High hemoglobin A1C levels and glucose levels?!


Question: High hemoglobin A1C levels and glucose levels?
I'm a little freaked out. I went to the doctor and got my blood tests, everything was normal except glucose fasting so she sent me in for another test the same morning.. .So 1)I went in for the second test (a hemoglobin a1c test) and she didn't mark it as fasting, she said I could of eaten that morning but I hadn't and all night (so that kinda is fasting) so should I get another test after I've eaten a meal?) for the a1c test to see the real results?
First test glucose:
My result: 101 Normal: 70-99

Second test Hemoglobin A1C:
My result: 5.4 Normal: 4.8 - 5.9

I don't know, even though it says normal I didn't have breakfast that morning so maybe it isn't normal? Also is this high for my age? I am only 19 years old, I am 5'7 and weigh 136 lbs. I think I'm slender with a little bit of weight on. I don't exercise really at all, kinda lazy, and I eat a lot of sweets (like candy!!!)...
Should I go in for another test? Im scared. Is this considered hyperglycemia? I do get anxious a lot, I feel like I get tingly sometimes too. Or maybe this is just nerves. Or when I try to fall asleep sometimes I fan feel my heartbeat jump really fast in a vein in my arm or neck or foot. Really weird. It could be anxiety which I do have a lot of.

I also just found this...

Hypoglycemia A1c Normal
Health Encyclopedia: Hb A1c
HbA1c
Overview
Risks
Prevention
Alternative Names
Glycosylated hemoglobin; Hemoglobin - glycosylated; A1C; GHb; Glycohemoglobin; Diabetic control index

Normal Values
HbA1c is normal if it is 5% or less. Normal ranges may vary slightly depending on the laboratory used.--------------> But this is HYPO not HYPER glycemia so idk)...

I also think my doctor said if I have over 5.1% it is high for my age... She may be right since normal is less than 5.9%... Agh! And this is w/o eating before the test. so maybe its messed up

Answers:

Best Answer - Chosen by Voters

Relax , Lily.

A1c
A truly normal A1c is between 4.6% and 5.4%

A1cs are not as good a measure of actual blood sugar control in individuals as they are for groups. An A1c of 5.1% maps to an average blood sugar of 100 mg/dl (5.6 mmol/L) or less when group statistics are analyzed, but normal variations in how our red blood cells work make the A1cs of truly normal individuals fall into a wider range.

Some people's A1cs are always a bit higher than their measured blood sugars would predict. Some are always lower. NOTE: If you are anemic your A1c will read much lower than your actual blood sugars and the resulting A1c is not a useful gauge of your actual blood sugar control.

An HBA1C is for a average over a 2 to 3 month period.
But there is a monkey wrench in the Fasting test.
Normal Fasting Blood Sugar
A normal fasting blood sugar (which is also the blood sugar a normal person will see right before a meal) is:

83 mg/dl (4.6 mmol/L) or less.

Many normal people have fasting blood sugars in the mid and high 70 mg/dl (3.9 mmol/L) range.

Though most doctors will tell you any fasting blood sugar under 100 mg/dl (5.6 mmol/L) is "normal", there are several studies that suggest that testing with a fasting blood sugar in the mid 90 mg/dl (5 mmol/L) range often predicts diabetes that is diagnosed a decade later.

So what you need to do is start a new lifestyle . A low glycemic index diet. No carb counting.
http://www.mendosa.com/gilists.htm

And daily exercise . Walking is fine , but nordic walking is great. Google it . It even has videos to show you how. I use plain ol' wooden sticks.

Start today
Good luck

TIN



Trust me, your fine.Looks like in thte next few years you'll still be the eact same.



the Hb A1c test measures the average of your blood glucose for a 2-3 month period. What you eat the day of the test (or not) has no measurable effect on it.

As the body makes hemoglobin, a certain percent of the proteins trap a glucose molecule in them. The higher your blood glucose is at any time, the more likely that a hemoglobin traps a glucose. The A1c test measures what percent of your hemoglobin has a trapped glucose.

Because the hemoglobin proteins last for a number of weeks, the test results can be used to determine a good approximation of what your blood glucose was on average for 2-3 months.

There's no need to retake the test. The results are valid if you're fasting, or if you'd just downed a stack of pancakes.

diabetic for five + years



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