Is there still diabetes if the insulin measurement is normal

High blood sugar means that normal insulin does not mean that you are not diabetic.

Many diabetic people still secrete more insulin than normal.

Diabetes mellitus is a chronic metabolic disease with a disorder of diabetes caused by systemic metabolic problems, with elevated blood sugar as a symptom.

Diabetes is not only related to the pancreas, but also to multiple organs such as the liver. Normal insulin does not mean that glucose metabolism is normal, and people with abnormal glucose metabolism also have hyperinsulinemia patients. Therefore, normal insulin can also cause problems with glucose metabolism and hyperglycemia.

Blood sugar is the only criterion for diagnosing diabetes, and urine glucose cannot be used to diagnose diabetes. What is the normal blood sugar value in the human body? General diabetic patients check blood sugar:

First, check the fasting blood glucose, and second, check the blood sugar two hours after eating. What is the normal range for fasting blood glucose? , higher than a diagnosis of diabetes.

So what are the diagnostic criteria for fasting diabetesmmol?Or is it?

126?With milligrams, you can see that there is a gap between the normal value and the fasting diagnosis of diabetes. Some people are neither normal nor diabetic.

We call this symptom an increase (impairment) in fasting blood sugar. In addition, blood sugar after meals is also very importantWhat is the normal two-hour postprandial blood glucose range?.

Postprandial blood sugar? The diagnostic criteria for doing the line are ??mmol?

Or? 200?mg or more.

So? 140?And?

200?There is also a gap between them. If blood sugar is at this stage, we call it a postprandial blood sugar increase.

Not diabetic, not normal people. People who are not diabetic have high blood sugar is very dangerous, and it is very easy to get diabetes. Such people must be careful.

The hat hung over his head. If you don't pay attention, you'll soon wear the hat of diabetes. Even if you have a completely normal blood sugar, you should pay attention to the prevention of diabetes if you have some high-risk factors.

Look at it for yourself.

Check out the following aspects.

1 Blood sugar. It is the only criterion for diagnosing diabetes. Patients with obvious symptoms of "three more and one less" can be diagnosed with only one abnormal blood glucose value. Asymptomatic people need two abnormal blood glucose levels to diagnose diabetes. If suspected, a 75g glucose tolerance test should be done.

2 Urine sugar. Often positive. Blood glucose levels are positive when the renal glucose threshold (160 to 180 mg dL) is positive. When the renal glucose threshold is elevated, the diagnosis of diabetes may be negative, even when blood glucose is reached. Therefore, urine glucose measurement is not used as a diagnostic criterion.

3 Urine ketone bodies.

Positive urine ketones in ketosis or ketoacidosis.

4 Glycosylated hemoglobin (HbA1C).

It is a product of non-enzymatic reaction between glucose and hemoglobin, the reaction is irreversible, and the HbA1C level is stable, which can reflect the average blood glucose level in the 2 months before blood collection. It is the most valuable indicator for judging the status of blood glucose control.

5 Glycosylated serum proteins.

It is the product of a non-enzymatic binding of blood glucose to serum albumin, reflecting the average blood glucose level for 1 to 3 weeks prior to blood collection.

6 Serum insulin and C-peptide levels.

Reflects the reserve function of pancreatic islet cells. Serum insulin is normal or elevated in early stage 2 diabetes or obese diabetes, and as the disease progresses, the islet function gradually decreases, and the ability to secrete insulin decreases.

7 Blood lipids. Dyslipidemia is common in patients with diabetes, especially in the presence of poor glycemic control. Manifests as elevated triglycerides, total cholesterol, and LDL cholesterol levels. HDL cholesterol levels are lowered.

8 Immunization indicators.

Pancreatic islet cell antibody (ICA), insulin autoantibody (IAA) and glutamate decarboxylase (GAD) antibody are three important indicators of humoral immunity abnormalities in type 1 diabetes, among which GAD antibody has a high positive rate, a long duration, and great diagnostic value for type 1 diabetes. There is also a certain positive rate in first-degree relatives of type 1 diabetes, which has the significance of **type 1 diabetes.

9 Urine albumin excretion, radioimmunotherapy or enzyme-linked method.

Urine albumin excretion can be detected sensitively, and urine albumin is mildly elevated in early diabetic nephropathy.

How to diagnose diabetes: The diagnosis of diabetes is generally not difficult, and the diagnosis can be confirmed by fasting blood glucose greater than or equal to millimole liters, or blood glucose greater than or equal to millimolar liters two hours after meals. Classification is done after the diagnosis of diabetes:

1 Type 1 diabetes.

The age of onset is young, most of them are < 30 years old, the onset is sudden, the symptoms of polydipsia, polyuria, polyphagia and weight loss are obvious, the blood sugar level is high, many patients have ketoacidosis as the first symptom, the serum insulin and C peptide levels are low, and ICA, IAA or GAD antibodies can be positive. Oral drugs alone are ineffective and require insulin**.

2 Type 2 diabetes.

It is common in middle-aged and elderly people, and the incidence of obesity is high, and it can often be accompanied by hypertension, dyslipidemia, arteriosclerosis and other diseases. Patients with insidious onset, no symptoms in the early stage, or only mild fatigue, thirst, and no obvious increase in blood glucose should be confirmed by glucose tolerance test. Serum insulin levels are normal or elevated in the early stages and low in the late stages. Hope to adopt.

Criteria for judging diabetes: blood sugar fasting greater than 7, 2 hours after meals greater than the typical symptoms of glycosuria "polydipsia, polyphagia, polyuria, weight loss".

