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From: bgl on 22 Aug 2008 20:19
"Simon Dean" <sjdean(a)gmail.com> wrote in message
news:6h8og7Fjqv8mU1(a)mid.individual.net...
>
> He took my Blood Glucose and found 6.3 and seemed to indicate this was a
> little too high?
>
> I hadn't really eaten anything for 20 hours safe a couple of tabs of
> thyroxine for my underactive thyroid and drank some cups of tea.
>
> Looking up Blood Glucose, 6.3 seems smack bang in the middle of a normal
> range?
>

6.3 is at least in the pre-diabetes range for fasting bg, and your weight is
at least in the overweight category (using your 101kg estimate). Doctor is
right to be concerned.
Check in at the diabetes groups for more on the subject.
When you get your bg meter, try testing 1 & 2 hours after a hi-carb meal.
You may be surprised at the results.
bj


From: Simon Dean on 23 Aug 2008 13:11
bgl wrote:
> "Simon Dean" <sjdean(a)gmail.com> wrote in message
> news:6h8og7Fjqv8mU1(a)mid.individual.net...
>> He took my Blood Glucose and found 6.3 and seemed to indicate this was a
>> little too high?
>>
>> I hadn't really eaten anything for 20 hours safe a couple of tabs of
>> thyroxine for my underactive thyroid and drank some cups of tea.
>>
>> Looking up Blood Glucose, 6.3 seems smack bang in the middle of a normal
>> range?
>>
>
> 6.3 is at least in the pre-diabetes range for fasting bg, and your weight is
> at least in the overweight category (using your 101kg estimate). Doctor is
> right to be concerned.
> Check in at the diabetes groups for more on the subject.
> When you get your bg meter, try testing 1 & 2 hours after a hi-carb meal.
> You may be surprised at the results.
> bj
>
>

I'll have a look cheers.

Although, with Cellulitis, assuming it's not from early stage diabetes,
with the infection and rash, I assume a high blood glucose is not
necessarily an indicator a problem with blood glucose:

"Hyperglycemia occurs naturally during times of infection and
inflammation. When the body is stressed, endogenous catecholamines are
released that - amongst other things - serve to raise the blood glucose
levels. The amount of increase varies from person to person and from
inflammatory response to response. As such, no patient with first-time
hyperglycemia should be diagnosed immediately with diabetes if that
patient is concomitantly sick. Further testing, such as a fasting plasma
glucose, random plasma glucose, or two-hour postprandial plasma glucose
level, must be performed."

Unfortunately my trainee GP wants me to go for a fasting Blood Test next
week to check. But Im not sure what good it's going to do if I still
have this infection! It could be erroneous by the sounds of things.

I'll check up with the diabetes group.

Cheers
Simon
From: nora on 24 Aug 2008 02:55
On 23 Aug, 19:11, Simon Dean <sjd...(a)gmail.com> wrote:
> bgl wrote:
> > "Simon Dean" <sjd...(a)gmail.com> wrote in message
> >news:6h8og7Fjqv8mU1(a)mid.individual.net...
>---------------- "Hyperglycemia occurs naturally during times of infection and
> inflammation. When the body is stressed, endogenous catecholamines are
> released that - amongst other things - serve to raise the blood glucose
> levels. The amount of increase varies from person to person and from
> inflammatory response to response. As such, no patient with first-time
.............
>
> Unfortunately my trainee GP wants me to go for a fasting Blood Test next
> week to check. But Im not sure what good it's going to do if I still
> have this infection! It could be erroneous by the sounds of things.
>
As long as you still have an infection, the blood sugar will still be
elevated because of that, and testing will give a false picture. I
have monitored blood sugar in patients in a nursing home briefly and
the nurses did not understand why this old dy had elevated blood
sugar, since her temperature was only 38 degrees and they deemed her
afebrile. Thing is, old people have a smaller rise in temperature
while having a fever, so indeed she had a fever. Turned out she had an
urinary infection and was treated for that.

So blood sugar might be the only thing they can measure wrong.

nora


From: Simon Dean on 24 Aug 2008 11:29
nora wrote:
> On 23 Aug, 19:11, Simon Dean <sjd...(a)gmail.com> wrote:
>> bgl wrote:
>>> "Simon Dean" <sjd...(a)gmail.com> wrote in message
>>> news:6h8og7Fjqv8mU1(a)mid.individual.net...
>> ---------------- "Hyperglycemia occurs naturally during times of infection and
>> inflammation. When the body is stressed, endogenous catecholamines are
>> released that - amongst other things - serve to raise the blood glucose
>> levels. The amount of increase varies from person to person and from
>> inflammatory response to response. As such, no patient with first-time
> ............
>> Unfortunately my trainee GP wants me to go for a fasting Blood Test next
>> week to check. But Im not sure what good it's going to do if I still
>> have this infection! It could be erroneous by the sounds of things.
>>
> As long as you still have an infection, the blood sugar will still be
> elevated because of that, and testing will give a false picture. I
> have monitored blood sugar in patients in a nursing home briefly and
> the nurses did not understand why this old dy had elevated blood
> sugar, since her temperature was only 38 degrees and they deemed her
> afebrile. Thing is, old people have a smaller rise in temperature
> while having a fever, so indeed she had a fever. Turned out she had an
> urinary infection and was treated for that.
>
> So blood sugar might be the only thing they can measure wrong.
>
> nora

It seems the majority of people in the diabetes group seem to think that
I have elevated blood glucose period, it is this that probably caused
the cellulitis, that a good immune system will fight off cellulitis on
its own, and that a fasting test is meaningless as I already have high
blood glucose so I should cut out carbs pronto.

Additionally it's said "normal" peoples bg levels do not go up due to
sickness. Hmmm mmm.

Seems a little peculiar to me.

Some people even say that eczema and the relationship with the immune
system isn't that the immune system is being a bit too strong (vigorous
or hypersensitive) it is that it is behaving "differently".

Seems that us thyroid people are the ones in the minority who know it is
preferable to not strictly go by blood results alone in making a diagnosis.

One troubling thing at the moment though, I have bought a new pair of
bathroom scales. Im 4 stone heavier than what I thought!

Im moritifed! 20 stone. Im cutting back. Right now.

Cya
Simon
From: bgl on 24 Aug 2008 12:29
"Simon Dean" <sjdean(a)gmail.com> wrote in message
news:6hddbpFkm0t0U1(a)mid.individual.net...
>
> Seems that us thyroid people are the ones in the minority who know it is
> preferable to not strictly go by blood results alone in making a
> diagnosis.
>

Blood test results *are* what you go by to diagnose diabetes. Symptoms may
give you an indication that you may have dm, but they don't define it.

Blood tests may be skewed or mislead you by temporary things like infection
or steroids -- so test again later when you're "healthy" again.

However, it doesn't hurt to try losing weight & getting some regular
exercise. If nothing else, they may reduce your *risk* of getting diabetes,
though there are no guarantees either way. Plenty of fat sedentary people
never get dm, but you don't know until it's too late if you would be one of
them. And diabetes isn't the only health problem that overweight & inactive
people may be setting themselves up for. :-(
bj


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