Do you mean the A1C level is 5.5?
No, the glucose. in mmol/L i think
do you have the lab printed out?
It is the same as 100 gl/l
sorry i mean mg/dl
it's actually 99 as we would call it here in the states
and this is a fine number
I have read that from 5.6 onwards is prediabetes. I also just read:
a healthy non-diabetics fasting blood sugar is typically nearer 70-80mg/dl (3.9-4.4 mmol/l).
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
Seems I am way above that. And right on the cusp of prediabetes.
so you are not diabetic?
you are worried about it?
By the way, the other doctor reconnected. But I think you will still get credit for this.
I am worried, yes.
Feels like I am right on the edge of the normal range and maybe prediabetic.
how old are you?
I am the person you spoke to the other day with oral thrush, looking for a reason for it.
so this is hard to understand but this lab is a screening lab, and by itself is not very helpful at all
twenty years ago no one would give a second look at this
but they lowered the 'normal' range for glucose in an effort to pick up more diabetics and pre diabetics
the single blood glucose draw is helpful in some cases
but in this case it is normal
I thought diabetes was from 11 mmol/l
Only just, though, right?
Very close to not normal.
the diagnosis of diabetes is not made by serum blood glucose measurements by themselves
it is more complicated than that
if someone has an elevated reading
it is a cause for further testing....
a hemoglobin a1c for example would be the next test to do if your doctor was concerned
Would you be concerned?
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
I would not be at all concerned
not at all
So you would not do the a1c?
And do you consider me prediabetic?
'pre diabetic' is like calling someone 'pre obese'
it doesn't mean that you are gong to develop diabetes
it's a very unhelpful term
I read that over a 10 year period 1 in 2 prediabetic people developed diabetes, versus 1 in 50 normal population
I am really worried
TAKE A LOOK AT THIS LINK TO UNDERSTAND MORE ABOUT HOW ADULT DIABETES IS DIAGNOSED
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
weight loss for these people will often prevent the onset of type 2 diabetes
and you are not obese
so this is something to discuss with your GP
That link says normal is about 5.
but you are falling into the trap of looking at numbers and not the patient
Discuss in what way?
as i said
this is somewhat artificial in that there is no direct link between a single glucose measurement and whether you will develop diabetes
I don't understand why the guidelines seem to vary. I also read this:
A normal blood glucose level is lower than 140 mg/dL (7.8 mmol/L).
i mean discuss with your GP so they can explain in greater detail what I am trying to explain here
because they are guidelines and not rules
Ha! My GP won't spend that long chatting!
That's why I worry about things
the lowering of the standard was somewhat arbitratry
so that they could catch more 'at risk' people
but you do not appear to be one of these people based on your BMI
Do you think I am at risk with a result of 5.5 and a height of 170cm and weight 54kg?
you are not the person this arbitrary lowering of the standard was designed to catch
I would need to see your medical record and maybe a few more labs but based on that info, NO
I do not think that at all
What would you be looking for in my record/labs?
only since you are overly concerned
I would get a hemoglobin a1c and be done
alternatively a glucose tolerance test could be done
previous labs I have are these, but I think they are non-fasting:
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)
my money is that these would both be normal with you
So it is a lot higher than the Sept 2010 one
it's one test
it's not even the right test
it is a screening test
it is not a diagnostic test
the diagnostic tests are the a1c or the glucose tolerance test
chances are if you had another fasting glucose test it would be lower
there is a lot of variability
Well, I did the glucose tolerance in pregnancy and it came back 6.38
it is not a reliable test for diagnosis
unless it is very high indeed
That was 2 years ago though
pregnancy is a different situation
and not relevant to you right now
If it varies so much, maybe it would be higher on another try???
YES! it does vary so much, that is why it's a lousy test for diagnosing diabetes
Now I am even more worried.
I'm not sure why?
Because maybe 5.5 is falsely low.
As you say, the test is unreliable
Maybe I am higher than that
it's unreliable to diagnose diabetes
since you are concerned
and again, I am NOT concerned
you might ask your GP for the glucose tolerance test or the a1c test
She will not do it if the fasting test is normal
That's why I want to know if it's normal or not
you are tying to get information out of these random fasting glucose tests that is simply not there
and theres a reason for that
and it is that you do not have diabetes
Does pregnancy increase or decrease your blood sugar?
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
but not always
Even in the first trimester? I am 6 weeks' pregnant
I got this info:
I'm sorry, we are getting nowhere
AVERAGE BLOOD SUGARS IN NORMAL PREGNANT WOMEN Fasting: 70.9 ± 7.8 mg/dl (3.94 mmol/L ± .43)
I will opt out
Seems like it's even lower in pregnancy according to that.
No need to opt out. I would just like to know if my pregnancy has caused the slightly higher level. Then I am done.
I am really unhappy about how you opted out on me without any warning.
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