When Your "Normal" Blood Sugar Isn't Normal (Part 1) | Chris Kresser
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When Your “Normal” Blood Sugar Isn’t Normal (Part 1)

by Chris Kresser

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In the next two articles we’re going to discuss the concept of “normal” blood sugar. I say concept and put normal in quotation marks because what passes for normal in mainstream medicine turns out to be anything but normal if optimal health and function are what you’re interested in.

Here’s the thing. We’ve confused normal with common. Just because something is common, doesn’t mean it’s normal. It’s now becoming common for kids to be overweight and diabetic because they eat nothing but refined flour, high-fructose corn syrup and industrial seed oils. Yet I don’t think anyone (even the ADA) would argue that being fat and metabolically deranged is even remotely close to normal for kids. Or adults, for that matter.

In the same way, the guidelines the so-called authorities like the ADA have set for normal blood sugar may be common, but they’re certainly not normal. Unless you think it’s normal for people to develop diabetic complications like neuropathy, retinopathy and cardiovascular disease as they age, and spend the last several years of their lives in hospitals or assisted living facilities. Common, but not normal.

In this article I’m going to introduce the three markers we use to measure blood sugar, and tell you what the conventional model thinks is normal for those markers. In the next article, I’m going to show you what the research says is normal for healthy people. And I’m also going to show you that so-called normal blood sugar, as dictated by the ADA, can double your risk of heart disease and lead to all kinds of complications down the road.

The 3 Ways Blood Sugar Is Measured

Fasting blood glucose

This is still the most common marker used in clinical settings, and is often the only one that gets tested. The fasting blood glucose (FBG) test measures the concentration of glucose in the blood after an 8-12 hour fast.

It only tells us how blood sugar behaves in a fasting state. It tells us very little about how your blood sugar responds to the food you eat.

Up until 1998, the ADA defined FBG levels above 140 mg/dL as diabetic. In 1998, in a temporary moment of near-sanity, they lowered it to 126 mg/dL. (Forgive me for being skeptical about their motivations; normally when these targets are lowered, it’s to sell more drugs – not make people healthier.) They also set the upward limit of normal blood sugar at 99 mg/dL. Anything above that – but below 126 mg/dL – is considered “pre-diabetic”, or “impaired glucose tolerance” (IGT).

Oral glucose tolerance test (OGTT)

The OGTT measures first and second stage insulin response to glucose. Here’s how it works. You fast and then you’re given 75 grams of glucose dissolved in water. Then they test your blood sugar one and two hours after. If your blood sugar is >140 mg/dL two hours later, you have pre-diabetes. If it’s >199 mg/dL two hours later, you’ve got full-blown diabetes.

Keep in mind these are completely arbitrary numbers. If your result is 139 mg/dL – just one point below the pre-diabetic cut-off – you’ll be considered “normal”. Of course this is perfectly absurd. Diabetes isn’t like catching a cold. You don’t just wake up one day and say, “I’m not feeling so well. I think I got a bad case of diabetes yesterday.” Like all disease, diabetes—and diabesity—is a process. It goes something like this:

malfunction > disease process > symptoms

Before your blood sugar was 139, it was 135. Before it was 135, it was 130. Etcetera. Would you agree that it’s wise to intervene as early as possible in that progression toward diabetic blood sugar levels, in order to prevent it from happening in the first place? Well, the ADA does not agree. They prefer to wait until you’re almost beyond the point of no return to suggest there’s any problem whatsoever.

[End rant]

The other problem with the OGTT is that it’s completely artificial. I don’t know anyone who drinks a pure solution of 75 grams of glucose. A 32-oz Big Gulp from 7-11 has 96 grams of sugar, but 55% of that is fructose, which produces a different effect on blood sugar. The OGTT can be a brutal test for someone with impaired glucose tolerance, producing intense blood sugar swings far greater than what one would experience from eating carbohydrates.

Hemoglobin A1c

Hemoglobin A1c, or A1c for short, has become more popular amongst practitioners in the past decade. It’s used to measure blood glucose in large population-based studies because it’s significantly cheaper than the OGTT test.

A1c measures how much glucose becomes permanently bonded (glycated) to hemoglobin in red blood cells. In layperson’s terms, this test is a rough measure of average blood sugar over the previous three months.

The higher your blood sugar has been over the past three months, the more likely it is that glucose (sugar) is permanently bonded to hemoglobin.

The problem with the A1c test is that any condition that changes hemoglobin levels will skew the results. Anemia is one such condition, and sub-clinical anemia is incredibly common. I’d say 30-40% of my patients have borderline low hemoglobin levels. If hemoglobin is low, then there’s less of it around to become bonded to glucose. This will cause an artificially low A1c level and won’t be an accurate representation of your average blood sugar over the past three months.

Likewise, dehydration can increase hemoglobin levels and create falsely high A1c results.

The “normal” range for A1c for most labs is between 4% and 6%. (A1c is expressed in percentage terms because it’s measuring the percentage of hemoglobin that is bonded to sugar.) Most often I see 5.7% as the cutoff used.

In the next article we’ll put these “normal” levels under the microscope and see how they hold up.


Join the conversation

  1. I have been having high blood sugars on and off with epigastric pain. During one episode my pancreatic enzymes were high and in another episode my liver enzymes were high. My blood sugar has consistently been high fasting for the past 8 weeks… anywhere between 120 and 136.Sometimes it is 160 two hours after eating, but not always….sometimes it goes to below fasting levels. My A1-C is 5.3. I am a fitness instructor and eat a clean diet as I have Celiac Disease . I avoid any type of grain and most processed foods. My dr. just suggested that I eat 1200 calories per day, I do not agree with that as I teach first grade all day and most nights I teach two high impact fitness classes. She also suggested that I exercise more…simply because she didn’t listen to the fact that I teach fitness classes. Any suggestions? I wonder if it is auto-immune . I have Celiac and was heading toward Hashimotos.

  2. I just had a blood sugar test at a health fair. I did not fast. I had a small protein shake and a peanut butter cookie for breakfast and the blood test was one hour later. It was 46. I have no bad symptoms and pretty much unlimited energy. Should I be worried. (I workout and eat small meals throughout the day).


  3. Hi Doc,

    Just got a blood glucose meter and got the following readings:

    Day 1
    103 9 hour fasting glucose
    101 10:15 hour fasting glucose
    106 1 hour post meal (eggs, coconut oil, 2 bananas, apple
    cider vinegar)
    94 2 hour post meal

    97 3 hour post meal with 47 minute dog walk + 11 minute jog
    89 4.5 hour post meal – feeling absolutely ravenous!

    Day 2
    97 9.5 hour fast

    Day 3
    96 10 hour fast

    Seems like fasting levels are high but trending lower. Would be lower if I could fast 12 hours but I would be so hungry and miserable, I would gorge!

    Seems like a very minimal impact to post meal blood sugar which could be attributed to vigorous exercise multiple times weekly and possibly been using apple cider vinegar almost daily for about 1.5 years.

    I welcome your feedback?

    Thanks much!


    • Your comment relative to fasting 12 hours makes it appear that you expect your BG to continue falling the longer you fast. That would not be the case. A healthy body maintains a constant amount of sugar in the blood which rises shortly after consuming carbs, peaks roughly an hour later, and has returned to where it started 2 to 3 hours later. The numbers you have given fall right in line with that normal pattern.

      • Also, remember that your meter readings are only accurate to within plus or minus 15 percent. In other words all your readings from 89 to 106 represent a single level.

        • Kurt,

          Not all blood glucose monitors have that much variance in the readings. I chose mine based on the research here:


          My unit is within +/- 5% 67% of the time.

          I could definitely feel the difference in the readings even the 2 point difference in the 75 minutes between readings on the first day and a massive difference when it registered 89 later that same day.

          • Patrick.
            I understand that you ‘feel’ a 2 point difference in your BG but you can’t.
            A person is not able to ‘feel’ this minuscule difference no matter what you may think. If it were true we would not need meters or test strips.
            If I am not wrong your readings were well within normal range so I’m wondering why you are concerned?
            I could be wrong and or have you mixed up with another ‘Patrick’ but if you are the person with readings from the 80’s to the upper teens that I read, then someone has not informed you correctly about your readings. Your A1c’s should also support this if the BG readings I am referencing are correct.
            People get all riled up about BG readings. They are the least important in terms of the many tests you can take. They are a good guideline, but a dozen things can make BG readings go up or down including many diseases.
            I hope you are not sitting there worried about this because I saw nothing in your numbers that would startle anyone.
            Yet I remain incorrect if I am speaking to the wrong Patrick.

        • Patrick,
          I did not mean to imply that your meter is off. As you will see above I was talking about your READINGS and they can be off for many reasons besides the meter; test strips, which can vary from lot to lot and even within a lot, state of hydration, hemocrit level, what and how recently one has eaten, and many other factors can effect readings including technique. I have gotten high readings, and immediately retesting gotten numbers 40, 50 points lower. This is easily explained by faulty procedure on my part. The greater point I was trying to make was to remind everyone not to consider their readings as exact numbers as if they were God’s own truth. Home meters are not laboratory instruments and all the readings they give are at best estimates.

          I don’t think any of us expects tools like meters to be 100% accurate 100% of the time. Even the top rated meter in the study you cited (and thank you for bringing it to everyone’s attention) the Bayer Contour Next is only consideted accurate to +/-20% 100% of the time according to it’s User Guide. That’s the standard and that’s what all meters claim though many think most perform better, and that, or the opposite, was the point of the study. You said your meter is accurate to +/-5% 67% of the time. So, of the 8 readings you shared with us, which 2 or 3 might be off by MORE than 5%? If the 106 reading was high maybe the true level was close to 101, or if 89 was low maybe BG was 93? Staying within 5% accuracy 103 could really be 98. If over 3 days I had fasting BG readings of 101, 97 and 96 I would describe my fasting blood glucose levels “constant” or “stable.”

          Here’s an experiment that can help you get a feel for the accuracy of your readings. 10 times over the next several days get a reading from a finger stick and your meter like normal, but each time within 30 seconds and with a new test strip get a second reading from the SAME sample/drop of blood, or at least from the same finger stick. Sometimes both readings will be the same, but most of the time the numbers will differ by from 2 to 10 or more. Some of mine have been 115/113, 163/157, 166/166, 88/84, 111/106, 80/73, 210/211, 136/143.

          Wearing a CGM has taught me that exercise can cause my BG to fall either gradually or while jumping around wildly. Dawn Phenomenon may keep my BG high most of the night or for just a half an hour. While snacking on peanuts in front of the TV it will sometimes rise, other times fall. It takes time to metabolize carbs, time for insulin to respond, and time to circulate it all through the body through the blood. Your BG is not at the same concentration throughout your whole body at any given moment. Even a reading from a lab is just an approximation of what is truly happening in your blood chemistry. That’s why measurements that don’t fluctuate quickly, like HbA1c, often yield a broader view of your state of health.

          Being able to “feel” a 2 mg/dL change, especially over an hour, would be phenomenal, rarer than being able to feel a 2 mmHg rise in blood pressure. The hunger sensation is a result of gastric function. I have felt uncomfortably sate at 65 and I have felt ravenous with a BG over 500. Not unusual however would be feeling the EFFECTS of a change in BG level: adrenal rush when falling, dehydration or full bladder when high. If hypoglycemia comes on gradually, BG — at least at the finger stick — may, by the time it is felt, fall lower than the BG level from it coming on quickly. I don’t doubt that you “felt differently” and that you correlated that in your mind with what your new meter was showing you, but please remember that BG levels fluctuate much more rapidly than most people expect or understand and any meter’s reading is just an approximation of what is really happening.

  4. Doc,

    Can your veggie + meat stew include any legumes (beans, peas, lentils)?

    What about an egg + veggie omelette?



    • Patrick,
      Just live by one rule for 30 days. It’s really simple and you will never go hungry.

      You can put anything in it that is low in carbs which means so low it’s not important, or, better yet no carbs. Anyone can live with 100 grams or less carbs a day. This should be your goal.

      If you are stringent with this 30 day meal you can just imagine how many different veggies there are out there. And beans, well kidney beans are called that for a reason, they are good for your kidneys and your BG. Just research which beans you choose. The vary much in carbs.

      It’s not something you have to do all your life.

      It’s just a simple way to prove something to yourself regarding your BG and if/how you can control it.

      But, if you just do it one time for 30 days, seriously, with no bread of any kind, no crackers of any kind, no potato’s, very little corn, no rice no nothing that has carbs in it (and remember even if you eat a all veggie/protein meal, your are still going to get some carbs anyway) you will see a dramatic change.

      If you do not see an immediate change in 7 days, then you can look back and remember the times you ‘cheated’ which is a very poor use of labels since cheating is not something we do in reality. We just have cravings and they are natural.

      It simply works. Don’t load up on meats/protein because protein can also contribute to higher BG if you are not active.

      Take your BG reading any day to start this plan and take it the same time every day for 30 days.

      Eat till your heart is content. 2, 3, 4, 5, 6 times a day or more and you’ll never be hungry and your BG will go down.

      You can even make a crisp spinach salad with all the veggies you might want and use some ‘hard’ grated cheese and a vinaigrette dressing. No ranch or blue cheese types.

      It gets old if you have little control so learn to use a variety of veggies. It’s important for the meal to be flavorful and variations help a lot. Ever had yellow squash fried and covered in butter? Tastes great!

      At the end of your 30 days, if this has really helped you as it should, go out and eat one big old bad meal!
      Then get back on the wagon for 30 more days.

      Alcohol is not your enemy with high BG but don’t become an alcoholic and remember beer is loaded with carbs. Choose wine if at all possible but again check the carbs and don’t become an alcoholic!lol


  5. I was on Metformin for PCOS.. One doc says I have PCOS another says I am just insulin resistance!

    I can eat a hand full of fries and gain 5lbs! My body doesn’t do well with carbs! My glucose levels were fine not being on my metformin for 7months.. I am confused if I should be taking it or not?! I don’t wanna put meds in my body if I don’t have to but if need be I will! HELP!

  6. Doc,
    I have a question, for the most part I have lost 30 lbs..5’21/2″ have to have that 1/2″..haha.. I am 50 and weigh at 146, my goat is to get to 135..I am for the most part eating good..I have cut out most carbs..i still eat potatoes..i was raised with a country cooking Momma..with that being said, I was told I was pre-diabetic..I have a problem with medications, I don’t metabolize properly, Metformin was making me sick and raising my glucose in the evening..My fasting in the morning is never over 130..most of the time 120-124.. during the day in the 88-115 range mostly 94-96..I am trying the intermintent fasting about 12-15, I am so tired all the time. I have low Vitamin D and take estradiol and progesterone..I am on a C-pap. I am experiencing major anxiety..I am confused. I do have an occasional ice cream around 7:30 pm with my hubs. I am a weekend drinker..I may drink low carb beer or have a couple glasses of wine or a vodka drink or two of some kind..that pretty much sums it up.. I walk about 4 times a week 3miles and do at least one day of yoga and one day of Zumba..sometimes light weights at the gym.. I am worried that I can not get my fasting over night blood sugar down.. Help…

    • Becky,
      Here it is in a nut shell and it’s pretty easy to do but we are humans and we will shoot ourselves in the foot before anyone else, any medication, any illness will.
      This is the plan and if you cannot do this for 30 days then there is no hope for you unless you want to take meds.
      First of all one’s health is not a number on it’s own. Having A1c’s a little too high if one is active and healthy feeling is not an issue.
      Having high A1c’s in a sedentary lifestyle is a problem.
      If you can, follow this diet for one month.
      Eat all you want of it without exception.

      All the raw vegetables you’d like but no ranch dressing or other dipping sauces, but spices are okay.
      All steamed vegetables and go ahead and use some real butter and spices.
      All the chicken or turkey you’d like just don’t deep fry it or batter it. You can leave the skin on it, it won’t be an issue.

      That’s it. That is how simple it is. Eat all you want anytime you want. Every time you eat something not in the above items you shoot yourself in the foot, your fault, not mine.

      There are so many great veggies out there that you will never be bored!

      I tell people to stay away from fruit except for a banana a day because no matter what anyone might say, even with fruit, too much is a bad thing. Our bodies need a balance.

      After 30 days, assuming you took your readings on day one before the diet started, take your readings again and you should be surprised.

      There is one caveat to this. You have to get out in the sun and exercise. Not indoors. Outside in the sun. All you have to do is briskly walk for an hour a day during the week and 2 hours a day on Sat/Sun. Break a sweat! Come home dripping, that’s okay and is in fact what you want to do.

      I promise, without exception, that this will indeed work.

      I put veggies and meat in a crock pot and make a gallon of it all at once and then just eat my fill and then put the rest in a container in the fridge. When it’s empty I make a new batch.

      I never eat bread or any potato or any carb at all during this 30 day stretch because if I am really hungry I can have a bowl of stew. If I am not really hungry then the desire for carbs is just in my head, as it is in yours.

      I’m from Texas, big old country boy, construction company owner, bench pressing 235 at age 58, 150 curls in each arm with 35 pound hand bells, 350 crunches per week. I got a super bug called KPC and after 9 months of it my blood work went to hell on me and my bg went up to 200. With this diet I have had days where my bg is 81 to 115 but I still stay away from carbs.
      Wish you the best. You can do it!

    • I forgot, Becky, feel free to enjoy your alcoholic beverages just stay away from beer. A good wine or mixed drink with non sugar mixers is okay.
      You numbers are not anything I’d worry about actually.
      If you can cut out the carbs, get out and walk and enjoy your wine in 30 days you’ll see a marked difference but remember your numbers are not bad and you should not feel as if they are.
      For your vitamin D, if you will sit facing the sun for 15 minutes with your palms open and up also facing the sun every day your Vitamin D will return unless you have a specific issue with Vitamin D. It’s a very important vitamin. Keep your eyes closed or wear sunglasses!

  7. Hi have lowered my bg drastically over to weeks to 5-5.5. Getting like withdrawal symptoms and feeling very weak. Is this normal? How long does it take for body to adjust?

    • 5 to 5.5 is not BG readings. This may be AC1 readings.
      I’m not certain I understand these numbers.
      A person cannot usually take their own AC1 readings and if this is your BG readings then you would have already expired.

      Explain please?

      • 5.0 and 5.5 ARE blood glucose reading IF the the units of the measurement are mmol/L. If I remember correctly the conversion is 18 to 1, or 90 and 99mg/dL respectively.

        • The way his post was stated they did not seem to be his intention in my opinion.
          I understand A1c numbers. I can’t find the post I was referring to but will look further.
          Did not mean to cloudy up the water.

        • Found what confused me in the post Chris.

          Stated: “Hi have lowered my bg drastically over to weeks to 5-5.5. Getting like withdrawal symptoms and feeling very weak. Is this normal? How long does it take for body to adjust?”

          I don’t know of any meter that gives A1c readings.
          And A1c readings are different from standard daily BG readings.

          Mine gives me actual BG readings, not A1c and conversions are no good unless it’s a true A1c test in my opinion and even then A1c tests are suspect.

          I could be wrong but if there is a meter that gives A1c readings I’d like to have one.

          If someones BG was 5 or 5.5 they’d be deceased.

          If you get under 80 you are in trouble and may be headed for Hypoglycemia is that not correct? So 5 or 5.5 would be deadly.

          People need to post BG in BG terms and A1c in A1c terms.

          • Depending on the country you live in, the normal way to measure blood glucose is on a scale where the normal value is around 100, or on a scale where the normal value is around 5. In Canada, Britain, or Germany, your blood glucose meter will show values fluctuating from around 2 to 10, but if you live in the United States, your meter will show values from around 40 to 200.

            I think people are confused because in the United States, the scale where 5 is normal is only used for A1c recordings, which is essentially the average glucose over the time it takes the red blood cells to cycle through, or about three months. In other countries there is no difference between the blood glucose scales used for everyday values and for A1c values.

            A1c differs from normal blood sugar measures in that it represents a three month average, except on a scale where the number 5 represents normal rather than on a scale where 100 represents normal. Both A1c and the 100-scale are blood sugar measures.

            • Oscar is precisely correct. In the U.S. blood glucose concentrations are measured in milligrams per decileter or mg/dL. In countries using SI (most of the world) BG is measured in millimoles per Liter or mmol/L. The reason A1c is the same everywhere is because it is expressed as a percent. (Percents are a ratio of a subset to a larger set — all “things” in the sets being the same but perhaps of different type, hence the subset — and are therefore unitless, also called dimensionless. In the case of A1c the ratio is glyconated hemoglobin cells per all hemoglobin cells.)

        • That is exactly right. Everywhere in the world except for the United States, blood sugar is measured in terms the new unit system, in which a 5 is normal. 10 is about the highest patients will ever see, and 2 is about the lowest patients can stand before they are unconscious. They are just the A1c values applied to everyday life, and they are the numbers that appear on glucometers.

          Only the U.S. still uses the scale on which 100 to 120 counts as normal glucose.

    • What other symptoms are you experiencing? Weakness is not typically a symptom or result of lower glucose in the blood particularly at the level you describe. Weakness can however be a result of diet in other ways, for example iron deficiency. What have you changed to lower your BG?

