Can anyone explain what these readings mean

[Darren w]

: hba1c mmol/mol (8.0)
Total colestoral 1.49 , triglycerides 1.1,
Creatinine 56 (eGFR greater than 90)

 

[everydayupsanddowns]

: hba1c mmol/mol (8.0)
Total colestoral 1.49 , triglycerides 1.1,
Creatinine 56 (eGFR greater than 90)

Can't interpret the Creatinine figure - though that is a check on kidney function

The A1c is a mixed bag, because the figure is %, but the units are given as mmol/mol.

8% (old style figure) is roughly equivalent to 64mmol/mol and represents 'could do slightly better, but not a disaster' control - IMO you would want to be aiming for less than 7.0% preferably less than 6.5% if you can manage that without too many hypos

Cholesterol is a bit of a minefield - was it a fasting test? (if not then it's difficult to be clear as various components of your lipid panel might be elevated after eating). T chol figure is *very* low in my limited experience, but the trigs are higher than I would like to see personally, though they do sneak under the 1.69 suggested in the UK (and more stringent 1.12 in the US). It would be easier to interpret if you also had the HDL/LDL split, but if that were my fig I'd want those trigs to be down quite a bit (trigs/HDL ratio is a pretty good indicator of CVD risk it seems from some research).

 

[Mark T]

: hba1c mmol/mol (8.0)
Total colestoral 1.49 , triglycerides 1.1,
Creatinine 56 (eGFR greater than 90)

Of course, I'm not a medical doctor, but I can tell you what I know.

The HbA1c is your average blood glucose measurement over the last 2-3 months. I'm assuming the 8.0 is 8.0% (or 64 mmol/mol). Since the target is 6.5% (48 mmol/mol) that's obviously a bit higher then you would want. But Rome wasn't built in a day and it will take time for medication/diet/etc to start bringing that down.

Wiki says that triglycerides less then 1.7 mmol/L (assuming units here) - so you look ok here. Cholesterol and triglycerides are associated with heart attacks I believe. Although there are lots of discussions about it being high blood glucose and cholesterol which is the problem not cholesterol by itself. But there are others that know much more then I do

Creatine is a measurement of if you have any kidney damage (high sugars will damage your kidneys over time) and I believe the numbers you posted there are also good - but someone would have to dig out the proper reference for you.

 

[Darren w]

I still have no idea lol . They told me that when I was first diagnosed I was at 11 now at 8 so I think that is a good thing

 

[Mark T]

Can't interpret the Creatinine figure - though that is a check on kidney function...

This is a link to what I had bookmarked for creatine: http://www.renal.org/whatwedo/InformationResources/CKDeGUIDE/CKDstages.aspx

Basically eGFR of 90+ is normal.

 

[LeeLee]

Much better, well done! 🙂

 

[everydayupsanddowns]

Thanks Mark! Very useful 🙂

 

[Mark T]

I still have no idea lol . They told me that when I was first diagnosed I was at 11 now at 8 so I think that is a good thing

Yep, 11 down to 8 is excellent - well done! Onwards and downwards!

But to put it into perspective, in the Gretchen Becker "Type 2" book there is a table which lists cumulative risk of retinopathy based on HbA1c - i.e., the chance of going blind.

• At an HbA1c of 11% at year 11 the risk is stated as 100%

• At an HbA1c of 8% at year 11 the risk is now 19%

• At an HbA1c of 6% at year 11 the risk is 2%

There are similar tables to be found for HbA1c vs. heart attack risk.

That's not to say that you should kill yourself trying to achieve a sub 6% HbA1c (that sort of defeats the purpose) but it's worth trying to achieve the best that you can!

 

[Darren w]

I'm sure ill get the hang of it soon 🙂

 

[Aoife]

Normal creatinine is 60-110, but this can vary depending on your size, a 40kg woman with a creatinine of 110 would probably be considered to have some degree of renal impairment. A low creatinine is fairly insignificant, it normally means that you just have very efficient kidneys but can be from a loss in muscle mass (for example if some one is on bed rest) or from a low protein diet.

 

[trophywench]

The Total Cholesterol surely can't be right?

I mean your Total Chol isn't simply adding up the values of the 3 components, it's quite a complicated sum - but I've never heard of anyone having a total THAT low.

NHS Choices says

The government recommends that total cholesterol levels for healthy adults should be 5mmol/L or less, with levels of low-density lipoprotein (LDL) being 3mmol/L or less.

Adults at high risk are defined as those with existing heart disease, high blood pressure (hypertension), diabetes or those with a family history of early heart disease. Those at high risk should have a total cholesterol level of 4mmol/L or less, with levels of LDL being 2mmol/L or less.

http://www.nhs.uk/Conditions/Cholesterol/Pages/Diagnosis.aspx

The jury's out a bit on the LDL because as mentioned the ratios between the components are important too as there is good LDL and bad LDL just to confuse the issue even more. But LDL is ESSENTIAL because it's the thing that facilitates tthe body to mend your brain whilst you are sleeping ! You know, sort the tangled and frayed wiring out and restore all the connections? What's the word ... synapses !