Impaired Glucose Tolerance

sue35 · Jun 21, 2007

Hi everyone-
I had my oral glucose test and my two hour fasting number was 199 so my dr. said that I had impaired glucose tolerance. He said that I will have to start checking my sugars in the morning and after eating but that is all that I will do right now. He also said that when I get sick and have to bump up my prednisone I will have to do more things (I don't know what though). I have a few questions

1. How long have people had impaired glucose tolerance before it turned into diabetes?

2. Is it possible for it not to turn into diabetes?

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

I am sorry this is so long. I am having a really hard time dealing with this, always saying that this would be the last straw for me. I am terrified of needles and just don't want this right now at all. THanks!

sue35 · Jun 21, 2007

Hi everyone-
I had my oral glucose test and my two hour fasting number was 199 so my dr. said that I had impaired glucose tolerance. He said that I will have to start checking my sugars in the morning and after eating but that is all that I will do right now. He also said that when I get sick and have to bump up my prednisone I will have to do more things (I don't know what though). I have a few questions

1. How long have people had impaired glucose tolerance before it turned into diabetes?

2. Is it possible for it not to turn into diabetes?

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

I am sorry this is so long. I am having a really hard time dealing with this, always saying that this would be the last straw for me. I am terrified of needles and just don't want this right now at all. THanks!

sue35 · Jun 21, 2007

Hi everyone-
I had my oral glucose test and my two hour fasting number was 199 so my dr. said that I had impaired glucose tolerance. He said that I will have to start checking my sugars in the morning and after eating but that is all that I will do right now. He also said that when I get sick and have to bump up my prednisone I will have to do more things (I don't know what though). I have a few questions

1. How long have people had impaired glucose tolerance before it turned into diabetes?

2. Is it possible for it not to turn into diabetes?

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

I am sorry this is so long. I am having a really hard time dealing with this, always saying that this would be the last straw for me. I am terrified of needles and just don't want this right now at all. THanks!

sue35 · Jun 21, 2007

Hi everyone-
I had my oral glucose test and my two hour fasting number was 199 so my dr. said that I had impaired glucose tolerance. He said that I will have to start checking my sugars in the morning and after eating but that is all that I will do right now. He also said that when I get sick and have to bump up my prednisone I will have to do more things (I don't know what though). I have a few questions

1. How long have people had impaired glucose tolerance before it turned into diabetes?

2. Is it possible for it not to turn into diabetes?

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

I am sorry this is so long. I am having a really hard time dealing with this, always saying that this would be the last straw for me. I am terrified of needles and just don't want this right now at all. THanks!

sue35 · Jun 21, 2007

Hi everyone-
I had my oral glucose test and my two hour fasting number was 199 so my dr. said that I had impaired glucose tolerance. He said that I will have to start checking my sugars in the morning and after eating but that is all that I will do right now. He also said that when I get sick and have to bump up my prednisone I will have to do more things (I don't know what though). I have a few questions

1. How long have people had impaired glucose tolerance before it turned into diabetes?

2. Is it possible for it not to turn into diabetes?

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

I am sorry this is so long. I am having a really hard time dealing with this, always saying that this would be the last straw for me. I am terrified of needles and just don't want this right now at all. THanks!

sue35 · Jun 21, 2007

Hi everyone-
I had my oral glucose test and my two hour fasting number was 199 so my dr. said that I had impaired glucose tolerance. He said that I will have to start checking my sugars in the morning and after eating but that is all that I will do right now. He also said that when I get sick and have to bump up my prednisone I will have to do more things (I don't know what though). I have a few questions

1. How long have people had impaired glucose tolerance before it turned into diabetes?

2. Is it possible for it not to turn into diabetes?

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

I am sorry this is so long. I am having a really hard time dealing with this, always saying that this would be the last straw for me. I am terrified of needles and just don't want this right now at all. THanks!

AnD · Jun 21, 2007

Well, from my gestational diabetes, I think I can give you a couple of answers:

Controlling my sugars (keeping them within the guidelines) made an unbelievable difference in my extreme fatigue, and also I breathed better.

And I think that if you are only one number away, they usually first try to control it with diet (I did this, but would have done the insulin if I had had another baby- lost too much weight <img src=""> ), and then there are pills you can usually try before going on insulin (My mom and my MIL are both on the pills, but I couldn't take the pills during pregnancy).

I'm sure someone else will come along and help you more <img src=""> ...

AnD · Jun 21, 2007

Well, from my gestational diabetes, I think I can give you a couple of answers:

Controlling my sugars (keeping them within the guidelines) made an unbelievable difference in my extreme fatigue, and also I breathed better.

And I think that if you are only one number away, they usually first try to control it with diet (I did this, but would have done the insulin if I had had another baby- lost too much weight <img src=""> ), and then there are pills you can usually try before going on insulin (My mom and my MIL are both on the pills, but I couldn't take the pills during pregnancy).

I'm sure someone else will come along and help you more <img src=""> ...

AnD · Jun 21, 2007

Well, from my gestational diabetes, I think I can give you a couple of answers:

Controlling my sugars (keeping them within the guidelines) made an unbelievable difference in my extreme fatigue, and also I breathed better.

And I think that if you are only one number away, they usually first try to control it with diet (I did this, but would have done the insulin if I had had another baby- lost too much weight <img src=""> ), and then there are pills you can usually try before going on insulin (My mom and my MIL are both on the pills, but I couldn't take the pills during pregnancy).

I'm sure someone else will come along and help you more <img src=""> ...

AnD · Jun 21, 2007

Well, from my gestational diabetes, I think I can give you a couple of answers:

Controlling my sugars (keeping them within the guidelines) made an unbelievable difference in my extreme fatigue, and also I breathed better.

And I think that if you are only one number away, they usually first try to control it with diet (I did this, but would have done the insulin if I had had another baby- lost too much weight <img src=""> ), and then there are pills you can usually try before going on insulin (My mom and my MIL are both on the pills, but I couldn't take the pills during pregnancy).

I'm sure someone else will come along and help you more <img src=""> ...

AnD · Jun 21, 2007

Well, from my gestational diabetes, I think I can give you a couple of answers:

Controlling my sugars (keeping them within the guidelines) made an unbelievable difference in my extreme fatigue, and also I breathed better.

And I think that if you are only one number away, they usually first try to control it with diet (I did this, but would have done the insulin if I had had another baby- lost too much weight <img src=""> ), and then there are pills you can usually try before going on insulin (My mom and my MIL are both on the pills, but I couldn't take the pills during pregnancy).

I'm sure someone else will come along and help you more <img src=""> ...

AnD · Jun 21, 2007

Well, from my gestational diabetes, I think I can give you a couple of answers:

Controlling my sugars (keeping them within the guidelines) made an unbelievable difference in my extreme fatigue, and also I breathed better.

And I think that if you are only one number away, they usually first try to control it with diet (I did this, but would have done the insulin if I had had another baby- lost too much weight <img src=""> ), and then there are pills you can usually try before going on insulin (My mom and my MIL are both on the pills, but I couldn't take the pills during pregnancy).

I'm sure someone else will come along and help you more <img src=""> ...

lightNlife · Jun 21, 2007

Hi Sue,
I also have impaired glucose tolerance, so I thought I'd respond to your post.

1. How long have people had impaired glucose tolerance before it turned into diabetes?
 I've had it for more than 7 years. I still don't have CFRD. I just have to be very careful to monitor my blood sugars with certain meds--particularly prednisone. I was also told that I might have a problem with my sugars now that I'm on seroquel for bipolar, but so far I haven't experienced anything problematic. 

2. Is it possible for it not to turn into diabetes? Yes, it's possible. But don't pin your hopes on it. For me, the fact that I already monitor my sugars has put me in the frame of mind that if it ever does turn into diabetes, at least I'll have been gradually introduced to it instead of having to deal with it all overnight. I've had a couple episodes of steroid-induced diabetes (from the prednisone) so I've already done the whole insulin gig. Once I tapered off the prednisone, things returned to normal. 

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this? Fatigue could be due to something else going on in your body. Are you dropping weight? Are your sats lower than usual? Fighting an infection? As I've gotten older and my lung function has decreased, I find that I need more sleep than I used to--at least 9 hours at night and possibly a nap in the afternoon. Another thing I've experienced is that sometimes when I'm struggling with depression I feel fatigued as well. It can be a never ending cycle--I sleep because I'm depressed, then I'm mad at myself for being so exhausted, so I get more depressed, then I sleep to escape...you get the idea. 

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin? Yes, it makes sense that you're not on insulin. If there's at least a fighting chance that your pancreas is still putting out insulin, then insulin injections could possibly let your body get away with being lazy. For example, your body chemistry might adjust to having the insulin supplied for it, and would stop using the energy to produce insulin on its own.

I hope this all goes okay for you. I know it can be a pain and an added frustration with CF that makes us think "ISN'T THIS ENOUGH ALREADY!!" Please feel free to PM me any time if you need to or have questions about having IGT. Do you already have a glucometer? If not I have one I'd be willing to send you (I just got an new one. My old one works fine, it's not outdated or anything. It's nice and tiny and uses a teeny amount of blood.)

lightNlife · Jun 21, 2007

Hi Sue,
I also have impaired glucose tolerance, so I thought I'd respond to your post.

1. How long have people had impaired glucose tolerance before it turned into diabetes?
 I've had it for more than 7 years. I still don't have CFRD. I just have to be very careful to monitor my blood sugars with certain meds--particularly prednisone. I was also told that I might have a problem with my sugars now that I'm on seroquel for bipolar, but so far I haven't experienced anything problematic. 

2. Is it possible for it not to turn into diabetes? Yes, it's possible. But don't pin your hopes on it. For me, the fact that I already monitor my sugars has put me in the frame of mind that if it ever does turn into diabetes, at least I'll have been gradually introduced to it instead of having to deal with it all overnight. I've had a couple episodes of steroid-induced diabetes (from the prednisone) so I've already done the whole insulin gig. Once I tapered off the prednisone, things returned to normal. 

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this? Fatigue could be due to something else going on in your body. Are you dropping weight? Are your sats lower than usual? Fighting an infection? As I've gotten older and my lung function has decreased, I find that I need more sleep than I used to--at least 9 hours at night and possibly a nap in the afternoon. Another thing I've experienced is that sometimes when I'm struggling with depression I feel fatigued as well. It can be a never ending cycle--I sleep because I'm depressed, then I'm mad at myself for being so exhausted, so I get more depressed, then I sleep to escape...you get the idea. 

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin? Yes, it makes sense that you're not on insulin. If there's at least a fighting chance that your pancreas is still putting out insulin, then insulin injections could possibly let your body get away with being lazy. For example, your body chemistry might adjust to having the insulin supplied for it, and would stop using the energy to produce insulin on its own.

I hope this all goes okay for you. I know it can be a pain and an added frustration with CF that makes us think "ISN'T THIS ENOUGH ALREADY!!" Please feel free to PM me any time if you need to or have questions about having IGT. Do you already have a glucometer? If not I have one I'd be willing to send you (I just got an new one. My old one works fine, it's not outdated or anything. It's nice and tiny and uses a teeny amount of blood.)

lightNlife · Jun 21, 2007

Hi Sue,
I also have impaired glucose tolerance, so I thought I'd respond to your post.

1. How long have people had impaired glucose tolerance before it turned into diabetes?
 I've had it for more than 7 years. I still don't have CFRD. I just have to be very careful to monitor my blood sugars with certain meds--particularly prednisone. I was also told that I might have a problem with my sugars now that I'm on seroquel for bipolar, but so far I haven't experienced anything problematic. 

2. Is it possible for it not to turn into diabetes? Yes, it's possible. But don't pin your hopes on it. For me, the fact that I already monitor my sugars has put me in the frame of mind that if it ever does turn into diabetes, at least I'll have been gradually introduced to it instead of having to deal with it all overnight. I've had a couple episodes of steroid-induced diabetes (from the prednisone) so I've already done the whole insulin gig. Once I tapered off the prednisone, things returned to normal. 

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this? Fatigue could be due to something else going on in your body. Are you dropping weight? Are your sats lower than usual? Fighting an infection? As I've gotten older and my lung function has decreased, I find that I need more sleep than I used to--at least 9 hours at night and possibly a nap in the afternoon. Another thing I've experienced is that sometimes when I'm struggling with depression I feel fatigued as well. It can be a never ending cycle--I sleep because I'm depressed, then I'm mad at myself for being so exhausted, so I get more depressed, then I sleep to escape...you get the idea. 

