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Insulin Question : panic: glucose level goes up after exercise
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Recommend  Message 1 of 6 in Discussion 
From: MSN Nicknameleelinwant  (Original Message)Sent: 12/14/2005 7:22 PM
Hello, I am new to this site.  I was diagnosed 2 weeks ago and have been depressed to the point I cannot function.  I have been online learning as much as I can on diabetes.
 
I learned that exercise can lower the glucose in the blood but this morning after I got up I checked my level and it was 124 so I got scared and went to exercise for 30 minutes and immediately took that reading, it was 134.  I then went on to eat a very small breakfast (3/4 cup cereal + skim milk) and 1 hour later, the lever went to 171. I am in a state of panic.
 
I am not on any pill because my FBG was 125 when I learned that I might be (probably is for sure) prediabetic or diabetic.  The first 2 weeks I was able to bring down the level it around 100 but then last night I took antidepressant and went to bed 2 hours after I ate a non carb supper + 9g of sugar in the tofu.  Then everything went wrong today. I did include 2 carb blocker with my breakfast and was hoping the number would go down but this 171 number scares me to death. 
 
Can someone help me with more information or explanation of what is happening to me?  I desperately need help.  Can I take antidepressant? Is it good or bad for me.
 
leelinwant


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Recommend  Message 2 of 6 in Discussion 
From: MSN Nicknameparrotletzoo2Sent: 12/19/2005 6:48 PM
If your bloodsugar was on its way up when you started to exercise it may have just taken awhile for the effects of your activity to bring your blood sugar down. Another thing to remember to is that stress can raise your blood sugar so remaining calm when your bloodsugar is elevated will help. 170 is elevated but not so terrible that you need to stress yourself out and raise your bs even more. :) Other things that maybe be effecting your blood sugar are colds and hormones. If you are female you might find that your blood sugars are elevated around PMS time or around other times of hormonal fluctuations. Its cold season so if you are coming down with or have a cold that may elevate your blood sugars also. Medication changes can also effect your bloodsugar. If you think a medication change maybe the cause ask your doctor how best to manage that situation.

Drinking water will help to lower bloodsugars as well as exercise.

as for anti depressants, I've been on them in the past and didn't have a problem with them. They definatly helped me manage my diabetes because I felt more able to cope.

Sometimes there is no answer to why our bloodsugars do what they do. The body is whacky that way. ;) I've found the best thing to do is go with the flow and adjust as I need with exercise, medication, drinking water etc... Remember that your bs number is a guide that tells you what you need to do to get back in your target range. It is nothing to feel guilty or bad about.

I hope this helps. sorry I didn't see it sooner.

parrot

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Recommend  Message 3 of 6 in Discussion 
From: MSN NicknameleelinwantSent: 12/19/2005 11:49 PM
Parrot, thanks for writing such a long posting for me.  I appreciate all of the information that you gave me.  They are helpful to me. 
 
I just got back from the doctor's office.  I showed him a graph of my 4.5 hours BG after I drank 70 g of sugar.  I have not had an officially test done yet.  I could not be calm enough to do that test.  Although I did my own test at home, I was panicy every moment so I don't know if it is even valid.  He said that I have impaird glucose torecance.  Then I asked him what is the difference between it and diabetes. He had no answer.  But he did say if I don't watch it could turn into type 1. So my guess is that the so called 'diabetes' is really type 1.  If I understood him perfectly, type 2 diabetes is the same as insulin resistant. 
 
Am I correct?

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Recommend  Message 4 of 6 in Discussion 
From: MSN Nicknameparrotletzoo2Sent: 12/20/2005 12:01 AM

some good q/a's about Impaired Glucose Tolerance I found on the diabetes.com.uk page. also try searching www.nih.gov. NIH usually has good information and links to other sites.

Q: What are Impaired Glucose Tolerance and Impaired Fasting Glycaemia?





A: Impaired Glucose Tolerance (IGT) and Impaired Fasting Glycaemia (IFG) are not diabetes, and are not clinical entities in their own right. They do however suggest that glucose (sugar) is not being processed efficiently in the body.

