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Advice on sugar tests and HB1Ac test, Mental illnes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
Doctor :   Hi
User :   hi
Doctor :   I'm Dr.xxxx
User :   Last Saturday I got my fasting and HB1AC test done
Doctor :   Ok
User :   the report is 85 for fasting and HB1Ac is 6.7%
User :   is it ok or worry some
Doctor :   Ok
User :   as some doctors saying 6.7% is bad
Doctor :   Ok
User :   so please advise
Doctor :   It should be low 8
Doctor :   So you are under normal range
User :   8 is very bad control
Doctor :   Please give your Age, Gender, Location, Occupation, Marital status, Height, Weight and Waist circumference.
Doctor :   Yes
User :   ref range is 4-6.07 % mentioned in the lab report
Doctor :   Ok
Doctor :   Please give your Age, Gender, Location, Occupation, Marital status, Height, Weight and Waist circumference.
User :   age 46, Male, xxxx, Service, Married, 5'8", 84 kgs, 36
Doctor :   Ok
User :   how can u say it should be below 8???
Doctor :   Do you have any family history of diabetes
User :   my mother is diabetic
User :   and grand mother also
User :   father side
Doctor :   Ok
User :   ref range is confusing?
Doctor :   It is taken as below 8 to be safe
User :   I read at american diabetic association website
Doctor :   Ok
User :   it says 6.7% is not good control,
User :   8 is danger
Doctor :   Ok
User :   4% is good control
User :   is there any standard?
Doctor :   What was mentioned in your lab test
Doctor :   Ok
User :   ref range 4 - 6.07%, > 8 danger,
Doctor :   different labs take different range
User :   but the report itself stand invalid as ref range something else and details says something else
Doctor :   Ok
Doctor :   Can tell in detail about the report and range
User :   ok
Doctor :   In your test
User :   Hba1c result 6.7% Ref. Range 4.27 - 6.07)
Doctor :   ok
User :   interpretation: >8 Action suggested due to high risk; 7.1-8 fair control and
Doctor :   Then according to there range and there testing. You are on higher side
User :   but then why ref. range is less as per interpretation
User :   interpretation says something else (different range and control levels) and ref. range is different???
Doctor :   As your given results your fasting is normal
User :   fasting 83 mg/dl
User :   yes thats normal
Doctor :   6.7% is on higher side
User :   should I go for PP test?
Doctor :   It is better to get PP done
User :   but interpretation of HbA1C says different levels of control?
User :   ok
Doctor :   you just on the higher side. You can control your blood glucose by diet itself
Doctor :   You can go for PP test to confirm it
Doctor :   Are you there?
User :   yes
User :   but i am gaining wait also
Doctor :   Ok
Doctor :   Since when are you gaining weight?
User :   earlier i was 70 Kgs but as I was under eplipsy medicine my wt got upto 78
Doctor :   Ok
User :   after that i stopped the medicines even then I was gaining
User :   from 78 it went upto 82 kgs
Doctor :   Ok
User :   and then now at 85kgs
Doctor :   Ok
User :   doing excercise, gym but not reducing
Doctor :   Ok
User :   have joined gym and weight control centre
Doctor :   How often do you exercise?
User :   some day its 81kgs and next day its come to the same level
User :   daily
Doctor :   Ok. how many minutes per day?
User :   i do for one hour daily thats brisk walk and then go to gym for another one hour
Doctor :   Ok
User :   and in the evening I go to weight loss centres
Doctor :   Since how many days are you been doing exercise?
User :   since one year
Doctor :   Ok
Doctor :   I believe your are doing it daily?
User :   so this makes me more in tension that inspite of all this I am not able to reduce the weight
User :   yes daily
Doctor :   Ok
User :   i get up at 5 in the morning
Doctor :   How about your diet control?
User :   5 to 6 AM i do brisk walk
User :   and 6 to 7 gym
Doctor :   Ok
User :   diet is in control. I take cornflakes in the morning
Doctor :   Ok
User :   two chappatis in the lunch with dal and curd
Doctor :   Ok
User :   and in dinner two chappatis and one vegetables
Doctor :   Ok
User :   and some time salt free diet
Doctor :   Your are under normal diet
User :   once in a week the food is from outside
Doctor :   Have consulted any doctor regarding this weight gain?
