Glucose Level Paradox
by Dr. Emil Katz
(Tel Aviv , Israel)
I'm 67 years old and intensively exercise daily. My morning glucose levei is 120-135 for the last 10 years. In the afternoon however 3-4 hours after lunch the level is bellow 100.
As with any test or phenomena in life only 95 % of the population falls under the Gauche curve, can this be my case which means that my normal fasting level is slightly out of the statistics and it is not 126 cut-off level but 135-for instance?ANSWER
: Hi Dr.Emil,
As I can see from your glucose results, there is no such paradox in your glucose readings. It could be right to say that your normal morning glucose levels falls within 120 - 135 range.
There are many explanation to such high glucose readings, including morning hormones, the quantity of carbs consumed at dinner, your age and the speed of metabolic processes in your body.
Therefore, as you cannot do anything to change the high levels of your morning hormones (that are needed to provide you the energy for a new day) and your age and the low speed of your metabolic processes; you can reduce high carb intake at dinner.
If we refer to the new ADA/EASD recommendations for 2012 regarding the management of type 2 diabetics, your morning blood sugar seems to be ok.
only preoccupation is your A1C level, but, unfortunately, you did not provide this figure. Although the new lower limit is set to be 7%, it all depends on the current health condition of the patient, age, or other related co-morbidity.
My opinion of not to worry about your morning blood sugar is also supported by your random blood glucose levels (up to 100), which is very very good.
However, I am not trying to say that you should sleep in peace. I do encourage you to continue lifestyle and dietary changes (as I mentioned above) in order to keep your sugar ranges as normal as possible although the age or other problems you might have.
At last, please, always consult with your doctor as he/she knows better your health condition as I lack this information.
Hoping that my answer has helped you!Dr.Alba
Comments for Glucose Level ParadoxRequests For Dr. Emil Katz
by: Bonny Damocles
Dr. Emil Katz,
Please provide Dr. Alba your latest A1c result.
As I am very interested to learn from your experience with your type 2 diabetes, will you kindly tell us what anti-diabetes drug or drugs you have taken since your diagnosis.
Type 2 Diabetic since July 1991 (21 years ago)
76 years old, 141 lbs., 5'7" tall
Past A1c's: 5.2% to 6.3%
Only Anti-Diabetes Medication: Daily Exercise