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The Question
Sun Dec 26 11:40:03 UTC 2010

I have type 1 diabetes and was told by the endocrinologist that I appear to be a fast glycoslator. Please explain.
Asked By: dletto  
Category: Type 1

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I am 68 and type 1 diabetic for 25 years. On insulin pump for 15 years. Of late I have high BS's 2 hours after eating
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Expert Answers (1)
2011-12-06 09:22:16.0

Most likely your doctor was referring to the fact that the sugar in your blood is responding quickly to the foods you eat. Unless gastroparesis is involved, most people with type 1 diabetes tend to digest foods more quickly, often leading to the post-meal blood sugar elevation you are referring to. There are different ways to get around this problem that you may want to discuss with your doctor or diabetes educator, including taking your rapid acting meal-time insulin sooner than you have been (sometimes a "head start" of up to 30 minutes before eating), moderate exercise right after your meal (even 10 minutes can make a difference for some people), diet modification, or insulin adjustment.

In my opinion, the most important thing at this time is good communication with your doctor. Always write down questions you have prior to your visit. If you don't understand something he or she has told you, don't just ignore it -- ask for a more detailed explanation. Of course there are times when all of us return home and realize we don't understand a term, or may have confused one statement with another. In cases like this, again, write down your question and call to ask the nurse or medical assistant for clarification. You may want to ask for a referral to see a Certified Diabetes Educator, or, if the question doesn't seem urgent, start your list of questions for your next visit with the doctor.

Being informed is your best defense, so keep asking those questions and don't be embarrassed if you don't understand something! Hang in there!

Answered By: Anne Carroll
Accreditations: RN, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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