  8. for me the worse thing i can eat is a lettuce salad with tomato cuc and onion its makes my bgl go up to 200 yet if i eat a steak and a baked sweet potato it only goes up to about 120 i was diagnosed with type 2 db two months ago blood sugar level was 500 i dropped carbs basically but not all i make things like lasagna using eggplant for noodles eat small flavored rice cakes low sugar fruit no sugar cereals sugar free instant pudding coconut milk makes it thicken i take 100 mg invokana a day and 850 mg metformin my blood sugar goes as low as 80 and depending on what i eat can go as high as 180 but comes back down my normal is 100-120 in two months dropping the sugars ive lost 60 pounds

  9. I have been a type 1 diabetic for 55 years. The only way I can maintain blood sugar control is by eating exactly the same meal every time I eat, keeping my activity level the same every day, and taking exactly the same insulin doses at exactly the same time every day. I have been doing this now for the last 12 years.

    But last week, within the course of a few days, my insulin requirements went up suddenly by 50%, even though there was absolutely no change in my daily regimen. My doctor has determined that I have no infection, and my temperature has been normal throughout this period. I think this just confirms what I know from more than half a century of everyday experience with type 1 diabetes: blood sugar fluctuations are caused by many factors that endocrinologists have absolutely no understanding of, which cannot be measured, and which account for most of the blame irrationally imposed on patients for not controlling their diabetes.

    • Hear, hear!

      Oscar, you may find this interesting: we are both of approximately the same age, but I have only been T1 for a year and a half. Not even prediabetic before that.

  10. Hi Chris,
    Five years ago I was told that i was pre-diabetic because my HbA1c was 5.7 . I refused to take medication,and started to watch my diet. In general I don’t eat rice or breads or pasta. I don’t eat a too much sugary fruits neither. So my HbA1c has been staying at 5.6 to 5.8. I check my glucose frequently. My one hour after meal ( vegetables and meat) glucose is around 130 and it go back to 100 in two hours. Somehow , although the time I go to bed the glucose is 86 , but I wake up glucose is around 99, which means I have dawn phenomenon. But recently, a strange thing happened to me. I experience dizziness, heart pounding after eating two eggs in the morning. My glucose will drop from 99 to 75 within one hour . If I eat a small piece of cake , like thumb size, I will experience rebound . My glucose will go up to 130 within 20 minutes. And come back to 115 in one hour . And it will stay on 115 to 120 for a long time. I don’t eat after 6pm. So the time I go to bed is around 12 pm. My BG is around 85. I am very confused. Any suggestions or explanations?

  11. I think the whole point of the article is to find out what YOUR “normal” is and not compare yourself to everyone else. You know your body better than anyone else. That being said, your body is your responsibility and no one else’s. If the doc says to exercise and you decide not to, that’s on you. If the doc wants to put you on meds, research it. But don’t just look at pharmaceutical websites for the answers. Read what “real” people have to say about that medication. A “normal” plan of action may not be the RIGHT plan of action for you.

    I am T2D and am on one oral pill and one insulin injection a day. Is that “normal”? Not necessarily for the “normal” person, but it is the right plan of action for me given my allergies to certain types medications. One of those allergies being to Sulpha drugs so it knocks out an entire class of diabetic medications for me that is “normal” for other people.

    Find the right doctor, an excellent nutritionist and surround yourself with positive supporters. Above all, be truthful with yourself even when you don’t like what your support team says.

  12. Question for the group. My A1C went from 5.2 5 years ago to 5.7 at last test. Fasting Blood Glucose was 84. My 80 year old mom has a 6.5 a1c and her sister had T2D. So I read these articles and gave myself a post meal test. The results were alarming to me. Please let me know what you think:

    Turkey sandwhich 66g carbs + 10G of sugar from a drink:
    45 minute test results: 171 (yikes!)
    75 minutes: 153
    2 hour test: 105
    @ 5 hours: 87

    • In reality nothing wrong with those numbers at all.
      Returning to an 80’s range is superb.
      Had it not returned to that range, had it remained in the 150’s or 140’s you’d be a pDB possibility.
      Remember, one day does not make you one and one good day does not cure the disease.
      It’s a lifetime of responsible eating and exercise.
      Don’t worry about it.
      Your mother was very borderline in her numbers.
      I’d like to have seen her numbers over a 3 month period of daily bg tests.

      • Thanks for the input. That is refreshing to hear. I’ll keep tabs on the glucose. If anything continues or pops up I’ll repost with an update as other readers may be in a similar situation or non-situation.

  13. Hi,

    My Fasting blood sugar level was 142, however around 40 mins after a meal the level went up to 161. I am on antidepressant pills ( for the fist time ) for the past week and antibiotics ( for a gut infection) for the past 2 weeks ++

    Is this a cause of concern and shall I consult doctors.

    • I am certain there are those that believe everything the AMA and other medical establishments say and believe it to be Gods word. That’s fine, I respect your beliefs.
      However, medical professionals licensed to ‘practice’ medicine. “Practice” is the go to word here.
      The do not cure diseases. They’d like to but it’s just not the norm although sometimes they can and do.
      My hat is off to those doctors and nurses that care in an honest and loving way for the ill.
      After saying that, I’d like to premise my statement by saying there is no better preventative medicine than being good health. Good health is the kicker.
      What’s good or bad for one person is not necessarily good or bad for another.
      What may trigger diabetes in one person may never affect a different person.
      That does not mean one should not take care of themselves yet it also does not mean that if you have a fasting BG of 125 to 140 you are going to die of diabetic related problems.
      Same thing with those perfectly healthy. They can still get hit by a bus or a bolt of lightening or just simply die for no reason at all. It happens all the time.
      My advice is simple.
      Live a good life. Good as in quality of life. Eat well and exercise no matter when you may make this decision.
      Love every day as if it were your last one because one day it will be your last one so don’t wast them.
      We all die. It’s the last part of life for us all. No one wants to die for some reason or another, most because it’s an unknown and to many it’s scary. But if everyone died perfectly healthy it would be very strange.
      Our bodies are meant to finally fizzle out.
      Living a bad lifestyle and causing that fizzle out to come earlier than it could have is not what I call living a quality life.
      So, don’t fret or worry about everything you are told. Don’t ignore everything you are told either. Take them all with a grain of salt. You are going to live ‘x’ years and you can’t change that. So why not try living the most quality of a life as you can by eating healthy, exercising daily, loving your family and friends and for those of you that believe, be open to meeting your creator. To those that don’t believe, then it does not matter how long you live nor how well or poorly you live because for you there is nothing left after this existence and I respect your beliefs.
      Enjoy life. Some of us may not even be here next month!?
      my best

      • LOVE what you had to say! I temporarily stressed out over my Dr saying I was pre diabetic even though I am 56 and have maintained my weight my whole life (125 lbs), eat very well and exercise regularly. Your comments grounded me because yes, we are all going to die and meet our beloved creator but in the mean time, all we can do is the best we can do and leave the rest up to God. THANKS!!!

        • If it helps great. We take life too seriously. Be happy. Be good. Try to do what is right
          I wish you great happiness and success.
          Give those you love a hug every day. One never knows when it will be your last.

        • I was prediabetic for a long time (2008-2016) and was NEVER overweight in my entire life…UNTIL the disease worsened. I was “skinny fat”…At 5 ft. 6 inches, I never went over 135-140 pounds. Skinny fat means that I wore a size 8-10 pants, but still had too much visceral fat on my liver and pancreas. That sets insulin resistance in motion, and it continues getting worse unless changes are made. I had a totally normal BMI status until the year before the diagnosis–then I packed on the pounds, even though I was not overeating, or eating junk. I was considered “slightly overweight” when I was diagnose. My BMI just over the normal boarder. Some people just cannot safely carry fat around the middle–not even a little bit.

          Insulin resistance makes it pretty hard to burn fat and then weight gain sets in. It’s part of the disease progression. The disease continued worsening because of my genetics and the fact that I was not eating properly for someone that was insulin resistant. I was eating lots of fruit and raw almonds. I also ate brown grains, brown rice, and very little bread; but I did eat crackers and breakfast cereals. I gave up juice, refined sugar, junk food, and sweetened yogurts years ago–so I thought I was doing the right things to protect my health. I was “active” but not athletic. I overworked and spent too much time in my car commuting. But I had a job where I was on my feet a lot; so, I thought I was okay…but I wasn’t. I was still prediabetic.

          As a diabetic, I cannot eat a lot of fruit or ANY grains since my glucose processing machinery is all messed up…Prediabetics ALSO have impaired glucose metabolism…I was too complacent and my doctor was not urgent enough in helping me understand that I was about to fall off of a cliff health-wise….As a prediabetic, my doctor should have urged me to monitor my blood glucose at home and aim for foods that did not unduly elevate my blood sugar. Normal fasting numbers are below 85 mg/dl and truly normal postprandial numbers are well below 120 mg/dl two hours after a meal. I had the power to check these things and I made excuses because I thought my diet was good, and I was too busy with work, kids, commute, etc…

          When my doctor told me that I was “prediabetic”, I wish that I had learned more about how to reverse the disease because having diabetes SUCKS…It’s manageable, but it’s not fun having to worry about how every scrap of food might impact my blood glucose levels.

          I was diagnosed 8 months ago at the age of 50 years old. I have been able to control the disease through diet (very low carb and high fat). I also exercise everyday. At minimum I put 10,000 steps daily (without fail) on my Fit Bit…it’s actually pretty easy to do that (and I purchased a standing desk for work). I also lift light weights about 2 times per week and do full cardio routine for 30 minutes 3-4 times weekly, which helps me get my 10,000 steps faster on cardio days.

          I urge you to learn what you need to know to get your blood glucose levels back to NORMAL (A1C less than 5.3) while you still can. It’s actually NOT that hard to do. With the right diet and moderate exercise, blood glucose could go back into normal ranges within days, to weeks depending on how much visceral fat one has. My levels dropped from fasting value of 150 mg/dl in days just by cutting out the carbohydrates. Fasting numbers were around 100 mg/dl one-two days after I ditched the carbs. It took exercise and implementation of the low-carb high fat diet to get the fasting numbers into the 80s-low 90s range. I now can tell if I don’t lift weights enough (2 days weekly works for me) or I cheat a little with carbs because the fasting numbers to back into the high 90s-low 100s. I can fix that pretty quickly by being sticking to my strict routine….

          Yes, we’re all going to die of something, but God helps those who help themselves. I wish that I had the knowledge that I have now BEFORE I became diabetic. It’s pretty easy to turn around prediabetes with dietary changes and exercise. There is TONS of information online of how to do this…Your doctor will not tell you how. Please, for the sake or your health, well-being, and longevity, I hope that you will look into it. You can do it…

          I take no drugs for any health issues and have successfully learned to manage diabetes with diet/exercise. My last A1C was near normal 5.7. My fasting glucose values are normal, as are my post postprandial levels. I lost 53 pounds and am now 125 pounds; what I weighted when I left the US Navy nearly 30 years ago…And I feel great…even though I have to watch what I eat like my life depends on it…because it does. Better to turn around while the body still can…Good luck and be well….

            • Glad to hear it Patricia. I just had a check up yesterday. My A1C is currently 5.8; a bit higher than I would like, but well below the 7.7 that it was just one year ago. The ketogenic diet and regular exercise has saved my life. I highly encourage you to do what ever you can to avoid developing overt diabetes. It’s really a burden. See dietdoctor.com and Dr. Jason Fung’s work on fasting. Good luck to you!

          • Some of your story could be mine Not tackling it as a prediabetic Nevermind the reason.Ive still got more weight to lose and making exercise a regular daily event but got my HbA1c down to 42 from 51 in under 3 months

    • Hi” I went thru the same complacation.I was on 2mg glimipride once aday never had any problems with my B/C level until I was put on Levofloacin for chest congestion and then my sugar went crazy.I called doc and he raised my meds.to 4mg once aday no help whatsoever even my vision got worse going out in sun.So now I have been put on metformin along with my regular meds.so that is where I stand for my treatment.But the doctor said there are two things to do to cut out two meds. Is eat right and walk hard…Good luck

      • You hit an area that most doctors don’t realize exists.

        I volunteered for old folks and caught KPC from them.
        Old school super bug. Read up on it, you’ll be shocked.

        After 5 doctors and 6 months of different diagnosis and different AB’s my internist figured it out in 3 day. Took 9 months to get a clean bill of health from him.

        He gave me the same AB that people get with Anthrax and the Plague. Could only get two rounds of it. They don’t allow any more.

        My BG went up to over 200. I was very active. 9 to 18 holes of golf, walking two to 4 times a month plus my volunteering.

        All during the 12 or so months prior to getting this AB my bg was fine, then wham it went up while taking this AB.

        Under control now by eating and exercise but it’s amazing how big pharma can screw up a body’s system sometimes along with killing off an infection.

        Wish you the best.

        Eat right and for gods sake exercise. Nothing fancy just walk or trot if you can. I found stairs are the quickest and they are all over the place to be found.

      • Hello L&L mom,

        Thank you for giving such a detail account of tackling diabetes without medication. I am in similar boat and would like to ask you few more things. Would it be possible to pm you? Thank you.

    • You really need to consult your pediatrician.
      A little one with a growing building immune system needs all the help it can get while developing this immune system and building it’s own body up.
      I don’t believe BG has anything to do with it.
      Get a doctor involved.

  14. I had a fasting glucose a little over a year ago of around 70. I am now experiencing some symptoms of diabetes. Is it possible to develop diabetes that quickly?

    • First there is no normal for everyone.
      Same thing for what is called the normal temperature of a person.
      It is stated to be 98.6 but few know that it came about by taking the temp of 100 healthy persons and gaining an average.
      So there is no normal across the board.
      There may be a normal for an individual but that’s it.
      A person can live all their lives healthy with low or high BG and never miss a step or have a bad day due to it. Just depends on their own metab and how their body works.
      I have seen 2 pack a day smokers live to 86 and still jogging to be found dead in bed one morning from natural causes.
      I have seen little children that never get to their 6th birthday and die of cancer that have never smoked or taken any drugs.
      There is no normal for the entirety of humanity.
      What is normal for a person is merely what is normal for that person and if a person with a fasting BG of 81 or 130 eats healthy, exercises, lives a good life without the bad’s of smoking and such they can live to the same ‘average’ age as anyone else.
      The object of this disease is to not feed it. So if one simply ate well 100% of the time and got 30 minutes of exercise every day they’d be doing all that they can to live as long as they might possibly live.
      Yet, they could still be shot in a robbery, killed on an icy road, mauled by a bear or hit by a bus.
      So instead of worrying as much about how long one might live since we all have an expiration date, work on living as well as you can and simply hope for the best.
      Besides who wants to be known to have died ‘Perfectly Healthy’? (just a joke here)

      • Hi doc I was on statins for 3years ,than last year around this time I was diagnosed with type 2 diabetes , my legs were hurting feet numb a painfull so doc did a fasting and A1C ,fast 145,A1C 7.0 , my fasting during my yearly physicals slowly were going up from 98 to 109 116 118,then bam 145 ,doctor said you have diabetes ,put me on metformin Er 2000 mgs a day,@ year latter drop 23lbs ,I am now 6ft 194 lbs ,also while on statins he never checked my Ck or my CoQ10 which should have been checked while I was on statins,my legs and feet still hurt and full of neruopathy
        I have done every test can you help!!!

            • But my feet are still full of neruopathy,could it be from taking statins for 3 years ,I have had every test tried every thing to help it get better ,it’s been a year some days it’s feels great then the next morning it’s bec,Iplease help

                • Why are some days I feel real good ,does neruopathy come and go like that! Could I not be on enough metformin,I take 2 500mg ER in the am and 2 in the pm total of 2000mg of metformin ER

                • Start tomorrow if you really want to know.
                  Write down every mouthful of ‘whatever it is you eat or drink’ and keep exact records of when you feel good or bad.
                  Track your sleep as well. If you don’t sleep well, you won’t feel well. If you don’t eat well you might not feel well.
                  Neuropathy does not necessarily come and go although you can have good and bad days.
                  Generally when damage is done it is permanent in most cases that are not caught early.
                  Metformin does not treat neuropathy as far as I know.
                  The metformin can be tossed if you’ll go on a strictly veggy and meats crock-pot diet for 30 days. You can eat all you want but it’s all you can eat for 30 days.
                  Drink water/coffee/tea and nothing else.
                  No sugar/sugars and no carbs (but in reality you’ll be getting some via the crock pot meals).
                  What’s wrong with eating 3 to 6 times a day healthily?
                  You can never go hungry.
                  Sorry you feel bad at times.

        • I can promise you this.
          If you eat Crock-Pot veggies with meat for one month you will see in one week a huge difference
          In 30 days you will be amazed.
          All you get to eat is this Crock-Pot stew
          Nothing else. Eat all you want. Exercise daily if only walking.
          Get back with me. I would like to see how it goes.

          • Doc,
            I need help. I tried for 2 years to lose weight and control my blood pressure. I have a considerable amount to lose. I lost over 40 lbs in that time frame. I was walking every day (still do most days when my back isn’t killing me) My BG always hovered around 95-110. My blood pressure kept going up. I don’t like to even take meds- not even Tylenol, but ended up on a low dose beta blocker (which works fabulously).. but it set loose the fat kid in the candy shoppe. I had only been eating foods very rich in potassium (mainly potatoes, veggies and low sodium homemade turkey meatballs) and very very low salt – for years. I figured out in no time that I could eat ” normally” again. Pizza. Bad foods. Gained it all back plus some. I am afraid of going back to my Dr (ND) cause I messed everything up. I take D,C, Tumeric, fish oil, and Bs. Daily. I want to try your stew diet, can I get more info? Please? Thank you… (my cholesterol and such were fine last year, slightly elevated A1c, and my liver is a little fatty. But my panel wasn’t too bad for a fat woman of 48 years… thank you

              • If your BG is 117-122 you have little problems.
                Assume spikes happen as well.
                Your walking and diet seem to be good for you.
                The crock pot diet works without fail if you really do it.
                Crock pot veggies and meat but no potato’s or rice or pasta.
                Eat it all you want but no carbs.
                Iced tea, no sugar; water, coffee no sugar/cream.
                Give it 30 days and see what happens.
                Just don’t cheat on it. Give it 30 days.
                You can eat this 5 or 6 times a day if you want.
                I use okra, tomato’s, three bean mix, succotash and chicken or pork or beef.

                • Thank you for your response! I followed your stew recipe I found online and made a full crockpot last night. My only concession today was my coffee this morning but I do try to ease into low-carb because it’s uncomfortable the first few days. All in tomorrow (and today is going great, coffee aside) I put the nutritional information into my fitness pal And was pleasantly surprised that it has ample potassium!! That is one thing that I have problems with – if I don’t get enough I have bad PVs. Heart gets in funky rhythms and freaks me out. What do you do about funky breath? I don’t know if this will throw me into ketosis, but I work closely with people and usually use mints… silly question – but I don’t want to fail OR knock anyone out. Thanks!!

                • brush your teeth 5 to 6 times a day and if that does not do it then a dentist may show that you have one of those common issues that a dry mouth may be the cause. Drink water.
                  Coffee is great for you but no sugar and no creamer. Same for iced tea, no sugar.

                • Doc,
                  Thank you so much for the guidance. I haven’t been perfect, (I eased into this with a few crackers with my soup, gradually cutting my carbs out). I have used Stevia a bit here and there – but I have to say within 3 days of eating my stew (I have done beef and turkey meatball so far) my BG is down from 122 to 102. Even with my crackers. Feel better, not achy, more awake, more alert – back isn’t hurting so bad. I’ve lost 5 lbs. and I am looking forward to losing a lot more. Thank you.

                • Thanks for your reply and your stats. It helps others understand how a simple crock pot diet can change your numbers in a week or two.
                  122 is not a bad number depending on when it is taken, Fasting or 2-4 hours After a Meal. Stay away from the crackers, bread, rice, pasta, etc whenever you can; you get enough carbs from the stew. I know it’s hard. But if you think you need more intake, just eat more stew. Your body will soon be satisfied and learn the new diet floor plan.
                  If you can live strictly for 6 days a week, you can take one day and enjoy a single meal of most anything you’d like and then get back on the crock pot stew. And it’s healthy.

                  Your results will help others believe and give it a try.
                  Thanks much.

    • Since you didn’t mention any of your recent symptoms it’s hard to say if those are part of a “quick development” of diabetes. Still, one thing is certain and that is that prediabetes (generally) CAN be reversed that quickly. So what, are you going to wait for a diagnosis before you make any changes?

  15. My wife had a near 7% a1c reading around three months back.
    Doctor advised me to ensure that my wife follows a strict diet and prescribed fairly high dosage of metformin.
    We discussed the matter at home and decided to find out the food which results in sugar reading spikes. We commenced doing random checking before and after eating any food.

    We found that rice in any form has been creating the spike. Unfortunately we are vegetarians and our main staple food is rice in various forms . I.e breakfast, lunch and dinner.

    Hence reluctantly my wife cut down the rice intake to 33% of her normal intake and started consuming wheat based diet though in lesser quantities.

    Now she is loosing weight and we also find that she feels slightly giddy now and then.

    Can you kindly advice on what we should do.

    • Your wife may find that some types of rice create faster of higher spikes of her blood glucose. Learn about the glycemic index of food (and different types of rice) and maybe she won’t have to “give it up” as much as “change it up.” Be sure to understand the difference between Glycemic Index and Glycemic LOAD.

