How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Shantal-Mod Your Own Question

Shantal-Mod
Shantal-Mod,
Category: Medical
Satisfied Customers: 10
73554018
Type Your Medical Question Here...
Shantal-Mod is online now

Hello. I was in the middle of discussing this with another

Customer Question

Hello. I was in the middle of discussing this with another doctor, but he has gone offline. I just got my diabetes results back. 5.5. Is this okay?
Submitted: 3 years ago.
Category: Medical
Expert:  911DOC replied 3 years ago.

911DOC :

Do you mean the A1C level is 5.5?

JACUSTOMER-i2aq90dt- :

No, the glucose. in mmol/L i think

911DOC :

do you have the lab printed out?

JACUSTOMER-i2aq90dt- :

No

JACUSTOMER-i2aq90dt- :

It is the same as 100 gl/l

911DOC :

okay

911DOC :

yes

JACUSTOMER-i2aq90dt- :

sorry i mean mg/dl

911DOC :

it's actually 99 as we would call it here in the states

911DOC :

and this is a fine number

JACUSTOMER-i2aq90dt- :

I have read that from 5.6 onwards is prediabetes. I also just read:

JACUSTOMER-i2aq90dt- :

a healthy non-diabetics fasting blood sugar is typically nearer 70-80mg/dl (3.9-4.4 mmol/l).

911DOC :

though the blood glucose levels are not as helpful to see how you are doing with your diabetes as a lab called the hemoglobin a1c... this tells us more about your levels over time

911DOC :

no

JACUSTOMER-i2aq90dt- :

Seems I am way above that. And right on the cusp of prediabetes.

911DOC :

so you are not diabetic?

911DOC :

you are worried about it?

JACUSTOMER-i2aq90dt- :

By the way, the other doctor reconnected. But I think you will still get credit for this.

JACUSTOMER-i2aq90dt- :

I am worried, yes.

911DOC :

no worries

JACUSTOMER-i2aq90dt- :

Feels like I am right on the edge of the normal range and maybe prediabetic.

911DOC :

how old are you?

JACUSTOMER-i2aq90dt- :

I am the person you spoke to the other day with oral thrush, looking for a reason for it.

JACUSTOMER-i2aq90dt- :

37

JACUSTOMER-i2aq90dt- :

BMI 18

911DOC :

so this is hard to understand but this lab is a screening lab, and by itself is not very helpful at all

911DOC :

twenty years ago no one would give a second look at this

911DOC :

but they lowered the 'normal' range for glucose in an effort to pick up more diabetics and pre diabetics

911DOC :

the single blood glucose draw is helpful in some cases

911DOC :

but in this case it is normal

JACUSTOMER-i2aq90dt- :

I thought diabetes was from 11 mmol/l

JACUSTOMER-i2aq90dt- :

Only just, though, right?

911DOC :

no

JACUSTOMER-i2aq90dt- :

Very close to not normal.

JACUSTOMER-i2aq90dt- :

No?

911DOC :

the diagnosis of diabetes is not made by serum blood glucose measurements by themselves

911DOC :

it is more complicated than that

911DOC :

if someone has an elevated reading

911DOC :

it is a cause for further testing....

911DOC :

a hemoglobin a1c for example would be the next test to do if your doctor was concerned

JACUSTOMER-i2aq90dt- :

Would you be concerned?

911DOC :

but with your BMI and age 'pre diabetes' really means nothing other than that they will want to follow your glucose over time, OR, preferably, go ahead and get the a1c level since you are concerned

911DOC :

I would not be at all concerned

911DOC :

not at all

JACUSTOMER-i2aq90dt- :

So you would not do the a1c?

JACUSTOMER-i2aq90dt- :

And do you consider me prediabetic?

911DOC :

'pre diabetic' is like calling someone 'pre obese'

911DOC :

it doesn't mean that you are gong to develop diabetes

911DOC :

it's a very unhelpful term

JACUSTOMER-i2aq90dt- :

I read that over a 10 year period 1 in 2 prediabetic people developed diabetes, versus 1 in 50 normal population

JACUSTOMER-i2aq90dt- :

I am really worried

911DOC :

yes

911DOC :

I'm not sure that it is one in two, but if you read the link you will see that this is typically in people who are obese

911DOC :

weight loss for these people will often prevent the onset of type 2 diabetes

911DOC :

and you are not obese

911DOC :

so this is something to discuss with your GP

JACUSTOMER-i2aq90dt- :

That link says normal is about 5.

911DOC :

but you are falling into the trap of looking at numbers and not the patient

911DOC :

yes

911DOC :

that's right

911DOC :

but

JACUSTOMER-i2aq90dt- :

Discuss in what way?

911DOC :

as i said

911DOC :

this is somewhat artificial in that there is no direct link between a single glucose measurement and whether you will develop diabetes

JACUSTOMER-i2aq90dt- :

I don't understand why the guidelines seem to vary. I also read this:

JACUSTOMER-i2aq90dt- :


A normal blood glucose level is lower than 140 mg/dL (7.8 mmol/L).

911DOC :

i mean discuss with your GP so they can explain in greater detail what I am trying to explain here

911DOC :

because they are guidelines and not rules

JACUSTOMER-i2aq90dt- :

Ha! My GP won't spend that long chatting!