Diabetes is diagnosed by testing glucose levels in the blood. There are two basic blood tests. A fasting plasma glucose test is when you are asked not to eat anything before the sample is taken. With a 2-hour plasma glucose test (also known as an oral glucose tolerance test or OGTT) you are also asked not to eat anything, a blood test is taken and then you are asked to drink a drink containing a measured amount of glucose. Further blood samples may be taken during the test and a final test is taken two hours after.

Both these tests can diagnose diabetes, but they may also indicate the presence of IGT or IFG. IFG is diagnosed when the result of a fasting test is below 7.0 mmol/l (too low for a diagnosis of diabetes), but above 6.1 mmol/l. People with IFG should then be offered an oral glucose tolerance test to rule out a diagnosis of diabetes. A result below 11.1 mmol/l but above 7.8 mmol/l indicates that the person doesn’t have diabetes but does have IGT.



Q: What does it mean if my blood test indicates IGT or IFG?

A: It means that your body does not process glucose as efficiently as it should. Research suggests that poor diet, being overweight and leading a sedentary lifestyle (too little physical activity) are all factors in IGT and IFG. It may be an early indication of insulin resistance (insulin is being produced by the body but is not being used properly).

Research also indicates that for those with IGT there may be an increased risk of heart disease, and for both IGT and IFG there is an increased risk of developing Type 2 diabetes (though only a small percentage of people showing IGT or IFG develop diabetes each year).

It does not mean that you have diabetes or borderline diabetes, and you are not at risk of any of the complications of diabetes. IGT and IFG do not require medical treatment, but do need to be addressed if the risks of heart disease and diabetes are to be reduced.



Q: Are there any health recommendations for someone with IGT?

A: Because of the links with lifestyle, it is sensible to lose weight (if you are overweight), eat healthily, and be more active. This will help to reduce the risks of heart disease and the onset of Type 2 diabetes, as well as helping you to feel healthier.

No risk can be reduced completely, so ask your GP for a regular review of your blood pressure if it is high (it should be less than 140/80), and a fasting plasma glucose test every few years as a precautionary test for Type 2 diabetes.

Diabetes UK produces information that can help with a healthier lifestyle, including our information sheets Healthy eating and diabetes and Physical Activity and diabetes, which you can download from our website at www.diabetes.org.uk.


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Recommend  Message 5 of 6 in Discussion 
From: MSN NicknameleelinwantSent: 12/20/2005 12:34 AM
Parrot, thanks again for your kindness. 
 
This is what I think:
 
The definition of 'diabetes' actually means type 1. 
The definition of IGT is actually type 2. 
Pre diabetes means type 2.
 
That mean people who have insulin resistence are type 2.
 
Please tell me if I am wrong. I am looking forward to hearing your opinions.

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Recommend  Message 6 of 6 in Discussion 
From: MSN Nicknameparrotletzoo2Sent: 12/20/2005 4:19 PM
Diabetes just means elevated blood sugar. People that have type 1 have an autoimmune disorder that triggers their immune system to attack their insulin producing cells. People with type 1 do not produce or produce very little insulin as a result and need insulin on a daily basis to survive.

Type 2 can be a insulin resistance/impaired glucose tolerance, and or insuficient insulin production. Many people with type 2 dont not produce enough insulin even tho they do produce some insulin, in addition to having insulin resistance. Type 2 is not caused by an auto immune response which is what distinguishes it from type 1. Some people with type 2 end up on insulin when thier pancreases stop working they are still considered type if it was not caused by an auto immune response.

Some people that are type 1 also end up having insulin resistance so the definitions of both type 1 and type 2 can be kind of blurred.

If you have impaired glucose tolerance you are at a higher risk for developing type 2. However, not everyone with impaired glucose tolerance will end up with diabetes. www.diabetes.org has more information about IGT and type 2, and i'm sure others here are more informed then I am.

parrot

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