      • This is so simple it blows my mind when people just don’t understand how simple it is.
        You just do not eat any rice/bread/pasta/potato’s or any other known food that is high in carbs.
        This is not brain surgery.
        If some one cannot stay away from harmful carbs then it’s because they do not want to and there is no other reason to be given.
        There are so many veggies and meats and eggs and such that a person that says they don’t have choices enough to make them happy eaters are just ‘cheaters’.
        There are ample carbs in all the other foods if one eliminates the top 10 carb foods out there.

        I went from a high of 215 or so to as low as 81 in a fasting BG test. And all I did was say to myself that I wanted to live a long healthy happy life and enjoy my days here with my kids and grand kids.
        Once I said this was my goal I have never looked back.

        Yesterday I ate a double meat burger with lots of lettuce, bunches of onions, lots of tomato’s and hoards of pickles!
        I took the top bun off and then placed the burger on a plate and ate it by cutting a piece of it like one would with a steak.

        I was so stuffed by the end that I was uncomfortable!

        Anyone can do it.
        You just have to figure out what your health is worth and that’s it.
        my best.

        • You are ridiculously misimformed regarding both carbs and red meats. As a Registered Nurse, I advise you to learn about glycemic index when it comes to foods with carbs before giving advice to anyone. Carbs does not = bad. And to eat red meat until you are uncomfortable, that is quite unhealthy as well. Not to mention the vegetables and fruit (tomatoes) you mentioned have VERY VERY little nutritional value. Educate yourself before giving medical advice. And lose the holier than thou attitude you developed from losing the weight.

          • OMG. Did you REALLY just tell people AS A NURSE that fruits and vegetables have NO nutritional value?

            Please stop posting.

            • She said tomatoes, lettuce and onions, she meant the stuff the lady put on her burger idiot. Tomatoes have little to no nutrition and have high levels of sugar, pickles have 0 calories 0 fiber etc and loads of sodium, onions also have natural sugars that can metabolize in the body. Maybe you should stop posting and quit being an idiot.

          • Kim you over simplify my statements.
            And incorrectly I might add.
            I, on my own, will guarantee you, and you can ask your doctor and any nutritionist the following.
            If one were to cook up a crock pot of vegetables, 5 types of veggies (no potato’s and no sweet corn) in each crock pot, plus some meat (chicken/turkey/beef/pork/fish) to add to the bowl of stew (that’s what I call it, stew) they do not need any other intake of foods for 30 days to make a huge improvement in their BG.
            I make each crock pot different every time. It’s great food, great for you but you have to ‘want’ to do it and you have to ‘want’ to live healthy. You cannot ‘want’ to each unhealthy crap as a diabetic or pre diabetic.
            A person does not need to eat rice, bread, and or other carbs because with this crock pot stew one will get all the carbs they need for the 30 days they are on this test diet.
            I do not believe in a person eating fruit ‘in bulk’. Apples for a diabetic are a horrible thing to gorge ones self on as are many other fruits, yet we need some fruits. Try blue berries, raspberries, and such. However eat them raw/washed. No whipped cream, no sugar added on them, just as nature made them.
            No one ‘needs’ to eat rice/breads or any other heavy carb food.
            Almost every food on the planet has carbs so there is no reasoning behind eating rice if one has a high BG.

          • Kim,
            if you were more informed you would have realized my only meal for the day was the open faced burger!
            One meal!
            You need to back away from the medical professions rantings and the big pharma doctrine.
            One meal a day?!
            And it being a double patty burger of angus beef and lots of veggies and half a bun?
            You are disturbed because of this one meal for the day? My only meal? Really?
            I’d go back and do some sit downs with a nutritionist. You are not comprehending what is being stated or are misinformed.
            Please read clearly what I post and don’t interject anything in to it, okay?
            Lets play nice and let people help each other and not become a website of abrasive posts?

  16. Thank you so much for your article. In August 2016 (5 months ago) I had lab work done for the first time in many years and was diagnosed with diabetes. My first fasting blood glucose was 270 and of course they wanted to put me on insulin. I wanted to do some research first and through that declined insulin, started with a 3 day fast, after that switched to 2 meals a day, cut all grains/fruits/most veggies and was down to fasting blood glucose of 95 at times but for the most part I cannot get it below 110 no matter what I do. I don’t cheat at all, no sugar/jam/potatoes/rice etc… and the only vegetables I eat are green leafy (most often baby Bok Choi or arugula) or broccoli/cauliflower/zucchini/occasionally cabbage. I just feel like my body is broken and am so frustrated. The doctor is very happy with me and says she’s never seen someone do this on their own and has of course offered me Metformin which I didn’t want initially but I’m wondering if there is anything else to try or if I should try that. I am doing everything from a dietary perspective that I’ve been able to get my eyes on. If you have any articles to direct me to or any ideas I am at my wits end.

    • Shanna,
      Please look into Dr.Jason Fung’s website Intensive dietary management. He is a nephrologist based in Canada who is working with diabetics and he works through Skype as well.

      • Nida,
        Reviewing Dr. Fung’s work (and dietdoctor.com) is excellent advise. Using those resources and making dietary changes allowed me to drop 55 pounds in 6 months. My A1C lowered from 7.7 to 5.7 in about 3 months just by drastically cutting carbs, increasing fats in my diet, and implementing various forms of intermittent fasting. Dr. Fung has two books. The first is called the Obesity Code (where he discusses medicinal fasting, weight loss, and diabetes). The second book is a Guide to Fasting. They are both excellent.

      • Thank you! It was his info that I initially got ahold of that propelled me to make the changes I have but I didn’t know he worked w ppl via skype so I will try that! Thank you so much for the reply.

  17. I frequently feel hypoglycemic after going more than 4 hours without eating. Shaky, sweaty, trouble thinking straight, etc. I never have a BG meter handy to see what is going on. Tonight however, I had the symptoms after 8 hours of not eating. Much to my surprise my BG was 130. My previous meal was low carb. What in the heck is going on? I have had a few fasting BG readings in the 100-120 range when I had blood work done, but nothing way out of wack.

    • You need a blood panel taken to see what’s up.
      You could be low on potassium or iron or ????
      But if you have a 130 BG I see it hard that you are hypoglycemic.
      I’d get a doctor to run a panel.

  18. I am 33 years old, male.
    I did random blood glucose test after a meal which was 107, normal range ( 100-120on the result sheet) and my insulin level was 85, which was highlighted in red to indicate out of range ( 20-25)
    My T4 and T3and TSH were in normal range,
    My sex drive decreased and I frequently urinate
    What this indicates ?
    What other tests I should take
    Please advise

  19. I’m pregnant and failed my 1 hour glucose, but not my 3 hour. About 2 years ago, my husband and I cut out ALL processed sugars and foods. The test made me miserable and extremely sick. I bought a glucose meter and started testing my blood at home, because I just didn’t believe that I had GD. My blood sugar was not even close to what someone would have with diabetes, but I was forced to do the 3 hour anyways and expose my baby to 100g of glucose in 5 minutes. Great. I started to wonder if I could fail a glucose tolerance test, simply because my body wasn’t used to having to process anywhere near that amount of sugar. I prepped for my 3 hour based on this theory and cheated more than I ever have for Christmas (I’m talking store bought cookies, pie, pancakes, fake maple syrup, Doritos, etc.). My 3 hour was drastically better than my 1 hour (even my 1 hour within the 3 was way better). I based the theory off of my experience with trying to eat fast food and how sick it makes me now; as well as, trying to eat beef after being pescatarian for years. I’m just wondering I could be correct in my thinking.

    • You sound like a type 1 and not a type 2 diabetic?
      However that aside:
      Just based on science fast food is not good for you or your baby no matter how one tries to rationalize it.
      You can be perfectly healthy with first a stable and positive mindset and follow it up with healthy eating.
      I’m going to assume you did not read what brought my BG down from 217 to 110?
      Morning: either 3 eggs, or a cup of home cooked oatmeal or a bowl of stew.
      Lunch and dinner and anytime I’m hungry, another bowl of stew.
      Stew is:
      all veggies (I buy canned veggies) except no potato or sweet corn allowed.
      I use english peas, okra and tomato’s, hominy, green beans, beans or black eyed peas and then a pound or two of beef or chicken or pork or turkey cooked on the grill outside and then cut up and added to the hot veggies.

      One crock pot carries me for 3 days without exception when I eat eggs or oatmeal in the mornings.



      I can guarantee if you do this, and yes it is difficult the first week because you get tired of the same old stew and start craving sweets. However, after the first week you’ll see a huge difference.

      You will never have faint headed feelings or low sugar if you are a type 2 diabetic or pre type 2 diabetic because you can eat all the stew you want and it’s cheaper than fast food. Type 1 is a different animal so that is for someone else to help you with.

      Don’t start this and then come back and say it did not work because it cannot not work for type 2 diabetics. If it fails you will have failed in keeping to the above food plan and it is so varied and allows for so many different vegetables and meats there is no reason not to enjoy such great food.

      My sympathy is with you as are my prayers for you and your little ones.

  20. I have a 15 year old son who in the middle of October started to really not feel well or act well. He very fit and very active. He’s 6’4 and 203lbs. Plays football, basketball and runs track Well the last season football game the end of October he didn’t play because he was feeling very weak, shaky and tingly and somewhat on the verge of passing out. After the game was over he went back to the football bus and was complying to his cousin that his arm was numb, was shaking very bad and was apparently acting and talking like he was drunk. Once the coaches and medic were notified they realized his blood sugar was 45. So they gave him that tube of sugar and within a couple of minutes he was talking and making sense. About 15 mins later he was up and back on the bus and basically acting normal. They rechecked him 30 mins later and his sugar was 146. So since then we have been closely watching his sugars. His A1c the 28th of October was 4.3. So they said he was fine!!! Except he wasn’t. He kept getting low sugars, to the point of losing consciousness His number would get between 42 and 54 all the time. We see low number atound 50 at least twice a day. Never below 42 to though. In the last three weeks we have seen numbers up to 324 but have mainly been high 200s. He also has a thyroid disorder since he was 7 Now finally we just spent 48 hours in the hospital the beginning of this week for the fasting test and of course he did good Mainly his sugars stayed about 60 until the last hour of the test and then it went to 53 but the dr felt that was ok and sent him home anyways. So we still have NO answers. I would LOVE to believe that he’s fine now, but it’s really hard to. After leaving the hospital we went and ate at Applebee’s. He ordered a steak with broccoli, about 35 mins or so after eating he told me he felt funny and really looked it. So I checked his sugar and it was 54!!!!! So what possibly could be wrong with him
    I’m DESPERATE for answers or suggestions
    Thanks you

      • He has seen a endocrinologist He also did a 48hr fasting while inpatient at the hospital. But hat was all they did, was fast him and realize his sugars handled that ok. After we left the hospital and resumed life and he ate, his sugars drop drastically after eating. So I’m just confused and looking for other possibilities. I realize he’s not a diabetic but is this normal??

        • I suggested an endocrinologist because I have found that many physicians’ expertise with glucose abnormalities is pretty much limited to T2DM. Your son’s condition may be similar to type 2 diabetes if he is producing excess insulin. I have seen this referred to as “reactive hypoglycemia,” but not being an expert I don’t want to try and describe it and possibly mislead you. But some endocrinologists can/will set patients up with CGM which gives a much better picture of what is happening with glucose levels than testing with a glucose meter (finger stick). Additionally CGM’s have alarms which can be set to give early warning of a developing hypoglycemic event. One danger of multiple hypoglycemic episodes is that the patient may become accustomed to the symptoms, and therefore risk increasingly lower glucose levels.

          • I see. Thank you!! And to some degree I am getting a little concerned that he is getting used to the light headedness and shakiness to a certain point. I’m just getting frustrated because I’m not sure what else to do and it feels like I have to do the leg work. All because his sugars didn’t drop while fasting for 48hrs

            • The light-headedness and shakes is from and adrenaline rush. Perhaps your son should carry a Glucagon emergency kit and(/or) a medical alert ID; ask the Endo.

    • Get a different endocrinologist. I’m type 1. Your son is definitely having dangerous low’s. Hypoglycemic. It is highly dangorous just to be sent on your merry way. My advise is: get a blood sugar meter at the drug store. Self test (for now 5-10 times a day, (extreme precautions for now.)) keep sugar and carbohydrates handy. When type 1 diabetes developed it often does not develop in a rational straight line way. If he tests under 70 have that 15 grams of carb snack, retesting in ten minutes then snack more when necessary. Keeping in mind that juice drinks (read packaging for carb content ) quickly raise blood sugars but don’t matoblize the same as a potato or bread or other more substantial carbs. Meat has no carb to speak of, and although broccoli is a good choice the amount of carbs was not substantial enough. To keep from going low after the meal, potatoes with the broccoli add carrots or bread or gravy. 40 carbs per meal is a good place to start. If he is not diabetic but hypoglycemic the dessert and a higher carb intake per meal may be necessary, your NEW endocrinologist will help figure this all out. No matter what see a nurse a nutritionists on a regular basis. They are so helpful with people who have to eat outside of what is considered common. Take care.

      • Thanks you Linda. We do have a meter that we bought for him about a month or so ago cause the not knowing was driving me insane. And with that, we realized his sugars would get down in the low 50s or mid to high 40s. Although recently, he’s been getting reading of sugars being 40 or below. And what’s scary is, his not as symptomatic as he was when it was in the low 50s. So does that mean his body is getting use to the lows and is not showing the signs soon enough?? The good part is. We have found a new doctor who is very determined to figure out what’s going on with him. First we have to do a brain scan to make sure he doesn’t have a brain tumor. But they are leaning on him having bronze diabetes

  21. I’m a 67 yr. old female and Dr. Has told me I am a pre diabetic. Each time my A1C would come back 6.3 or 6.4 but 5 months ago I brought it down to 5.7 only because I rode bike 3 times a week and I rode 10 to20 miles. I haven’t rode a bike in about 3 1/2 months now and thought about checking my sugar so I got a glucose monitor to check. For 3 mornings before I ate I would get 148, 123, 130, there’s been there’s been a couple times I checked after meal and it was 303 but it wasn’t 2 hours after but almost. It does come down but not below a 100. I checked last night before I went to sleep and it was 316. This morning it was 130. I have a doctors appointment end of Feb. but do you think I should make an appointment and tell him about it rising like that? I did check with someone across the street because the man is a diabetic and has a monitor. Thought maybe something was wrong with my monitor but it was giving the same reading maybe Couple points different. Hope you’ll answer back and let me know if I need to see doctor now or wait?

    • I got tired of the metformin and the standard approach the doc used to get my blood sugar under control.
      I now, for 4 weeks, have been eating either oat meal and nothing else, 3 eggs and nothing else or a bowl of home made crock pot stew and nothing else for breakfast.
      Then for lunch a bowl of home made stew.
      Then for dinner a bowl of home made stew.
      Then if I’m hungry later at night a final bows of stew.
      My BG went from 217 to this afternoon’s test of 95.
      Diet is the key, not drugs.
      BUT, it’s hard to do. I do miss the ‘food’ that I ate that I should not eat. I reward myself once in a while.
      I have had one piece of candy each week.
      I have had one diet cola (no carbs or sugar but i limit it anyway) per week.
      I volunteer around the condo complex I live at.
      I play golf weekly.
      I walk and enjoy the day with my grandsons.

      I just changed my diet. No carbs if at all possible.
      No potato’s or sweet yellow corn in my stew, just lots of veggies and beef/pork/chicken or turkey.

      It really works. If in 4 weeks I can get my BG down to at or under 100 you can too.

      • Thanks for the reply. I haven’t been diagnosed with diabetes but Doctor said I was pre diabetic. I will be going on a diet and eating good and exercising at least 3 times a week. Back to bike riding because I know that helps. I remember the other day I only ate a bake potato with steak and my glucose went to 303 on the meter and I haven’t even been diagnosed with diabetics. Then another night before I went to bed it was 316. I haven’t gotten a A1C for a while so I better go to doctor to see if I have a problem. Thanks

        • I can promise you this.

          If you eat no candy, no sugars, no fruits, no sweets, no carbs (carbs meaning no breads-pastas-etc because you are going to get carbs even from veggies) for 30 days, your BG will drop.

          Just make a stew, crock pot type, lots of veggies and beef or chicken or turkey, but be easy on the corn and for pete’s sake no potato’s.

          I promise you if you eat this 3 to 5 times a day and NOTHING ELSE your BG will drop and quickly.

          Yes you need some exercise but it can simply be walking every day, not 3 days a week. Get a paint can and use it like a hand bell and do curls or lifts with it.

          Sit ups and push ups (start off with being on your knees with the push ups).

          I guarantee you your BG will go down.

          Mine went from a high of 217 to a fasting BG of 91.

          It works but you have to do it. You cannot cheat EVER for 30 days. Once you see it works then you have to decide if continuing this to literally save your health and your life is worth it to you.


          • I absolutely agree with doc. Eating in the manner described combined with light exercise will bring down BG immediately. Eat veggies that grow above the ground…Avoid fruit and the other things Doc mentioned. Add in a bit of olive oil, but avoid canola, sunflower, safflower oil. Etc. I actually saw my fasting BG go down within a couple of days after giving up carbs (from diabetic) to prediabetic. My fasting numbers are now around 85mg/dl or lower if I eat the right foods and incorporate moderate exercise. Magnesium (ionic 1000 mg daily) and curcumin/tumeric are also extremely helpful for regulating BG as is ceylon cinnamon. But the diet/exercise alone without the supplements is curative. Getting great BG is motivation enough for me to give up carbs; I just want to live the healthiest life that I can. It’s amazing how well diet controls T2D. Wish my endocrionologists (and internal medicine) docs had given me the tools I needed when I was just at the prediabetic stage. Oh well…the diabetes is in remission now…without their help!

      • Sir I had an FBS and the result was 135. I have 1/4 cup of rice each meal. I can also do your diet of 3 eggs a day, a cup of oatmeal and a bowl of stew because I really want to bring my sugar level to normal. My total cholesterol right now is 227 mg/dl. Will the 3 eggs a day not do me harm? I’ll wait for your answer

    • Dear Janna,
      I agree with Doc, the key to blood sugar regulation is diet and exercise–not metformin. With that being said, if you have high fasting and postprandial readings like you’re seeing, you should definitely see your doctor sooner rather than later. A “normal” fasting blood sugar is 70-100 mg/dl (but to be healthy, the level should be well below 100); 100-126 ml/dl is considered prediabetic; readings over 126 mg/dl are considered diabetic. Readings over 140 after meals is definitely in the diabetic range; ideally the levels should be no higher than 120 mg/dl, but I actually aim for lower than that. I never want to see my BG above 105 after meals. The idea to to prevent the damaging complications on organs and risk of cancer from high blood sugars.

      With this being said, if your readings have moved out the of the prediabetic range, your doctor will prescribe metformin. However, what works for many people is this. Gaining control of blood sugar (without medication) is pretty straightforward once the process is understood:

      1. Cut all refined carbohydrates: No bread, pasta, rice, oats, or gains of any kind (even “whole grain” bread pasta is unhealthy for people with prediabetes/Type 2 diabetes). Potatoes, including sweet potatoes also raise blood sugar to high levels.
      2. Avoid sugar, honey, artificial sweeteners, and the like. Agave nectar is not good either.
      3. Sweet fruits will raise blood sugar to unacceptable levels and should be eaten sparingly.
      4. Increase consumption of these foods: Veggies that grow above the ground; poultry, sea food/fish (especially wild salmon); olive oil, coconut oil, sesame oil–AVOID canola, safflower, corn oil, etc.; consume butter, eggs, hummus, cheese. Seed crackers (no grains).
      Basically, increasing good fats, and drastically cutting carbohydrates allow these things to happen: deceases blood glucose levels quickly (within a few days, blood glucose will look much better, but not perfect; pancreas and liver need time to heal); decreases insulin so that the body can burn fat (getting rid of visceral fat is key to putting diabetes in remission); allows the pancreas and liver to heal.

      After following this eating approach for the past 7 months (and exercising moderately by walking/elliptical) I have lost 53 pounds. More importantly, my A1C dropped from 7.7 to 5.7; my fasting numbers everyday for the past 2 weeks are now between 75-85 mg/dl; so, I think that the next A1C will be less than 5.7. Metformin cannot heal the body like sensible eating and exercise. Basically, consumption of carbohydrates drive the disease and removing the carbs allows the body to achieve balance naturally.

      While making dietary changes, I have continued to self monitor BG; it’s the only way to know how my body responds to different foods. I learned a lot from people like Chris Kresser, Jason Fung, Michael Mosley, and Sarah Hallberg.
      BTW-I eat dark chocolate (greater than 70% a few times per week); and I have cake, cookies, ice cream on occasion, but not every week. I have not given up my 3-4 weekly glasses of bordeaux either. Low carb/high fat diet is about healing my liver and pancreas, not totally depriving myself! Good luck on your journey…You can get control of your blood glucose, but your medical doctor will not know how to do this; if he/she did, they would have helped you turn it around BEFORE your AIC even hit greater than 6.0. The info is out there on the web. Please Google the names that I provided above.

      • L&L Mom, Hi i am 51 years old and i have not had any problems with my BG and A1C levels until i got a chest congestion cold and was given Levofloxacin 500mg to take for six days on the 5th day i began to feel ill and my vision was hazy.So i got up and checked my sugar level and it was over 400 i had been taking 2mg of Glimepiride once a day and my doctor raised it to 4mg a day. But with that and trying to change my diet i still have BG reading all thru the day around the 350’s and sometimes in the 400’s Help!!!!!!!

