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Suggest Treatment Prediabetes Symptoms
I have a possible new diagnosis of pre-diabetes.... A1c test came back 5.8... My concerns center around post meal higher then normal blood sugar readings ranging from 130-190. They are however back to normal usually within 3-4 hours. They only spike at the higher end if I have a high carb meal.. My fasting blood sugars have all been in the normal range for non-diabetics70-90... My post meal spikes make me feel shaky and sweaty and dizzy. I've also lost some weight..down to 100 from my normal of 108-110. So I need to gain weight and keep my post meal sugars in range... I've been very careful with my diet trying to limit carbs but I think i'm being too careful and this is affecting my weight.. I will be going to a nutritionist next month but in the meantime what would you suggest.. I was thinking about trying a protein drink.. I know I will need to be careful about the amt of sugar in the drink...My appetite isn't the greatest... I don't eat much meat/no red meat only chicken, fish and turkey.... I really try to eat well.. plenty of fruits and veggies.... I have a family history of type two diabetes . My mother had diabetes by her late 40's around 50.. I'm in my mid 60's..I Also try to stay as active as possible walking is my fav but due to an increase in fatique i'm not walking much and I'm not sleeping well either as I worry aabout being pre-diabetic... Thank you for taking time to read this and offer some advice....
Tue, 28 Apr 2015
Hello. I am Dr. Praveen and I will be answering your question today.
Its good that you are trying to take charge of the situation. Pre diabetes is actually an oppurtunity for change. Its how well we make use of it.
In Type 2 diabetes it is the post meal sugars that go high first and only after a lot of time the fasting goes high. That is why you have high post prandial values.
You will experience dizzy shaky episodes if you dont eat for too long because in Type 2 diabetes and pre diabetes your body has a higher than normal insulin as a response to insulin resistance. So what you need to do is to avoid high carb diet and take SMALL AND FREQUENT MEALS.
The only proven intervention to preventing diabetes is loosing 10% of your existing body weight and do 30 mt of aerobic exercise like walking, running, swimming for five times a week and resistance training (with weights in a gymn) for two days. Avoid smoking and alcohol.
What is your height. Your ideal weight is Ht in cm - 100. Multiple that by 0.9 to get to the ideal weight since you are pre diabetic.
Dont worry. Just do one change at a time with regard to your diet and lifestyle and remember its a change for life. Encourage your family to be actively participated because it will help them have a healthy life too.
Check your fasting values, Glucose tolerance test and Hba1c annually.
Monitor your BP and fasting lipid values twice a year.
Wishing you good health. Please feel free to drop in any more queries if need be.
Take care. Warm regards,
Dr Praveen Jeyapathy
Its good that you are trying to take charge of the situation. Pre diabetes is actually an oppurtunity for change. Its how well we make use of it.
In Type 2 diabetes it is the post meal sugars that go high first and only after a lot of time the fasting goes high. That is why you have high post prandial values.
You will experience dizzy shaky episodes if you dont eat for too long because in Type 2 diabetes and pre diabetes your body has a higher than normal insulin as a response to insulin resistance. So what you need to do is to avoid high carb diet and take SMALL AND FREQUENT MEALS.
The only proven intervention to preventing diabetes is loosing 10% of your existing body weight and do 30 mt of aerobic exercise like walking, running, swimming for five times a week and resistance training (with weights in a gymn) for two days. Avoid smoking and alcohol.
What is your height. Your ideal weight is Ht in cm - 100. Multiple that by 0.9 to get to the ideal weight since you are pre diabetic.
Dont worry. Just do one change at a time with regard to your diet and lifestyle and remember its a change for life. Encourage your family to be actively participated because it will help them have a healthy life too.
Check your fasting values, Glucose tolerance test and Hba1c annually.
Monitor your BP and fasting lipid values twice a year.
Wishing you good health. Please feel free to drop in any more queries if need be.
Take care. Warm regards,
Dr Praveen Jeyapathy
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