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What Prognosis Is Advisable Through Blood Tests When One Is Anxious About Being Pre-diabetic?
Question: Dear Dr.
Could you please analyse my blood test, give me your opinion and please advise, especially I need your opinion on A1C ( what is normal not just now itc on same level from 2013 , 5,7 or 5,6) and fasting glucose what is now 8.0 (and from 2013 is between 7 and 8), is this diabetes 2, and regardless that A1C is years in normal range?.
And especially your comment advise regarding cholesterol, total, ldl, hdl and ratio.
Also please advise if cholesterol require to go on statin, how to manage issue with glucose, due that statin can and have impact to increase diabetic problem?
Many thanks Julianna
Recently blood test result is attached
Could you please analyse my blood test, give me your opinion and please advise, especially I need your opinion on A1C ( what is normal not just now itc on same level from 2013 , 5,7 or 5,6) and fasting glucose what is now 8.0 (and from 2013 is between 7 and 8), is this diabetes 2, and regardless that A1C is years in normal range?.
And especially your comment advise regarding cholesterol, total, ldl, hdl and ratio.
Also please advise if cholesterol require to go on statin, how to manage issue with glucose, due that statin can and have impact to increase diabetic problem?
Many thanks Julianna
Recently blood test result is attached
Brief Answer:
Go for Oral glucose tolerance test
Detailed Answer:
Hi,
Since HbA1C is staying in normal range, I will suggest that you go for oral glucose tolerance test. I hope you do not eat anything for 8 hrs before the fasting glucose test and oral gtt. If you did the fasting glucose test correctly, then its still in pre-diabetes stage that is why HbA1C is normal. Even if Diabetes is there, its most likely type 2 diabetes. Its because of your age, gradual onset, absence of any drastic symptoms like weight loss or ketosis, it doesn't seem to be type 1 diabetes.
You must have a low sugar diet and regular exercise for now. I do not think medicines are necessary until oral gtt is abnormal. If it comes to be abnormal, I would start you on oral medicine metformin.
Regarding your lipid profile, you do not need statins currently. If your LDL levels increase by even 1 mmol/l then you might need statins. Low fat diet must be taken. Avoid milk products like cheese, butter, cream, ice cream etc. Cakes, pastries, cookies also contain high calories and need to be avoided. Will also suggest cleaner drinking water and regular exercise.
Hope this helps. Let me know if I can assist you further.
Dr. Vaishalee
Go for Oral glucose tolerance test
Detailed Answer:
Hi,
Since HbA1C is staying in normal range, I will suggest that you go for oral glucose tolerance test. I hope you do not eat anything for 8 hrs before the fasting glucose test and oral gtt. If you did the fasting glucose test correctly, then its still in pre-diabetes stage that is why HbA1C is normal. Even if Diabetes is there, its most likely type 2 diabetes. Its because of your age, gradual onset, absence of any drastic symptoms like weight loss or ketosis, it doesn't seem to be type 1 diabetes.
You must have a low sugar diet and regular exercise for now. I do not think medicines are necessary until oral gtt is abnormal. If it comes to be abnormal, I would start you on oral medicine metformin.
Regarding your lipid profile, you do not need statins currently. If your LDL levels increase by even 1 mmol/l then you might need statins. Low fat diet must be taken. Avoid milk products like cheese, butter, cream, ice cream etc. Cakes, pastries, cookies also contain high calories and need to be avoided. Will also suggest cleaner drinking water and regular exercise.
Hope this helps. Let me know if I can assist you further.
Dr. Vaishalee
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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