ANY NURSES/ DOCTORS help?!


Question: I have asked already I know but my friends mom told me again today that I should get it rechecked...my blood sugar was 99 fasting 12 hours and 5.4 A1C....Is this ok or should I get checked for diabetes again?


Answers: I have asked already I know but my friends mom told me again today that I should get it rechecked...my blood sugar was 99 fasting 12 hours and 5.4 A1C....Is this ok or should I get checked for diabetes again?

nope, you're good.

Ideally, we want to see your fasting blood sugar between 70-120, and for a1c 4-5.9. So, yes, your results are okay. Make sure you keep your log updated though.

Each laboratory establishes its own normal range for the tests that it performs, based upon the equipment used to perform testing and the patient population it serves. If you take a look at your laboratory report, you should see the normal range printed right next to your laboratory result. If your A1C is within normal range, then you're OK for now.

However, keep in mind that diabetes is a progressive disease that develops over the course of many years. If you're young now and your A1C is at the upper end of normal, you might want to consider changing your diet to stop the progress of this disease, especially if it runs in your family.

You need to curtail the amount of carbohydrates in your diet, especially sugar in any form. If you do this, I think you'll see a nice drop in the A1C.

Added: I have to disagree that a GTT is the best tool to diagnose diabetes. You should go the ADA site for further information, but the following is an excerpt from a laboratory GTT procedure I wrote, using information obtained from the ADA:

"Expected results. The American Diabetic Association no longer recommends this test (GTT) to diagnose diabetes or hypoglycemia. The Association has published new recommended criteria - a diagnosis of diabetes can be detected by any one of three positive tests. Confirmation can be made by a second positive test on a different day.

1. Random glucose of 200 mg/dl or greater when symptoms of diabetes are present.

2. Fasting glucose of 126 mg/dl or greater.

3. An oral GTT glucose of 200 mg/dl or greater at the two-hour interval." NOTE: This is otherwise known as a two hour post prandial glucose.

The reason the GTT is no longer recommended is that it is highly subject to error, is expensive, is stressful to the patient, and is simply not needed for a definitive diagnosis of diabetes. Once a patient is diagnosed with diabetes, the physician will order an A1C approximately every three months to monitor a patient's average blood sugar and the patient's compliance with the treatment plan.

It's unclear to me as to whether or not your doctor has already diagnosed you as diabetic, but if he has, then, based upon the numbers you gave, I would say you are very effectively controlling your diabetes.

huh?

You are fine. Your levels are within range and I can see no evidence of diabetes (based on the levels you mentioned).

However, a single blood test result is not an effective way to diagnose diabetes. An oral glucose tolerance test is the best way. If you feel the need to be retested, ask your doctor about this test.

EMT





The consumer health information on answer-health.com is for informational purposes only and is not a substitute for medical advice or treatment for any medical conditions.
The answer content post by the user, if contains the copyright content please contact us, we will immediately remove it.
Copyright © 2007-2011 answer-health.com -   Terms of Use -   Contact us

Health Categories