Oh, where to begin! Recently, an endocrinologist diagnosed me as pre-diabetic, prescribed metformin, and told me to eat better (without telling me what “better” meant). The endo made the diagnosis after elevated HbA1C tests and the CGM indicated (1) my FBG was continuously over 100 and (2) post-meal BG was 140-160. My insulin levels were normal, but my aldosterone was high. Aside from that, everything else was normal.
Given the lack of communication from the endo, I assume he believes I am on my way to becoming a Type II. (I have an appointment with a new endo because my current one and his staff are seriously lacking in bed-side manner).
Anyhoo, all of this doesn’t make sense to me. Yes, I have a family history of Type II diabetes in my family. Both individuals developed Type II later in life, and both were seriously obese. My situation is completely the opposite. I am 31 yrs old and a size 2. (To be fair, I also have Hashimotos, Mitral Valve Prolapse, Fibromyalgia, and reoccurring shingles. If only there were a Lemon Law for bodies.)
Since the appointment, I have been taking the metformin diligently and overhauled my diet. I limit my carbs to 15-30 per meal although it is usually closer to 15. Despite all this, my BG is getting worse. Last night, I was 200+ within 30 minutes of eating. I have also lost 10 lbs in the last month or so.
I am puzzled with it all. I don’t seem to fit any type, and I don’t understand why things are getting worse instead of better with treatment. Is it possible that I am developing Type II even though my insulin is normal? And, I am younger than the average onset age and in decent shape? What is the average length of time for a person to go from pre-diabetic to diabetic? Any input/advice would really be appreciated.