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Small Fiber Neuropathy

Neuropathy | Last Active: Oct 3, 2023 | Replies (213)

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@nullz

One other bit of information that might be of interest. Apologies if this is old news. 🙂

Per a number of recent studies, it seems that post-meal blood glucose spikes are a better predictor of developing SFN than A1C or fasting glucose levels.

In other words, it's possible to have normal fasting glucose and "only" prediabetic A1C, but have post-meal glucose spikes high enough to lead to SFN. As such, relying solely on A1C and fasting glucose testing, as is common practice, can lead to missed signs of trouble.

FWIW, I've seen some studies/doctors advocating for a target post-meal glucose level < 140 to avoid SFN issues, which is lower than the standard guidelines.

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Replies to "One other bit of information that might be of interest. Apologies if this is old news...."

I think that's why I've seen lot of information lately about the Keto Mojo - https://shop.keto-mojo.com/collections/all. Have been thinking about getting one to see if it will help with knowing when I'm overdoing it 🙂 Just don't like having to stick myself frequently.

Hi John, I was recently diagnosed my A1C is great and fasting but the last two physicals my 1 hour isn’t good…your the first person whose mentioned this as a possible cause for my SFN. I’m a celiac but I’ve been in complete control for over 12 years, so they didn’t know the cause. Are you simply suggesting low carb, high protein diet?