2nd hour readings

Margo...

I'd be concerned about the 12 or 12+ numbers.

You may have passed from glucose intolerance to diabetes.

A diagnosis of diabetes can be made with any two random
readings of over
200.

A reading of 12 is a 216.

You should call your doctor.

Fasting numbers are just one indicator of diabetes.

As for a GTT a glucose tolerance test.

Best of luck.

Jennifer

Quoted message said:

I have impaired glucose tolerance with a normal fasting
level. I sometimes will go to 11-12 mmol/L at the one hour
mark after a meal and my 2 hour mark has been normal but I
have been noticing something different recently. Like
tonight, at the one hour mark it was 6.0 mmol/L and I took
a 2 hour reading and it was 9.8 mmol/L. I have noticed
this before but only a couple of times as I haven't been
doing the 2 hour reading because it had always been normal
before. Does anyone here know what this could signify as I
heard the 2 hour reading was the most important one. It
seems strange to me to have this situation because it is
the opposite of what my BG usually does.

margo

Quoted message said:

I have impaired glucose tolerance with a normal fasting
level. I sometimes will go to 11-12 mmol/L at the one hour
mark after a meal and my 2 hour mark has been normal but I
have been noticing something different recently. Like
tonight, at the one hour mark it was 6.0 mmol/L and I took
a 2 hour reading and it was 9.8 mmol/L. I have noticed
this before but only a couple of times as I haven't been
doing the 2 hour reading because it had always been normal
before. Does anyone here know what this could signify as I
heard the 2 hour reading was the most important one. It
seems strange to me to have this situation because it is
the opposite of what my BG usually does.

margo

I can think of a few possibilities. Was your meal today
higher in fat than your normal meal choice? Other
possibilities include things specific to your body -
illness, hormones, change of exercise routine (time of day,
length, intensity).

Cindy Wells (do you test before the meal as well?)

Quoted message said:

I have impaired glucose tolerance with a normal fasting
level. I sometimes will go to 11-12 mmol/L at the one hour
mark after a meal and my 2 hour mark has been normal but I
have been noticing something different recently. Like
tonight, at the one hour mark it was 6.0 mmol/L and I took
a 2 hour reading and it was 9.8 mmol/L. I have noticed
this before but only a couple of times as I haven't been
doing the 2 hour reading because it had always been normal
before. Does anyone here know what this could signify as I
heard the 2 hour reading was the most important one. It
seems strange to me to have this situation because it is
the opposite of what my BG usually does.

margo

Perhaps your meal contained more fat than usual. Fat can
delay the breakdown of carbs.

Jim

--
Join us in the Diabetic-Talk Chatroom on UnderNet
/server irc.undernet.org --- /join #Diabetic-Talk More
info: diabetic-talk.orgdiabetic-talk.orgOpen ↗

() said:

I have impaired glucose tolerance with a normal fasting
level. I sometimes will go to 11-12 mmol/L at the one hour
mark after a meal and my 2 hour mark has been normal but I
have been noticing something different recently. Like
tonight, at the one hour mark it was 6.0 mmol/L and I took
a 2 hour reading and it was 9.8 mmol/L. I have noticed this
before but only a couple of times as I haven't been doing
the 2 hour reading because it had always been normal
before. Does anyone here know what this could signify as I
heard the 2 hour reading was the most important one. It
seems strange to me to have this situation because it is
the opposite of what my BG usually does.

margo

Hi Cecelia

1. Call your doctor. If you are going over 11 regularly,
you have progressed beyond IGT.

2. I suspect you had more oils/fats in the meal than carbs.
We call it the "Pizza effect". The BG spike is "delayed"
by the fat.

3. I don't agree with the general consensus that the 2 hour
is the most important. For type 2 and IGT, my personal
opinion is that the one hour is equally, or even more,
important. Your morning fasting reading is also very
important.

4. Call your doctor. If you are going over 11 (200)
regularly, you have progressed beyong IGT. Also ask for
a HbA1c test.

Then come back and say hullo when you've seen the doc. Are
you starting to see a pattern here:-)

Good luck - and welcome to the group.

