Data on the internal consistency of fasting blood glucose (FBG) and 2 hrs-oral glucose tolerance test (OGTT) are scarce despite of its importance both for research and treatment purposes. FBG and OGTT were performed on two consecutive days among the 218 (107 men and 111 women) newly diagnosed type 2 diabetes patients at BIRDEM (a diabetic hospital), Dhaka Bangladesh. Further studies are needed to investigate the observed difference in FBG measures with specific attention to BMI and the fasting state. Different diagnostic criteria have been established to reduce the risks for the development of complications among the diabetic patients [1,4].
The ADA published revised criteria for the diagnosis of diabetes that includes a FPG value, with a confirmatory test on a subsequent day [6]. All people with type 2 diabetes who were diagnosed within 4 weeks prior to the scrutiny attending FBG test at outdoor facility of Bangladesh Institute of Research on Diabetes, Endocrinology and Metabolism (BIRDEM) hospital, Dhaka, Bangladesh were requested to participate in the study during the month of November, 2003. 1st day data collection- (FBG1 and OGTT1) – Screening subjects attending BIRDEM hospital for confirmatory test were informed about the procedures of the test previously at the time of collection screening test result. 2nd day data collection- (FBG2 and OGTT2) - FBG and OGTT tests were repeated on all the subjects on the next day by ensuing the same procedure.
Consistency of the diagnostic procedures FBG or OGTT for the diagnosis of diabetes mellitus appeared to be reasonably reliable on two consecutive days.
Relatively stronger consistency over the repeated tests was observed among lower level of FBG values, while this was true for higher OGTT values. More investigations are needed to reduce the ambiguity of the test results by including some control subjects, preferably in the hospital and rather than fasting time to reduce the confusion, and to observe the creditability of the fasting state as assessed by interviews. We sincerely thank the team at BIRDEM hospital for their cooperation and the subjects for their participation. The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus: Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus Diabetes Care 20 (1997), pp. The DECODE Study Group on behalf of the European Diabetes Epidemiology Group: Is fasting glucose sufficient to define diabetes? You can normalize your blood sugar naturally as needed – without pills, calorie counting or hunger. The number of people with diabetes is increasing incredibly rapidly and is heading towards 500 million.
Those affected by the most common form of diabetes (type 2) normally never regain their health.
If you already know that you are diabetic you can skip down to the section Where Sugar in the Blood Comes From. However, please note that with milder forms of diabetes you often don’t notice anything. You may also test your urine with urine test strips: Glucose in the urine usually indicates that you are diabetic. Type 2 diabetes is by far the most common form (around 90% of all cases) and the one which is increasing the most.
In type 2 diabetes the body has an increasingly harder time to handle all the sugar in the blood.
Type 1 diabetes is caused by death of most of the body’s insulin-producing cells (from an unknown cause). More and more diabetics in Sweden are choosing to eat foods that don’t raise blood sugar. More and more doctors (I’m far from the only one) advise similarly with great results.
Since the Fall of 2011 the Swedish National Board of Health and Welfare has recommended a low-carbohydrate diet with diabetes.
In the past, before we were afraid of fat and before there were modern drugs to lower blood sugar, the dietary advice was different from today’s. These absolutely forbidden foods are now a part of the recommended diabetes-diet according to the Swedish Plate Model. Most overweight people will then gradually lose a substantial amount of weight and will be able to do well with less medication. Today’s carbohydrate-rich dietary advice to diabetics is based on the old fear of naturally fatty foods. When it comes to stricter low-carbohydrate diets as LCHF there are so far only limited scientific studies.
Since then the Swedish Board of Health and Welfare published their guidelines for healthcare workers. In addition, as early as 2008 the Swedish Board of Health and Welfare examined and approved advice on LCHF within the health care system.
Even the American Diabetic Association (ADA) is, since 2008, approving advice on a low-carbohydrate diet for diabetics. In the picture to the left a real LCHF-meal that I had a couple of years ago, when I measured my blood sugar.
In the picture to the right you can see the lunch that I was unbelievably served at the 11th International Congress on Obesity in Stockholm 2010. Within the health care system diabetics are still often given advice on blood sugar-raising foods. Pharmaceutical companies are making more money on providing dietary advice that makes diabetics sicker.
The advice on carbohydrate-rich foods, for example, may make a type 2-diabetic require initiation of treatment with insulin injections. More and more people no longer trust propaganda from the pharmaceutical industry or poorly updated experts. Do you want to learn more about how you can improve your own and your family’s health? Through the Diet Doctor’s newsletter you will receive updates and alerts for bigger events. Please follow the links in the text above for more education in the areas that interest you.
This is a 45 minute video of my presentation from the AHS conference in Los Angeles, #AHS11. Do you want to learn more about good treatment of type 1 and type 2 diabetes, including which medications to use if needed? 1 2 3 4 193 Comments151kathy martel silenoMarch 5Thank you for all this wonderful information. For those with a similar addiction to pop, regular of diet makes no difference, I found a SodaStream helped me. 157Heather MDApril 8If LCHF doesn't sound good to you, or right for you, watch the documentary "Forks Over Knives." It's very inspiring and talks about the benefits of a whole foods, plant-based diet for Type II Diabetes. So, now I am even more confident, that I am on right track, but if it's not BIG but, would be everything ok. When I was monitoring my bloods on lchf they were generally below 5 when fasting as well as during the day which particularly put my bloods no where near the "unsafe" region. I was completely ready to give up and just resign myself to whatever complications that would eventually kill me. I switched to the low carb diet 10 months ago (40 grams or less per day) and I am happy to say my A1C is 5.4. Dexcom CGM sensor technology is approved for up to seven days of continuous wear with one of the smallest introducer needles on the market. First and only CGM-enabled insulin pump with a high-contrast color screen, featuring color-coded graphs and arrows to indicate direction and rate of glucose change, revealing trends at a glance. Further, an interview with each subject was conducted and HbA1c, bio-physical and anthropometric examinations were performed.