        • Hello,
          I’m sorry to hear that you are struggling. I am not familiar with the medication that you’re taking. I know the act of having and infection and also some drugs can raise blood glucose. Definitely eat in a way that does not further increase your blood glucose levels; however, if my BG ever spiked that high, I would immediately consult an endocrinologist, or a primary care doc. Good luck and get better soon.

          • L&L Mom, Thanks for your reply and your time…I did already had made a appointment with my Doctor so hopefully we can figure this out………Thanks

    • You don’t need another appointment (before February) with your doctor. He’ll tell you you’re still prediabetic. He’ll ignore your recent BG numbers because compared with A1C they don’t matter much. (They fluctuate wildly all day long in everybody; best you can do is try to be consistent in getting a prepradial reading the same time everyday.) He’ll tell you your BG numbers have gone up because you’ve not been riding your bike. He’ll say you’ve already seen for yourself what exercise will do for managing your prediabetes/insulin resistance. Beyond that he may say something about diet or suggest putting you on Metformin. The above two replies are pretty much spot-on if you want to take a diet-only approach to control. PS: your body takes your glasses of bordeaux exactly as if they were extra glasses of refined fruit juice (super fast super-high BG spikes), so plan accordingly.

      • An average glass of red wine contains only 2 grams of carbs. I was pleasantly surprised to have learned this. I have tested my BG after drinking a glass or two of bordeaux and have found that it does not spike my sugar:

        Also check dietdoctor.com for information on carbohydrate content of various foods and beverages.

        I limit my intake or red wine not because of blood sugar regulation, but because excessive alcohol consumption is linked to liver disease, weight gain, and cancer.

        Here is great story that I found on NPR also:

      • Whatever she does after going back to the doctor in February, please have her understand that big pharma drugs are worse in many cases than simple eating right and exercise regimes can be for a person, if they will change their lifestyle and plan to eat and act and be healthy.
        It’s not easy, unless you want to live long and live healthy.
        We all die, that’s a given, so at least try to postpone it as long as possible and enjoy all the magnificent things we have here including your family and friends.
        I’m not saying there are no situations where drugs are not going to be required but with many diabetics, type 2, you can change it yourself in many many cases.
        My best to you all.
        Eat well and get some exercise.

      • Thank you Kurt. Think I will wait till February before going to Dr. I guess it will be late spring before I know what my A1C will be. By then I will be working on Eating better and exercising so not going to worry about it anymore. I was just a little concerned when I seen it go up so high I have never had my blood glucose go up like that. Again thank you for your advice.

  22. I was 27 when I first became pregnant & I was told I had gestational diabetes. I am not over weight by any means & I eat healthy. I was given insulin & it helped lower my sugars because exercise and watching what I ate didn’t help control my numbers. My sugars were still moderately high after birth but I was told I didn’t have diabetes. My 2nd pregnancy the same things happened. The 3rd pregnancy insulin didn’t help at all. My sugars were out of control all the time. I was not over weight & nothing was making a difference. I had a fourth pregnancy and same thing happened as the third. Uncontrolled with insulin. I tell you that I ate healthy food choices & exercised. I have had so many health problems since that the Dr.’s cannot explain. My feet & legs hurt, burn, throb, all the time. At times I am in a wheel chair because I cannot stand for very long. My sugars have been checked through the A1C & I’m being told all is normal by my doctor. The thing is… I use a few different monitors & my sugars are reading in the 300’s. My fasting sugars are usually 150. I crash though when I haven’t had anything to eat. So I demanded another fast A1C test & my fasting sugars came out to 114 which is rock bottom for me. I can’t get my doctor to listen to me. My levels on my monitor are ignored. Why is my A1C reading within normal ranges when my sugars are 200+ every single day? What can I do to get my doctor to listen to me? I am very sick for going on a year now & nobody can explain this to me. I have done so much testing and its ridiculous. My sugars are high all the time & there is nothing I can do to fix them. Why is my tests saying normal when different sugar meters are telling me that everything I eat is sending me over the edge? I’m in tears & I don’t know what to do.

    • Your concerns are interesting but there is so much you’ve only hinted at, it’s hard to guess why you’re seeing what you’re seeing. For instance, what IS your a1c? When and under what circumstances do you test BG? Fasting, after eating, both? What have other doctors said? Rebecca (see below, June 2016) found an endocrinologist who set her up with a CGM for three days. That’s one sure way of finding out how extreme your Glucose swings are.

  23. Hello,
    I will try to make a long story as short as possible. I have been going to the doctors for a few years now telling them I thought my sugar was off because if I didn’t eat breakfast in the morning I see black spots, I would need To get something to eat right away or I feel Shaky. A year ago I didn’t listen to my body when I started to see black spots and go get somthing to eat, the result …….I woke up in a ambulance,I had a seizure. I remember the paramedics asking if I was a diabetic and giving me sugar taps.
    The Doctors ran test I had an EEG and other test they all came back negative . The doctor said (everyone’s entitled to a seizure once in their lifetime with out an explanation)
    I thought that was strange but there was nothing else I could do they found nothing.
    I continue to see black spots when not eating in the morning sometimes they became bad sometimes not so bad but never passed out and have not had a seizure again.
    I’m tired of not feeling good and feeling like I’m going to passout. So I went back to the doctors last week. Its time to get to the bottom of this.

    I asked my doctor if I could start testing my blood at home to see if that would explain anything,She agreed.
    IDay 1 at 8:54 in the morning it was 245, I thought that was high so did it again it was 270 . I eat breakfast and went down to 75.
    Day 2-when I woke up it was 108 started feeling shaky tested again a hour later 120 an hour after that 180 1/2 hour later 219.I ate and went to down to 174.
    Day 3 not as bad as day 1 and 2, I woke up it was 102 then went up to 131 I ate and went down to 112.
    I thought these numbers were high and I was surprised I had thought I was low all this time I decided to take my numbers and go see the doctor. She basically said she does not know what is going on with me or why . She said my lab work she did looks very good I do not have diabetes to have a snack before going to bed and see if that helps. While I’m happy she said I don’t have diabetes I feel like there is more to this and would like answers. P.s I got up three in the morning to check my sugar and it was 110.

  24. Hi there,

    I hope you are well. I was wondering if you might help me understand a phenomenon. I’ll be brief:

    In short, I purchased a glucose monitoring system. My fasting glucose is a consistent 80 – 81 (whether done at home or by a medical professional). However, my postprandial glucose levels are often lower than my fasting glucose, even after I eat something slightly sugary. Postprandial levels have been between 75 and 78.

    Is there a simple explanation for this? I am not diabetic, and became interested in this sort of data after getting off grains and gluten (which were slowly but surely taking my life from me, by way of insomnia and other issues).

    I wasn’t expecting these results, and find them kind of bizarre. Is it normal?

    Female, 36 years old, 129 lbs, 5’8, NONdiabetic. Very active (2 fitness classes per week + consistent running/walking). Very good diet of vegetables, proteins, and fats.

  25. Hi, for a mentally challenged child of 14 years old, fasting blood glucose level is 104 and PP is 106, can it be considered as normal or likely diabetic

  26. Hi, I just went to the doctor and she told me I was pre diabetic. My A1C was 6.2. I also had a A1C at the VA and the said I was in normal range. The tests were one month apart. The problem is I was on Steroids when both test were given. I was on and off for two months. I am or am I not pre diabetic. My fasting blood sugar was 101.

    • Like the article says, need more info. Random blood glucose of 101, who knows. Fasting BG of 101, likely. A1c? 5.9 could be what the VA called “normal,” but it’s certainly on the pre-diabetic end of normal. So you’re not pre-diabetic, what’s that mean; that you can just forget about everything just to end up pre-diabetic three years from now? Pre-diabeties is not a diagnosis, it’s a WARNING. Educate yourself and change your lifestyle now.

    • Steroids are murder on BS, I was on Prednisone for 5 days and went to ED with BS of 443! Now, 2 months later it is 90! Am I “cured” of diabetes now? NO. Also I am chronically dehydrated, I have no sense of thirst, I see from this article that can skew the results of the A1C. Doc say my blood is “sludge”. I will def bring this up and next physical.

  27. I had an infection, KPC, and it took 5 doctors 6 months to figure out what I had.
    During those months my glucose would vary 75 points in 30 days. WTF? This is not supposed to happen I thought?
    It’s @ 124 now and the infection is gone.
    Any ideas as to why a glucose reading in 30 days will vary 75 points?

    • If by “points” you mean mg/dl, a “normal” person can vary by more than 75 within HOURS, let alone days. In the past 24 hours mine has been as high as 350 and as low as 70, but then mine is far from normal. As the author tries to point out in the article a blood glucose reading by itself is a poor indicator that anything is amiss. That being said, 124 is within “range” depending on what you last ate and when. Rather than BG, here’s a better question: what’s your A1c?

      • Chart shows 6.7 for the A1c’s.
        Been as low as 5.4 and as high as 7.1.
        It’s just not ‘average’ month to month.
        Took Metformin, did nothing for the tests.
        Too some sugar blocker mineral and it went down 20 points in the Blood Glucose test.
        Don’t eat sugar, was a soup and sandwich person all my life but have cut out as much bread type stuff as is possible whet this thing came to the surface. Lots of high quality meats and steamed veggies for the most part.
        I am old, 65. Some days I get up, am not hungry, have some coffee or a pot of coffee and maybe @ 2 or 3 PM I think, ‘hey I need to eat.’ and go get a peanut butter sandwich or something like that. Don’t drink any alcohol except some red wine from time to time.

        • From the authors “next article” (see above):
          “In spite of what the American Diabetes Association (ADA) tells us, a truly normal A1c is between 4.6% and 5.3%.”
          A1c being just one indicator, all your values 5.4% and above would indicate you have diabetes. The answers are always the same, less carbs, more exercise, and if Metformin didn’t help maybe some other drug will, or start taking insulin.

          • Thanks Kurt.
            I never feel bad, never feel weak, never feel out of energy unless I just forget to eat. I can get up and 8 and not think about eating till 2.
            I’m old 65 and still go out in the dead of the heat of the day here in Texas and play golf or go hit balls at the driving range and sweat like a hooker in a confessional.
            Drink water to stay hydrated.
            Metformin 2 per day 500 mg is all I can take, any more and I have the ‘touristas’ (the shits) and need to hover around the bathroom. Can’t do that.
            I try to eat well, don’t always but don’t eat like others or even like I did when I was 30. Don’t drink alcohol but rarely and it’s usually a glass of wine.
            Just a wonder to me what the fk is going on.
            But appreciate your response. All info in a help in doing better.

    • Because there is an infection in your pancreas. Pancreas is a huge prize for the bugs and thet will fight to the death to keep that area infected.

      I have the same issue. If I use rife frequency on my pancreas I can lower bg 20 points. Or an herbal antimicrobial. Colloidal silver. Etc, apricot kernals.

      Do a test. Get your bg reading. Take some silver or an herbal antimicrobial and then take another bg reading.
      I.m sure not everybody is infected. But I sure am. I struggle with lyme so who knows. Anyway, please post back if you test.

    • Yes it can vary drastically due to diet. I turned myself into human guinea pig and had a completely vegan diet. In one month my blood sugar went from 149 to 99 my triglycerides plummeted to normal levels from 200 to 89 my liver enzymes which are starting to escalate from fatty liver went down to normal levels, my LDL plummeted to normal levels, my HDL which is good cholesterol actually went up! I did eat a little bit of sweets in that month. In essence it was they healthiest bloodwork of my lifetime, and the food was delicious and nutritious and I ate well and did not deprive myself

  28. Hi everyone, I need some advice pls.

    I had gestational diabetes during my pregnancy, I did not have diabetes before I got pregnant as my blood sugar level has always been normal and my hba1c was 5.3. I had perfect control for my gestational diabetes (by diet and exercise), so I never had any problem. but after given birth. my sugar level has not dropped. fasting has always been good. but after each meal has not been always good. while most two hour value are below 7.8. The one hour one sometimes is high, especially when I have prawns for meal. one hour blood sugar level can be as high as 10. I am not sure what happened, as GD should go away after given birth. My GP told me dont worry about it because my hormone level has not drop back to normal yet. Any ideas? Thank you!

    • I developed GD with my second pregnancy and required insulin. After giving birth, my levels did NOT return to normal. I was prediabetic and I did not have the knowledge to turn it around. This year (6 years after giving birth birth), I was diagnosed with full blown Type 2 diabetes (A1C 7.7). I figured out on my own via the internet about how to heal. I also test my blood sugar every single morning and will continue doing that until I get an A1C of 5.5 or better; testing is the only way to know how food and supplements affects me. I also test 2 and 3 hours after a meal. By 3 hours post prandial, I expect my blood sugar to be back to near fasting. My meals should never raise my blood sugar over 100-1005; I prefer to see glucose less than 100 2 hours after eating. My last A1C was 5.7, but I know that the next one will be even lower. To heal, this is what I did…Cut out all carbs (except for veggies that grow above the ground). I don’t even eat oats, or any other grain; I eat no sugar, honey, artificial sweeteners of any kinds; I do eat these things: lots of green leafy veg, avocados, lean meats–get organic; (some bacon and lunch meat–nitrate free) and wild salmon (eat more veg than protein though); oils–sesame, avocado, olive, coconut–I eat these liberally everyday as dressings and toppings on meat/fish. I also eat butter. I also eat eggs; if I want bread, I make almond bread without sugar, and I found an “oopsie bread” recipe on Google that is FABULOUS. I eat nuts and nut butters in moderation and seeds. I was eating a lot of cheese, but cut down a lot with the dairy and my fasting numbers got even better when I started doing this. I drink half my body weight in ounces of water or unsweetened liquid (i.e. herbal teas–I use ginger and mint). I also steep organic ginger root and hibiscus flowers in water; I do eat sweets (i.e. small serving of ice cream or cake, cookies) on occasion, but only in very small portions and only once in a while. I eat dark greater than 70% if I need a chocolate fix, but eat a small amount only a couple times/week. If I splurge, then I just get back on track with the healthy habits and things fall back into place quickly with my blood sugars. I never eat breakfast, my first meal is around noon, and I try not to eat after 6pm. This gives my insulin levels and chance to fall for a long period of time (this is a form of intermittent fasting–I followed Michael Mosley and Jason Fung on this topic); low insulin levels gives your body a chance to burn fat; lower insulin levels also reduce hunger and sugar cravings; I take a lot supplements: 1000 mg daily magnesium (chelated or ionic magnesium–Mg oxide is a laxative, and I had to try different formulations to find one that I could take in high enough doses; the ionic/liquid form works for me and so does magnesium threonate), 600 mg alpha lipoic acid, 1 gram ceylon cinnamon, 1 gram ground turmeric (I add the ground turmeric and cinnamon to salad dressings that contain sesame oil, apple cider vinegar, black pepper, and fresh garlic). I plan to add GTF-Chromium and also vanadium to the regimen. I try to use all organic for the oils, foods and supplements like cinnamon and turmeric, all of which I buy on Amazon. I exercise (walking, jogging, elliptical–combo of these alternating; 5 days weekly). I have a Fitbit and I strive to get in 10,000 steps 7 days/week. Finally, I try to lift weights 2 days/week, but I do not always make this goal. In 6 months I lost 50 pounds and feel great. My fasting sugars this week have consistently been at or below 85 mg/dl. I recently added the alpha lipoic acid, which is supposed to be excellent for regulating blood sugar. I am very unhappy that my endocrinologists and medical doctors did not teach me how to turn the prediabetes around; they just said, use “lifestyle changes” the one thing that they did not say is STAY AWAY FROM REFINED CARBS OF ANY KIND. I simply cannot eat brown bread, brown rice, brown tortillas, or steel cut oats; these are things that my dietician TOLD ME TO EAT; well, that was WRONG and now I have full blown diabetes; some of us cannot process carbs; period….At least I know now how to preserve the pancreatic function that I do have, and I am grateful to have finally figure out what works for me.

  29. Hello All…

    I am annoyed and frustrated and looking for some help. On May 31st, I had what my Dr is referring to as a “hypoglycemic event.” I had to lay on the floor and shove a Snicker in my mouth to keep from passing out. I tested my BGL approximately 2 hours later and it was 107. An hour later, it was 108. An hour later, it was 89. I have a history of being hypoglycemic and my BGL is normally in the 70 range, but that particular episode came on very quick and I was stumbling trying to get to the vending machine and had lost the ability to formulate sentences. Mind you, I had eaten a very good lunch 2 hours before this happened. Since then, my Dr has asked me to start testing multiple times a day. I completed an OGTT this past Friday. I tested at home before my test and I was at 97. I tested an hour after my test and was 110. Today, I got a call saying that my bloodwork was “normal” but my body isn’t producing something that starts with a G….Since the 31st, my BGLs have ranged from 72 – 122. My Dr asked me to chart my levels for the past 2 weeks and fax them into him. I guess I’m just annoyed because I know that there is something wrong, but not what. Today, my BGL upon awakening was 106. 2 hours after lunch, I started with a bad headache, sweating, and shaking. It was 89. I drank a Coke to see if that would help. An hour later, it was 98. I know that most of my readings are in “normal” range. But, like I said, my normal is in the 70s, which I have not gotten down to but once since I started tracking. Has anyone had anything similar happen to them? Thanks in advance for reading.

    • Rebecca, I have no expertise by which to help, but your narrative I found facinating in spite of so much info which was missing. How long have you had a “history of hypoglycemia.” Is that why you test your BGL? Am I right to understand you are NOT diabetic, or taking any diabetic medications or insulin, which could cause hypoglycemia? Is your concern diabetes, hypoglycemia or something else?What’s your A1c? And of course what is that “something that starts with G..?” (Personally I insist on copies of all my bloodwork.) Recommendations on how to treat hypoglycemia usually say to test BGL 15 minutes after eating and again 15 minutes after that if needed, but I find that for me that is too soon. The author (elsewhere) suggests post-meal blood sugars at 1 and 2 hours are useful for predicting diabetes, but I like testing more frequently than that for a more complete perspective of my BGL rise and fall. Ideally after a few hours your BGL will return to where it was before you ate something (fasting).

      • Hi Kurt, thank you for responding. I have had a history of hypoglycemia for 14 years. Coincidentally, that history started at the same time that I started having grand mal seizures. I was tested extensively for diabetes immediately and all tests came back normal. I have been seizure free for 8 years now and am off of all medications to control it. My seizures were determined to be from scar tissue on my brain and low blood pressure; mine runs around 80/60 on a great day, but has been as low as 40/20 following a seizure. My PCP instructed me to start testing on June 1st after I had what he calls the “hypoglycemic event” on May 31st. You are correct in understanding that I am not diabetic or on any medications that could cause hypogylcemia. I did get my hands on my bloodwork yesterday. My A1c is 4.9, which I understand to be great. My BGL at 7:30am at home that morning was 97. It was 72 at 8:25am when the “baseline” blood was drawn. I immediately drank the glucose solution after that. One hour later it was still 72, 2 hours later it was 67, 3 hours later it was 72, and at home at 12:25, it was 110. After looking at my results, there is not one mention of me not producing anything at all. It seems that my results may have been mixed up with someone elses when they called. My PCP mentioned a possibility of reactive hypoglycemia. I’m not really sure what to do at this point, as all of the bloodwork seems normal, but I get the overwhelming urge to pass out 2 hours after I eat. And when I test, my numbers are always in the high 80s or low 90s, which also seems normal, but I get all of the hypoglycemic symptoms. I have quite a few friends who are diabetics, and they have suggested that I am possibly producing too much insulin? At this point, I am considering seeing an endocrinologist for further testing to see if there is something going on. My PCP ran a full metabolic panel not very long ago and the only thing out of range was elevated RBC, WBC, Hemoglobin, and Hematocrit. I guess it didn’t seem unusual to him, because it was never mentioned to me, I just happened to see it while accessing my chart yesterday. My good cholesterol is in range, but on the low side and my bad cholesterol is in range, but on the higher side. My thyroid is fine. My diet consists mostly of baked chicken and fish and veggies. I limit myself to one soda a day and sometimes do not drink any at all. I do not exercise nearly enough, but am a mom of an active 4 year old and wife to a shift-worker. My job has me sitting at a desk, but I am constantly up. I have lost 55 pounds since 2014, with 35 of those pounds being since November. I think I answered all of your questions (and provided more info than what you asked :)). Thank you for your time!

        • I know nothing of Reactive Hypoglycemia, but I think your intention to seek the advice of an endocrinologist is a good step. I’ve never had an OGTT but from what I’ve read a base BGL of 72, 72 at 1 hour, 67 at 2 hours, and 72 at 3 hours sounds like anything but normal, almost beyond perfect. The real story may be in what your BG did in between those points. (One should expect to see some rise if for no reason other than that Glucose — as opposed to other carbs — enters the blood so much quicker than the body is able to introduce insulin in response.) If your body were producing “too much insulin” I would expect that you would be experiencing Severe Hypoglycemic Events every time you went more than a few hours without eating (perhaps every early AM?). Have you considered CGM (contiuous glucose monitoring)? Gives a glucose level (interstitial, not blood) every 5 minutes. Also you can set alarm levels to hopefully warn you of hypoglycemia before you feel symptoms. I can feel “low” with a BGL in the high 70’s/low 80’s, and at other times can feel normal with a BGL in the mid 50’s. Talk to your Endo and your insurance; I understand systems are acually leased as opposed to purchased, so using one for just a few weeks should not be a huge investment. Higher BGLs first thing in the morning are not unheard of, particularly for diabetics. Good luck!