Cheers Alan, T2, Australia. Remove weight and carbs to
email.
--
dx May 2002 , A1C 8.2=>5.9, wt 117kg=>92kg, Lipitor 20. Diet
and not enough exercise. I have no medical qualifications
beyond my own experience. Choose your advisers carefully,
because experience can be an expensive teacher.

Everything in Moderation - Except Laughter.

Alan said:

3. I don't agree with the general consensus that the 2
hour is the most important. For type 2 and IGT, my
personal opinion is that the one hour is equally, or
even more, important.

Of course, they're saying that because the 2-hour
test has been well correlated with death by heart
attack. Why do you feel the 1-hour is more
important?

E

On Tue, 15 Jun 2004 09:37:56 -0700, Eldritch <[email hidden]>

Quoted message said:

Alan said:

3. I don't agree with the general consensus that the 2
hour is the most important. For type 2 and IGT, my
personal opinion is that the one hour is equally, or
even more, important.

Of course, they're saying that because the 2-hour
test has been well correlated with death by heart
attack. Why do you feel the 1-hour is more
important?

E

Hi Eldritch

This is purely my own analysis and opinion based on the
little I've learned over the past two years about type 2
management.

The doctor and I use the test results in different ways. The
FBG and two-hour test results are indicators for the doctor
of the success (or failure) of my control and whether I need
changes in treatment - what I'd call macro-management. The
one-hour tests, again in my opinion, are a direct indication
of the effects of a specific meal or food and allow me to
make specific dietary changes, or micro-management.

Macro-management: The doctor, once we are diagnosed, can't
rely on the one-hour tests because they are too dependant on
what we ate, something the doctor can't control. The two-
hour test is more valid for them because our Type 2 system
has settled back from the peak by then. To the doctor,
consistently high numbers at two hours indicates that we
aren't improving and need to change treatment if we won't
change lifestyle, or are deteriorating with progression.
That is also why "the 2-hour test has been well correlated
with death by heart attack"; when I read those studies I
can't remember one which tested at one hour to discuss a
possible correlation there.

Micro-management: For me the one hour test is a much more
accurate indicator of whether I need to change something in
my diet or exercise regimen, for precisely the same reasons
that the doctor can't rely on
it: it is reflecting what I ate in the most recent meal and
the exercise I am doing.

Consequently, now that I have gained a degree of control, I
still regularly test at one hour, but I only bother with a
two hour test if the one hour was unusual.

Cheers, Alan, T2 d&e, Australia. Remove weight and
carbs to email.
--
Everything in Moderation - Except Laughter.

Alan,

What's your 1-hour and 2-hour goal?

Alan <[email hidden]> wrote in message
news:<[email hidden]>...

Quoted message said:

Eldritch said:

Alan said:

3. I don't agree with the general consensus that the 2
hour is the most important. For type 2 and IGT, my
personal opinion is that the one hour is equally,
or even more, important.

Of course, they're saying that because the 2-hour
test has been well correlated with death by heart
attack. Why do you feel the 1-hour is more
important?

E

Hi Eldritch

This is purely my own analysis and opinion based on the
little I've learned over the past two years about type 2
management.

The doctor and I use the test results in different ways.
The FBG and two-hour test results are indicators for the
doctor of the success (or failure) of my control and
whether I need changes in treatment - what I'd call macro-
management. The one-hour tests, again in my opinion, are a
direct indication of the effects of a specific meal or
food and allow me to make specific dietary changes, or micro-
management.

Macro-management: The doctor, once we are diagnosed, can't
rely on the one-hour tests because they are too dependant
on what we ate, something the doctor can't control. The
two-hour test is more valid for them because our Type 2
system has settled back from the peak by then. To the
doctor, consistently high numbers at two hours indicates
that we aren't improving and need to change treatment if
we won't change lifestyle, or are deteriorating with
progression. That is also why "the 2-hour test has been
well correlated with death by heart attack"; when I read
those studies I can't remember one which tested at one
hour to discuss a possible correlation there.

Micro-management: For me the one hour test is a much more
accurate indicator of whether I need to change something
in my diet or exercise regimen, for precisely the same
reasons that the doctor can't rely on
it: it is reflecting what I ate in the most recent meal
and the exercise I am doing.

