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by zamadatix
401 days ago
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I'm a fellow type 2, be sure to talk more with your doctor about these points as such comments/questions are of things they should have explained very clearly the first time they said your sugar seemed high. Type 2 "resistance" is about the quality of the response to high glucose levels, not the complete lack of a response to them. There shouldn't be a long buildup overnight in that scenario for a person without insulin resistance/deficiency and still having a measurable insulin response is normal/expected of all but the worst Type 2 diabetics. Yes, you're still digesting, but in individuals without diabetes the blood sugar peak occurs (and ends) well before digestion is finished because influxes of carbs can still be effectively managed by the insulin alone rather than by the lack of additional carbs to digest. If it were just that one's digestion were a lot slower than a normal persons then it should still result in a lower, but still quickly managed to baseline, peak. You may well actually be prediabetic though, it just depends on the specific numbers for A1C/average & peaks combined over time and not the presence of a response itself. The recommendations between higher side prediabetic and lower side type II diabetic shouldn't be all that different in the end anyways though. |
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Just to clarify - A1C is itself an easily-measured proxy for diabetes mellitus, but it's itself a heuristic. There are groups for whom it is known that the "standard" A1C range is actually incorrect, because of confounding factors that affect the A1C measurement but are unrelated to the metabolic dysfunction or general sugar levels.
Your point is correct, though, that what OP is describing is consistent with diabetes, and the actual clinical recommendations for prediabetes and Type II diabetes are often the same, at least in the early stages.