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Diagnosis

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M

Mandrake

New Member
Relationship to Diabetes
Type 2
Hi All
Bit shocked after my last trip to docs 4 weeks ago and I'm looking for advice. I was given a diagnosis of diabetes type 2 with a one off fasting of 7.2 or 56mm. i asked her was that correct after only 1 test? has anyone else had a diagnosis after 1 test when there were no other symptoms. She didnt prescribe me anything and has signed me up to the eyecare, feet care & classes. Advising me to also tell all my insurance companies, while i was at it i should also consider statins. She asking me to come back in 3 months to see if i had made changes. Yes Im a little overweight unfortunately round the middle so the 2 would match up. Since 4 weeks ago however im determined to reverse that diagnosis, and have lost a stone so far, exercise every day - yes even during lock down. i would like another stone off. Im doing this by following michael moseley diet (no carbs no sugar) or similar to keto.
I also bought a BGC machine to test at home and all my random readings, so morning, hungry, after exercise, 2hrs after eating have all been between 5 & the after eating ones go to 8.1. the average being 5.6.
Can anyone elses experience advise me on the diagnosis off of one test, how likely is it that i can get that diagnosis reversed? If my next couple of Hb1ac show a reduction, and what should my Hb1ac be to be considered normal again?
sorry for all the Q's.
 
Last edited:
Mandrake said:
Hi All
Bit shocked after my last trip to docs 4 weeks ago and I'm looking for advice. I was given a diagnosis of diabetes type 2 with a one off fasting of 7.2 or 58mm. i asked her was that correct after only 1 test? has anyone else had a diagnosis after 1 test when there were no other symptoms. She didnt prescribe me anything and has signed me up to the eyecare, feet care & classes. Advising me to also tell all my insurance companies, while i was at it i should also consider statins. She asking me to come back in 3 months to see if i had made changes. Yes Im a little overweight unfortunately round the middle so the 2 would match up. Since 4 weeks ago however im determined to reverse that diagnosis, and have lost a stone so far, exercise every day - yes even during lock down. i would like another stone off. Im doing this by following michael moseley diet (no carbs no sugar) or similar to keto.
I also bought a BGC machine to test at home and all my random readings, so morning, hungry, after exercise, 2hrs after eating have all been between 5 & the after eating ones go to 8.1. the average being 5.6.
Can anyone elses experience advise me on the diagnosis off of one test, how likely is it that i can get that diagnosis reversed? If my next couple of Hb1ac show a reduction, and what should my Hb1ac be to be considered normal again?
sorry for all the Q's.
Click to expand...

Hello @Mandrake

Sounds like you’ve made great progress so far, and the pre- and post-meal results you are sharing sound excellent. Congratulations on the weight loss and increased activity too - both will do wonders for your insulin sensitivity and BG management.

The check you have been given looks likely to be an HbA1c - where 78mmol/mol is equivalent to the old style reporting of 7.5%.

HbA1c is a measure of glucose levels in the blood over 3-4 months, so while it only looks like 1 result, there’s a lot of information crammed into that one number. It doesn’t need to be ‘fasting’ as what it measures is not immediately affected by BG at one moment - so it’s quite different to a fasting fingerstick capillary glucose check, which only shows a snapshot of one moment in time.

HbA1c measures how red blood cells have been changed by glucose in the blood. Over time glucose sticks to red blood cells, and the more glucose in the bloodstream the more red blood cells are changed and become ‘glycosylated’. Since red blood cells live for around 120 days, you can use this one measurement to understand glucose concentrations in the blood over the previous 3-4 months, so it’s a very useful diagnostic check, as it is less affected by one-off or short-lived glucose variations.

An HbA1c of 48mmol/mol is the cut-off for a diagnosis of diabetes, and people diagnosed with diabetes who can maintain an HbA1c below 48mmol/mol with no diabetes medication are sometimes describes as ‘in remission’.

Hope that helps 🙂
 
Last edited:
everydayupsanddowns said:
58mmol/mol is the cut-off for a diagnosis of diabetes, and people diagnosed with diabetes who can maintain an HbA1c below 58mmol/mol with no diabetes medication are sometimes describes as ‘in remission’.
Click to expand...
Do you mean 48 Mike? (6.5% in 'old money')
 
I'm pretty sure she said my Hb1ac was 7.2 or IFCC 56 - would that be right?
Is it confirmed after 1 test?
 
That sounds right. This calculator suggests 56mmol/mol = 7.3%

HbA1c Calculator

www.hba1cnet.com www.hba1cnet.com

And yes, aside from lab errors, HbA1c only needs to be taken once. It would usually not be rechecked for 3-6 months at the earliest.
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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