          • Thank you so much for the insight. I have success scheduled an appointment with an endo. The earliest they could see me is July 8th. A Dr at my clinic (mental health) is married to a Dr in the same building as the endo clinic and is going to see if they can work me in sooner. I will definitely check into CGM.

            • Hi All, I have an update! I went to my Endo on Friday. Since my last post, I have used a mobile app to record and track my glucose levels. I started testing first thing in the morning, right before lunch, 15 minutes into eating, and 2 hours after I started eating. I was able to export all of the data and print it. I brought all of the information, including my OGTT results to the Endo. I am Type 2. I am extremely insulin resistant. My body is not recognizing the insulin that I am producing, and producing it again, thus rendering me hypoglycemic. Reactive hypoglycemia is happening. My insulin levels are more than double what they should be. I have been started on Precose 25mg, 2 daily. I will be set up with a Dietician to modify my diet (already in line with paleo/whole30). Next month, I will go in and have the IPRO CGM inserted into my abdomen for 72 hours. I will go back to have it taken out, do another round of labs, and see the Dr again. I am currently at the 60 pound weight loss mark. I find it remarkable that I lost weight and got a diabetes diagnosis when so many others lose weight and it does away. Even so, I am taking it well. I am honestly relieved to have answers now. Thank you all for your help!

              • Rebecca, I was so excited to see you remembered us with an update! Based on your various test numbers from last month I would have never have begun to suspect that you are prediabetic. Yes, T2 patients do produce excessive insulin but your A1c was right in line with the FBG numbers you reported and your OGTT was super low, all of which indicate “normal” insulin sensitivity. I found this site which differentiates between reactive hypoglycemia and Pre-diabetic reactive hypoglycemia very informative: hypoglycemia.info. Glad to see you will be trying CGM. As one who uses CGM my best bit of advice is to to take exacting notes of what, when and how much of EVERYTHING you eat; then you can later go back and examine how carbs, GI or GL, and even type of sugar effected BG. Drop me a line at [email protected] if you’d like, and good luck!

        • Have you ever been tested for a variety of parasites? You may have been abroad or picked some up off someone who had been abroad or you may have picked up something uncommon in your area. Seizures can be connected to parasites. Here in the UK we have a hospital connected to a university, the School of Tropical Medicine, where unusual and suspicious cases can be referred. Why not try a little personal detective work first?

    • Hi
      1st of all sorry for my english
      I too have the same problem. My hba1c test is 5.6% but i am feeling low all the time after 1hr of my meal. I feel sleepy shaking hands tingling. Can’t do physical activity. i took extended ogtt and the result is 93, 172,152,106,98,83,74 for fasting, 1/2hr, 1hr, 1/2hr,2hr,2 1/2hr and 3hr respectively. Now after 3rd hour of drinking 75gm glucose my sugar level was 74 mg/dl and i fainted and felt so tired as like i can’t even walk after that i again drank glucose to get back normal in 5 mins
      Iam so helpless as i cant do physical activity like others


    • Hello, My normal isnt normal either. My last a1c was 5.7… ok pre diabeties they say. I wake up with a sugar of 90. I feel ok. I drink 1 cup of coffee with less then 1tbs and I start feeling tired and Im passing out. Test my bgl and its 118. If i drop below 80 i start to crash. My sugar has gone from 340 to 27 in one day because I ate a Birthday cake nothing else, then within 5 hours im passed out and somekne is sticking glucose in my mouth. I feel my best when my sugar is 145. No passing out, sweating, mood changes, etc. But if I wake up or once my sugar drops to 80 or below im like a irritated bear with the shakes and no patience. So I know where your coming from. The had me testing my sugar every two hours even if I didnt eat. When they saw the yoyo levels they didnt understand and blamed it as a bad meter. Got a new one and they set it up and tested it and had me do the same thing. Guess what the same results. My sugar would yoyo in one dat from 80 to w5 to 188 to 220 to 70 to 400 to 70. Mind you during this I did eat 3 meals with 1 snack. The ojly thing they memtioned after that was my metabolism, pancreas and liver have to be miscommunicating…. and are un sure. Even after they hospitalized me. They did say maybe your normal may kot be the normal they are use to or maybe there is a different type of diabeties they have never seen and I have it. So I feel you. It sucks and they dont jow to treat me because if they gave me insulin or meds at thisnplijt it would kill me…So Im still being checked out. Going to different doctors, wjo are trying to figuren out whats goin on. The one other tjing onbme that was out of wack that they havsnt done anything about yet and didnt seem shocked was my creatine level in my urine was 682 which extremely bad but my blood came back 10. So Sorry I dont have any real ansaers for you but if i get any I will let you know and please let me know. Thanks for your time. Good luck with everything.

    • yes…your story is exactly like mine…i eat every 2 hours but if i don’t i am sweating and shaking….i don’t know what to do so i
      am tolerating it…what did your doctor tell you to do..

  30. I started 10 years or so ago with elevated BGL’s that still allowed my A1C to be within 6 to 6.5. But after 10 years diet alone didn’t and it’s a slippery slope from adding Metformin to Victoza and then Basil Insulin. I think most people need to look at diabetes and it’s treatments as no cure or real solution. It’s more about treating the symptoms and trying to reduce average BGL. In fact diet alone could control many people’s type two diabetes and pre diabetes especially. But people don’t eat right and rely on drugs to counter the bad eating habits. When I realized that any drug or treatment only reduces your BGL’s about 3 to 5% it’s no wonder people are on a multitude of drugs. That’s in itself makes you feel bad with side effects from many of them. I went from 9.8 A1C to a 7.9 A1C with basil insulin. I should be feeling better but in fact I really don’t. One thing I have realized about diabetes. You can’t take a day off and be bad without some lasting negatives days after. Yes, we have more treatment options these days. But in my opinion many are simply more expensive without a significant improvement in results.

  31. Hello All, I used to have hypo, hyper when I was younger with the spells of passing out and get to a candy bar or OJ fast and I thought that was scary……now being said it looks like I have diabetes from these A1C tests that just randomly showed up, I am really scared.
    This flip side of diabetes started since getting Rheumatoid Disease at 42yoa and lists of other health problems since then, and with the addition of so many medications that cause side effects and other diseases, maladies that has all changed.
    14 years now my sugar has went steadily high with A1C tests. Now it appears I AM diabetic, thank you getting older, getting Rheumatoid Disease, and the list of all others. Most medications will cause the additional serious illness’s and thus important you have or you doctor “remembers” to always each year check your thyroid, sugar, lungs, heart, liver and kidneys(each month), pneumonia, blood clots,or some medication or illness’s cause thin blood and this test for blood thinness/thickness is called INR, sugar, swelling around feet, ankles, calves, face, eyes checked, teeth are a constant care, adrenal gland functions especially on steroids off and on or all of the time like I am causes even more health problems.
    Now I did not get these all overnight. It was one or so at a time and crept up on me and some the doctor did not even take notice of even when putting in the symptoms for these on the internet come back right up first time!! There are a few, like sugar I did not even know about this A1C test and it had been high for a few years!! RAWR as I could have watched it soon and not being such a sugar eater as it was I would not have thought. But with the other issues and all this medicine trying to get through my liver and kidneys I never felt good anyway

    I know this is super long, but if can help anyone out there then keep reading.
    Another few to watch out for when with a new or long term disease, or the medications for them,
    are little sores, and it can be very little and clear, yellowish, 1 or 100, anywhere on your body, can be filled with clear, yellowish or red like blood fluid or dried fluids, bumpy, flat, basically can look like a flea bite to a huge allergic reaction to a flea bite where your whole leg swells up. If they are a little pin prick type I will try neosporin, corticosteroid cream, a benedryl pill, along those lines for a day or two unless it gets worse fast, and I have someone look me all over to see if there are more. They usually strangely enough will run on both sides of the body in similar places but NOT always. I started years ago having these items along with benedryl on hand raising our 5 girls and now grand children as they are always getting bitten and sure enough had a allergic reaction to my middle daughter being bitten by a black bee when she was 4, first one and last one and her arm swollen within minutes as paramedics got there and we say it blow up. Was first time for me to see that and scared me senseless, so I NEVER forget that benedryl as they were telling me over 911 to get do wn her, and thank goodness for liquid as it works faster! Even for adults.! Keep that in mind to save a life.
    Read up an article or two on the internet and make sure its a current one and you can learn a lot that will stick and help in need of an emergency. I also learned that diseases, medications can attract the “bitters” to you from sweat and smell, that you can get a bite type appearance from diseases, and from medications and can be the sign of a bad reaction that could take 24 hours to fully develop into larger liquid filled bubbles all over your body, or just your feet and calves, your thighs, belly, back and you need to be in ER NOW. The first couple blisters do not bother you, but then you wake up and find them all on you somewhere, with some intense pain you will be lining up in ER, faster if there is redness, (mark as soon as you see it to see how fast its spreading), swelling, drainage and could be signs serious infection going into your bones. If its small and your Doctor is open you can go to him too. My first time awakening was all over my left leg to my groin(big red circle from foot, toes, half way up thigh with some into groin, belly a bit and marked, right leg up to calf from toes and marked. By the time I got to ER left leg fully covered in red blisters,clear fluids, swollen from toes to groin, bottom half of belly fully covered and right leg now up to thigh in that short amount to time to mark and get to ER.
    I thought I had a few little heat blisters around my left ankle when I went to bed to watch TV the night before from having the heating pad on my feet cause they hurt. Boy was I WRONG.
    WATCH your body, men and WOMEN, and MEN are the worse!! They will end up with sepsis before wife can get to the phone to call ER right?? Oh they are stubborn.
    Good luck to all of you with Diabetes and other illness’s and seems I have a lot to learn to stay alive with a 178 after 10 hours of fasting :/

  32. I have autoimmune disease issues and was taking methotrexate . recently stopped for two months as I developed severe lung issues with breathing and congestion. During the time and after i stopped taking methotrexate my blood glucose has been all over the map from mornings with no food or drink and averages have been somewhat in the normal range to 145 and upwards of 154. I have been experiencing being thirsty more as well as having to go to the bathroom more. My weight has gone up I have been working out at least three times a week for the past two weeks, I have incredible appetite always hungry, so we did an A1C test and that came back as 5.5 and my blood glucose was at 91 with bun of 25 . Weigh is not coming off no matter what i do , yesterday morning when trying to get out of bed i fell was lightheaded, So does this mean i could be prediabetic with normal ranges other than blood glucose monitoring levels ?

  33. Hello, I don’t have diabetes but I know someone who does. This person has had their A1C at 13.0 for years. This person has recently tried to focus on getting their sugar levels under better control ever since his recent hospitalization where he nearly died due to his extreme high readings. This person hasn’t been so successful, though. He struggles to stick to the insulin therapy because when he takes it, although it helps bring his blood sugar to a “normal” range (100’s 180’s), he starts feeling the normal hypoglecemia symptoms a person would feel when their readings are under 60-70mg/dl. This person feels healthy when his reasings are over 240mg/dl. We have let the doctor know about this to find a solution so he can take his insuling but they don’t seem to understand that the only reason he is not sticking to the plan is because he very much dislikes feeling these symtoms. We didn’t really get an explenation or a solution to how to manage this in order to help him stick to the plan without suffering the terrible low blood sugar symptoms anytime he hits any number under 200 mg/dl. Is there a reason to why this happens and what can we do to help him avoid the symtoms and get his sugar level under control?

    • Bring insulin dosages down slowly exercise like walk and eat right (healthy) and have 3 meals and snacks in between the meals rounding 60 carbs for meal and 30 carbs for snacks. And check check check. Take insulin rather or not you don’t feel right it is right and your body wil get used to it.

  34. I just had a A1c test come back normal and my doctor told me I would be fine and to just eat a little better. I do eat healthy but yet I have all the symptoms of a diabetic. I really don’t think there is “nothing” wrong. Are there any cases where a test could come back normal but the person still have diabetic symptoms. I have a super fast metabolism and I do excercise daily. When I first wake up I always feel light headed and dizzy. When I try to workout in morning I throw up almost every time. I numbness in my legs and or other body parts after sitting for a short time or laying down. My hands and feet get extremly cold during the winter to the point I feel there is no blood circulation. I lose weight very very easily and fast if I do not consume about 4,000 calories daily. I get headaches when I dont eat anything for more than 2 hours. I get headaches every week thursday or Friday regardless if I eat right or not. this has been going on for the past 4 years and my doctors keep teeling me I will be ok but I feel my symptoms getting worse. Any ideas??

      • I have hypothyroidism and have been taking medication for about eight months. Medicine has helped with that and I am having to live with some of the side effects. I wonder if this problem is affecting my sugar levels. I have had a tremendous increase today.

    • You could have issues with Vitamin B12 deficiency. I had many of your same symptoms for years, but additionally ended up with fairly extensive neuropathy in my legs, feet, and hands. I’ve been tested for everything, including B12 deficiency, and was told everything was normal. Then I read that our expert’s “normal” B12 testing levels are inadequate. Long story, short; I have been on a daily split dose of 5000 mcg of the methylcobalamin type of B12 for about two months, and have experienced a remarkable improvement of my symptoms, especially reduced neuropathic pain, and increased sensation in my legs and feet.

      • Neuropathic pain can be cause from your entire spine, discs, compression fractures, and a million gland issues, vitamin deficiencies, and you are out for a long haul to find out what is causing it.
        If Vit 12 has helped you then you are ahead of everyone else and might have found incidentally what is going to help for a lot of people with diabetic neuopathy or any kind of it.
        I will try it myself!!

        Do you get that in shot form from your Doctor or from vitamins? Cause I always ask my Doctor and he says my B12 is perfect but yet I see so many going in there to get those darn shots and saying how much better they feel. AHHH, and he wont give them /

  35. Hi, I just went to my Doctors and had a blood test for my thyroid. My doctor decided to run a glucose test also, I did not know this before hand so I did eat a big meal the night before. The test was at 7:30 am and my last meal was around 8 pm the night before, My glucose came back at 112 and my triglycerides were 184, he told me to just watch my diet and to work out more, so I have and since the test I have lost 7lbs and my glucose numbers have never been over 99 and most of the time they are in the 70s. Does that mean my triglycerides have come down too? Also when the nurse was taking my blood she was horrible and couldn’t find a vain so she went to the other arm and I was very stressed , can that cause a higher reading?

    • Make sure you fill up on water, especially when you are going in with no food for 8+ hours. Otherwise you will be dehydrated and very difficult to find a vein. Those gals at the blood banks never miss unless the patient is pretty well empty of fluids.
      When they tell you do food or drink they mean everything but WATER. You can have that or even coffee with no suger or creamer.
      You must be very young to get that horrified for having to be stuck twice and believe me the blood gal or guy was worse stressed then you I am sure. They never miss, LOL!! and some even have to take a break, or even go home they get so upset. Not just for themselves, but for their patient. :/

      Anyway your sugar sounds great, and your try’s depending on how old you are do not sound horrible horrible, but they are not great.
      But you need a blood test again and cannot determine it by your blood sugar going down or anything else, just the blood test.

      No, stress does NOT make a sugar or Tri blood test higher.

      • OH, and RUTH, your eating the night before at 8pm, and having the blood test done at 8am or after was well over the fasting time of 8 hours. LOL. So the level they got was correct and you had been fasting. It does not matter if you ate a cow, with stuffing, candied sweet potatoes, pumpkin pie, a bag of skittles.
        You are fine, and very healthy no matter what age you are!!

        I also made a mistake on my earlier replay saying your Tri’s were not horrible, but not great, when I meant to SAY THEY ARE GREAT. Depending on your age, Sure you could get them lower and usually a small trick is to cut back on any cheese you eat is what I have found is my down fall and my Tri’s/cholest has not been high in some 20 years or so and i still eat a lot of cheese just not a stack everyday on everything, LOL.

        You have great figures, numbers that most of us wish we had.

  36. I am not diabetic. I just had a question about it thou. Yesterday I woke up around 9am Didn’t eat till like 3pm and I had a ham biscuit. I drank water. Then I left my home and I had orange juice and a soda and some chips and candy bar. I then went for a long walk and later just decided to check my sugar around 2 am 5 hrs or so after all the above. My sugar was 162. Then I went to bed around 3 and woke up at 9. Checked it again and it was 144. I am sick just getting over the flu but still don’t feel good. I have been on my period for like 6 months straight bc of hormone issues. Should I give it a few more days and see what it is. This is the first time it’s been high. Ty

    • Stress can raise your levels and it is proven that your levels will be at there peek while you are sleeping cause your body will actually produce all the sugar it needs for the day and release it into your blood stream , the best time to take it is on a solid 6-8 hours good rest

      • I was diagnosed as prediabetic by an endocrinologist with the a1c test. It was 5.9. My MD says he’s not concerned and that I need to eat nutritious foods but that I can continue eating cookies; sweets. I am confused. Can you help me?

        • I went for blood work and it said blood sugar was 6.1 but Doctor was not concerned but the results said pre diabeties I’m confused should I be concerned

          • Yes .. be concerned.. because your near being a diabetic. It is best to heed warnings now, then wait until your numbers are to high to start being concerned.
            I was also warned that I am in the “pre -diabetic” range.. I am checking my blood to keep track of what my body doesn’t like.. so far I have found that macaroni noodles are not good for me. =) and bread.. ! spikes my sugar.

  37. I am trying to get some alternative advice regarding my fathers type 1 diabetes. He is 72 and his blood glucose readings are getting progressively worse. They are constantly getting high. Even after fasting and physically working! He’s really struggling getting his levels back down to a normal reading. Any help or advice would be great. Thanks. Kate

    • Kate, I am a holistic nutritionist (also a diabetic-type 2). Has your father seen his doctor? He may need to increase or change the type of insulin he is using. If he is interested in natural management, there are several supplements that I have seen work well to lower blood sugar, either alone or in combination with medication. Contact a nutrition professional before you do this, and work with his primary care physician on it. Diabetes is a progressive disorder, so it can get worse over time. Often changing out how a person is managing it can help.

  38. Hi!
    I’m not diabetic, but my dad is. I did a quick check on those portable devices after having a heavy breakfast and it measured 2.4!
    This may sound stupid but should I be concerned? I mean, yea I do have almost all of the hypoglycemia symptoms but I thought it was because I have heavy periods; as you know -or don’t you’re not a gynecologist- these too are common for girls who have heavy periods every month, oh and I sometimes get my period twice a month!

    I’m 20 years old, I just need some straight answers before I see a doctor, so again, should I be concerned and book an appointment or wait or keep checking on my own for a while…what should I do?

  39. I have testing my sugar in morning find it some where around 110 to 120. what are the precaution I need to take to avoid medicines.

  40. I’ve had fainting episodes for about 4 years now. Early on, my parents who are both diabetic were concerned that I too might have diabetes. During one of my episodes, my mom pulled out her blood glucose meter and it said that I had a blood glucose level of 60. As I’m sure you know, this is definitely not healthy. Yet when I mentioned this problem to my doctor, he tested me as mentioned above, by a fasting blood glucose test. My levels read in the low 80s and I was told that sometimes healthy people can have low blood glucose levels and it doesn’t mean that they’re hypoglycemic or diabetic. But my episodes have grown more frequent over the years, and I’m desperately searching for a better explanation. For the time being, I treat myself by consuming glucose tablets as soon as I recognize that I’m having an episode. To me, this is not healthy. This is not okay. This is dangerous, and I fear that one day my episodes will reach a severity that I cannot control on my own. If I’m unconscious and can’t consume the glucose tablets, what happens to me?

    • You might have an insulinoma. Research it. Have the doctors do a fasting blood test and have them measure everything. Or even better refer you to go get the 72-HR fasting test that is used to diagnose the insulinoma. I’ve read stories of people going for years with these kinda of symptoms and being brushed aside by their doctors and they ended up finding they had an insulinoma. Surgical removal fixed all their problems. I’ve been having symptoms for 2 years now. Having a hard time getting the doctors to cooperate with me. ?

    • Glucose tablets quickly work to raise your BG levels but will not sustain a higher level. When you feel your BG is low do you test with a portable BG meter to know how low or do you just treat the symptom. After taking carbs do you test again after 15 to 30 minutes to see if your levels have recovered sufficiently or eat more complex carbohydrates? When I am hypoglycemic I like to treat with “carbs that count” like fresh or canned fruit instead of “empty calories” like soda or juice. Of course you know your own body best and how quickly you are able to absorb those sugars.

  41. I have passed out alot and went into seizures but never diagnosed with seizures ,,i hv ckd my sugar on a monitor one time it was25 i ate p.butter it went up but never diagnosed with hypoglacemia thy always ck blood when i go to er in amblance 50 er it goes bck up to normal.i hv hit my face so many times ,scared my grand kids i dont even get up anymore out of fear

  42. Hello! I have a few concerns after I did my annual check up last week. My A1C came back with 5.5 and my glucose level was 94 (fasting). I have been getting pretty much the same results in the last 2-3 years. My doctor doesn’t seem to be concerned. While this makes me happy, my own research makes me think that not everything is this pretty. I am 35 yo., healthy, skinny (115 lb 5’4″) and work out 5 times per week. I eat Paleo for the last 2 years (if not familiar, it’s a high fat, no grain type of diet). There are no diabetes in our family at all.