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin? Yes, it makes sense that you're not on insulin. If there's at least a fighting chance that your pancreas is still putting out insulin, then insulin injections could possibly let your body get away with being lazy. For example, your body chemistry might adjust to having the insulin supplied for it, and would stop using the energy to produce insulin on its own.

I hope this all goes okay for you. I know it can be a pain and an added frustration with CF that makes us think "ISN'T THIS ENOUGH ALREADY!!" Please feel free to PM me any time if you need to or have questions about having IGT. Do you already have a glucometer? If not I have one I'd be willing to send you (I just got an new one. My old one works fine, it's not outdated or anything. It's nice and tiny and uses a teeny amount of blood.)

lightNlife · Jun 21, 2007

Hi Sue,
I also have impaired glucose tolerance, so I thought I'd respond to your post.

1. How long have people had impaired glucose tolerance before it turned into diabetes?
 I've had it for more than 7 years. I still don't have CFRD. I just have to be very careful to monitor my blood sugars with certain meds--particularly prednisone. I was also told that I might have a problem with my sugars now that I'm on seroquel for bipolar, but so far I haven't experienced anything problematic. 

2. Is it possible for it not to turn into diabetes? Yes, it's possible. But don't pin your hopes on it. For me, the fact that I already monitor my sugars has put me in the frame of mind that if it ever does turn into diabetes, at least I'll have been gradually introduced to it instead of having to deal with it all overnight. I've had a couple episodes of steroid-induced diabetes (from the prednisone) so I've already done the whole insulin gig. Once I tapered off the prednisone, things returned to normal. 

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this? Fatigue could be due to something else going on in your body. Are you dropping weight? Are your sats lower than usual? Fighting an infection? As I've gotten older and my lung function has decreased, I find that I need more sleep than I used to--at least 9 hours at night and possibly a nap in the afternoon. Another thing I've experienced is that sometimes when I'm struggling with depression I feel fatigued as well. It can be a never ending cycle--I sleep because I'm depressed, then I'm mad at myself for being so exhausted, so I get more depressed, then I sleep to escape...you get the idea. 

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin? Yes, it makes sense that you're not on insulin. If there's at least a fighting chance that your pancreas is still putting out insulin, then insulin injections could possibly let your body get away with being lazy. For example, your body chemistry might adjust to having the insulin supplied for it, and would stop using the energy to produce insulin on its own.

I hope this all goes okay for you. I know it can be a pain and an added frustration with CF that makes us think "ISN'T THIS ENOUGH ALREADY!!" Please feel free to PM me any time if you need to or have questions about having IGT. Do you already have a glucometer? If not I have one I'd be willing to send you (I just got an new one. My old one works fine, it's not outdated or anything. It's nice and tiny and uses a teeny amount of blood.)

lightNlife · Jun 21, 2007

Hi Sue,
I also have impaired glucose tolerance, so I thought I'd respond to your post.

1. How long have people had impaired glucose tolerance before it turned into diabetes?
 I've had it for more than 7 years. I still don't have CFRD. I just have to be very careful to monitor my blood sugars with certain meds--particularly prednisone. I was also told that I might have a problem with my sugars now that I'm on seroquel for bipolar, but so far I haven't experienced anything problematic. 

2. Is it possible for it not to turn into diabetes? Yes, it's possible. But don't pin your hopes on it. For me, the fact that I already monitor my sugars has put me in the frame of mind that if it ever does turn into diabetes, at least I'll have been gradually introduced to it instead of having to deal with it all overnight. I've had a couple episodes of steroid-induced diabetes (from the prednisone) so I've already done the whole insulin gig. Once I tapered off the prednisone, things returned to normal. 

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this? Fatigue could be due to something else going on in your body. Are you dropping weight? Are your sats lower than usual? Fighting an infection? As I've gotten older and my lung function has decreased, I find that I need more sleep than I used to--at least 9 hours at night and possibly a nap in the afternoon. Another thing I've experienced is that sometimes when I'm struggling with depression I feel fatigued as well. It can be a never ending cycle--I sleep because I'm depressed, then I'm mad at myself for being so exhausted, so I get more depressed, then I sleep to escape...you get the idea. 

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin? Yes, it makes sense that you're not on insulin. If there's at least a fighting chance that your pancreas is still putting out insulin, then insulin injections could possibly let your body get away with being lazy. For example, your body chemistry might adjust to having the insulin supplied for it, and would stop using the energy to produce insulin on its own.