911DOC :

lol

JACUSTOMER-i2aq90dt- :

That's why I worry about things

911DOC :

the lowering of the standard was somewhat arbitratry

911DOC :

so that they could catch more 'at risk' people

911DOC :

but you do not appear to be one of these people based on your BMI

JACUSTOMER-i2aq90dt- :

Do you think I am at risk with a result of 5.5 and a height of 170cm and weight 54kg?

911DOC :

you are not the person this arbitrary lowering of the standard was designed to catch

911DOC :

I would need to see your medical record and maybe a few more labs but based on that info, NO

911DOC :

I do not think that at all

JACUSTOMER-i2aq90dt- :

What would you be looking for in my record/labs?

911DOC :

only since you are overly concerned

911DOC :

I would get a hemoglobin a1c and be done

911DOC :

alternatively a glucose tolerance test could be done

JACUSTOMER-i2aq90dt- :

previous labs I have are these, but I think they are non-fasting:

JACUSTOMER-i2aq90dt- :

Sept 2010 67mg/dl (range 65-99)
Oct 2010 90.3 (range 70-120)
Feb 2011 104 (range 70-120)
april 2011 6.33 H (range 4.11-5.89 mmol/L) *** I was 2 months' pregnant.
jul 2011 6.38 (normal up to 7.8 mmol/l - this was a gestational diabetes test)

911DOC :

my money is that these would both be normal with you

JACUSTOMER-i2aq90dt- :

So it is a lot higher than the Sept 2010 one

911DOC :

it's one test

911DOC :

it's not even the right test

911DOC :

it is a screening test

911DOC :

it is not a diagnostic test

911DOC :

the diagnostic tests are the a1c or the glucose tolerance test

911DOC :

chances are if you had another fasting glucose test it would be lower

911DOC :

there is a lot of variability

JACUSTOMER-i2aq90dt- :

Well, I did the glucose tolerance in pregnancy and it came back 6.38

911DOC :

it is not a reliable test for diagnosis

911DOC :

unless it is very high indeed

JACUSTOMER-i2aq90dt- :

That was 2 years ago though

911DOC :

pregnancy is a different situation

911DOC :

and not relevant to you right now

JACUSTOMER-i2aq90dt- :

If it varies so much, maybe it would be higher on another try???

911DOC :

YES! it does vary so much, that is why it's a lousy test for diagnosing diabetes

JACUSTOMER-i2aq90dt- :

Now I am even more worried.

911DOC :

I'm not sure why?

JACUSTOMER-i2aq90dt- :

Because maybe 5.5 is falsely low.

JACUSTOMER-i2aq90dt- :

As you say, the test is unreliable

JACUSTOMER-i2aq90dt- :

Maybe I am higher than that

911DOC :

it's unreliable to diagnose diabetes

911DOC :

since you are concerned

911DOC :

and again, I am NOT concerned

911DOC :

you might ask your GP for the glucose tolerance test or the a1c test

JACUSTOMER-i2aq90dt- :

She will not do it if the fasting test is normal

JACUSTOMER-i2aq90dt- :

That's why I want to know if it's normal or not

911DOC :

you are tying to get information out of these random fasting glucose tests that is simply not there

911DOC :

exactly

911DOC :

and theres a reason for that

911DOC :

and it is that you do not have diabetes

JACUSTOMER-i2aq90dt- :

Does pregnancy increase or decrease your blood sugar?

911DOC :

and could argue, and if you were my patient i would do the same, that the only thing we would do is recheck it in 6mos to a year

911DOC :

usually increases

911DOC :

but not always

JACUSTOMER-i2aq90dt- :

Even in the first trimester? I am 6 weeks' pregnant

JACUSTOMER-i2aq90dt- :

I got this info:

911DOC :

I'm sorry, we are getting nowhere

JACUSTOMER-i2aq90dt- :


AVERAGE BLOOD SUGARS IN NORMAL PREGNANT WOMEN
Fasting: 70.9 ± 7.8 mg/dl (3.94 mmol/L ± .43)

911DOC :

I will opt out

JACUSTOMER-i2aq90dt- :

Seems like it's even lower in pregnancy according to that.

JACUSTOMER-i2aq90dt- :

No need to opt out. I would just like to know if my pregnancy has caused the slightly higher level. Then I am done.

JACUSTOMER-i2aq90dt- :

I am really unhappy about how you opted out on me without any warning.

Expert:  Shantal-Mod replied 3 years ago.

Hello,


It seems the professional has left this conversation. This happens occasionally, and it's usually because the professional thinks that someone else might be a better match for your question. I've been working hard to find a new professional to assist you with your question, but sometimes finding the right professional can take a little longer than expected.


I wonder whether you're OK with continuing to wait for an answer. If you are, please let me know and I will continue my search. If not, feel free to let me know and I will cancel this question for you.


Thank you,


Shantal

Customer: replied 3 years ago.

Hi


 


Please just cancel it.


 


Thanks

Expert:  Shantal-Mod replied 3 years ago.

Hello,

I am sorry we were unable to assist you. As requested I will close your question.

Thank you for using JustAnswer UK,

Shantal

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions