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My A1c Was 6.1. Then When I Was Diagnosed With
Question: My a1c was 6.1. Then when I was diagnosed with pulmonary embolisms 1 month later, my a1c was 6.8. Even now, my blood sugar is rarely above 100 in the morning with a small amount of metformin and rarely above 120 after meals. What causes this type of dramatic increase in a1c over such a short period of time?
My a1c was 6.1. Then when I was diagnosed with pulmonary embolisms 1 month later, my a1c was 6.8. Even now, my blood sugar is rarely above 100 in the morning with a small amount of metformin and rarely above 120 after meals. What causes this type of dramatic increase in a1c over such a short period of time?
Brief Answer:
Possible causes narrated below.
Detailed Answer:
Hi Behaviortrap,
Thanks for the query.I understand your concern.
I find two possible causes for your suddenly raised HbA1c reading after pulmonary embolism.
1.There is rise in blood sugar level while body faces stress like infection or pulmonary embolism in your case...HbA1c indicates average blood sugar in previous 3 months...Naturally the temporary rise in blood sugar was reflected in your HbA1c.
2.HbA1c. can show artificial rise in conditions with red blood cell changes(to be specific low haemoglobin percent or anemia)
Haemoglobin loss is expected in stressful condition like pulmonary embolism.So this might add to your rise in HbA1c.
I hope that helps.Any follow up query is welcome.
Thanks.
Possible causes narrated below.
Detailed Answer:
Hi Behaviortrap,
Thanks for the query.I understand your concern.
I find two possible causes for your suddenly raised HbA1c reading after pulmonary embolism.
1.There is rise in blood sugar level while body faces stress like infection or pulmonary embolism in your case...HbA1c indicates average blood sugar in previous 3 months...Naturally the temporary rise in blood sugar was reflected in your HbA1c.
2.HbA1c. can show artificial rise in conditions with red blood cell changes(to be specific low haemoglobin percent or anemia)
Haemoglobin loss is expected in stressful condition like pulmonary embolism.So this might add to your rise in HbA1c.
I hope that helps.Any follow up query is welcome.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Possible causes narrated below.
Detailed Answer:
Hi Behaviortrap,
Thanks for the query.I understand your concern.
I find two possible causes for your suddenly raised HbA1c reading after pulmonary embolism.
1.There is rise in blood sugar level while body faces stress like infection or pulmonary embolism in your case...HbA1c indicates average blood sugar in previous 3 months...Naturally the temporary rise in blood sugar was reflected in your HbA1c.
2.HbA1c. can show artificial rise in conditions with red blood cell changes(to be specific low haemoglobin percent or anemia)
Haemoglobin loss is expected in stressful condition like pulmonary embolism.So this might add to your rise in HbA1c.
I hope that helps.Any follow up query is welcome.
Thanks.
Possible causes narrated below.
Detailed Answer:
Hi Behaviortrap,
Thanks for the query.I understand your concern.
I find two possible causes for your suddenly raised HbA1c reading after pulmonary embolism.
1.There is rise in blood sugar level while body faces stress like infection or pulmonary embolism in your case...HbA1c indicates average blood sugar in previous 3 months...Naturally the temporary rise in blood sugar was reflected in your HbA1c.
2.HbA1c. can show artificial rise in conditions with red blood cell changes(to be specific low haemoglobin percent or anemia)
Haemoglobin loss is expected in stressful condition like pulmonary embolism.So this might add to your rise in HbA1c.
I hope that helps.Any follow up query is welcome.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
thank you. Ever since the pulmonary embolisms I have these sudden but shortlived shortness of breath attacks. I have always had asthma and it doesn't feel like a flare up because it just lasts a second or two and happens like twice per day. Could it be permanent damage?
thank you. Ever since the pulmonary embolisms I have these sudden but shortlived shortness of breath attacks. I have always had asthma and it doesn't feel like a flare up because it just lasts a second or two and happens like twice per day. Could it be permanent damage?
Brief Answer:
Need reassessment to arrive at an exact cause.
Detailed Answer:
Hi Behaviortrap,
Thank you for follow up query.
The short time short breath spurts..is a symptom of pulmonary embolism/.It also simulates asthmatic attacks with allergy to something that is not taken care of / The symptom also similates to heart problem.
You already had treatment for it.Possibly the dose of blood thinners needs to be extended or any change in drug schedule may be needed.
