Diabetes Type 2 Support Group
Type 2 Diabetes is a condition in which the body either does not produce enough insulin or does not make efficient use of it. Insulin is a hormone needed to convert food into glucose, a sugar that the body uses for energy. Without enough insulin, glucose can accumulate in the blood, and can cause serious health problems such as heart disease and strokes and organ damage...
Hi,
my doctor tells me that I am prediabetic, I have never had a high fasting glucose level when the test was done by a lab. She had ordered a A1C test which showed a result of 6. One month before the test was done I had major surgery and spent 9 days in the hospital.
Here is what is confusing to me: They say that surgery, infections, stress etc. can raise the glucose level. Is that only true if a person is diabetic or for the person who does not have diabetes also?
Now I have been on a meter for 2 months and the fasting glucose is from 98 to 106, after meals 110 to 118. One time 1 1/2 hours after a meal it was 145, at the same time my slipped disk gave out and had a lot of pain. Can pain raise the level?
Does pain, stress, surgery etc. raise the A1C level? If so, why would it be considered prediabetes?
I have Lupus and I am on Prednisilone, does that have an effect?
Thank you very much!!!!!!!!!
my doctor tells me that I am prediabetic, I have never had a high fasting glucose level when the test was done by a lab. She had ordered a A1C test which showed a result of 6. One month before the test was done I had major surgery and spent 9 days in the hospital.
Here is what is confusing to me: They say that surgery, infections, stress etc. can raise the glucose level. Is that only true if a person is diabetic or for the person who does not have diabetes also?
Now I have been on a meter for 2 months and the fasting glucose is from 98 to 106, after meals 110 to 118. One time 1 1/2 hours after a meal it was 145, at the same time my slipped disk gave out and had a lot of pain. Can pain raise the level?
Does pain, stress, surgery etc. raise the A1C level? If so, why would it be considered prediabetes?
I have Lupus and I am on Prednisilone, does that have an effect?
Thank you very much!!!!!!!!!
Here is something that might answer your question about Prednisone:
Home Magazine Archives July 2010 Can Steroids Have a Lasting Effect on Blood Glucose?
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Can Steroids Have a Lasting Effect on Blood Glucose?
Three years ago, when I was 65, I was prescribed prednisone during a very bad cold. I have type 2 diabetes, which I controlled then with diet and exercise (no medications). After I started taking prednisone, my blood sugar shot up to 300 mg/dl, and it took me three weeks on Actos to bring it back down. My blood sugar has never been the same, and now I am on diabetes meds. Could the prednisone have caused a lasting effect?
Ray White, Stormville, N.Y.
Roger Austin, MS, RPh, CDE, responds: Prednisone is a commonly prescribed corticosteroid (steroid, for short). These drugs have also been called "glucocorticoids" because of their effects on glucose metabolism: Increases in blood glucose are common among people taking prednisone and other steroids. Prednisone is a synthetic steroid that is used to treat a wide variety of inflammatory conditions, such as bursitis and arthritis in the joints. It's also prescribed for its immunosuppressive properties: for allergic reactions, acute flare-ups of asthma, autoimmune conditions, anti-rejection treatment after transplant surgery, and cancer chemotherapy, among many other uses.
People with diabetes receiving steroid treatment should be informed that their blood glucose will increase while they are on the steroid. Doctors should help patients determine what adjustments are needed to keep blood glucose levels within the target range.
In your case, since you weren't already taking any medication for lowering blood glucose, Actos was prescribed. Actos, a thiazolidinedione, can take as long as four to six weeks to have any measurable effect on lowering blood glucose. Treatment with a faster-acting diabetes medication such as insulin, or a sulfonylurea such as glipizide, will control the elevated blood glucose during steroid treatment, and may have worked better for you.
Steroid treatment is usually prescribed for short periods of time, and your blood glucose should return to pre-treatment levels a few days after the steroid is stopped. So, it is unlikely that your continued high blood glucose levels are due to the short course of prednisone treatment you had three years ago. If you still have high blood glucose, you should discuss other options for long-term control with your doctor.
I did some more reading about this A1C and I am still somewhat confused about my situation, since my fasting is always normal.
A1C at 6 isn't really diabetes yet and I hope it will never go up, only down. Diabetes is a terrible illness to have and I feel for everybody who has it.
Thank you
I was diagnosed as having the disease in March of this year, and am making good progress with mine. I do check my sugar daily, sometimes more than once or twice, and am sticking to my low carb diet. This is a disease I will have to live with the rest of my life, and want to make that just as long as I can. I am 67 now but hope to live for as many more years as possible. I do have high blood pressure, but have had that under control for the past 15 years with meds, but I should have been on a better diet then as well.
So far my heart is fine though and I want to keep it that way.
There are many drugs that can affect blood glucose numbers, my hubby is on 3 that can affect and our doctor does not worry about him as long as he never goes over 125 fasting which he hasn't but he is over 100
Watch carbs carefully. No sodas and donot eat any thing white which spikes blood sugar.
Eat low Gi food. You can google low Gi food for a list.
Good luck