Hello and Prediabetes/Risk Concerns

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WillUk

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At risk of diabetes
My name is Will, i'm 27 in the UK. I suffer from Health Anxiety and have done particularly around Diabetes for many years.

I recently had a lot of concern I might be developing the condition (in July) and so asked to speak to my Doctor who let me have an HBA1c test performed. I've had these several times over the years and have always been told the results were "normal" though I forget the specific numbers. The test in July came back as 36 or 5.4%. At the time, the Dr told me this was nothing concerning, though losing weight would be a good idea (i've struggled with weight loss for all of my 20's). I was over 18 stone at the time this test was done, I have since lost weight (2 stone total as of today!). Also maybe worth noting I dug out my test result from July 2018 which was 34, so similar, though this was slightly higher (though I was in better shape then).

Last night I had another anxiety attack about the condition again. Looking up on the internet suggested that although in the UK we use 6.0% as a marker for diagnosing Prediabetes, it seems in other countries it can be lower (5.7 in the US, some places even say 5.5). This caused me to have a full blown panic, as it made me feel I could well actually be prediabetic (or at least VERY close). I know it's a complex condition which is why these numbers vary and I know i've not had a concrete diagnosis but any help would be appreciated.

I don't have any close family members with type 2 (my grandmother does, but only developed it in her 80's, that's it) and am white and relatively young (though obviously still Obese, though hopefully not for long...). I went to the surgery today to collect meds and asked for a printout from those results and noticed the Dr had written on it "Review patient's personal risk and treat as 'high diabetes risk' as clinically indicated". This has got me more worried, as the Dr didn't mention this at all, but seems to confirm my worry that I am very close to prediabetic and it could happen any time.

My main question is this, should I just keep trying to lose weight as I am (which involves LOWER carbs but still having them, for example small amounts of potatoes, rice, etc) or should I immediately switch to low/null carb? I am going to talk to the doctors on monday but I know i'm going to be terribly anxious all weekend. Is it worth getting another HBA1c soon? Will my weight loss have helped with that?

Thanks everyone in advance
 
I suspect that the doctor simply doesn't understand diabetes. Unless there are some indications not in the information you have given, of course. You don't mention any symptoms, other than being worried about your health - which I suppose everyone is at the moment.
If you did have diabetes - presumably type two, I'd advise eating lots of salads, stir fries, roasted low carb veges and some fruits - berries are the best choice. Personally I don't eat small amounts of high carb foods because they are so bland and boring by comparison. Eating to sort out type two is all about steak, or chops or chicken, and lots of tasty veges, followed by sugar free jelly, cream, berries, or Greek yoghurt. It is also a great way to lose weight - you might find Dr Atkins New Diet Revolution interesting and helpful, and it might make you feel better - and stop you doctor writing silly things on your results. People with perfectly normal Hba1c results can't be at risk of diabetes - can they?
 
I suspect that the doctor simply doesn't understand diabetes. Unless there are some indications not in the information you have given, of course. You don't mention any symptoms, other than being worried about your health - which I suppose everyone is at the moment.
If you did have diabetes - presumably type two, I'd advise eating lots of salads, stir fries, roasted low carb veges and some fruits - berries are the best choice. Personally I don't eat small amounts of high carb foods because they are so bland and boring by comparison. Eating to sort out type two is all about steak, or chops or chicken, and lots of tasty veges, followed by sugar free jelly, cream, berries, or Greek yoghurt. It is also a great way to lose weight - you might find Dr Atkins New Diet Revolution interesting and helpful, and it might make you feel better - and stop you doctor writing silly things on your results. People with perfectly normal Hba1c results can't be at risk of diabetes - can they?
I appreciate you getting back to me. I have already been on a diet but am planning to lower my carb intake. I suppose my worry is clearly that this is on the higher end of an HbA1C result and it does concern me that I must be heading that way, as I understand diabetes being more of a slope than specific "checkpoints" if that makes sense. I don't have any symptoms as far as I'm aware. It could be a combo of this relatively high hba1c with my grandmother having it and my weight, though obviously I've lost since then. I'm just really scared, been a bad day
 
I appreciate you getting back to me. I have already been on a diet but am planning to lower my carb intake. I suppose my worry is clearly that this is on the higher end of an HbA1C result and it does concern me that I must be heading that way, as I understand diabetes being more of a slope than specific "checkpoints" if that makes sense.
Actually it is no such thing - you do not have a high Hba1c result.
 
Hi @WillUk and welcome to the forum.

A HbA1c of 36 is well below any level that would suggest you have a problem with diabetes and explains why your GP was unconcerned. Is there something other than the HbA1c result that is triggering your anxiety about diabetes?
 
I can't see anything for you to worry about, to be honest. If you use a low carb diet to lose weight then you will be getting a double benefit - but with Hba1c absolutely normal you doctor's comments really do seem over the top.
 
Hi @WillUk and welcome to the forum.