In this scenario you need to get reinvestigated to know the exact cause..by excluding one by one, followed by needful change in management with expert advise
please be positive &start acting with advise of your treating pulmonologist &cardiologist....you would definitely find a way out.
Thanks.
Need reassessment to arrive at an exact cause.
Detailed Answer:
Hi Behaviortrap,
Thank you for follow up query.
The short time short breath spurts..is a symptom of pulmonary embolism/.It also simulates asthmatic attacks with allergy to something that is not taken care of / The symptom also similates to heart problem.
You already had treatment for it.Possibly the dose of blood thinners needs to be extended or any change in drug schedule may be needed.
In this scenario you need to get reinvestigated to know the exact cause..by excluding one by one, followed by needful change in management with expert advise
please be positive &start acting with advise of your treating pulmonologist &cardiologist....you would definitely find a way out.
Thanks.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Need reassessment to arrive at an exact cause.
Detailed Answer:
Hi Behaviortrap,
Thank you for follow up query.
The short time short breath spurts..is a symptom of pulmonary embolism/.It also simulates asthmatic attacks with allergy to something that is not taken care of / The symptom also similates to heart problem.
You already had treatment for it.Possibly the dose of blood thinners needs to be extended or any change in drug schedule may be needed.
In this scenario you need to get reinvestigated to know the exact cause..by excluding one by one, followed by needful change in management with expert advise
please be positive &start acting with advise of your treating pulmonologist &cardiologist....you would definitely find a way out.
Thanks.
Need reassessment to arrive at an exact cause.
Detailed Answer:
Hi Behaviortrap,
Thank you for follow up query.
The short time short breath spurts..is a symptom of pulmonary embolism/.It also simulates asthmatic attacks with allergy to something that is not taken care of / The symptom also similates to heart problem.
You already had treatment for it.Possibly the dose of blood thinners needs to be extended or any change in drug schedule may be needed.
In this scenario you need to get reinvestigated to know the exact cause..by excluding one by one, followed by needful change in management with expert advise
please be positive &start acting with advise of your treating pulmonologist &cardiologist....you would definitely find a way out.
Thanks.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you. I had an echo 2 months ago along with other tests. My heart was good with no enlargement
Thank you. I had an echo 2 months ago along with other tests. My heart was good with no enlargement
Brief Answer:
You need to concentrate on your pulmonologist's advise.
Detailed Answer:
Hi Behavioral,
That excludes possibility of heart problem so you have to be under care of your pulmonologist.Computed. pulmonary angiography , USG for deep vein thrombosis or pulmonary perfussion scan would exclude /grade the pulmonary embolism being the cause of your short breathes.
Depending on the results your doctor world plan the management . of pulmonary embolism & bronchdialaters for asthma.
You need to change your life style with regular exercises, not to rest for loner time(keep on leg stretching even in travel /maintain a healthy weight/avoid smoking or use of contraceptive pills/continue with anticoagulant medicines as per expert advise/maintain on bronchodilator usage with respiratory exercise &anti allergic drug regime advised by the chest physician.
I hope that clears your doubts Any more follow up query is welcome.
Thanks.
You need to concentrate on your pulmonologist's advise.
Detailed Answer:
Hi Behavioral,
That excludes possibility of heart problem so you have to be under care of your pulmonologist.Computed. pulmonary angiography , USG for deep vein thrombosis or pulmonary perfussion scan would exclude /grade the pulmonary embolism being the cause of your short breathes.
Depending on the results your doctor world plan the management . of pulmonary embolism & bronchdialaters for asthma.
You need to change your life style with regular exercises, not to rest for loner time(keep on leg stretching even in travel /maintain a healthy weight/avoid smoking or use of contraceptive pills/continue with anticoagulant medicines as per expert advise/maintain on bronchodilator usage with respiratory exercise &anti allergic drug regime advised by the chest physician.
I hope that clears your doubts Any more follow up query is welcome.
Thanks.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
You need to concentrate on your pulmonologist's advise.
Detailed Answer:
Hi Behavioral,
That excludes possibility of heart problem so you have to be under care of your pulmonologist.Computed. pulmonary angiography , USG for deep vein thrombosis or pulmonary perfussion scan would exclude /grade the pulmonary embolism being the cause of your short breathes.
Depending on the results your doctor world plan the management . of pulmonary embolism & bronchdialaters for asthma.
You need to change your life style with regular exercises, not to rest for loner time(keep on leg stretching even in travel /maintain a healthy weight/avoid smoking or use of contraceptive pills/continue with anticoagulant medicines as per expert advise/maintain on bronchodilator usage with respiratory exercise &anti allergic drug regime advised by the chest physician.