    Am I facing diabetes soon? Thoughts? Also, any supplement to balance my sugar levels and insulin resistance maybe?


    • We have nearly identical scenarios. My glucose values are the same. I haven’t been doing paleo but close. I’m eating more AIP in order to keep my autoimmune issues in remission. I am very active and athletic. I’m very curious what else I can do?! Hopefully someone will chime in with thoughts!

  43. Hi my son has not been well since 3 when we recognised he needed more food than his sister or he would get tearful really tired etc we have had blood sugar readings of 2.4, 2.2 but the Drs told us these were fine but he also had a slightly high corisol level but they said it was because he was stressed but he was asleep in theatre.he has just been in for an overnight 18 hour fast these were his readings from 8am 3.7, 3.4, 2.9, 3.2, then 1/2 hourly 2.9, 3.3, 3.3 then they fed him but when he was at 2.9 he was just laid on bed sweaty eye sight went blurred shaky talking slightly confused his eyes looked glassed couldn’t be bothered and just wanted to go to sleep but the Drs have said this is normal but I know my daughter and myself have gone 2 days with out food and not been in this state but the Drs just say it’s fine and I know he’s not this has been happening regularly since he was 3 and I feed him every 2 hours changed his food to brown bread brown pasta no processed food etc but he is really struggling with wpevery day he is a really talented footballer he had trials with Everton after been spotted but his energy levels let him down pleases help

    • Brown rice and any pasta raises blood sugar! He may try a protein diet for a while and see how he does! By the way, breads are processed food! Fresh foods such as natural meats, chicken, fish and fresh or frozen vegetables are best!

      • Thank you. He eats a lot of fruit and veg fresh and he only eats wholemeal bread pasta and rice but doesn’t help when he exercises

          • No he hasn’t I thought he was lactose intolerant they did a test and they said he was border line and to keep him on it . He has 2 wholemeal ham buns for breakfast goes to school has 2 slices of toast then at 10.45 a bacon bun then dinner with flapjack then he has a wholemeal ham bun on way home as soon as gets home he has carrot cucumber red pepper followed by half a packet of wholemeal spaghetti or wholemeal rice a Pyrex bowl of peas x3 pork chops or gammon then he will have a yoghurt some Jaffa cakes if has sport he will have nuggets and chips from chippy followed by 4 wholemeal slices of toast

  44. Someone I know insists he has a blood sugar level of 615. Yet he doesn’t do anything about it. He functions normally. Is this possible? He says coma comes at 620. I think he is full of hot air. Can someone give me the truth.

    • My husband was as normal as can be but just not feeling.we thought it was his heart since he has chf.turns out his bloodsugar was 687.the were in shock because he didn’t know he was even diabetic. So it is possible what u were told.

      • My mother in law is a diabetic and she said she wasn’t feeling well after a family gathering and her chest was feeling heavy and it scared her. The raced to the hospital and her levels were at 600! She can’t seem to keep them down and even….

    • Yes, your friend needs more education. Most glucose meters will simply indicate “high” for levels around or above 600 mg/dl. When I was diagnosed with T1 DM a blood draw sent to the lab indicated my BG was 850mg/dl. The meter in the doctor’s office couldn’t read that high. Yes, I was conscious and walking, even drove to a pharmacy for my new “diabetic supplies.” Of course I’d been drinking more water than normal; having been peeing every 30 or 40 minutes for several days I knew I needed to avoid becoming dehydrated.

  45. Hello everyone,

    I was wondering if someone could help me. I was diagnosed on Tuesday with type 2 diabetes. Today I decided to look at my blood and urine test results. According to my results and the WHO and Canadian diabetes association I don’t think I have type 2 diabetes, I think I am pre-diabetic. I want to know if I am at any disadvantage if I keep the diagnosis and don’t bring it up to my doctor? and I want to know if I am right and I am only pre-diabetic. I will list my results below

    July 16th- blood glucose after 12 hour fast = 6.1 ( thats when they called and asked me to do a tolerance test)

    – no protein in urin and no glucose in urin

    July 19th- Blood glucose after 12 hr fast=7.2
    Blood glucose after 2hr and the glucose=11.0
    Ac1 taken on the same day = 5.9%

    I am overweight with a BMI > 40, I think I have PCOS. I have never had any symptoms associated with diabetes ( although I do know many people are asymptomatic)

    I am under the impression that if a fasting blood glucose is in the diabetic range it has to be taken on 2 separate occasions and both need to be in the diabetic range ( for me one occasion was-7.1- and one occasions was not-6.1)

    Also if a doctor just wants to use the glucose tolerance test the result should be above 11.0 and not = 11.0 ( and i think the test should be done twice just to make sure-but this is just my opinion and not one set by WHO or the Canadian Diabetes Association)

    I will still be making significant changes to my life through diet and exercise so the only think that will change is my outlook on life.

    Thanks for your help

    • Hi Kayla, your fasting blood sugar levels are on the border, but you OGTT is diabetic. A truly normal result would have seen you back down in the 5s or 6s at 2 hrs. So for your benefit make some serious changes to what you eat and you could stop your diabetes progressing further. Your test results are a warning and a wake up call. Good Luck.

      • Thanks for the Reply! I had started to make changes 2 weeks before my tests and I am continuing with those changes.

        I have been testing my blood sugar before meals and after as well as doing a test every morning after fasting for 10-12 hours. I have not had a reading above 6.6. The only time I was at 6.6 was this afternoon 2 hours after lunch, all I had was a small tortilla for carbs, then we went for a 20 min walk about 15 min after I ate. All my other readings including fasting have been between 4.0-6.0 which is considered normal.

        Does anyone else get totally normal readings at home, but when they drink the glucose have very high readings? Could it be because I normally eat a low carb diet, also they gave me the 100ml glucose drink (not sure if that makes a difference)?

        • How long have you been low carb, and how low carb have you gone – 50g or less a day? If you’ve been low carb for a long time, then it could affect your ability to cope with a huge glucose hit. However, I’ve been low carb for about 3 yrs and a glucose hit doesn’t affect me at all, but carbs do (work that one out). The fact that you get good results while eating low carb, is probably the result of eating low carb, i.e. doesn’t mean you’re not diabetic. So, I would continue with what you are doing, LC, and try to get the extra weight off and you could well find that your are fine. Use the results as a big wake up call and get your life back on track. Good luck.

    • Kayla I believe these three books will/could be most instrumental in helping you get your body in balance thereby allowing you to maintain a very healthy lifestyle.

      Reversing Diabetes $13.99; The Seven Pillars of Health $12.99 & Get Fit & Live $9.40 all books written by Dr. Don Colbert you can also go to his website http://www.doncolbert.com

      For the record its never “about being skinny but always about being nutritionally healthy” as skinny & overweight people both can be malnourished & not making good use of daily exercise of at least 30:min of aerobic combined with resistance training to keep your body an effective fuel burning & usage person. Those two non regulated factors can be the culprits behind most degredation of the human body.

      Good luck to you & all who are trying to understand our ever changing food source!

    • I would just change my diet…no processed foods! No breads, pasta, potatoes, candy, cake or ice-cream! Eat simply! Eggs, butter, fresh meats, chicken and fish, baked, broiled not fried or breaded! All fresh vegetables, except corn, Lima beans, peas, potatoes, these have a high glycemic! Berries are best! Don’t overdo fruits! They contain sugars! Stay away from diabetic meds until you see how a nice clean diet does for you! You will also drop weight eating this way! Also a nice brisk walk drops your glucose by 25 points in just 10 minutes! It’s amazing how the body reacts when you do the right things for it! Oh, and no cereals! They are candy in a box!

  46. I am a Type 2 And has managed my diabetes by diet control over the last 20 years. Recently, it has spiked significantly. In checking shortly after eating, the readings can be 285 and the other night was over 600. Question: should I be concerned with high spikes 30 minutes after eating of 300, if within another few minutes it starts to drop once I begin to exercise? thank you!

    • Hi Amber, what had you been eating to cause the spike? If you’re already on a low-carb diet then I would be concerned about those sorts of spikes, you probably need to start on medication. If you are not already low carb and those spikes were the result of eating a high carb meal, then you have your answer – cut the carbs. You do not want to be spiking that high.

  47. Three months ago my A1C was like 6.5. Three months later my A!C is 11.5. Yesterday I was fine and today I am a diabetic. I tested my blood with the kit the gave me, early in the afternoon it was 293, later that day I tested it again and it was 246. I guess I am lucky its going down very slowly. Why would my blood sugar level be pre and then jump to full blown. My doctors were having a hard time with that. Let me know what you think. Thank you.

    • If your diet has remained much the same and you’re not eating loads of carbs, then it seems highly likely that you may be LADA, in other late onset type 1. It would be sensible to get a urine ketone test kit, test your blood sugar levels 2 hours after a meal and if they are high, test your urine too. If you have ketones then it would be as well to get in touch with your doctor fairly quickly.

  48. My fasting sugar level after 12 hours is 95mg/do. And random sugar level after almost 3 to 4 hours of eating is 116mg/dl. Is this normal ? Am I pre-diabetic?

    • Alina, one model of diabetes has us all somewhere on a continuum between perfect panceatic health and total beta cell failure. With that in mind my non-professional opinion is that you’re closer to diabetes than not. Whether you’re diabetic/prediabetic or not, you, and practically everyone, would benefit from shifting carbohydrates consumed from simple (refined) to complex (natural), and from getting more exercise so our insulin is used more effectively.

  49. I am 44 and have a gluten allergy. I’ve recently lost 25 pounds by eating healthy and exercising, putting my weight at 136 on my 5’3″ frame.
    I’ve been feeling sleepy and headachy in the afternoons and borrowed a glucometer. I ate 2 hours ago and my blood sugar was 88. I ate a sandwich (gluten free bread) and some raisins and 1/4 of an avacado. I also ate one fun sized hershey bar.
    Here’s my question…am I hypoglycemic? is 88 too low? Thank you!

  50. Can anyone please help me. I’ve been trying to get figures for blood sugar distribution in the “normal” (i.e. those without diabetes or pre-diabetes) population. I want to know what percentage of people have average blood sugars in the 51-60 range, the 61-70 range, the 71-80 range, the 81-90 range, the 91-100 range. Ideally, I would like this not just for our “European” cultures, but also for those still following their “re-MacDonalds” eating patterns (eg, people from Japan, maybe even Okinawa). Can anyone help?
    I’d also really love to know what percentage of people have a reading of less than 72 (which my diabetes nurse calls “hypoglycaemic” in any one week.

    • From an article on another website, about 95% of non-diabetics fall in the 4.7% to 5.7% A1C. (about 85-115) This I assume would be for people who aren’t on a low-carb diet. Below 70 is considered hypoglycemic so it’s unlikely that many would be living healthy lives in those ranges.

  51. Hi Chris,

    I’ve been diabetic for 15 years now and for most of that time I never really took care of myself, I would however have my eyes check annually and no issues there. But about 4 months ago, I just started getting headaches, felling dizzy and as if I wanted to faint. When I went to the hospital, it was because my sugars were at 338. That’s when I decided to make a change, however when I went to the doctor he checked my A1c levels and they were at 12, I’m pretty sure they were that high since I was diagnosed. However, after I made the changes I went back to the doctor 3 months later and lost 25 pounds and my A1c levels are 5.7 and my sugars average 117 over 90 days. I take no medications and am doing this on diet and exercise alone. I have had my eyes check and other than some floaters I have no issues with my eyes. My concerns are that my vision was not blurry once my sugars started dropping but now that they are consistently normal, my vision is blurry, will it take time to set in before my vision is normal again? Also, now if my sugar goes over 150 I start getting headaches, feeling dizzy and faint but it never happened to me for 15 years when my sugar was high, will that also go away? Is my body just getting used to me being on the right track? I’m just concerned if these symptoms will ever go away.

    • You should get eyes checked that sounds like diabetic retinopothy. I should know I have it.Been a diabetic for 22 years.

    • Trust me it will not be that way for long. I have lost over 75 lbs. Eat healthy, and exercise. My A1c levels are still 6.0-6.3. Although my fasting glucose is 74-85. Go figure.
      [email protected]

  52. I recently had two fasting blood draws done last week. The first result for fasting blood sugar was 179 and the second result was 170. My fasting A1C was at 6.0 taking at the same time the 179 result. I’m 24 years old and about 105lbs. Im just concerned and my PCP doesn’t seem to be because my A1C is normal and my hemoglobin levels are “normal”.

  53. I’m panicked. Can I ask you a question? My 31 year old son had his first seizure Saturday (6-6-15) and we have no clue why. List of possibilities:
    Overheated (we do not think so)
    Prior dehydration issues
    Low blood glucose (82 one hr after lunch)
    My question: my mother was a diabetic and my sons dad is a diabetic. My youngest son suffers from low blood glucose which they say is pré-diabetic. I have been taking his readings since the seizure and they are consistently in the 80’s all the time even after eating. Could it be possible the blackout and seizure was sugar related? We have appointments this week with neurologist, cardiologist, and ENT (he now suffers from a crushed nose after the seizure and fall). Thank you, Debbie

  54. My 10 year old daughter came out with A1c of 7.1 and insulin total of 3.37 glucose of 130 fasting . Can somebody tell me if she’s diabetic or pre diabetic. Her doctor said it was normal but I know they are higher than normal. Are children normal ranges different from adults. Please help me I’m lost and worried sick

  55. Hi, I’m new to all this , I’m type2 diabetic 54yrs young.
    My morning blood test was 6.2 ate a good breakfast eggs toms mushrooms and sausage, tea and little milk . Then I feel really lightheaded and really crappy , when I test my blood sugar it is5.6.whenever I go below 6 this happens why?

  56. hi my name is Melissa and I have recently been tested for diabetes, and they told me that my blood was fine. well however I don’t understand cause every morning I take my blood sugar, and it ranges from 83-154 so far, ive been taking it for three days and every morning it higher. is this normal or should I have more tests done.

  57. I had my A1c tested 3 months ago and it was 5.6 I was taking Chromium for the past 3 months 800-1000 mg a day, I monitored my blood glucose with a kit. Reading were usually normal. Then the the numbers got low even after meals. I stopped taking the Chromium, Things seemed to normal out a bit. Now though they are dropping from a 115-125 after eating to as low as 80 after sometimes even 20 minutes of moderate exercise.
    Is this normal?

    • A normal blood sugar 80-100 after 2 hours of eating it should not be any more than 140,if it is then you have a issue, after exercising 80 is just fine, if you are worried about you can talk to your health care provider after all I am just a 17 year old diabetic.

  58. I had a fasting blood test done week ago and my doctor told me my blood sugar level is 4.5 and he has advised me to go on low fat diet as he said I could end up with diabetes is that true

    • Oh my goodness. No. Just the opposite – you need to lower the carbs and increase the fat. The low fat advice is because diabetics tend to have more cardiovascular disease. The evidence now is that inflammation may be the more important factor and it is primarily carbs/sugar drives inflammation. Also, it is important that you take in healthy fats, not the industrial processed stuff. For great info on that go to http://www.dietdoctor.com, click on “Health” and then click on “How to Reverse YourDiabetes Type 2”. I think you’ll find links to other useful sites.

  59. Hi, I recently had my labs done and my fasting A1c came back at 6.2 and my Glucose came back at 107. Am I diabetic? Would it be safe to add Gymnema Sylvestre to my daily supplements? My father and his mother were both diabetic and I don’t want to go down that route. Also, I’m a little confused about whether I’m leaning more toward hypoglycemic or diabetes or either! My doctor was not much help, just to say that I was a little high but not too bad. Please help!

    • You are wonderfully normal! You are not diabetic! They did lower the glucose level from 125 to 90. But that’s just so everyone can be termed diabetics! Keep up doing what u r doing!

    • Don’t listen to Sandra,
      Pre diabetic fasting glucose is 100-125 At 126 fasting glucose is considered diabetic.

      many times drs may order A1C testing but there are things that can impede on those test and give false low or false highs. Things including blood transfusions, anemia and so forth.
      Get your read advise from an MD.

    • The 125 is “Diabetic” is a little weird. Of course this means you see your Doctor every 3 months, labs, dieticians, it all equals money. You can live to 100 with a glucose level of 125. Really 99 and I am pre-diabetic? No, Dr’s + accountants+ low indicator #’s = more money for everyone but you. That doesn’t mean you shouldn’t watch what you eat, its just that your probably doing a lot of “right” things already.

  60. Hi Chris,
    I am a 28 year old female and have no family history of diabetes. However, I am always extremely weak and nauseated in the morning or after any length of time fasting. Over the last two week I have felt my blood sugars fall extremely fast leaving me dizzy,hungry,sick to my stomach, irritable and weak while shaking. I finally decided to go to the doctor because I couldn’t maintain a set point any longer. She said my symptoms would say I am hypoglycemic which has no treatment. She said nothing about me would say diabetes. I asked her to run an A1C at the suggestion of my A&P professor so she did. I had an A1C of 5.5 which she said was perfectly normal and had no indication of diabetes. She also threw into the mix that my hypothyroidism could be the cause of my blood sugar levels. I am at a loss! I would love to hear your thoughts!

    • Christy, I’ve noticed more and more theses days that doctors don’t treat people…they treat test results…when they catch them. Recently, I have discovered Bio-hacking thru a website about adding healthy nutrients to your morning coffee/tea ….it’s called Bullet proof coffee. The site has associated pods casts with a never ending wealth of health and scientific information on how to hack our biology to heal ourselves. It’s a bit of work but I’m already seeing results in two months after being “sick” for years.

      • I’ve been doing bulletproof coffee for a month. I’ve lost 12 lbs. without trying. It’s a delicious way to have your coffee. It also gives you more energy! Just tell friends to look up http://www.bulletproofcoffeediet.com. Glad you discovered it and are doing so well! Keep at it! Hugs, Sandy

      • I am 60 years old, overweight and diabetic. I’ve had this disease since I was a teenager. I have gone to the classes and received the certificates. I was a very “educated” diabetic. My disease was bad and getting worse every year. A1c 14.7 fasting blood sugar well over 300.

        What I was to learn is that my diabetes education led me to a path that only worsened the disease. Much of what I “knew” was based on what has proved to be bad science, influence peddling and marketing sleight of hand. It was almost the exact opposite of the path I had now follow: one that is a miracle in my judgement.

        I did a great deal of research to come up with the lifestyle changes I have now implemented. Did they work for me? A1c is down to 6.1 and still falling. Insulin is down from 300units per day of Lantus/Humalog. I have lost 30 pounds and still dropping. Many issues with inflammation and blurry vision gone.

        There is a free documentary on NETFLIX called “Fed Up” that focused on childhood obesity. There many ideas that will frighten you but if they urge you to keep looking for answers, that would be wonderful.

        I would suggest the information at dietdoctor.com is robust and was very helpful to me. It was also free. After i had very successfully put many of the principles I discovered there I practice I joined the community but felt that $9.00 a month was a fair price for changing and likely extending my life.

        Good luck. I hope this information is life changing for you as well.

    • your blood sugar drops like a stone because you are raising it too high.

      A low carb, high fat or Ketogenic way of eating will prevent that.

      Gluten (a protein in wheat, barley, rye) is worse than sugar for spiking blood sugars. No room for pasta or bread-y things on keto.

  61. Hi Chris,

    I am an Indian with 48 old (weight 103kg and height 6″feet)and last few years I am monitering my bg regularely. Nw a days my fasting BG is around @110 (100-110) and shoots up to 280-300 after 2 hours of meal( breakfast) and it is purely related to what I eat(amount of carbohydrate). After Luch But it comes back in range (120) after 2 hours(means total after 4hours). What is the cause of it? What action would you suggest ? Please advice

    • Exercise at least 30 min per day. Cut down on soda, chips and other sugary drinks and/or foods. I found exercise is doing the trick for me more then the food and watching the carbs.

  62. Hi I need to know if my readings on the glucose meter are normal or if I should worry and test further . I am not diabetic but don’t ever want to be either .I woke up and did not eat and testes at 88 ate lunch drank juice and water testes two hours later and was at 132 is this normal for non diabetic ? Please help ?

    • Hi Angela, your reading of 132 @ 2hrs after food is probably absolutely fine, but I does depend on what you ate. If it was a high or moderately high carb meal, then 132 is OKish, if it was a low carb meal then 132 is in the zone to start looking at your diet. Ideally you should be back down to around your start point at 2 hrs. Try testing at 45mins to 1hr after food to see if you are getting high spikes (over 160), if you are then start to look at your diet and make improvements. Remember that its mainly carbs that raise BG levels, high GI will spike you earlier, around 30-45 mins, low GI will spike you later, anything from around 1hr30 to 2hr30. Once you can see if there is a problem, you can work out what it is and make adjustments. Ideally you should remain below 140 all the time, but a brief excursion to 160 will not cause you any damage as long as its not too often or for too long.