User :   no not so far as the side effect of epilepsy medicine is weight gain
Doctor :   Ok
User :   but its should have not happened as for last more than one year i am not taking such medicines
Doctor :   But your not losing weight despite such strict life style
User :   yes thats true so due to that I am confused
Doctor :   You have to consult a doctor and get a through examination.
User :   i do also remain in depression and tension
Doctor :   To rule out medical causes for the weight gain
Doctor :   Do you consume alcohol?
User :   what can be the medical cause of the weight gain
User :   very rarely
User :   for last 5 months no alcohol
Doctor :   It could be due to thyroid problem
User :   thyroid is normal
Doctor :   Good that your are not consuming alcohol
User :   but i do smoke now heavy
Doctor :   Ok
User :   earlier it was 40 cig a day
User :   now its 20 cig a day
Doctor :   Ok
Doctor :   That is on high side
User :   i quitted cig earlier
User :   but 4 years ago it started again
Doctor :   Smoking, even though it may not increase you weight, it will have a bad effect on your health
User :   yes I know that
Doctor :   Ok
User :   trying to quit but not able to do this time
Doctor :   Ok
User :   lots of tensions and depression with me
Doctor :   You have to keep trying
Doctor :   And quit it, before it is too late
User :   as my wife is suffering from thyroid and last year she went on very bad phase
User :   this account I created for her only
Doctor :   Ok
Doctor :   Ok
User :   you may see her chat record regarding that
Doctor :   What and all test have done for weight gain?
User :   other family problems are also not making to quit cig
Doctor :   Ok
User :   no other test i have done for weight gain
Doctor :   Ok
User :   please tell me what test should i go for
User :   only thyroid i got it done for myself also
Doctor :   You can consult the same doctor and go forward
User :   these test I am getting done on self intution bases
Doctor :   Ok
Doctor :   You should consult a general physician, then go forward on this issue
User :   last year I used to take heavy dose of sleeping/anti depressant tabs
Doctor :   Ok
Doctor :   was the it prescribed by the doctor?
User :   yes but i tried to misuse it
Doctor :   You are not supposed to do that
User :   with that I tried to do sucide
Doctor :   It will only cause more harm to you?
User :   yes i know that
User :   20 mg of Stilnot tabs 5 strip i took many times
Doctor :   If you are not able to deal with your depression
Doctor :   You can consult a psychologist for help
Doctor :   Taking so many tablets will harm you
User :   i consulted a psychologist also together with neuro from the top Delhi hopsital government hospital
Doctor :   Ok
User :   as my brother and brother in law are both doctors
Doctor :   Ok
User :   there are some teething problems at home
Doctor :   You should discuss your problems with them
User :   the main cause I know but the solution i dont see
User :   even lots of counselling has been done to me
Doctor :   Only way out is to discuss your problem with other people and find solution
User :   solution will never be there as what to say with you. hell lots of problem right from marriage to work and going out
Doctor :   Ok
Doctor :   You can take a vacation for a week or so and relax your self
User :   medical problems also like azospermia, headache, epilpsey, undescended one testies
User :   i am a bomb of medical prblem
Doctor :   In relaxed mood you may find a good solution
Doctor :   Ok
User :   for 10 days I had gone to goa
Doctor :   Ok
Doctor :   How did you feel there?
User :   and then to Kolkatta for 10 days also and
Doctor :   Ok
User :   then for 3 days to Haridwar, AAAAAAA
Doctor :   Ok
Doctor :   Did the vacation help you?
User :   goa I was relaxed and in Kolkatta and haridwar also
Doctor :   Ok
User :   but the problem was from family front why I went out
User :   when ever and where ever I go out - the only one question by the family WHY
Doctor :   Are living in single a family or joint ?
User :   yes
Doctor :   Joint or single family?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
User :   yes
User :   joint
Doctor :   Ok
Doctor :   How about moving out as a single family?
Doctor :   Do you think it will help you?
User :   no it will not
Doctor :   Ok
Doctor :   You have speak to psychologist in person
User :   ok'
Doctor :   Discuss your problem and come to a solution.
Doctor :   Did you follow what I said? Please get back to me in case of doubts.
User :   ok
Doctor :   Please fill the feedback form say done when done.
Doctor :   Have you filled the feedback form?
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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