I hope that clears your doubts Any more follow up query is welcome.
Thanks.
You need to concentrate on your pulmonologist's advise.
Detailed Answer:
Hi Behavioral,
That excludes possibility of heart problem so you have to be under care of your pulmonologist.Computed. pulmonary angiography , USG for deep vein thrombosis or pulmonary perfussion scan would exclude /grade the pulmonary embolism being the cause of your short breathes.
Depending on the results your doctor world plan the management . of pulmonary embolism & bronchdialaters for asthma.
You need to change your life style with regular exercises, not to rest for loner time(keep on leg stretching even in travel /maintain a healthy weight/avoid smoking or use of contraceptive pills/continue with anticoagulant medicines as per expert advise/maintain on bronchodilator usage with respiratory exercise &anti allergic drug regime advised by the chest physician.
I hope that clears your doubts Any more follow up query is welcome.
Thanks.
Above answer was peer-reviewed by :
Dr. Raju A.T
thank you! I had some CT scans that said the embolisms were gone. I am still on blood thinners. I have made many life changes and can exercise without issues except very minor breathing issues. I have lost over 45 pounds and my blood pressure has gone done about 20/10 points. I had an ultrasound on legs and nothing was found. Does this mean the embolisms are probably gone and I should just follow up with a pulmonologist?
thank you! I had some CT scans that said the embolisms were gone. I am still on blood thinners. I have made many life changes and can exercise without issues except very minor breathing issues. I have lost over 45 pounds and my blood pressure has gone done about 20/10 points. I had an ultrasound on legs and nothing was found. Does this mean the embolisms are probably gone and I should just follow up with a pulmonologist?
Brief Answer:
Yes, it seems so...Be in touch with pulmonologist periodically.
Detailed Answer:
Hi Behavior trap,
Yes...when pulmonologist says embolism issue is gone... that's a good news.
Blood thinners are to be continued over a long time.Please follow pulmonologists advise &also try to improve your life style...as suggested earlier./Continue with asthma maintainance medications advised by the expert./avoid exposures to triggering allergens./ Have regular periodic check up with pulmonologist/ follow nutritious diet reular exercises approved by your pulmonologist and carry a positive attitude all the time.
I hope that makes everything clear. Any more follow up query is welcome.
Wishing you enjoyable, satisfying life with maintained health!!
Thanks.
Yes, it seems so...Be in touch with pulmonologist periodically.
Detailed Answer:
Hi Behavior trap,
Yes...when pulmonologist says embolism issue is gone... that's a good news.
Blood thinners are to be continued over a long time.Please follow pulmonologists advise &also try to improve your life style...as suggested earlier./Continue with asthma maintainance medications advised by the expert./avoid exposures to triggering allergens./ Have regular periodic check up with pulmonologist/ follow nutritious diet reular exercises approved by your pulmonologist and carry a positive attitude all the time.
I hope that makes everything clear. Any more follow up query is welcome.
Wishing you enjoyable, satisfying life with maintained health!!
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Yes, it seems so...Be in touch with pulmonologist periodically.
Detailed Answer:
Hi Behavior trap,
Yes...when pulmonologist says embolism issue is gone... that's a good news.
Blood thinners are to be continued over a long time.Please follow pulmonologists advise &also try to improve your life style...as suggested earlier./Continue with asthma maintainance medications advised by the expert./avoid exposures to triggering allergens./ Have regular periodic check up with pulmonologist/ follow nutritious diet reular exercises approved by your pulmonologist and carry a positive attitude all the time.
I hope that makes everything clear. Any more follow up query is welcome.
Wishing you enjoyable, satisfying life with maintained health!!
Thanks.
Yes, it seems so...Be in touch with pulmonologist periodically.
Detailed Answer:
Hi Behavior trap,
Yes...when pulmonologist says embolism issue is gone... that's a good news.
Blood thinners are to be continued over a long time.Please follow pulmonologists advise &also try to improve your life style...as suggested earlier./Continue with asthma maintainance medications advised by the expert./avoid exposures to triggering allergens./ Have regular periodic check up with pulmonologist/ follow nutritious diet reular exercises approved by your pulmonologist and carry a positive attitude all the time.
I hope that makes everything clear. Any more follow up query is welcome.
Wishing you enjoyable, satisfying life with maintained health!!
Thanks.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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