The observed variation for FBG and OGTT should be considered during diagnosis of diabetes or control of the condition. The most widely used diagnostic criteria for glucose intolerance was recommended by the World Health Organization (WHO) based on fasting plasma glucose (FPG) value and glucose value measured 2 hrs after a standard 75-g glucose load (OGTT) [5]. In contrast to the recommendation of ADA, World Health Organization (WHO) recommends using the OGTT in clinical practice [5]. At that time participants were asked to undertake 12 hrs fast for confirmatory test, avoid any treatment for diabetes and physical activities during this one month. A fasting sample of venous blood was also collected for HbA1c measurement on the second day by HPLC (ion exchange high-performance liquid chromatography) using a Modular Diabetes Monitoring System (BioRad, Variant, USA) method.
However, it was observed that PD was normally distributed and that a total of 95% of the FBG and OGTT values varied respectively within approximately ± 25 % and ± 24% on a day to day basis.
We extend our thanks to Medical Statistician Geir Aamodt at the Department of Medical Statistics, University of Oslo for his assistance in analyzing the data. Comparison of tests for glycated haemoglobin and fasting and two hour plasma glucose concentrations as diagnostic methods for diabetes.
Comparison of fasting And 2-hour glucose and HBA1c levels for Diagnosing diabetes: diagnostic criteria and Performance revisited. Repeatability of the oral glucose tolerance test for the diagnosis impaired glucose tolerance and diabetes? Report of a WHO Consultation, Part 1: Diagnosis and classification of Diabetes Mellitus, Geneva 1999, Worl Health Organization.
Comparing methods of mesurment: why plotting difference against standard method is misleading. Day-to-day variability of fasting plasma in newly diagnosed type 2 diabetic subjects, Diabetes Care 22 (1999), pp. Comparison of the fasting and the 2-hour glucose criteria for diabetes in different Asian cohorts.
Instead, we take for granted that they’ll become a little sicker for every year that goes by. Large amounts of the blood sugar-lowering hormone insulin are produced, but it’s still not enough, as insulin sensitivity decreases. In addition, a diet that doesn’t raise blood sugar dramatically facilitates getting a stable and normal blood sugar. The foods that turn into different types of sugar as soon as they reach the stomach are called carbohydrates. The more sugar that’s absorbed into the blood stream, the higher the blood sugar will be. While more and more people have become diabetic, and while the affected have become sicker and sicker, they’ve been advised to eat the very foods that raise blood sugar. People with diabetes, who try to eat this way won’t normally become any healthier or thinner. If you’re going to avoid fat you need to eat more carbohydrates in order to get satiated. More and more people question the old blood sugar-raising carbohydrate-rich advice, even in the media. Even in Sweden, with the high fat-Petren diet that included fatty pork cuts, butter and green cabbage.
But the studies that have been done show that LCHF-like advice produces a better effect on blood sugar and weight than today’s low-fat advice. They have become receptive to several options regarding diets for diabetics and now warmly recommend a low-carbohydrate diet as a first choice. Advice on LCHF is, according to the Swedish Board of Health and Welfare’s review, in accordance with science and proven knowledge. Beef fried in butter, vegetables fried in butter and a homemade bearnaise sauce (melted butter and egg yolk).
