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Medical Forum / Diseases and Disorders / Diabetes / January 2007From 171 to 111 in 30 minutes - is that possible?
Hi, I have gestational diabetes which I'm controlling with diet. Occasionally I deviate from the straight and narrow, and my blood glucose goes up. This happened last night when we had dinner at a restaurant. When we came home, I tested my levels, and was showing 171 at one and a half hours post prandial. I was told not to go beyond 140 at one hour, and 120 at two. Half an hour after that first test, I tried again and my BG was at 111. I don't know what to make of this. Is it normal at all? My monitor seems to be working fine otherwise. This morning my fasting BG was at 75 (after than odd reading last night). Thanks for any insight! From not having GD, but knowing how natural and injected insulin work, yes it's very possible. Being a T2 or having GD mostly means having an impaired insulin response and that your natural insulin is somewhat delayed. You saw this first hand in the 171 to 111. I would suggest if you continue to go to 171 that you talk to your doctor about adding insulin until you have the baby  SignatureReisa, T1 dx-5/00 asd-7/00 Animas IR1250 pumper Daily CHO: 150-200gm TDD: 36-38u Last A1C: Rising! oPPs! : Hi, : [quoted text clipped - 10 lines] : : Thanks for any insight! > Hi, > [quoted text clipped - 8 lines] > otherwise. This morning my fasting BG was at 75 (after than odd > reading last night). It's not normal, but it happens. Especially in a restaurant meal, where there can be hidden carbs, so you're eating more carbohydrate than you think. Another possibility is that there was some carb residue on your finger. A third is that your meter took this particular opportunity to teach you humility. Signature"and the snark alert level has reached "fuschia"" ---zig zigalo homes in on the meat of the matter > In article <1170093941.075150.86...@v45g2000cwv.googlegroups.com>, > [quoted text clipped - 18 lines] > "and the snark alert level has reached "fuschia"" > ---zig zigalo homes in on the meat of the matter Could a dirty finger really cause this result? I'm thinking this is a possiblity because I don't recall washing my hands prior to testing and I've never had such huge jumps so late after a meal (I'd understand if this were within the hour after eating). > > In article <1170093941.075150.86...@v45g2000cwv.googlegroups.com>, > > [quoted text clipped - 24 lines] > and I've never had such huge jumps so late after a meal (I'd > understand if this were within the hour after eating). If you had anything carby on your finger at all, sure. For instance, if you'd been cutting up an orange for a kid, the juice could affect your reading. I once had an abnormally high fasting reading because my travel soap was a fruit-scented body wash. That's why one of the recommendations when you have an unexpectedly high reading is to wash your hands and try again. Sometimes, of course, your BG really *is* that high, but equally often (at least), the second reading is more in line with what you expected. Signature"and the snark alert level has reached "fuschia"" ---zig zigalo homes in on the meat of the matter >> In article <1170093941.075150.86...@v45g2000cwv.googlegroups.com>, >> [quoted text clipped - 15 lines] >> there can be hidden carbs, so you're eating more carbohydrate than >> you think. Another possibility is that there was some carb residue >> on your finger. A third is that your meter took this particular >> opportunity to teach you humility. >> [quoted text clipped - 6 lines] > and I've never had such huge jumps so late after a meal (I'd > understand if this were within the hour after eating). A dirty finger can but as you have already pointed out that you did have a little dietary indiscretion it is more likely a reactive hypoglycemic episode. You ate more carbs than usual, it upped the bg's and then your natural insulin kicked in and went on working after it was needed (common occurrence with "defective" pancreases"). > >> In article<1170093941.075150.86...@v45g2000cwv.googlegroups.com>, > [quoted text clipped - 51 lines] > kicked in and went on working after it was needed (common > occurrence with "defective" pancreases").- Hide quoted text -- Show quoted text - All of that makes a lot of sense, too. After the meal we went shopping for about 45 minutes where I did a bit of walking (nothing vigorous though, as I'm rather heavily pregnant by now), so the BGs might have gone down just from the exercise. I guess it'll remain a mystery, but I've learnt now to test twice when in doubt. Thanks for all the replies, people on this group are always so knowledgeable! >> In article <1170093941.075150.86...@v45g2000cwv.googlegroups.com>, >> [quoted text clipped - 18 lines] >> "and the snark alert level has reached "fuschia"" >> ---zig zigalo homes in on the meat of the matter > Could a dirty finger really cause this result? I'm thinking this is a > possiblity because I don't recall washing my hands prior to testing > and I've never had such huge jumps so late after a meal (I'd > understand if this were within the hour after eating). It certainly could, if you'd been handling anything sweet such as chocolate or fruit. The tiniest speck can do the trick. You could pick it up by wiping your mouth. I long ago learned to clean my finger and test again if I ever got an unexpectedly high reading. At least 90% of the time the high reading was spurious. SignatureChris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/] On Jan 29, 1:05 pm, "Lady Penelope Creighton-Ward" <penel...@rescueteam.com> wrote: > Hi, > [quoted text clipped - 8 lines] > otherwise. This morning my fasting BG was at 75 (after than odd > reading last night). I go up and down like that unless I try very very hard to keep my postprandials under control. Even when I'm trying very hard it happens. And I've moved up and down 300 in an hour too. Not all that often, I hate the rollercoaster, but I've been on some pretty scary rollercoaster rides over the past 25 years with this damned disease. Tim. > Hi, > [quoted text clipped - 10 lines] > > Thanks for any insight! I have no idea about gestational, but - I'm a T2. Last summer (on Father's Day) I treated myself to a little dessert after church at a Father's Day reception. After we got home, I checked and I was at about 180. I jumped on my bicycle - did 20 miles and after returning it was down to around 100. > Hi, > [quoted text clipped - 10 lines] > > Thanks for any insight! Yep. Normal. For a diabetic anyway... |
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