Consequently, now that I have gained a degree of control,
I still regularly test at one hour, but I only bother with
a two hour test if the one hour was unusual.

Cheers, Alan, T2 d&e, Australia. Remove weight and carbs
to email.

(Pinky T2) said:

Alan,

What's your 1-hour and 2-hour goal?

Hi Pinky

When I started as a newly diagnosed T2, they were the ones
advised by Jennifer at alt-support-alt-support-Open ↗
diabetes.org/Newly%20Diagnosed.htm . I've rounded the non-US
figures to the nearest 0.5.

"Here's my opinion on what numbers to aim for, they are non-
diabetic numbers. FBG under 6 mmol (110 mg/dl) One hour
after meals under 8 (140) Two hours after meals under 6.5
(120)" - Jennifer

As I improved my diet for T2 control I became more
stringent, so now I aim for:

FBG under 5.5 mmol (100 mg/dl) One hour after meals under 7
(125) Two hours after meals under 6 (110)

Of course, I don't always succeed. Following that system has
led to a drop in HbA1c to 5.9 from dx of 8.2. My fasting is
usually between 5.1 and 5.9. I would like both to improve
further. As I said earlier, I don't bother with the two-hour
now unless the one hour is above 7 (125).

For example, fasting this morning was 5.1 (92) and one hour
after breakfast (rasher of bacon, grilled tomato) was 5.7
(108). No point in checking two hours - I know it will be
between 4.8 and 5.5.

Last night (corn beef with cabbage, pumpkin and a small
potato and a couple of glasses of red) I did both tests just
to check: one hour 5.7
(108), two hour 4.7 (89).

HTH

Cheers, Alan, T2 d&e, Australia. Remove weight and
carbs to email.
--
Everything in Moderation - Except Laughter.

Interesting. My doctor advised me to get only the FBG and
2-hour after meal. I get almost normal results, FBG 90-110,
2-hour after meal is closeto where I was before I ate, 90-
110. I tried looking at the 1-hour after meal and it drove
me nuts! I took a reading before lunch, 80 mg/dl. Had usual
lunch, small (totally small!) portions of veggies, chicken,
and pasta. 1-hour reading is 178! 2-hour goes back to 103.
This is always my reading, unless I totally have ZERO carbs,
which brings my 1-hour reading to 140-150.

I'm not on any medications, just lipitor since my A1C is
only 6%. But I continue to lose weight, lost 25 pounds
already and counting more loss. Probably because I almost
don't eat at all (which I'm thinking is not good).

I'd appreciate responses and advices. Thanks.

Alan <[email hidden]> wrote in message
news:<[email hidden]>...

Quoted message said:

On 16 Jun 2004 12:06:06 -0700, [email hidden]

(Pinky T2) said:

Alan,

What's your 1-hour and 2-hour goal?

Hi Pinky

When I started as a newly diagnosed T2, they were the ones
advised by Jennifer at alt-support-alt-support-Open ↗
diabetes.org/Newly%20Diagnosed.htm . I've rounded the non-
US figures to the nearest 0.5.

"Here's my opinion on what numbers to aim for, they are
non-diabetic numbers. FBG under 6 mmol (110 mg/dl) One
hour after meals under 8 (140) Two hours after meals under
6.5 (120)" - Jennifer

As I improved my diet for T2 control I became more
stringent, so now I aim for:

FBG under 5.5 mmol (100 mg/dl) One hour after meals under
7 (125) Two hours after meals under 6 (110)

Of course, I don't always succeed. Following that system
has led to a drop in HbA1c to 5.9 from dx of 8.2. My
fasting is usually between 5.1 and 5.9. I would like both
to improve further. As I said earlier, I don't bother with
the two-hour now unless the one hour is above 7 (125).

For example, fasting this morning was 5.1 (92) and one
hour after breakfast (rasher of bacon, grilled tomato) was
5.7 (108). No point in checking two hours - I know it will
be between 4.8 and 5.5.

Last night (corn beef with cabbage, pumpkin and a small
potato and a couple of glasses of red) I did both tests
just to check: one hour 5.7
(108), two hour 4.7 (89).

HTH

Cheers, Alan, T2 d&e, Australia. Remove weight and carbs
to email.