Like most, I have struggled with weight and diabetes for years, for my 50th birthday I went on insulin. Yes, they were designed to make pop at home, but only if you add the syrup to the now carbonated water.
Weight moved down, slowly but moved, muscles started to grow (doing nothing), sleep came back to me. I am very happy to get rid of diabetes, and lose weight, oh by the way, I am loosing 1 lb per day, I am weighting my self every day and went down from 234 lb to 230 in 4 days. He can't find the labs from last year but it was really close to 100 fasting blood glucose, He weighs over 350lbs and has for a number of years, carries the fat high and in front, is pretty sedentary, & eats a very high carb diet.
I`m requesting correct information and dietry guidelines, so I can post valuable answers and support to a couple of members in my LCHF Support group on FB.. Learn more about the Diet Doctor organisation and join us in empowering people to revolutionise their health. When I was pregnant my blood sugar levels were tested at 7 weeks pregnant and I was told I would have to monitor by blood glucose levels throughout my pregnancy as my fasting bloods were 5.6 at the time. Unfortunately my pregnancy ended at 18 and a half weeks, but I am experimenting with my lchf eating patterns so that I stay below the "5" when fasting for when i hopefully fall pregnant again. Does anyone know from experience how I can possibly get the number lower than my average of about 4.7?
A.May 13is it ok to drink kombucha ( and how much?) with type 2 diabetes while doing this low carb diet, please any help. I am type II and I am conducting a 3 day profile, rigourously testing my blood glucose level, 7 times a day, as recommended by the Accu- Chek site I have been looking at. This information complements fingerstick testing results and can be used to help guide immediate and long-term insulin delivery therapy adjustments.2 CGM technology measures glucose levels every five minutes and provides real-time glucose values, as well as trend information. A 17-gauge Luer-lock venflon was inserted in to both anticubital fossa and sample was taken for HbA1c. Statistical comparisons among sex, BMI, SBP and DBP were made by one sample t- test for continuous variables and chi-square tests for group comparisons. The inconsistency of the test results was largely influenced by female subjects following FBG procedure. HbA1c appeared to have improved associations with FBG measures contrasting against OGTT values. The upper limit of blood glucose measurement by HemoCue Blood-glucose analyzer and sample size may also be a concern for further investigation. We just need to see through the mistake that has led to the explosion of disease – and correct it. It isn’t uncommon that the affected person also has a high blood pressure and bad cholesterol numbers.
At the time of diagnosis type 2 diabetics usually have ten times more insulin in their bodies than normal. This means sugar (as in soda, fruit juice, candy) and starch (as in bread, pasta, rice and potatoes). On the contrary, they will usually need more and more medications and will become more and more obese as the years go by.
On the contrary, in recent years similar carbohydrate-rich dietary advice has been shown to increase the risk of getting diabetes and worsen blood sugar levels long-term in people who are already diabetic.
But in recent years the old theory about fat being dangerous has been proven incorrect and is today on its way out.
Below is an image of pages 12-13, where there’s a summary on what diabetics should and should not eat. This, while we get more and more diabetics, who need more and more drugs and get sicker and sicker.


