need some help with basics here
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| Thu, 06-10-2004 - 4:19pm |
Ok, so in the last couple of weeks my numbers have been a little wackier than usual. I haven't tested my morning numbers more than once a week in a long time, since they are always in the 80's and low 90's. But when I got a reading of 98 the other day, I started testing every morning. They seem to be regularly in the high 90's for the last week or so. And my after dinner numbers are higher than expected by anywhere from 20-50 points. (But falling rapidly - like 50 points in 30 minutes so that I am almost back to fasting byt 2.5 hours.) Some of that could be my going out to play with the kids after dinner in the 85-90 degree heat. But I wonder, I've been taking a little bit of ibuprofin for my trigger thumb (which is back :( ). Could the ibuprofin (which I've been taking at breakfast and dinner) be increasing my bs? Also, since I'm curious, I've actually been testing just before bed and comparing to the next morning's fasting. How can my number actually rise overnight (ok, only be 5-10 points, but still)? I thought that was only possible for type 1's or people taking insulin or medication that can allow a low. I'm not on any meds at all. Any insight?
Thanks,
Ann
Also, I've been doing some more checking

Hi Ann and welcome to the board. I am one of the community leaders for this board who has been a type 1 for over 29 years now and on a insulin pump for over 6 years now. So what I might tell you is just my opinion since I am not in the medical field myself.
Ok, your numbers are not at all high with them even in the upper 90's in the morning. It sounds like your blood sugar drops just fine after you eat, but normally they are usually checked 2 hours after eating or at least that is how my Endocrinologist has me doing it. Heat will lower blood sugars so that is perfectly normal to see your level dropping if your out playing with your kids with the temperature in the 80's and 90's.
Ibuprofin does not raise or lower blood sugar from what I have learned after having both my boys by c-section and using lots of ibuprofin for pain with never seeing it raise or lower my blood sugar. All diabetics can experience their blood sugars rising some in the middle of the night to keep the body functioning by producing energy for the organs and what not. So that is not at all unusual to experience just as long as
Ann, in a few words it is insulin resistance. Insulin resistance is found in 97% of type 2's. Your body makes more insulin than it needs but you aren't able to use it so your blood sugar is higher than when you went to bed. The easiest way to break down insulin resistance is by exercise. It is now recommended that type 2 diabetics get 4 hours of exericse per week. By the way you are still a type 2 diabetic but you now have it under control. Hopefully it will stay this way for several years. If you are able to keep your weight down and exercise the length of this control period is extended. Insulin resistance starts years before you are diagnosed and it is what does the damage to the microvascular system. Do remember that type 2 diabetes is a progressive disease that gets worse over time.
I am glad to see you back with us and I hope you will ahve more time this summer now that school is closed.
Have a great summer,
Mary Frances
cl-maryfrances40
Co-CL Diabetes Board
Thanks to both of you. Part of my problem is that I am an obsessive statistician - so I take way too many numbers sometimes. Denise - the after dinner numbers that I was talking about were, in fact, two hours after eating - with some time outside in that two-hour period. And Mary Frances, I was never actually diagnosed as Type II - my highest A1C ever was 6.1 and they have all gone down since then (last one was in January and was 5.2 - I'm scheduled for another one at my appointment July 14). My guess is that my A1C has gone up a bit - most likely to about a 5.4 or 5.5. Still nothing to worry about. But I obsess over minute changes and I need to quit doing that.
I am currently in Nebraska grading AP exams. They feed us well here - but thankfully put out all the nutritional information on the buffet line so I can make informed choices. And I'm finding lots of excuses to walk. Starting tomorrrow I'll be walking probably a minimum of 2 miles a day since where we grade and where we eat all meals is at least 1/2 mile apart. That should help too.
And my sugars have been much more like what I expect since I got here. Maybe I was stressed about something at home that I was just not recognizing.
Anyway, thanks for the help and the kind words.
Ann