A HbA1c of 36 is well below any level that would suggest you have a problem with diabetes and explains why your GP was unconcerned. Is there something other than the HbA1c result that is triggering your anxiety about diabetes?
But that's what confused me, because he put that entry on my file "Review patient's personal risk and treat as 'high diabetes risk' as clinically indicated". I'm going to speak to the doctor on mo day so hopefully he can clarify. Thanks for commenting
 
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Hi @WillUk and welcome to the forum.

A HbA1c of 36 is well below any level that would suggest you have a problem with diabetes and explains why your GP was unconcerned. Is there something other than the HbA1c result that is triggering your anxiety about diabetes?
Thanks for commenting,

I suppose not, no. I do have health anxiety and its just come on I suppose. I'm hoping that the 2 stone loss I've made since this test has helped a lot too, that would help my anxiety a lot.
 
Could the risk factor they are referring to your weight?
I suppose that's possible, but I've been at this practice for nearly 2 years and been this weight ( well the weight I was then) for most of that time so seems weird there. The implication I got is this is directly related to the result as its added directly to the test results printout. It seems weird they wouldn't tell me though.
 
I suppose that's possible, but I've been at this practice for nearly 2 years and been this weight ( well the weight I was then) for most of that time so seems weird there. The implication I got is this is directly related to the result as its added directly to the test results printout. It seems weird they wouldn't tell me though.
You need to speak to your Doctor if you are concerned.
 
You need to speak to your Doctor if you are concerned.
Yeah I will be talking to him on Monday. Hopefully some light can be shed. Thanks for the help. I'm hoping I can just continue losing weight and I should be OK but who knows
 
The scale on which the UK measures HbA1c, indicates that a level of 48 and above = diabetes. Between 42 and 47 = pre-diabetes and under 42 indicates non diabetic and no risk of it according to how much excess glucose has stuck to your haemoglobin - ie none has which seems ti rather indicate that there isn't any excess glucose in your bloodstream.

However - I do not have a single medical qualification hence it's just my rather ancient common sense telling me this. I have managed to survive OK so far whilst relying on it, anyway. Sincerely hope it works the same for you!
 
The scale on which the UK measures HbA1c, indicates that a level of 48 and above = diabetes. Between 42 and 47 = pre-diabetes and under 42 indicates non diabetic and no risk of it according to how much excess glucose has stuck to your haemoglobin - ie none has which seems ti rather indicate that there isn't any excess glucose in your bloodstream.

However - I do not have a single medical qualification hence it's just my rather ancient common sense telling me this. I have managed to survive OK so far whilst relying on it, anyway. Sincerely hope it works the same for you!
Thanks for taking the time to reply. I do agree that this is what the UK medical associations suggest, but from what I've seen it's different depending on the country and its more of a scale than a specific number. I worry that I could indeed have raised glucose impairment or similar and be on my way to diabetes. Thank you though
 
Welcome to the forum @WillUk

Sorry to hear about your health anxiety, this must make things very difficult for you, and I can imaging Googling health conditions must be very troubling, because of course the internet will be full of doom and gloom.

It’s good that you are able to recognise that your anxiety is affecting the way you are able to filter the information you are receiving, and meaning that you are focussing-in on any information that reinforces your worries. Anxiety is an absolute swine like that :(

But of course anxiety about something, and risk of that same thing are not always in balance.

Your family history and your current HbA1c appear to show low risk of T2, and reducing your weight will be helping a great deal. Reducing weight, particularly around your middle, will help your metabolism and your organs work properly, and reduce your risk of T2 along with a host of other possible health concerns. Losing 2 stones is tremendous - so keep at it.

There seems no need for you to make any urgent and dramatic changes (these can cause more issues than they fix!), but rather to aim for gradual and sustained weight loss towards your target weight

Good luck
 
Welcome to the forum @WillUk

Sorry to hear about your health anxiety, this must make things very difficult for you, and I can imaging Googling health conditions must be very troubling, because of course the internet will be full of doom and gloom.

It’s good that you are able to recognise that your anxiety is affecting the way you are able to filter the information you are receiving, and meaning that you are focussing-in on any information that reinforces your worries. Anxiety is an absolute swine like that :(

But of course anxiety about something, and risk of that same thing are not always in balance.

Your family history and your current HbA1c appear to show low risk of T2, and reducing your weight will be helping a great deal. Reducing weight, particularly around your middle, will help your metabolism and your organs work properly, and reduce your risk of T2 along with a host of other possible health concerns. Losing 2 stones is tremendous - so keep at it.

There seems no need for you to make any urgent and dramatic changes (these can cause more issues than they fix!), but rather to aim for gradual and sustained weight loss towards your target weight

Good luck
Good morning,

Thanks for this message. I appreciate it, and hope you're correct! I'm hoping the doctor will say something similar tomorrow, everything you've said sounds right, but it's just that note from the doctor on the result that scares me now.

I spent most of yesterday thinking that my dry hands and cold feet were symptoms of diabetes and that I had some numbness in some of my toes (which I have had for a long time, I think it might be raynauds as my mum and brother have it too). Just not nice, trying to stop myself from hyper fixating.

I rely appreciate the reply, I'll let you know what the doctor says tomorrow
 
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