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Blood sugar increase with fasting
My early morning glucose=110. A1C=5.9. Normal weight=115. Current weight 140. BMI=25.6 Pre-diabetic. No meds for diabetes.
I would like to loose 20 pounds (gained after illness several years ago).
I am on atorvastatin, losarin for those problems.
I do intermittent fasting for a year and I fast from 8pm to 1pm (17 hours). I have not lost any weight (gained it with steroids) and my blood sugar is 130-140 when I test after the 17 hour fasting.
1) Is it ok that blood sugar is high after fasting? Doc says ok.
2) Doc would rather I eat many small meals a day but causes me to gain weight.
3) Doc won't prescribe weight loss meds because my bmi is too low (but it is in overweight category), even tho I have high cholesterol and family history of strokes.
Any input appreciated.
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My heart goes out to those of you with multiple diagnoses / conditions to deal with. @magwil01 and @cheyne between the two of you, you have a total of a lot! I tried to keep track of it and add it all up. I lost track after 9 - 10 things!
A REAL conundrum sets in when medications &/or treatments for 1 condition aggravates some other condition that you have. I spotted that occurring in your posts above.
I’ll give an example of my own. I’m diabetic and have a history of complications. One is autonomic neuropathy in the form of gastroparesis (stomach paralysis). It responds best to frequent small (snack size) meals throughout the day and low fiber. I also have diverticulitis (at the other end of the plumbing) which responds well to high fiber! (High fiber is also good for high cholesterol; which I have a history of.) My primary doc gave me some good advice regarding this particular situation. Don’t go completely one way or the other, but experiment with small portions of each at various times of the day to find out what works best for me personally. Eating can be complex. It is not about what you eat but also when and how much. There is no such thing as “one size fits all”. Everyone is different and it is worth it to figure out a personalized plan.
Another hopefully help suggestion is to list your conditions. Prioritize them from most critical to least bothersome. Focus on & tackle the most important things first. (You can’t do it all.) If possible line up providers who are in the same system and have access to your whole medical history (conditions & treatments). That way they all have the whole story & can be on the same page to collaborate in caring for you head to toe. You don’t want to create any unnecessary contraindications!
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3 ReactionsHi,
Spot on. Multiple health issues have two major drawbacks, firstly finding a GP that understands and can deal with all the issues and two the running between specialists that only know about one issue. For me the worst problem has been the dietary requirements that conflict with each other leaving you little to choose from or just starve.
I don't know how I'm keeping my strength or stamina but I seem to be, albeit less than some years ago, consequence of age I guess and just plain bloody mindedness, nothing will stop me when I'm set on a course of action, regardless of the consequences.
The strange thing I find is every time I go off my meds I feel better, the attitude changes and I get stuck into some work and I feel happier in myself. I also notice the body does better when I stop eating, the stomach behaves itself and I don't have half the symptoms I'm getting used to on meds and eating the small amount of food I can tolerate.
Currently off most of my meds, yet again, the stats are getting back to where the shouldn't be and I'm feeling alive again. It causes a conundrum, should I stay off meds and enjoy the moment while it lasts, or should I take the meds like a good little boy and suffer the consequences of discomfort, irritability and generally feeling ill.
I'm starting to wonder if the answer is intolerance to food and medications!
Cheers
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1 ReactionI am also one whose doctors have to juggle and balance medications and treatments because of the multiple conditions that I'm dealing with. I can't even count how many times I've been told that I'm a "complicated case." Right now my docs are trying to figure out the best way to manage side effects of two blood pressure medications and need to find a solution that won't hurt my kidney. I go through situations like this over and over again all the time. What works for one condition is detrimental to another. And, of course, a diet that's good for one condition is a no-no for another. I feel like I live in a perpetual catch 22. Well, at least I keep the doctors thinking... and scratching their heads. 🤔
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1 ReactionHi,
I have been through every BP medication known due to side effects. The last one is lisinopril which fortunately I'm able to tolerate although I do get some side effects, in particular headaches, so far it hasn't impacted on my CKD. Far more preferable than the constant migrains I experience without it. I'm only taking 10 mg once per day just enough to stop 90% of the migrains, but not really making any difference to the overall PB problem. The highs of 200/140 are now less common with lisinopril and I'm usually around 150/110. Because of ANS my BP can drop or rise sharpely randomly, but if medicated more it could become too low and put me at risk.
My body has adapted to the high BP over the last 30 years and I actualy feel better in the 140/100 range. Yes the high BP has caused some damage but it is no worse than what the other health issues I'm dealing with are doing.
Currently I have gone off meds and stopped recording my vitals and I feel better again. Two weeks in and no migrains yet, but the tinitus is rampant and the vertigo is more constant, both of which I'm used to and managable.
Cheers
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2 ReactionsI'm so glad that you're feeling better and that you haven't had any migraines so far...and that, even though you're still dealing with tinitus and vertigo, you find them manageable. I had been on lisinopril and it worked for me as far as lowering BP, but I had to be taken off of it because of side effects.
Keep feeling better! Wishing you all the best.