Insulin measurement is meaningless. There are two types of diabetes, type 1, which is insulin deficiency, insulin can promote the breakdown of blood sugar, and high insulin indicates that you are not type 1 diabetes. There is also type 2 diabetes, which is the patient's resistance to insulin, that is to say, the human body no longer knows insulin, then insulin naturally has no previous function, and at the same time, the cells that release insulin find that the blood sugar is still rising, so they continue to release insulin, and finally it is easy to get hyperinsulinemia.

Of course, hyperpancreatic islets do not prove that you are diabetic.

So, you should take a look at your fasting blood sugar and postprandial blood sugar on your test sheet, which is FPG, OGTT in English, and hope it will be useful to you.

Not counted. Fasting blood sugar is normal, how to test for high insulin. High insulin can not be diabetes, consult the ??? of endocrine dysfunction

Diabetes mellitus is a symptom caused by abnormal secretion of insulin, which is a natural hormone secreted by the human pancreas and a pressure regulator that regulates the blood sugar level of the human body.

Insulin is used to break down glucose and speed up sugar metabolism.

High blood sugar is a problem with insulin, which is originally secreted in the islet cells, and diabetes is nothing more than two conditions: insufficient insulin secretion or relatively insufficient insulin. You can pay attention to WeChat*** "Sugar Friends" (tnb1200), the articles in it are very good, and they are helpful to you!

Hello landlord, if the insulin secretion is normal, the urine glucose is normal, and the blood sugar is high, this situation may also be diabetes. If the blood sugar is greater than the fasting stomach and greater than after meals, it is diabetes for a long time, and it is not diabetes once in a while, for example, if you consume a large amount of high-sugar foods at one time, the blood sugar will also be very high, but it will soon tend to normal. Normal secretion of pancreatic ornithin, can not rule out diabetes, because there may be insulin resistance, if I say "insulin resistance" you don't understand, I can make an analogy, insulin is compared to workers, diabetes is the quality of workers' work is not good, there are two situations, is a shortage of workers, that is, people often say insulin deficiency, the other is that workers are enough, but they are lazy to listen to the boss, resistance, so the quality of work is not good, this is the second situation, for insulin resistance, Also known as diabetes, insulin supplementation is useless and the best way to improve insulin sensitivity is to improve it.

Urine glucose is normal, it may be because the blood sugar is still within the range that the kidneys can filter, so some people have high blood sugar, but urine sugar is not necessarily high. The kidneys are like a dam, the water level is below them, and you may not see any movement, but once the blood sugar exceeds the limit of the kidney's filtration function, the blood sugar will be high, and the urine sugar will be high. Glad to answer for you.

According to the information you provided, if it is accurate, first of all, your blood sugar tolerance test indicates that your blood sugar is in the normal range, and you do not have diabetes at present.

Second, your insulin release test is abnormal, and insulin secretion is delayed, which is a manifestation of abnormal pancreatic B cell secretion function, indicating the possibility of insulin resistance.

As for your frequent hypoglycemia, it is related to your delayed insulin secretion, the highest value of insulin secretion in normal people is 1 hour, if it is delayed to 2 hours later, then, there is a risk that you will have hypoglycemia after 3 hours of eating, such people are indeed at risk of diabetes and need to monitor blood sugar regularly.

As for how to solve this problem, the way is to eat less and more meals, and add some fruits, non-staple foods, etc. between three meals to prevent hypoglycemia after 3 hours after meals.

As for hair loss, it is not much related to this problem, it may be caused by high work pressure, irregular diet, oily hair, genetics, etc., and it is also helpful to make appropriate life adjustments, adjust the use of shampoo, etc., and take some antioxidant foods and drugs.

You are a healthy and normal person with normal glucose tolerance and insulin test results, and you are not considered diabetic.

If the insulin is high, but the blood sugar is qualified, it is not diabetes, it is called hyperinsulinemia.

If the blood glucose is not qualified, it is hyperinsulinemic diabetes. There is a possibility of this disease. It is usually caused by insulin resistance.

The ability of pancreatic islets to secrete is fine, but it is a problem with the insulin receptor cells, which manifests as hyperglycemia. But not insulin deficiency. Diabetes mellitus is absolute or relative insufficiency of insulin.

The symptom of diabetes is that insulin is not fully utilized, causing blood sugar to rise, and high insulin alone is not necessarily diabetes.

Suggestions for diabetic patients: First of all, diabetic patients should pay attention to eating small and frequent meals, pay attention to low-salt, low-fat, low-sugar diet, and also need to pay attention to foods with high energy content and high-starch foods should also pay attention to eating less, or not eating. First of all, it is not advisable to eat refined sugars such as red ponds, sugar, honey, and glucose, as well as various pastries, canned food, jams, ice cream, etc. made of sugar.

It should only be consumed if you have a bottom blood sugar or if you can't eat for some reason. Secondly, potatoes, vermicelli, red beans, mung beans, shining, lotus root, taro, carrots, onions, garlic sprouts, fatty meat, animal oily oils, egg yolks, kidneys, liver, belly and other animal offal should be eaten as little as possible. In addition, walnuts, sunflower seeds, peanuts and other high-calorie foods are eaten less by obese people.

Eat foods with a low glycemic index, vegetables such as cucumbers, tomatoes, celery, fruits such as grapefruit, kiwi protein, choose high-quality protein, such as lean meat, fish, staple food, it is best to choose cornmeal, soba noodles, oatmeal but pay attention to the amount It is recommended to go to the nutrition center of the diabetes specialist hospital to see a suitable diet plan for you specified by the nutrition department, so that you can accurately evaluate your condition, individualized **fine dynamic control on the basis of standardization, so that you can get the most ideal**.