Interpreting #s - Need Experienced Help
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| Mon, 11-10-2008 - 12:17pm |
IF you really know what you're talking about here: I'd appreciate your advice on this:
I'm in touch with my doctor, and she says I am pre-diabetic, but not officially diabetic ---- yet I hear the ADA would qualify me as diabetic from these scores. If I REALLY need to get SERIOUS - than I need to know.
Over the last 2 years, I've had several Glucose Tolerance & A1C tests...... I don't have all the numbers, but I do know these ---- Should I be ALARMED???
A1C has gone from 4.8 to the most recent 5.5 ---- always the results are within this range.
2 years back my fasting glucose scores were: Fasting 94 & 2 hours out 164. (I don't have the 1 hr figure).
& I dont' have the scores of tests in betw. this first & latest glucose tests, but they ranged about 150 or so.
Last wek, I had a fasting glucose & my scores are: Fasting 94 & (1 hour out is 189) & 2 hours out 186.
These sound HORRIBLE to me ---- yet my doctor doesn't seem too worried -----
Should I definitely get a 2nd opinion from another doctor?
NOW, I DO know I need to lose about 20 lbs. And I HATE to exercise, so I have not kept it up the last 2 years as well as I did to begin with -- in fact, now, I don't really exercise at all......
My Cholesterol last week is 214 --- which is higher than I've ever known it to be........
And my HDL 54 & LDL 135 ---- not sure what those mean.....
I THINK I eat fairly well fatwise --- but I do not totally avoid sugar - maybe I should!?
I'd appreciate an honest opinion. THANKS.

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You said your latest a1c was 5.5.
Yes, 5.5 - like last week.
But then - i also ask ----
HOW COULD my A1C be within the "good range" - if my other #s can get way outta whack?
Obviously, I must not totally understand what it means......
I am thinking you must be having some lows too....
Very, very rare ---- I feel that, ya know, "low blood sugar" feeling -----
Lately, however, I notice my fingers tingling at times --- as of yet, I don't realize a connection, but it doesn't seem to be during low times ----
Matter of fact, I just ate lunch here - veggie soup, few saltines ---- & my fingertips are tingling a little now.
Also - one time I recall them tingling - was last week - during the glucose test.....which woulda been a high sugar time.
I'm guessing the tingling both sides MIGHT be due to all this --- but it may have no relation?
thanks.
A1C is an average of the last 3 months roughly. What happens is that excess glucose in your blood stream sticks to the red blood cells. The lifespan of a single red blood cell is about 3 months. If MOST of the time, your numbers are good, then you'll likely have a reasonable A1C even if you have occasional high readings (and/or occasional low readings). The tests you do with your meter are like snapshots of that precise instant.
Diagnosis of diabetes is when two fasting serum glucose readings are over 126.
If you're "pre-diabetic" then exercise and controlling carbs, along with any weight loss as needed (just 5%-10% of current weight can be enough to keep things in control) can postpone things indefinitely.
--Deb
Your A1C is wonderful and not in diagnostic range. Your fasting is wonderful and not in diagnostic range. Your glucose tolerance is a little elevated which would rate you the diagnosis of impaired glucose tolerance. But they are not high enough to rate you a diagnosis of diabetic. Your cholesterol is elevated as well as your LDL. But your HDL is wonderful.
So what do you need to do, in my humble opinion? You need to exercise, lost the 20# that you said you need to lose and continue to be monitored on probably an annual basis. Because if you don't get your weight as close to normal as possible, you will become diabetic down the road. At this point you can still prevent it by exercising, eating right and getting your weight as close to normal as possible.
Please remember I am not a physician and any advise I may give is not a substitute for seeking medical advise from a health care practitioner of your choice.
Thank you -
YAY ME ---
I DID get up this morn & get on that Elliptical for 30 min. I didn't like it much at all - but I do feel GREAT - once I got in that shower.
An egg (1/2 yolk) this morn - w/about 8 oz oatmeal & skim milk --- just a touch of br.sugar.
32 oz water down already by noon.
Had 1/2 banana for mid morn snack.
Ah - now on to lunch - ????????
Oh - and I am going to go see an endocrinologist this or next week to talk to him about all this. YES< 2 of the #s seem fine - diabetically. It's the TOLERANCE processing of that syrup that is alarming - at least to me.
I've never had GREAT cholesterol --- but I've never known it to be higher than 185 or so.
So if the 3 tbls doubles when cooked, that'd be just a sight over 1/3 cup of oatmeal when it's done cooking. Thanks for the info, next time I want oatmeal, I'll try it and see. Still seems really small.
--Deb
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