diagnosed pre diabetic

I think its totally unacceptable. You should be scheduled for a followup to see how your blood work is progressing. You should be receiving at least literature of links that the doctor feels you should look at and follow. I know my doctor would be better than that.

However, my mother is a diabetic 2 and outside of a monthly blood test that her doctor looks at he did nothing to educate her. Right now because she has ended up at emerg bout 4 times over the last 6 months the hospital has scheduled appointments with a diabetic nurse, dietician and finally a diabetic doctor. I am hoping that helps her.

I am really sorry that you were treated that way. In Canada I think you can contact http://www.diabetes.ca/ for better support. Don't know what other countries have.

Intermittent fasting should help u jump start your metabolism. Alternate day fasting for best results and stay low on carbs when you eat

Fasting when you have diabetes is DANGEROUS. Go back to your doctor and as for a referral to a diabetic nurse/doctor. Being pre diabetic doesn't mean you will develop it if you can keep you blood sugar under control. Which you need regular blood test and medical advice to ensure. They also need to do a "fasting" blood test for you so they can get a definitive diagnosis, its usually taken early morning before breakfast not from fasting for a whole day. I hope it works out for you, the good news is that with a little knowledge and support and eating healthily you can prevent diabetes developing. Good luck x

Wow!! I'm diabetic and I know that when one has a cold, flue, infection, diabetic or not, your blood glucose levels rise. Also you didn't fast. Their advice was totally unacceptable given your circumstances.

I'm just a faceless, well kind of, person on a community form, but you should do some research to find out what I'm saying is true.

As a diabetic when I've been eating correctly and exercising regularly, a high glucose reading in the a.m. lets me know that I have some kind of flue/cold coming on. I keep tight control over my diabetes so I stay in the normal range, thus when it is abnormal I take notice.

Also listen to notthepest, her post it spot on

You need to book a follow up with your doctor. Get proper testing done. If you are prediabetic, get a referral to a dietician. Proper diet and exercise and weight loss can turn this around! Good luck:flowerforyou:

The main key to this is something you said. YOU DID NOT FAST before the blood work. How long after eating was the blood taken? What had you had to eat? 124 blood sugar is above average for a fasting level, and quite within normal range for after eating. You should request a new blood test at a fasting rate to see if your results are the same or not.

No that's not how it works, if you don't eat enough your blood glucose levels drop (happens in everyone diabetes or not), however if your body is unable to control its sugar levels fasting can make them drop too low and cause hypoglycaemia which can lead to fainting or even coma. Never fast unless its medically reccomended.

This doesn't make sense to me. Why would a Type II diabetic go too low when fasting?

The doctors that I work for (literally over 300 and growing) that involve diabetic care (Podiatry, Endocrinology, Rheumatology (YUP!), Primary care, Bariatrics, Sports Medicine) all make sure the patient is fully informed of what exactly pre-diabetics mean, and they always refer them to a Diabetic Registered Dietician within our network to not only help the patient get the proper education they need, but they also collaborate with the RD to make sure that both clinicians are on the same page - I LOVE WORKING FOR THEM. My patients call in and tell me wonderful things about how they always get the easy-to-understand information. They work so well with them, it makes me proud to know I work in such a proactive environment.

Mind you... the city I live in, their health system SUCKS. When patients goto their physicians, they send them out the door without such as a pamphlet.. its "you need to watch what you eat and reduce your carbs"... thats it.

The painful thing though is this: The difference between my employer, and the healthcare system where I live sticks out like a sore thumb. OUR doctors work with the RD to help the patient. The healthcare system where I live, they never ever refer the patient to a RD.

PCP's lack nutritional education. They get the 'basics' when they go to med school but they never specialize in it. Its, by standard, out of their license to practice.

Endos do have some nutritional training because they often take endocrine-related problematic patients: diabetics being the top of their list.

Podiatrists also have some nutritional training because they deal with predominantly diabetics and can tell how their diet is by the sight of their feet. BIG indicator right there for diabetic patients.

Rheumies (as we affectionately call them) do actually work with diabetics for those who have found food allergies and sensitivities, and sometimes they tie in with the hormonal response and how histamines... they have basic nutritional education.

Bariatrics though - that is a whole category dedicated to all that is weight-related, but most Bariatric physicians will still have you go to an RD that is within their office because they both need to collaborate together. Its a given.

As someone who works in healthcare - now for 17 years, I tell you this: Go back to that office, hold a discussion with the Office Manager/Practice Manager about why your physician sent you out of the office with ZIP for patient-education? Why did you not get a referral to a Registered Dietician?

No patient, and I mean this to everyone...no patient should ever leave the office feeling like they have unanswered questions - ever. MAKE that physician talk with you until you are comfortable with the information given. Ask for a referral to an RD if you feel you need that. Ask whether or not a referral to a specialist might be beneficial - if he/she says no, ask why!

I have fired an Endocrinologist who was working on my case for calling me a 'statistic' and trying Eastern Chinese medicine on a woman who has dealth with an undiagnosable metabolic condition. The guy had to look at his computer screen to see what my name is every time he wanted to say something. If you cant even remember my first name and have to look each time, you can kiss my *kitten*. I see his fellow Endo-collegue and she has found out so much more about me that no one else has ever been able to do. She agreed that she cant diagnose the metabolic condition that I have... its baffling.. but she makes sure I leave with all of the info I need and I have her email address and have been told I could send a question any time I needed.

Keep your head held high, and enforce your Patient Rights!!!!

I don't know where they came up with this "Pre Diabetic" crap. You are either diabetic or you're not. LOL.

I am type 2 diabetic and can answer alot of the questions you may have,

I highly reccommend the book and movie "Forks over Knives".

Add me as a friend if you want and i will try to help you get healthier.

Totally unacceptable on the part of your doctor's office. You need to get in touch with a good endocrinologist NOW--you are at a point where what you do over the next couple of years will determine if you reverse your disease or move on to full blown diabetes. A good endocrinologist will do more tests to determine exactly what's going on and probably refer you to a diabetes nutrition counselor (these are usually RD's with a special focus).

That said, reducing REFINED carbs and exercising more is good, general advice. Also, increasing your consumption of colorful veggies is a good idea.

No that's not how it works, if you don't eat enough your blood glucose levels drop (happens in everyone diabetes or not), however if your body is unable to control its sugar levels fasting can make them drop too low and cause hypoglycaemia which can lead to fainting or even coma. Never fast unless its medically reccomended.

This doesn't make sense to me. Why would a Type II diabetic go too low when fasting?

Because diabetes isn't just about having too much sugar all the time. It's about the body not being able to produce enough insulin and is unable to control the amount of sugar in the blood. Meaning it is unable to maintain a normal level and won't be able to stop it dropping too low aswell as going too high.

I am skipping all replies because I work in an office and I wanted to know, did you tell the nurse you were not fasting?

I'm the triage/phone nurse at my office. If get lab results to call with a 124 FASTING glucose from someone without a diabetic diagnosis, the first thing would be to tell the patient the results and that we are going to add a HGBA1C. In layman's terms, that is a test that will show us what your average blood sugar has been running over 3 months. IF, and only IF, that is elevated would we start discussing diabetes.

Sorry your doctor's office sounds lacking.