And when diabetics start eating this way today the same thing happens as it did in the past. In other words, certified health care workers, who give such advice (for example myself) can feel completely confident.
The food contains almost exclusively energy from sugar and starches, things that are broken down to simple sugars in the stomach. If you don’t eat many carbohydrates not much glucose will reach the blood stream, and consequently the blood glucose level will stay where it was. In this folder it’s stated that foods that raise blood sugar slowly are good for you. And then they give away folders with dietary advice that raises blood sugar and makes diabetics need more drugs. Multiply this number by the 366 million diagnosed diabetics worldwide and you will see the enormous economical interests in this.
There’s a big change underway that can lead to a healthier future for very many people.
He developed type 2 diabetes himself ten years ago, but after a simple dietary change he’s still completely symptom free, with no medication. Whenever I do that it takes days to get my blood sugar & cravings down to pre-cheat levels.
Last year I tried to get him to cut back but he wouldn't and said if it was a problem the Dr would have said something.
I am already on medication for high cholesterol & high blood pressure too, so I am very scary what will be with it! I was told I had gestational diabetes based on this one test (even though gestational diabetes doesn't develop until later in the pregnancy). I have been strict with my carbs and am keeping them below 25g per day so it's not this that is the issue. Moreover, the DECODE study found that almost 30% of all patients with diabetes (based on fasting or 2hrs - PG following OGTT or both) would remain undetected [7].
At the end of 2hrs blood glucose test, all subjects were interviewed to collect information regarding socio-economic, family history, treatment history and smoking habit etc.
Anthropometrical data and blood pressure were measured in the same examination room to avoid any influence of physical activity between 2 hrs time of glucose drink and OGTT2.
Moreover, both FBG and OGTT values appeared to have no significant deviation from normality as assessed by the PD. Either setting will likely have implications in the epidemiology, treatment and control of the state of diabetes. As a side effect, this insulin stores fat and causes weight gain, something that has often been in progress for many years before the disease was diagnosed. I started gaining weight at the rate of about 8-10 pounds a year even though I hadn't changed my eating style.
I was diagnosed as T2 3 years ago and cut way back on carbs 20-25 net per day but I was ignored.
I was not following lchf at the time of my original test, but switched over to doing it (in lieu of their recommendations to still eat carbs 30-45g of carbs per meal and eat low fat foods).
My protein and fat ratios are generally 60-70% fat, and protein usually 20%-25% so I'm not sure what else I can do (apart from exercise) to get the number lower. I had 2 eggs with butter and some water - had a 20 minute walk, and 2 hours after eating, tested again, and I was 13.9. This low agreement may raise concern for identification and treatment of people with diabetes. Moreover, the increased variability was also stratified by hypertension, which may raise attention for diagnosis of hypertensive subjects. Major game changer in my life, who would have ever thought the bubbly water could help one stop drinking pop. When he told his parents a lawyer and a housewife, they said it had to be a mistake that the glucose readings were wrong and couldn't have gone up that much in 14 months.
When pregnant i was told that if my fasting bloods were above 5.0 I would need insulin injections and that I had to send my blood sugar results to them on a weekly basis. Would upping my fat intake of an evening and reducing protein (and obviously carbs) help to give me a lower fasting reading? It was also recommended by ADA that the internal stability of the diagnostic procedures should be carefully considered when monitoring glycemic control for people with diabetes [10,13]. Liner regression analysis was carried out to describe the relation between FBG, OGTT and HbA1c with PDs and averaged values of them. Therefore, elevated variability of the test results among women and hypertensive subjects by FBG procedure deserves attention for future studies with a focus on obese status.
This may have been true for the newly diagnosed cases as was observed in other studies [18].
Some evenings I have a good fatty meal with moderate protein and my reading is still sometimes 4.9 or even 5 in the morning which is driving me batty. Data on the internal consistency of these two procedures is scarce especially from ethnic groups representing the highest increase of incidence in type 2 diabetes.
Scattered diagrams are also presented to indicate the correlation and inter-relationship of those values. Along the way I have had issues and problems including really bad withdrawal when I stopped drinking pop. Therefore the purpose of the study was to assess the day to day variability of FBG and OGTT in people with newly diagnosed type 2 diabetes in Bangladesh. But most the time I know that keeping my feet, eyesight, & kidney function healthy are more important than the taste of "good" foods. He discovered that my estrogen was almost completely unapposed since my progesteron level was almost zero.
In addition, both the diagnostic procedures were examined against glycosylated hemoglobin A1c in order to observe the strength of FBG and OGTT procedures.
When I want a snack I can have walnuts, sometimes a SF candy or small serving of SF dessert (like pudding), or, what I've found I really like, is a small serving of berries with cream.
The effect of this high estrogen not only made me metabolic but it also caused me to have edometrial thickening, a uterine fibroid and grow a 11cm cyst on one ovary.
Relationship of fasting and hourly blood glucose levels to HbA1c values: safety, accuracy, and improvements in glucose profiles obtained by using a 7-day continuous glucose sensor. After I had my hysterectomy I decided I needed to do something to save my life and enjoy what life I have left in at least decent health.
I found the keto diet and decided to give it a try since I have tried a high carb diet and a high protein diet but never a high fat diet. I have lost 20 pounds since I started and was actually experiencing fairly low blood sugar to the point that it was getting to low.
Once I got to a fasting level of about 8 I decided I better go back to my usual dose of met formin and it is slowly coming back down.
I haven't given up on keto because I think as my body switches from carb burning to fat burning that it might be finding stored energy in my fat cells that could increase my blood sugar.
It is especially bad first thing in the morning after fasting since supper the night before.



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Comments

  1. 27.01.2014 at 13:22:45


    Glucose levels and your pigs drank the glucose solution.

    Author: EMOS3
  2. 27.01.2014 at 21:29:47


    Often and carrying supplies for prompt treatment low-cost, non-pharmacological intervention that has been shown.

    Author: joni