Another newbie... with probably another numpty question..sorry!

[Chris Cooper]

As I turned 60 my GP carried out a fasting blood test and a HB1ac test amongst all the other lovely things they do. My fasting blood was 7.5 (taken at 8.30 in the morning) but my Hb1ac was just in the normal range (41)... So they did another Fasting and it was again just over 7 and immediately I was diagnosed as Type 2. I struggled with the diagnosis being done so quickly so bought a meter and tracked my BG for a few days. I get a spike overnight and am about 7 in the mornings (hence the fasting readings), but from 10.30 and to 10.30 PM I'm well below 6 (generally4.4-5 region) I've just had my second Hb1ac and it was 40 and am told they will now only do Hb tests (no more fastings)... which show me to be in the high but non-diabetic range.
No medication is suggested, just diet and exercise - BMI is absolutely fine and they are very happy with my diet and exercise...so I'm told to just carry on as I am.

So given my Hb is within the normal range and I don't need meds or any lifestyle changes...is this a sensible diagnosis - I admit I might be in denial but it just seems wrong and maybe influenced by the cash the GPs get (a touch cynical?).. But now I have to declare it on my Travel Insurance etc which I'm not happy about... any ideas would be truly welcomed.

Many thanks

Chris

 

[HOBIE]

Welcome CC. T2 is very different to T1. T1 your pancreas does not work. T2 it may work a little bit. It sounds like you are doing the right thing doing BG tests. Keep a log of them & show your Dr. Good luck. 🙂

 

[Amigo]

As I turned 60 my GP carried out a fasting blood test and a HB1ac test amongst all the other lovely things they do. My fasting blood was 7.5 (taken at 8.30 in the morning) but my Hb1ac was just in the normal range (41)... So they did another Fasting and it was again just over 7 and immediately I was diagnosed as Type 2. I struggled with the diagnosis being done so quickly so bought a meter and tracked my BG for a few days. I get a spike overnight and am about 7 in the mornings (hence the fasting readings), but from 10.30 and to 10.30 PM I'm well below 6 (generally4.4-5 region) I've just had my second Hb1ac and it was 40 and am told they will now only do Hb tests (no more fastings)... which show me to be in the high but non-diabetic range.
No medication is suggested, just diet and exercise - BMI is absolutely fine and they are very happy with my diet and exercise...so I'm told to just carry on as I am.

So given my Hb is within the normal range and I don't need meds or any lifestyle changes...is this a sensible diagnosis - I admit I might be in denial but it just seems wrong and maybe influenced by the cash the GPs get (a touch cynical?).. But now I have to declare it on my Travel Insurance etc which I'm not happy about... any ideas would be truly welcomed.

Many thanks

Chris

Chris, on the basis of the Hba1c which tends to be the definitive diagnostic test now, you’ve never actually registered in the 48 diabetic range. A Hb of 41 actually puts you outside of the pre-diabetic range.

In truth, on the basis of these figures, my GP would never have registered me as diabetic. Certainly if you keep your Hba1c’s at 41 and under, this isn’t even in pre-diabetic range.
Your testing levels sound good though 7 is a slightly high waking figure.

My advice would be to keep doing what you’re doing and work towards being taken off the Diabetic Register. We have members who have been but it usually takes a few levels in the mid/high 30’s before the GP is convinced (if ever).

You’re doing ok and you’re control and other factors are good. That’s the main thing to avoid complications.

I agree your GP was quick off the mark with his diagnosis. Your questions certainly aren’t numpty at all, they’re very sensible and appropriate!