  63. I am healthy man some times my fasting blood suger come under 100 after 11 or 12 hours when i take sugar food when no sugar food then after 8 hours it comes down 100 while i am healthy man of 58 please give me advice

  64. Hi Chris,

    So my concern is I have been feeling tired after meals for the past week. I had gestational diabetes with my son born a year ago, but my sugar levels went down right after birth. Now I have been using my accucheck meter to see if this is why I have been so tired. My fasting glucose has been in the range of 109-117 in my left hand over the last 3 days but my 2 hour post meal is 154 from the left hand and 110 from the right. The range is so large. The test strips and machine are all the same. I believe if I checked my fasting on my right hand it would be lower too under the 99 mark. Do you think the other tests will help give me a better idea if I am actually Pre-Diabetic or not?

  65. I’d been having blood test regularly for a lot of years…then suddenly I was told I was diabetic….I couldn’t understand why nobody realized that my blood sugar reading was getting higher…..diabetes doesn’t just happen suddenly…..I had no symptoms….no thirst….no weight loss…..but I was taking statins for years……now …they tell us that statins raise blood sugar and can cause diabetes……I stopped the statins…..my b.s has come down….and my dr. is very pleased with my a1c results….he says they are as good ///if not better than some non diabetics….he’s not pleased that I stopped the statins….

  66. i’m obese and was diagnosed DIABETIC 2 years ago, but drastically reduced my carb intake and brought my fasting bg readings down to 74-84. However, I got lazy and started eating poorly, and gained weight back (i lost about 60 pounds in the dieting process). So fearing the bad news from the dr., i’ve started back onto my good habits and my post prandials (2 hrs) are around 105-115, but my fasting never seems to drop under 90 (though it has stayed under 100)… anyone have any advice or thoughts on this?

  67. Need advice…I had a 20 hour fast yesterday and after 18 hours my bg was 3.3, I felt awful, however was told this is normal, it keeps happening where I keep feeling low after about 4 or 5 hours of eating. I bought a home monitor and when i was discharged from hospital I was given a sanwhich and some orange juice, went home and tested one hour after eating and it was 11.7 is that normal? Please help this is all new to me. I have done a previous 12 hour fast and my bg was 2.6!

  68. My glucose was 230 this morning. I read the comments herein and went for a job at 10am. When I got back my gl was 190. Still high but it showed me the way! Thank you!

  69. So I feel nervous with what I’ve read. I have recently been getting really sick, dizzy nauseous shaky those things. I went to the dr and they drew my blood and have a blood test thing to me for the next 10 days or so. My first two readings 1 when I had eatin maybe 20 minutes prior was 139 and a few hours later now. I’m feeling sick again and tested at 110… What are some solutions to save myself? I know 139 is bad… I don’t understand though why I feel so sick at 110? I don’t know if I’m asking my question well but I’m very worried and just don’t want to end up with diabities… I’m a 24 5’9 and 170 pounds female who is trying to be smarter with my food choices…
    Any advice or some explanations? Is dropping so fast a bad thing too?

    • Hello,
      I have read many post but yours caught my attention. I am a cna and work with diabetic patients. My mother n law is also a diabetic and I have to keep a close eye on her. Normal levels range from 70-140 you can push it a little as long as it doesn’t go over 200. I have done lots of research on this subject however, everyone is different I have found. One of my patients can have glucose readings that just reads hi then 1 hour later she is bottom out on me. The best advice I can give you is to know your body test yourself before breakfast and an hour later. Eat small portion meals frequently. For example 3 meals a day maybe 3 small snacks. A half a peanut butter sandwhich and 1 cup of juice should help hold your sugar through the night. If you have problems with waking up with low sugar set your alarm at night for 3am drink a cup of juice if to low it does’nt hurt to add a spoon of sugar or eat spoon of jelly to get it up if around 40. It is a proven fact every diabetic sugar drops at 3am. I wouldn’t worry about sugar levels at 139 that is good. My patient would go to bed with sugar levels around 180 and at 1am drop to 70 at 3am to 40. So everyone is different some are more sensitive than others. You shouldn’t be having problems with your sugar being at 110 but that doesn’t mean its not possible.

  70. I have no family history of diabetes, I have always been a big guy, 6ft and 280 lbs. Recently my wife has been testing her blood sugar levels and for fun I decided to do mine. My glucose levels have been from 300 to 600 within the past two days every time we test. I test before meals, after meals, after fasting for 4 hours. we also bought a ac1 test and mine came to 11%. any ideas, am I diabetic?

    • Tim – Those numbers would definitely be classified as diabetes. And 300-600 mg/dL blood sugar is dangerously high. You could potentially have Type 1 diabetes, which is an autoimmune condition that destroys the pancreatic cells that produce insulin. Either way, you need to see a doctor immediately.

  71. Surely if your fasting BG level is low it means that your are not particularly insulin resistant? Virtually everyone that I know that has insulin resistance has a high fasting BG. The fact that you are producing loads of insulin indicates that you are insulin resistant. I have really low fasting BGs, but spike really badly after consuming more than about 20g of carbs simply because I now don’t actually make much insulin and so cannot cope with any more than that small amount of carbs. If you are insulin resistant wouldn’t your BGs stay high because the insulin that you are producing is basically ineffective?

    • Hi Veronica, what I’m trying to say is that I’m severely insulin resistant and confirmed by an NMR LP-IR score of 67 and sky-high fasting insulin level. My functional doc has told me that if my pancreas is still very efficient (so I’m not a diabetic) at churning out the insulin, then it’s able to keep my blood sugar normally low. It means that if there are two cars going the same speed down the highway, one car would be going at 10,000rpm (my pancreas) and my blood sugar would be cruising along nicely at 3,000 rpm. So my point to you and Chris, are you not missing out on the fact that some (or maybe a lot of) people may not be properly diagnosed as insulin resistant because they’re blood sugar is normal and healthy, but since the medical practitioner never checked the fasting insulin (or NMR), we could be missing the diagnosis! Check out this video of a wrestling coach who had great fasting blood sugar and normal basic cholesterol numbers. But guess what they find out when they dig deeper and find out he’s severely insulin resistant and is at amazingly high risk of cardiovascular disease: http://www.youtube.com/watch?v=an6L9VY0v8A

      • Couldn’t agree more Howie. If you are insulin resistant, and still producing lots of insulin to compensate, then you are effectively wearing out your pancreas. So, yes, I am sure that there are many people out there that are not being diagnosed. I’ve got the other problem of not producing enough when I eat food, so 20g gives me a huge spike, but, funnily enough 75g of glucose doesn’t have any effect on me ! ! an annommaly I know. Most of the time I don’t actually produce enough insulin, hence very low c-peptide, but if I take glucose then I produce insulin ! So far, no-one has been able to give me a sensible answer on that one.

  72. Isn’t fasting insulin a far superior measurement of insulin resistance than blood sugar, which is what we’re really concerned about? A lot of people will have “good” blood sugar levels of 80 or below (like me), but my fasting insulin is around 9 uIU/mL (good is below 3). I have ragingly high insulin levels that are keeping my blood sugar down, so as a clinician, do you not worry that you’re missing the whole story? Love what you do and thanks for letting me have a voice.

    • Howie–How do you correct insulin resistance? Is it meds or diet? Could you elaborate. Think I may be dealing with this–and causing hypoglycemia issues

      • insulin resistance? meds or diet?
        Either, both. Depends on whether you’re willing to make lifestyle changes or would rather take the pharma route. Without “control” it only gets worse.

  73. Hi Chris,

    It is really helpful to read your blog.

    I have family history of diabetes. My mother has it at the age of 52
    My age is now 30. I was overwight for 2 years during and after pregnancy (80 kg. my height is 5.5). I reduced my weight to 60 in 2012 but I have put on again 5 kgs. now I am 64-65 kg. I tested my FBG using home glycometer it was 94 and 99 on next day. my post meal BG was 104. I am worried that I either have prediabetes or diabetes because of family history and my reading.

    2-3 years back these readings were FBG 75 and Post meal 95.

    are home glycometers correct? am I at high risk for diabetes?

  74. Hi Chris

    I have had a sweating problem all my life. I have been told that I have an over-active sympathetic nervous system but thought it might be related to blood sugar levels. I had some fasting tests done and the only reading I can remember was Hemaglobin (I think) of 4.3, which is apparently normal. I, however, get thrush at the slightest intake of any sugar, I’ve probably had thrush hundreds of times and so now I do not consume any sugar at all. Do you think, that my sweating problem could still, somehow be related to something to do with my blood sugar? Please help

  75. Thank you for this article. Question. I am not overweight, I exercise and eat pretty darn clean 80% Paleo. My A1C levels have been 5.6 then with diet change 5.4. To me, this is not acceptable. My doctors response is exactly how you described above. I do have thyroid problems but seem to be Ok with levothyroxine and cytomel. I have terrible chronic back pain. I also have pretty bad IBS/leaky gut. My naturopath told me I do not detoxify efficiently. I take milk thistle now and chlorophyll. Do you recommend anything to help detoxify. Any shake or supplements that help? How can I get these sugars down?? Please help?

  76. Great website sent it to my daughter’s who are experimenting with paleontology diet. My glucose runs between about 118 to 140 daily a.m. testing but I have a 5.5 A1C …it was at 6 …and highest 6.5 according to a.m. fasting test I have diabetes (diagnosed in 1984 along with bells palsy…have had 7 cases since then) the other test I don’t. I watch my diet well as I have other neuropathyies. Drs (neurologists etc)scratching thier heads. One point agent Orange was dropped right on top of me and my team on several different occasions in Vietnam. VS says I have diabetes with palsy as secondary. Can I have at times diabetes and at other times not have it. Can it go into a prediabatetic state? Bottom line can it appear to be cured of can it be cured with diet and exercise. Thks you are really doing a service here…

  77. Hi , i hav a question, i had a fasting blood test. Only thing is because i was vomiting daily i didnt fast properly. Now my G.P is sayin i hav diabetes as my report came bak wid sugar level of 9.8 . What i want ti know is , is this accurate ? Is ther any thing i may not b diabetic ? Im a bit confused

  78. Chris, I respectfully disagree with your criticism of the glucose tolerance test, although its true that “real world” diets do not reflect it, that’s the point, with so much variation in diets, the glucose tolerance test is neutral, a person who for instance does poorly but in real life conditions and diets is okay, is not indicative of the person doing fine, rather the person’s diet may be different, and they have delayed syndromes due to their gut or other factors, for instance if a person’s body slowly converts carbs more than others to glucose, that isn’t indicative of the test’s unreliability. Similary if a person passes the test, if could mean they have other problems, for instance dr. bernstein in his talk about the “Chinese vegetable effect” states that eating even a small vegetable can cause an increase of blood sugar because of the mismatch between glucagon and insulin.

    So regardless of these factors and whether folks are more sensitive to wheat, carbs, and other foods, the glucose tolerance test is a neutral factor, simply to measure how the body tolerates the end product of carbohydrates and proteins, glucose.

    Just because a person’s diet and body are different doesn’t make the test irrelevant or “artificial” because other factors influence the result.

  79. Hello… new to the board. I read your articles on blood sugar tests and abnormalities and have a question. My a1c is normal– below 5, but my fasting numbers are 95-105, and I have had postprandial numbers from 155-200, mostly 160-180, one hour after eating. Closer to 140 at 2 hours. 2 readings in 2 weeks above 200, with some dizziness and a great desire to lie down. I have been very tired and have had bouts of frequent urination, heat intolerance, and dizziness for a few years. I have had no appetite or thirst for about 6 months, and have lost weight (from 115 to 100 pounds). I visited an endocrinologist that tested me for autoimmune diabetes and the test was negative. He does not think I have an endocrinology problem and hopes I feel better. My thyroid is normal, and my ANA is negative. The only abnormal tests I have had are low potassium, low alk phos, and low ck. Are the sugar numbers abnormal and should I go back to my PCP?

  80. I know I have very high cortisol levels however I am also concerned about my sugars. Tonight I conducted an experiment. I had 5 large buttermilk biscuits with artificial butter spread and a cup of skim milk. Total carb count 138 grams consumed in about 15 minutes.
    These are my glucose readings:
    1 hour later 128
    2 hours later 132
    3 hours later 129

    What does this mean? It seems like an awful lot of carbs but my numbers didn’t get very high but also didn’t drop very much.

  81. Hi Chris,

    I came across this article about the potential connection of antibiotics to dysglycemia. Is the possible mechanism of action increased gut permeability due to dysbiosis? Just trying to put the pieces together and understand the full impact of modern pharmacy on our ancient body systems.

    Thanks for all you do! You really are my “does this make sense” meter!!


  82. I am so glad I found this! I am 27 weeks pregnant and was recently diagnosed with gestational diabetes. I also have pregnancy induced hypertension and take labetalol to control the hypertension. I am also over 40 and this is my 5th pregnancy. My last pregnancy was over 10 years ago. Body shock and old age I suppose. My question is: Does the labetalol affect the outcome of the blood glucose test? My A1C was 6.2% and my average 3 month level @ 135. I was not prediabetic before. All blood work always came back normal. My doctors are more interested in numbers at this moment (which is ok, we want to keep the baby safe) but are refusing to tell me if labetalol may be a contributor to the higher glucose levels.

  83. Hi Doctor,My name is Feizel i am 55years old,I have blood pressure which is severe,meaning my last check up it was 199/132 and my sugar level is 19.2,please can u advise me on what i should be taking.My GP recommended Ridaq25g and Glycomin.Need advise please because i only just found out that i have blood pressure and a diabetic.Thanks
    Kind Regards

  84. After a good all american dinner w/ potatoes filling my meter test in 216. and it stays on a declining high for 4 – 5 hours then it is 128 with no exercise. With exercise it is 109. My red blood cells are over the top at 48.3.

  85. I’ve had a lot of similar things going on as the rest of you. My A1C was 5.8. I bought a glucometer and have become obsessive-complusive about checking my blood sugar. I have very high cholesterol. LDL 191. HDL 65. Tri 57. I was eating veg diet but I feel much better eating more protein. My blood sugar is very affected by carbohydrates. I had a hot fudge sundae last week and my bg level went up to 184 and dint go down for several hours. Fasting is usually 84-96. Post-prandial, deending on what I eat, it can be around 110 and as high as 184 if I eat high carb. I’m just wondering if I have prediabetes or if these readings are ok. Maybe I should just really watch carb intake. My peak blodd sugar sometime doesn’t happen until 2 hours after a meal and then it starts to come down. If I take cholesterol meds will it bring down my blood sugars?? Thanks for the comments.

  86. Hi Kris
    I haven’t yet been diagnosed with diabetes but have had some odd numbers. My doctor was less than helpful and just suggested that I continue to eat normally. About a year ago I started to drink huge amounts of water and felt exhausted after eating and generally low energy all the time. I am a 60yr old female, weight 53kg height 5’4”, have a demanding physical job. Diabetes in the family. Anyway, my HbA1c was 6.2, fasting about 4.5. With no help from the doctor I immediately cut all sugar in my tea, never was a big cake/biscuit/choc eater anyway. Next A1c was 6.3, so I cut more carbs. next 6.3 again, cut carbs down to about 50g per day. Next A1c was 6.0 so it has come down but has taken a year to do it, but my fasting is now down to about 3.2. If I eat any grain products I spike quite badly. Why should my A1c have taken so long to come down when the fasting is so low? My c-peptide is within normal limits although on the low end of normal. I appreciate that you cannot give a diagnosis, but from your experience do you think that these numbers might suggest early stages of LADA?

    • Veronica- I recently had some joint pain and visited a rheumatologist. She asked me if I was frequently thirsty and when I replied’ yes’ she tested me for Sjogrens Syndrome. I assumed my very dry mouth/increased thirst was from high blood sugar which has been high recently. Sjogrens Syndrome can also cause fatigue and joint pain- and is common in women over 40. Check it out. .

  87. Hi
    I really need your help! I’ve been struggling with doctors taking my test results seriously and would like your input. I’ve had high igf1 and high growth hormone levels but suppressed during the ogtt test and was told I was just abnormal and would have to wait it out. My a1c was actually low 3.8 and average gluclose in the low mid 60s (I am not diabetic). My endo said this was actually good, despite my feeling awful all the time, because he sees such high readings normally. I also have had decreasing low platelet volume.
    Any input you could give to me would be greatly appreciated

    Thanks and keep up the good work!!

  88. Hi Chris, Thank you for your valuable insights on a myriad of issues. I’m wondering if you know how effective l-arabinose is as a “sugar blocker”. My friend is thinking of trying a range of products from a company called Ludaxx. They are called F21 (which contains l-arabinose and a polysaccharide “PSK”), a KonLi (a herbal tea) and PEARL. They are meant to aid in blood sugar control, weight loss and increased energy. I would value your opinion on them. Thank you.

  89. Hi Chris,

    Would really appreciate your thoughts on weight loss. If I am considered a “pre diabetic” now and weigh 110kg, am I really ably to reverse the chance of diabetes if I loose 15kg and bring my BMI into normal range or is the damage already made? Already, I have changed my fasting BS levels from 5.8mml mml to 4.9mml but that could just be a change in food consumed and increased exercise. Also, after fasting and 45 minute run, my blood glucose went from 4.9 to 7.5 breifly post run…. is this normal for non diabetic? I really would appreciate if you can explain this to me further.

  90. Hello Chris,
    Thanks so much for your great web site and kindness in helping others.

    Based on what you mentioned regarding anemia and falsely low A1C, my situation is rather odd. I am 50 yrs old, a vegan for 24 years, and have always had low hemoglobin with no other symptoms, great energy and great lipid profile. (As an interesting aside, my mom, a big meat eater, has always also had low hemoglobin as well). However my A1C is elevated, with a fasting glucose of 94. So while the FBG is somewhat normal (though I know you said this is higher than than the “real” normal), I would expect my A1C to be low (or falsely low) due to the anemia, since the FBG is in the somewhat normal – or at least not way out of normal -range. I also have low B12 and wonder if I get that up to normal levels could I fix this situation and maybe this is affecting the A1C reading? ( I dont have the A1C number yet but was told it is “elevated”).

    Thanks so much for any thoughts/suggestions!


  91. Confused with reading my BG tests !
    I had in the LAB the FBG 126 and my A1C 5.4%. My doctor told me I was diabetic while I was in shock and disbelieve because I never have any taste for sweets, never I’m thirsty nor I did have any other symptoms diabetes has. For one month I did BG tests home, 3-5 times per day.

    Results from my home test:
    FGB : from 84 to 118, most of them were under 110
    2 hrs after breakfast : from 100 to 126 ( 1 slice of bread, butter, honey, butter, yougurt)
    2 hrs after lunch : 84- 120
    2 hrs after dinner (84-135 ) most of them were under 125.

    Every time I have a beer for dinner, I get my FGB under 85. My lowest ever has been 70.

    Exceptions (2 in total):
    1) 2 hr test after dinner did go 151, after 45 mins good exercise did go to 70 !!!!
    2) 1 (one) hour test after eating pizza for dinner, did go 172 but after 2 hrs did go back 116. I did not exercise to see how well my body would work.

    Am I diabetic ?
    Thanks in Advance,
    A NoVaGuy.

    • This is something you need a clinician to look at firsthand, and there are other factors to consider. Your FBG puts you in the pre-diabetic range (if above 99), but your post-meals look fairly normal with the exception of the readings >120 at 2-hours. The one-hour reading of 172 definitely indicates problems with glycemic control. I would run some more 1-hour tests. Seems you may have problems with your first-phase insulin response.

      • Chris,
        I appreciate your help. You articles (part 1 & part 2 about prediabeties) really made me have another look of understanding diabeties. Being in conservative side of the GB level only helps.

        By coicidence, yesterday was my 3 months check test for FGB. It was 87 while my A1C 5.7%, up from 5.4%. My FGB was consistant with my home tests for the last few weeks but I can’t figure out the cause of A1C going up. Even though under the Keiser Permanente result shows as a normal range, definately I’m keeping a close eye on it, considering it a pre-diabities level.

        ALSO I have to mention and I want to share with everyone, not a surprise for most of you but I have figured out that exercise REALLY, REALLY helps a lot. For the last few weeks, FBG has been under 88, 1 hour tests have been less 110, almost all of of them less than 90. I haven’t cut what I eat but how much I eat. I eat ‘normal’ sizes, probably twice as big hospitals normal sizes are. With exercise I can keep my GB always under control. (regardless if I eat honey, whole weat bread and soups, fruits, pizza, butter& bread, yougurt, cheese, milk, a combination of them or whatever – I don’t eat a lot though as I used to and I eat most of the times organic food). Now I’m doing 5 tests a day and making sure that at any random test of my GB is under 120. I really hope that my experience can help someone who may overlook the excercise, as I personally did before.

        Chris, thanks you a zillion times for helping people like me,
        Regards from Virginia,

      • Hi Chris,

        I also have the same problem. My fasting BG is around @100 (97-104) and shoots to 180-200 after an hour of meal(especially dinner). But it comes back in range (120-140) after 2 hours. Do you think this OK? What action would you suggest otherwise? Please advice.

        Thanks in advance.


        • Hi Prasanna,

          I am also having the same problem as you..My fasting BG is around @100 (90-107) and shoots to 180-200 after an hour of meal(only after dinner). But it comes back in range (140-170) after 2 hours of dinner…Can you help me as to what I have to do?

  92. Here’s an odd one for you (at least I hope so)… Had blood drawn right before colonoscopy (aggressive prep…started earlier and consumes 33% more PEG 3350 just to make sure gastro didn’t have wiggle room on quality of prep)… LDLs came back elevated (expected, I stopped statins to see what weight loss would do for me…not much) and blood glucose came back darn near at diabetic levels.