I hope this all goes okay for you. I know it can be a pain and an added frustration with CF that makes us think "ISN'T THIS ENOUGH ALREADY!!" Please feel free to PM me any time if you need to or have questions about having IGT. Do you already have a glucometer? If not I have one I'd be willing to send you (I just got an new one. My old one works fine, it's not outdated or anything. It's nice and tiny and uses a teeny amount of blood.)

lightNlife · Jun 21, 2007

Hi Sue,
I also have impaired glucose tolerance, so I thought I'd respond to your post.

1. How long have people had impaired glucose tolerance before it turned into diabetes?
 I've had it for more than 7 years. I still don't have CFRD. I just have to be very careful to monitor my blood sugars with certain meds--particularly prednisone. I was also told that I might have a problem with my sugars now that I'm on seroquel for bipolar, but so far I haven't experienced anything problematic. 

2. Is it possible for it not to turn into diabetes? Yes, it's possible. But don't pin your hopes on it. For me, the fact that I already monitor my sugars has put me in the frame of mind that if it ever does turn into diabetes, at least I'll have been gradually introduced to it instead of having to deal with it all overnight. I've had a couple episodes of steroid-induced diabetes (from the prednisone) so I've already done the whole insulin gig. Once I tapered off the prednisone, things returned to normal. 

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this? Fatigue could be due to something else going on in your body. Are you dropping weight? Are your sats lower than usual? Fighting an infection? As I've gotten older and my lung function has decreased, I find that I need more sleep than I used to--at least 9 hours at night and possibly a nap in the afternoon. Another thing I've experienced is that sometimes when I'm struggling with depression I feel fatigued as well. It can be a never ending cycle--I sleep because I'm depressed, then I'm mad at myself for being so exhausted, so I get more depressed, then I sleep to escape...you get the idea. 

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin? Yes, it makes sense that you're not on insulin. If there's at least a fighting chance that your pancreas is still putting out insulin, then insulin injections could possibly let your body get away with being lazy. For example, your body chemistry might adjust to having the insulin supplied for it, and would stop using the energy to produce insulin on its own.

I hope this all goes okay for you. I know it can be a pain and an added frustration with CF that makes us think "ISN'T THIS ENOUGH ALREADY!!" Please feel free to PM me any time if you need to or have questions about having IGT. Do you already have a glucometer? If not I have one I'd be willing to send you (I just got an new one. My old one works fine, it's not outdated or anything. It's nice and tiny and uses a teeny amount of blood.)

Landy · Jun 21, 2007

1. How long have people had impaired glucose tolerance before it turned into diabetes?

Just a guess...but maybe 5 years of borderline, controlled by diet/exercise only

2. Is it possible for it not to turn into diabetes?

Um....probably not, but each case is different.

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

As AnD mentioned, high blood sugar levels will make you tired and when mine are high, I notice that it makes it harder for me to breath too.

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

When you did the 2 hour post meal reading, had you had your normal amount of sugar with the meal? If the 199 was the worst case scenario (lots of sugar), then maybe not, but if you purposefully watched sugar intake, knowing that you would be checking your sugar in 2 hours, and it still was 199, then I would say insulin may be a good thing for you, especially if weight gain/retention is an issue with you.

Landy · Jun 21, 2007

1. How long have people had impaired glucose tolerance before it turned into diabetes?

Just a guess...but maybe 5 years of borderline, controlled by diet/exercise only

2. Is it possible for it not to turn into diabetes?

Um....probably not, but each case is different.

3. The only symptom I have is extreme fatigue. I told them this and they didn't seem concerned. What can I do to possibly stop this?

As AnD mentioned, high blood sugar levels will make you tired and when mine are high, I notice that it makes it harder for me to breath too.

4. I am only one number off from diabetes. Does it make sense that they don't want me on insulin?

When you did the 2 hour post meal reading, had you had your normal amount of sugar with the meal? If the 199 was the worst case scenario (lots of sugar), then maybe not, but if you purposefully watched sugar intake, knowing that you would be checking your sugar in 2 hours, and it still was 199, then I would say insulin may be a good thing for you, especially if weight gain/retention is an issue with you.

Impaired Glucose Tolerance

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