0500 Report

Was that 119 a lab test? Were other tests run at the same time?

Amazon_1969
Amazon_1969 2010-08-21 12:27:49 -0500 Report

It was at my physical and I was just given the 119 # for blood sugar. He hadn't had time to get an A1C back yet when they informed me of some of my physical test results. They gave me cholesteral and some other #'s that day over the phone. I went in for a follow up and my # was around 119 then too. That was a finger stick the last day. Most days my fasting range is from 120 to as low as 107. I am still breast feeding my daughter to. I don't know if that has anything to do with it or not. I can't get under 100 for fasting # yet but I am still trying.

Part of me thinks he considers me more prediabetic because I am overweight and had gestational diabetes but he wants me to take it seriously so he diagnosed me as diabetic so it does not get worse. My doctor is kinda hard to figure out sometimes. I wish doctors would limit themselves in # of patients and locations for their offices because I think they have too many to really do the job that needs to be done. It's like "hurry up and wait" and then you get rushed thru without really understanding what is going on. At least it feels that way to me.

bettymachete
bettymachete 2010-08-21 16:47:08 -0500 Report

Problem with a diagnosis of diabetes is, what if you decide to change your insurance…now with a dx you now are forever considered someone with pre-exsisting chronic care condition. This makes it very difficult to change insurance and possibly makes it even more expensive. I would really talk with your doctor at length about this diagnosis. It really bothers me that you think he might have used it as a scare tactic. That has got to be a terrible feeling and if you are correct then he is not doing you any favors.

kdroberts
kdroberts 2010-08-21 19:17:36 -0500 Report

Actually, it's very easy for most type 2s to get round a pre-existing condition clause and for a decent number to do it without any harm to themselves. Say what you want about the government but one thing they do well is set very cut and dry definitions, pre-existing condition is no exception.

bettymachete
bettymachete 2010-08-22 11:05:59 -0500 Report

Private insurance rates have gone up tremendously since the new law has been signed because most insurance companies foresee the future. Most premiums have gone up 30%. Which is why we are going to end up with a single payer option real soon since many small businesses will choose to drop insurance and just pay the penalty because it is much lower. But you're correct it may not keep her from getting insured as a chronic care patient but I do believe the cost of a premium will be reflective of it. If it is a misdiagnosis just to "scare" her into taking care of a possible future problem, I feel it is a breach of trust between patient and doctor. No doctor should ever falsely diagnose a patient just as a warning ever.

Amazon_1969
Amazon_1969 2010-08-23 11:31:15 -0500 Report

Prediabetes is a diagnosis. But I do not know what he put in my health records. Does anyone ever really know what is put in the records. I am not worried about the insurance aspect of this. I just wanted to know if I am diabetic or prediabetic. I was trying to get at what the right criteria or range of blood sugar was. You know which is the correct one to go by.

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