Home / Letter From The Editor / Editor’s Note, DCMS #196

Editor’s Note, DCMS #196

Jul 7, 2014

First it was the Quintessential Quintet, then the Setaceous Sextet, and Septicidal Septet was next in our discussion of causes of hyperglycemia — now, this week in our Homerun Slides, we look at the Ominous Octet and how that affects hyperglycemia and glucose control.

Dr. Rudy Bilous, Professor of Clinical Medicine, Newcastle University, shares the history of diabetes beginning way back in 1500 BC in this week’s Clinical Text and our Disaster Averted is all about patient-generated insulin dosing regimens. In our Mastery In Minutes video, Dr. Tamara Hannon explains how type 2 diabetes is diagnosed in children and adolescents.

I am looking for professional opinions on the following question — if you have an opinion you would like to share then please let me know

Over the past three weeks I have had about half a dozen fellow road cycle riders come to me concerning their A1c values. None of these riders are overweight and none of them have diabetes and they were either in their late 30’s or early 40’s, but they are concerned because they are seeing high fasting readings of 120-140 mg/dl frequently. They also have indicated that the highest they get 2 hours after a meal is often lower than their fasting readings. Four of them had A1c values done and they were 5.7 to 5.8. Each of them wanted to know why they were getting these readings. I am looking to see what you, our readers, might feel the problem is. I proposed that their low carbohydrate consumption on these long rides was causing the liver to supply most of the energy source needed. This long term need for glucose could be creating a "dawn phenomenon" effect and this could be the reason their fasting readings were high.

If you have an idea about what is causing these high readings and if my theory might be plausible then please let me know by replying to me at editor@diabetesincontrol.com.