    I told my GP I was obviously dehydrated. I also secretly wonder what PEG 3350 did to my metabolism of the yellow gatorade I had 8-10 hours pre-draw.

    Could dehydratation account for the blood glucose travesty? Any data on sensitivity of BG to dehydration?

  93. My BG reading has been 103, 106 once it was 136 with no medication how am I doing and why are numbers higher sometimes in the morning. Last night I was 103 the first thing today 136 I expect tonight to be 110 or so.

  94. thanks for your interesting blog.
    i just had a fasting glucose/insulin test with 75 glucose drink
    i wanted this test because after oatmeal or granola i often get a sugar crash.
    apart from the above i have no other health problems.
    my glucose reading was 5.2, then after one hour 3.8, then after two hours 2.9
    my insulin reading on the other hand was14.4, then after one hour 406.0 !!! then after 2 hrs. 216.0
    my doctor was not at all helpful in explaining to me why my insulin spiked so after one hour and my readings on the internet for hours, was not fruitful either.
    how would you interpret my high insulin peak (combined of course with my low blood sugar?).
    i thank you sincerely in anticipation.
    suzanne la rose
    hornby island
    b.c. canada

    • Suzanna, I think it’s Dr William Davis (in his book Wheat Belly) who discusses how oatmeal is has a hugely bad effect on blood sugar — even the b.s. of ‘normal’ (non-diabetic or non-pre-diabetic) folks. As delicious as oatmeal is please try switching to eggs for breakfast for a week (even hard-boiled, if you have harried mornings) and follow your b.s. to see how it goes. My back-of-the-envelope thinking would be that the insulin is ‘controlling’ the high blood sugar reaction: your blood sugar drops and drops, because your insulin is insanely high! You might look online to see if there is something about your pancreas slamming out massive doses because it’s on its last legs? But I’m not a doctor, I don’t play one on TV (or the internet); this is just something I’ve read about. Have you read around here? http://www.phlaunt.com/diabetes/ and http://bloodsugar101.com — really excellent info!

  95. I just got diagnosed , my ac1 was 6.8 today I went to get my meter and my blood sugar after eating is 116 and whne I awake it is 117, I do NOT want medication so I am trying excercise and diet, should I be more alarmed at those numbers, ny dr wanted me to immediately go on meds.

  96. Please, I am a 54-y-o woman, BMI 19.2, plant-based diet, and largely vegetarian so most of my calories come from complex carbohydrates and fats (LOTS of nuts. Really lots). Lipid profile and lipid NMR are spotless….really-truly. But, A1c is now 5.6. Post prandials are usually fine and return to < 100 mg/dl in an hour. But a.m. fastings are nearly always 95-105. Why, why, why? When I try to restrict carbs, I drop weight instantly and can not for the life of me gain it back. Why is this happening? Fasting insulin was undetectable, with a normal c-peptide. The endocrinologist told me to quit worrying…..that nothing is wrong. But I am not convinced and am actually frightened to death. Can you shed light? Thank you so much!

    • sounds to me like you are doing fantastic! the A1c is a projection of future 3 mos. i would not worry about it at all. your 5.6 is great! on my lab report, my A1c was 5.7 and it said that they want it under 5.6. so, it sounds like yours is fine! good luck
      i would incorporate some animal protein once a week if i were u. it has nutrients in it that u r not getting w only plant foods. i was a vegetarian for 7 yrs. my health went downhill until i went back to being a carnivore!

    • Absolutely blood sugar levels can and DO increase when you are sick. Any stress, including illness, can trigger hormonal changes that elevate our blood glucose. Mine typically rises 10-15% during times of illness.

  97. i monitor my bg daily when my diabetic husband does his. my bg always is between 60 – and no higher than 111. i had lab work done and my bg was 104. my a1c was 10.0. the dr. said i am diabetic! how is this possible? i am in good health, lift iron, rollerskate, dance, bike and trikke. will be adding swimming this winter too. i am 68 and feel fit and healthy. i eat low carb, lean meats and lots of veggies. no grains or milk. but allow yogurt. my husband had the blood work done at same time. his glucose is always over 300. it has been as high as 600. his a1c was 6.5. do you think they could have had a mix up? i am very confused. can you help?

    • Something is certainly confused there. When I was diagnosed as a Type II diabetic my fasting BG was 267 (much higher post-prandials) and my HbA1c was 12.1%.

      The 10.0% HbA1c converts to a 24hr average blood glucose level of 240 mg/dl. The 6.5 converts to 140 mg/dl.

      The 10.0 is most-certainly a diabetic number. Depending on who you talk to the 6.5 is considered diabetic or pre-diabetic. In my opinion, it’s most certainly a diabetic number.

      Both the IDF (International Diabetes Federation) and the AACE (American Association of Clinical Endocrinologists) state that 140mg/dl is where damage starts to occur, and both recommend that even post-prandial (after-meal) numbers stay NO HIGHER than the 140mg/dl level. Myself, I like to see my post-prandials no higher than 120mg/dl.

      • Hi Glen,
        I just found out that my fasting blood sugar is 267. I typed it into google and was brought here to this discussion board. Can you offer some encouragement by telling me what you have done to improve your health (diet/meds) and what your numbers are now? I feel overwhelmed. Thanks.

    • Boy, I’d have loved to hear the rest of that story! If the “BG is always”‘s were correct, does sound like maybe some blood samples were mislabled.

  98. I have Sjogren’s Syndrome and am afraid that I may be coming up with Type I diabetes.
    My fasting blood sugar as measured by glucometer is in the high 90s (95-99).
    My HbA1c was 5.4%.
    While those numbers alone wouldn’t get me clinically diagnosed, my fasting BG levels have been rising, I have urinary urgency, +ANA (1:160), weight loss, dry mouth, dry eyes (that may be due to SjS).

    I understand that Type I diabetes may have a rapid onset of months to even weeks.
    What would be the best set of tests to determine whether my immune system is attacking my islet cells and I am losing the ability to produce insulin. Would I have to just wait for the effects to show up or are there tests that show specifically if this process is taking place.

    • Hi John,
      I have Sjorens Disease, too. The dry mouth and eyes is part and parcel to the illness.

      As for your numbers, you need to see an Endocrinologist ASAP to discuss those concerns. My numbers are similar to yours.

      Type 1 is an auto-immune issue where the body attacked the cells of the pancreas responsible for producing insulin.

      Because you already have inflammatory auto-immune illness, you do have a greater than average risk of developing other auto immune issues. I’m in the pre-Type 2 diabetic stage. I was diagnosed with Sjogrens, Lupus, Hashimotos and Scleroderma, and Fibroymyalgia all in January, 2009. Once the body begins down that path, you have to pull yourself up by your bootstraps and make many lifestyle changes. It’s just the hand we’ve been dealt in this life, sorry to say.

  99. Hi Chris, in recent months I seem to have succeeded (or so I thought) in lowering my BG levels with dietary changes. I test every morning on waking and at varied times through out the day (before/after meals etc) and have a 90 day average reading of 6.3 which according to the Diabetes uk calculator should give me a HbA1c of about 6. Calculating it with the formula: 90 day av + 2.52 / 1.583 gives a HbA1c of 5.6 yet my results have come back with an HbA1c of 6.9 which would mean my average BG would have to be about 8 – 8.5 and it is never that high. In the last 6 months I’ve quit smoking, lost 22lbs and thought I’d considerably lowered my bg. I feel I could cry, all the effort and then getting that result back.Could the test be wrong?

  100. Chris, I read this article on testing blood sugar levels. I am confused about which tests are meaningful for a monitoring, maintenance? My Mom is Type 2 and one nephew is Type 1. I am attempting to understand and monitor Mom’s condition long distance, third person. Thank you, VeraMae

  101. I’m assuming you will delve into how you use post-meal blood sugar in the following posts, so I’ll be patient and save all my questions about that for that post. thanks.

  102. chris, when talking about OGTT how do you take into consideration the physiological insulin resistance one acquires from being fat adapted via a sane paleo nutrition plan? Both Peter from Hyperlipid and Robb Wolf have written about this. Do you consider it still useful? apart from that I just don’t feel comfortable with giving anyone such a bolus of pure liquified glucose, even for testing sake.

  103. Chris, thank you for the reply. You’re very kind to take the time, not just for me but all the other questions you’ve addressed in the past. And, you also have one of the very best health and nutrition blogs I’ve seen.

    My brother had an interesting observation about the beer consumption: he stated that it seemed to increase when I gave up wheat a few years ago, and we wondered if the exorphin polypeptides present in wheat and barley might be present in beer, as they were in the pasta and bread that I used to “love” to eat.

  104. Great find, Pål. Yes, there are quite a few studies in the literature proving the inferiority of FBG and A1c to OGTT for predicting future diabetes.

  105. Yep, the beer could definitely do it, via impaired liver function. Would also be worth exploring cortisol and other mechanisms, because your diet (aside from the beer) sounds good. A few potatoes a week wouldn’t explain those numbers, which as you know are well into the pre-diabetic range. Testing your post-meal blood sugars on a day when you drink beer, and a day when you don’t, would be a good next step. Also after you eat potatoes.

    • Chris, I was diagnosed with prediabetes over a year ago. This was determined by an A1C test of 5.9.
      My fasting blood sugar was 78 at the time..Ironic, huh?
      After avoiding fruit (only eat berries now and then) and being very low carb, I brought it down to 5.7 by last February. Again, the fasting BS is always good..low to mid 80s. I’ve been now testing at home and most post prandials are in the high 80s or high 90s. I ate one sweet potato with a meal a few weeks ago and my post prandial tested a whopping 143!
      I am giving up all starches because I think they are a problem for me.
      I practice intermittent fasting (16 hours fasting) I follow some of the principles of the Warrior Diet. I would love your opinion on that. Does intermittent fasting do harm or will it help. I lost 8 lbs participating in it. I weight about 110 now. My waist went down to 27 from about 30 or 31.
      I’m 56 and I’ve been working out for 27 yrs. so you can imagine how shocked I was to be slapped with the pre diabetic label. Ok, ok…I was a chronic sugarholic and cut way back on it but obviously not soon enough.
      I do HIIT or Peak8 Cardio and I pump iron. I take after dinner walks almost every night.

      Any other suggestions to come up with a better A1C. My other sugar levels always look great. My last Triglyceride measure was 75.

  106. Chris,

    I had a VAP panel done a couple of weeks ago and was disappointed to find that in the 3 years since the last VAP, I have changed from pattern A/B to pattern B. Subclasses are: LDL4=25.2, LDL3=56.9, LDL1=5.7. My fasting glucose was 117, CRP=2.3, Cystatin C=1.17, A1c=5.6, Insulin=6.9.

    I avoid wheat and other grains, vegetable oils, and do eat meats, coconut oil, pastured butter. In congruence with the Perfect Health Diet, I have begun to eat a bit more starchy carbs like potatoes a couple of times a week and sweet potatoes about once a week. I do drink too many (5 or 6 per day) light beers with about 5 grams carb each. Is that the ‘problem’? Also, I just turned 70YO, don’t take any meds. Any thoughts would be much appreciated.

  107. Tim: your lipid profile looks great to me. I wouldn’t be worried about high LDL if your TG/HDL ratio is good, which yours is. But sure, improving insulin sensitivity is always a worthy goal.

  108. Chris,

    Thanks for the advice re: reducing carbs and investigating cortisol. I thought I was doing pretty good on the carbs (eating a WAP diet), but as I have begun to pay strict attention to everything I eat, it seems I have been eating a lot more than I realized.

    I have also been reading about the enzyme HMG-CoA reductase and how insulin stimulates it which in turn causes the liver to make more cholesterol. Would you expect that lowering average blood glucose levels, which should lead to lower average insulin levels would then lead to lower cholesterol carried by LDL? My current lipids are TC 241, LDL 161, HDL 64, and Triglycerides 64 (and while the LDL is “high”, it is almost all pattern A – big and puffy).

  109. Yes, it’s an exciting time in the field of autoimmune research and treatment. I did see the vaccine study, but because of the danger vaccines can present I’m far more inclined towards using nutritional compounds to regulate the immune system. Huge strides have been made in this regard over the past several years, and especially over the last two to three years. I’m wary of Big Pharma’s role and don’t trust them to prioritize safety and effectiveness over profit – in autoimmune disease or treatment of any other condition.

    • I’m just learning more about pre-diabetes as I’ve had some high numbers in the last while–and have experienced off the charts stress in the last couple of years. You mentioned investigating cortisol levels (which I understand are affected by stress). How is cortisol tested for? Thanks.

  110. Chris, you are so cool for answering everyone’s questions! I learn a lot of additional useful info from the Q and A. Speaking of diabetes, I thought you might find this interesting if you haven’t already heard, but looks like they are working hard and doing very well on an apparent vaccine of sorts for type I diabetes and this approach, if successful could well be also useful for all kinds of other autoimmune diseases. As usual, it focuses on containment instead of prevention or cure, but I would not be very surprised if it became the next big pharm cash cow:
    We can only hope that at least its benefits will outweight damages (fingers crossed). One thing is for sure, there is a very big and growing market for effective autoimmune disease treatment.

  111. rmarie,

    From what I’ve read, even relatively quick spikes can be harmful, but the effect worsens the longer they are elevated.

    A much better strategy, in my opinion, would be to avoid the spikes in the first place by not eating the foods that cause them, and by working to address the underlying mechanisms. Just my 2 cents.

  112. Chris, I’ve been wondering about something re A1C tests and BG spikes for which you may have the answer:

    How long does the blood glucose have to be in the blood to bond to the hemoglobin. Is it immediate? For instance if a high BG spike of say 180 is brought back down quickly (without medication) does it have enough time to bond? (and influence the A1c test result)?

    I’m asking because I have learned a little trick. For example, if I eat something I suspect may raise my BG I test it after 1/2 hour and if it’s high, doing 60-80 jumping jacks will lower it 30-40 points within 10 minutes. Works every time and I have NEVER experienced hypoglycemia. My base line tends to stay around 115-120.

    It’s very convenient and quick without having to spend an hour running or bike riding.

    • I thought that with exercise too but if the food was high enough glycemically…try testing your bg again after a while from the exercise. I think you will see the dramatic lowering from exercise was temporary.

  113. I’ll explain how to cheaply and easily measure post-meal blood sugars in a future article, which is probably a more accurate indicator of CVD and diabetes risk than OGTT anyways.

  114. I am definitely pre-diabetic (have been for at least 10 years that I know of) and yes, my doc never said anything because it was usually well below 126. One of the reasons I’ve never taken an OGTT is that I weigh 89 lbs and I think drinking 75 oz glucose for such a small body is irresponsible. And they probably wouldn’t adjust it. I watch my carbs and things have not gotten worse over all that time. I’m in my late 60’s.

  115. Hi Perkdoug- I did test it after several exhaustive sprint workouts and I now know that they definitely elevate my BG for a while. I didn’t really ever get super high readings though, usually between 95-115. I really don’t know how this compares to a healthy BG response to exercise but it doesn’t strike me as too excessive.

    Thanks for the tip.

  116. Tyler the sprinter:

    Test your blood sugar immediately after a high stress workout and you might see an unfriendly blood sugar level.

    Just an idea that could explain the high A1c.

  117. This is exactly what I was talking about in the article. I can’t understand why a doctor would be “pleased” by an A1c of 5.5 when 5.6 is often considered to be pre-diabetic. That’s lunacy. Does some magic button get pushed between 5.5 and 5.6 that changes everything? I don’t think so.

    As I’ll explain in the next article, nerve damage, beta-cell destruction and other complications begin to occur as blood sugars rise over 140 mg/dL. Believe it or not, heart attack risk increases in a linear fashion as A1c rises above 4.6%. Granted, the increase in risk from 4.6% – 5.5% is very mild, but from 5.5% – 6.0% it goes up significantly.

    You may need to reduce your carb intake. There are several other potential causes of high blood sugar, such as high cortisol, so that might be worth investigating as well.

  118. Hi Chris,

    Thanks so much for this article. I am new to reading your blog, but am very interested in learning more about blood glucose testing. I recently had some blood work done and because of a flaky reading on a fasting glucose test, my doctor reordered the test and an HbA1C test. While she was very pleased with the results (fasting of 90 mg/dl and A1C 5.5%), I thought the A1C seemed high. I purchased a blood glucose meter and have been doing some testing over the past week. So far the highest reading I have seen was 2 hours after eating a breakfast of oatmeal with butter, coconut flakes, cashew butter and about 2 Tbsp of honey. It was 141 mg/dl. That seems fairly high to me (for a presumably healthy person). Thoughts? (and FYI, I ate the same breakfast this morning without the honey and only hit 110 mg/dl)

    My plan is to continue testing after meals that are higher in carbs and see what foods tend to cause the highest spikes.


    • Most type 2 diabetics (non-insulin dependent) have increased b.g. after eating something carby like oatmeal with honey. An alternative could be flaxmeal porridge with coconut oil and cream. Mix a couple of tablespoons of flaxmeal with the c.o. & cream and heat. Add whatever sweetner you choose.

      BTW, my b.g. would probably be around 180 with the same meal.

      Best wishes…..

  119. Jesse: lab ranges are mostly determined by taking a bell curve of the results of those who get tested. And that is a huge problem I will be addressing in a future article.

    Java: eating will affect blood sugar, that’s why to obtain a fasted blood sugar reading (to see how the blood sugar behaves in a fasted state) it is necessary to fast for 12 hours. Many other things, such as cortisol levels, will also affect blood sugar in the fasted state. Being adequately hydrated is a normal physiological state, so yes, you should be adequately hydrated to avoid skewing the results.

  120. Hey Chris, what research are these tests and numbers based on? It’d be interesting to see how they came up with such values. Or were they just made up from nothing?

  121. Amazing article..does a state of fasting , as in early morning blood tests alter scores. Should one ideally hydrate before these tests. But then what is ‘normal’ ? Tests done in a state of hydration or tests done without hydration ?

    • That’s absolutely incorrect. Fructose is a glucose just like any other. As a kind 1, I am an perfect lab rat for “will something impact your blood vessels sugar” and fructose is no exemption. Melon is a fruits, the is know for fructose, and it has one of the biggest decided upon Glycemic Indices on the table.

  122. A normal life cycle for a red blood cell is 120 days. So when I say “permanent”, I’m just referring to that period of time. It’s absolutely possible to change A1c levels with diet.

  123. Dear Chris

    I’m not well-informed on this important topic, so please excuse my question. You write that “The higher your blood sugar has been over the past three months, the more likely it is that glucose (sugar) is permanently bonded to hemoglobin.” – Is this absolutely permanent? – Or does the bonded hemoglobin eventually get broken down so that the person ‘gets another chance’ at regaining unglycated hemoglobin?

    Thank you very much for your interesting and informative blog.


  124. I can’t say I remember my hydration status at the time, I’m usually well hydrated but it’s definitely possible that I wasn’t. I’m going in for another one soon and I’ll make sure to hydrate well.

    The previous months were physically stressful as I was doing manual labor all day, training for track, and weight lifting, but not mentally stressful. I was also during intermittent fasting at this time (probably stupid idea considering the workload). Certainly could have elevated cortisol.

    I’ll let you know the results from the next test. I really appreciated the answer, thanks again.


  125. Only thing I can think of that wouldn’t elevate FBG and post-meal BG, but would elevate A1c is dehydration. In this scenario, your hemoglobin would still be in the lab range but outside of what we call the “functional range”, which is the range that reflects optimal health. Polycythemia and erthrocytosis could do the same thing, but in that case your hemoglobin would be outside of the lab range.

    Were you under any additional stress during the previous 3-month period leading up to the A1c test? Cortisol elevations from physical (overtraining) or mental/emotional stress could elevate A1c, but we’d expect to see it in FBG and post-meal sugars as well.

  126. Hi Chris- been reading your blog for a while, I’ve used the information from here to treat clients with really excellent results. Your research quality and the application of it is really top notch.

    Quick question – I’m 180 lbs, intercollegiate sprinter/jumper, following a strict evolutionary diet for ~10 months, diet was very good before that too, about 8-10% body fat, and overall in great health. However in my last blood test, my A1c was 5.7%. I tested BG values for 2 weeks afterwards and it only went over 126 twice, and was usually between 80-90 (while eating my normal lowish carb diet). The doctor was completely stumped as to why my A1c was so high, as am I. My other blood values were normal- TGs: 48, LDL: 91, HDL: 111.

    Any ideas off the top of your head as to why this would happen?

    Thanks a lot for the great info on the site by the way, you are an inspiration.


    • A1C does not directly correlate to bg.

      For example, fructose can raise A1C, but not bg – I’m guessing that’s the cause as your LDL is a bit on the high side (gorgeous TG and HDL though).

      • That’s completely untrue. Fructose is a sugar just like any other. As a type 1, I am an ideal lab rat for “will something affect your blood sugar” and fructose is no exception. Watermelon is a fruit, the home of fructose, and it has one of the highest agreed upon Glycemic Indexes on the table!

        • I’m not arguing with the watermelon issue.
          However I do know you can spike your BG and not have it affect your A1c since A1c is a 3 month measure.

          This may be splitting hairs but it’s true. A single spike or two won’t raise your A1c like a 3 months run of high spikes will.

          This may be a moot point and nothing for any argument over.

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