Prediabetes or not?

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bento72

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At risk of diabetes
Hi all. I recently had a course of antibiotics for an infection and routine bloods revealed HbA1c of 42mmol. During during the antibiotics course I developed thrush on my tongue but also had short periods of dizziness which I attributed to the abx. I have finished the abx but still have the coated tongue and occasional dizziness and wake up at night with fast heart rate. I can't get an appointment with a professional for a week but am anxious about what I should do about symptoms. I don't know whether I am prediabetes and these symptoms are related to something else or these symptoms suggest I have already developed the condition. Thanks for listening.
 
Welcome @bento72 🙂 Antibiotics are notorious for causing thrush unfortunately. I’d visit a pharmacist and see if you can get something to clear it up. You could also give your GP surgery a ring and ask for feedback re your HbA1C, eg are they going to repeat it.

The fast heart-rate could be caused by a number of things. If it persists, I’d get some medical input about that too.

Here’s some information about prediabetes:

https://www.diabetes.org.uk/diabetes-the-basics/types-of-diabetes/type-2/prediabetes

You can reduce your risk of developing diabetes by making some lifestyle changes.
 
Welcome to the forum @bento72

Increased heart rate isn’t one of the common symptoms of emerging diabetes.

Sounds like it would be worth following up with your GP, and perhaps getting a repeat HbA1c to see whether it was your illness/infection that was raising your glucose levels for a short while, or whether it’s more of a long-term trend?

If your GP practice offers an e-consult service that can save you having to fight your way through the appointments system.

Is there any diabetes in your close family?
 
You should be able to get something from the pharmacy for your mouth thrush. I only have to have 1 penicillin based antibiotic to give me thrush so avoid them.
The infection could have pushed your HbA1C just into the prediabetes zone but probably still worth watching how much sugary and high carb foods you have as that will exacerbate the oral yeast infection.
But a follow up with your GP would be a good idea.
 
Hello, I'm 69 and have been diagnosed with prediabetes for the last 4 years, my HbA1C is 40. I am careful about what I eat which is mainly fish and veg or meat (chicken/turkey) and veg. I also go to a gym 3 times a week - a combination of cardio & weights. I currently weigh between 8 stones 3 lbs - 8 stone 5 lbs. I am 5 feet 2. I have a blood test every 3 months but my surgery doesn't contact me unless there's a problem so I have to request the results, very annoying.
 
Congrats @Tilly6364 an HbA1C is just on the normal side of pre-diabetes, so currently you aren't pre-diabetic.
Keep up the good work.
 
Welcome to the forum @bento72

Increased heart rate isn’t one of the common symptoms of emerging diabetes.

Sounds like it would be worth following up with your GP, and perhaps getting a repeat HbA1c to see whether it was your illness/infection that was raising your glucose levels for a short while, or whether it’s more of a long-term trend?

If your GP practice offers an e-consult service that can save you having to fight your way through the appointments system.

Is there any diabetes in your close family?
Hi - no diabetes in immediate family though no info available on paternal side. I will ask plenty of questions with nurse next week. Thanks for your reply
 
You should be able to get something from the pharmacy for your mouth thrush. I only have to have 1 penicillin based antibiotic to give me thrush so avoid them.
The infection could have pushed your HbA1C just into the prediabetes zone but probably still worth watching how much sugary and high carb foods you have as that will exacerbate the oral yeast infection.
But a follow up with your GP would be a good idea.
Hi - thanks for your reply. I too thought it may have been abx that has nudged up the results. Will now be very conscious of what to eat / not eat. Will discuss the symptoms with nurse next week.
 
Hello, I'm 69 and have been diagnosed with prediabetes for the last 4 years, my HbA1C is 40. I am careful about what I eat which is mainly fish and veg or meat (chicken/turkey) and veg. I also go to a gym 3 times a week - a combination of cardio & weights. I currently weigh between 8 stones 3 lbs - 8 stone 5 lbs. I am 5 feet 2. I have a blood test every 3 months but my surgery doesn't contact me unless there's a problem so I have to request the results, very annoying.
Hi @Tilly6364 - reassuring to hear you are keeping on top of the your prediabetes. Hoping I can follow your example. What level were you originally diagnosed at?
 
Hello, I'm 69 and have been diagnosed with prediabetes for the last 4 years, my HbA1C is 40. I am careful about what I eat which is mainly fish and veg or meat (chicken/turkey) and veg. I also go to a gym 3 times a week - a combination of cardio & weights. I currently weigh between 8 stones 3 lbs - 8 stone 5 lbs. I am 5 feet 2. I have a blood test every 3 months but my surgery doesn't contact me unless there's a problem so I have to request the results, very annoying.
I think my HbA1C is lower as I fasted for approximately 5 hours, as recommended by my gym. Will have to wait and see when I will have another test by my GP in about a month's time.
 
I think my HbA1C is lower as I fasted for approximately 5 hours, as recommended by my gym. Will have to wait and see when I will have another test by my GP in about a month's time.
That will make NO difference to an HbA1C as that is a test that is an average over the previous 3 months. Usually the tests are 3 months apart unless it is to confirm a diagnosis if you are borderline.
That then looks at whether lifestyle changes have been effective.
 
Fasting is most effective when tacked on either side of sleep. So effectively eating in the morning an afternoon but not evening, or eating in the afternoon and evening but not morning. I think from the top of my head that you need to fast for more than 12 hrs for Autophagy to start, so many fast daily for 14 to 16 hrs.
However regular shorter fasts do help because while fasting you are giving your body a break from both higher insulin and higher blood glucose. Thus they keep the fat adaptation going even when you relax a little with the carbs.
 
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