Fasting morning Glucose = 177 & Hgb A1c% = 5.3%

[SFO94114]

Hi,

Does this mean diabetes, prediabetes, or ... need more info...?

Hgb A1c% has been between 5.4% and 5.3% every 6 months for last two years.

Glucose Fasting (morning readings) has been between 155 and 177 every 6 months for last two years.

Cardiologist says all is well because of A1c% normalcy, and that high fasting glucose is probably due to Glycogenolysis. He says glycogenolysis is not able to be further tested, confirmed or explained meaningfully.

Thank you

 

[Amigo]

Hi,

Does this mean diabetes, prediabetes, or ... need more info...?

Hgb A1c% has been between 5.4% and 5.3% every 6 months for last two years.

Glucose Fasting (morning readings) has been between 155 and 177 every 6 months for last two years.

Cardiologist says all is well because of A1c% normalcy, and that high fasting glucose is probably due to Glycogenolysis. He says glycogenolysis is not able to be further tested, confirmed or explained meaningfully.

Thank you

Your Hba1c results are well outside of diabetic levels but waking glucose fastings a little high at approx 8.5 - 9.5 (are you from the States?). Clearly you must be levelling out massively as the day progresses to achieve a Hb of 36.
You need to be guided by your specialist really but in honesty I've never heard of Glycogenolysis. You must however have had cardiac problems to be seeing him.
The high morning spikes would concern me but it's hard to know what biological processes are at play causing them though it sounds like the scientific name for the Dawn Phenomenon many of us experience. Have you considered daily home testing to see what's really happening?

 

[Robin]

Your Hba1c results are well outside of diabetic levels but waking glucose fastings a little high at approx 8.5 - 9.5 (are you from the States?). Clearly you must be levelling out massively as the day progresses to achieve a Hb of 36.
You need to be guided by your specialist really but in honesty I've never heard of Glycogenolysis. You must however have had cardiac problems to be seeing him.
The high morning spikes would concern me but it's hard to know what biological processes are at play causing them. Have you considered daily home testing to see what's really happening?

I just googled Glycogenolysis. It's just the scientific name for how the body breaks down glycogen released by the liver, into useable glucose. It wouldn't normally make your blood glucose rise, because it would be counterbalanced by the release of insulin, so I would assume there must be some imbalance here, and not enough insulin is being produced to mop up what the liver is pumping out ( as it usually does) from 3am onwards to gear up the body for the day ahead.
In other words, a Dawn Phenomenon problem, quite often seen in all types of people with diabetes. Agree, the rest of the day must be levelling out to keep the HbA1c down.

 

[Martin Canty]

You could try testing before & 2 hours after a meal, see what the levels are there
Admittedly FBG in the 170 range is a little high but A1c in the 5% range is not classed as diabetic