We all struggle to understand what is wrong with us, and often diabetes can be a very complicated condition. So let me give you the “party” line:
According to the new guidelines from the ADA, a HbA1c of 7.6 and having and 207 2 hours after any meals both indicate diabetes.
According to the guidelines from the AACE (the society of endochronologist, specialists in diabetes), going > 200 mg/dl 2 hrs after indicates diabetes.
So, unfortunately, according to both those criteria, you have diabetes, not prediabetes, but overt diabetes. I know that is not what you wanted to hear. Now that does not mean that you can’t make some lifestyle changes or reduce a complicating medication and get your blood sugar back to a “normal” ranges. But I have to be honest with you, it is unlikely that this is something you can just fix and go back to life before this happened. You very likely will have to accept that you have become intolerant of carbs.
When I was first diagnosed, I also thought that maybe things were mild and perhaps my condition was due to some medication or other thing and I could just fix it. But over time, I had to grudgingly come to accept that my blood sugar was not behaving normally and it was not just something that I could fix by dropping the medication that caused it. Eventually, I was able to use diet and exercise to obtain reasonable control for some time. And over time, I also came to realize that while I was diabetic, I still had a life, I could still be ‘healthy’ and I could still enjoy every quality of life that I had before.
That being said, I would tell you that I observed marked increases in my blood sugar with Niaspan and there is research behind that. Don’t take my harsh suggestion that you are a diabetic as sentence that you won’t be able to manage your condition, instead, I would tell you that there is every promise that with changes to your lifestyle (diet and exercise) you may well be able to control your condition without requiring any medication or insulin Only time will tell, and I would encourage you to hang around here, find out what others have found successful and see what you can do to manage your condition.