(Pinky T2) said:

Interesting. My doctor advised me to get only the FBG and
2-hour after meal. I get almost normal results, FBG 90-110,
2-hour after meal is closeto where I was before I ate, 90-
110. I tried looking at the 1-hour after meal and it drove
me nuts! I took a reading before lunch, 80 mg/dl. Had usual
lunch, small (totally small!) portions of veggies, chicken,
and pasta. 1-hour reading is 178! 2-hour goes back to 103.
This is always my reading, unless I totally have ZERO
carbs, which brings my 1-hour reading to 140-150.

Hi Pinky

Some will say that one-hour spikes don't matter. I differ,
as I said in the original post. Your meter is telling you
something, in this case to drop the pasta. And if it's still
going to 140-150, there's carbs in there somewhere - milk in
your coffee, bread, dressings?

Quoted message said:

I'm not on any medications, just lipitor since my A1C
is only 6%.

Same medication, similar A1c.

Quoted message said:

But I continue to lose weight, lost 25 pounds already and
counting more loss. Probably because I almost don't eat at
all (which I'm thinking is not good).

Quite right, it's not good unless you need to lose more
weight. I still eat carbs, but I've used the meter to find
which time of day I can eat them. In my case that means zero
at breakfast, less than 15 gm at lunch and maybe 30 gm at
dinner. I also snack on 6 gm crackers at times during the
day, or have half-slices of bread or similar and have my
cereals at bed-time. I've spread the load across the day
into five or six small meals and one larger one (dinner). On
"eating almost nothing" there are alternatives - moderate
protein and good oils.

But that's just me- YMMV.

Quoted message said:

I'd appreciate responses and advices. Thanks.

I reiterate that this is just my personal experience. My
comment on "I tried looking at the1-hour after meal and it
drove me nuts! " is that the ostrich method of management is
not my preferred one.

Good luck,

Cheers, Alan, T2 d&e, Australia. Remove weight and
carbs to email.
--
Everything in Moderation - Except Laughter.

Thanks Alan, I'll keep those things in mind.

Pinky T2

Alan <[email hidden]> wrote in message
news:<[email hidden]>...

Quoted message said:

On 17 Jun 2004 13:42:09 -0700, [email hidden]

(Pinky T2) said:

Interesting. My doctor advised me to get only the FBG and
2-hour after meal. I get almost normal results, FBG 90-
110, 2-hour after meal is closeto where I was before I
ate, 90-110. I tried looking at the 1-hour after meal and
it drove me nuts! I took a reading before lunch, 80
mg/dl. Had usual lunch, small (totally small!) portions
of veggies, chicken, and pasta. 1-hour reading is 178!
2-hour goes back to 103. This is always my reading,
unless I totally have ZERO carbs, which brings my 1-hour
reading to 140-150.

Hi Pinky

Some will say that one-hour spikes don't matter. I differ,
as I said in the original post. Your meter is telling you
something, in this case to drop the pasta. And if it's
still going to 140-150, there's carbs in there somewhere -
milk in your coffee, bread, dressings?

Quoted message said:

I'm not on any medications, just lipitor since my A1C is
only 6%.

Same medication, similar A1c.

Quoted message said:

But I continue to lose weight, lost 25 pounds already and
counting more loss. Probably because I almost don't eat
at all (which I'm thinking is not good).

Quite right, it's not good unless you need to lose more
weight. I still eat carbs, but I've used the meter to find
which time of day I can eat them. In my case that means
zero at breakfast, less than 15 gm at lunch and maybe 30
gm at dinner. I also snack on 6 gm crackers at times
during the day, or have half-slices of bread or similar
and have my cereals at bed-time. I've spread the load
across the day into five or six small meals and one larger
one (dinner). On "eating almost nothing" there are
alternatives - moderate protein and good oils.

But that's just me- YMMV.

Quoted message said:

I'd appreciate responses and advices. Thanks.

I reiterate that this is just my personal experience. My
comment on "I tried looking at the1-hour after meal and it
drove me nuts! " is that the ostrich method of management
is not my preferred one.

Good luck,

Cheers, Alan, T2 d&e, Australia. Remove weight and carbs
to email.