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Is Random Blood Glucose Level Of 129 A Cause For Concern?
I m 58 yo female. 5 9 181 lbs African American with family hx of diabetes. My fasting glucose was 129 although I was not fasting and my doctor told me to go ahead and take the test anyway. So the results are more accurate as an after meal result. I did a true fasting test today and I await the result. Should I be concerned. My Dr said I m pre-diabetic.
Thu, 20 Jul 2017
Hello
I have gone through your question and understood your concern.
Fasting blood sugar (FBS) measures blood glucose after you have not eaten for at least 8 hours.
It is the first test done to check for prediabetes and diabetes.
If you were not fasting ,than the result can not be taken in consideration for the diagnosis of pre-diabetes or diabetes.
In my opinion,This result can be considerated like a random blood sugar (RBS) and measures blood glucose regardless of when you last ate.
Random testing is useful because glucose levels in healthy people do not vary widely throughout the day and Blood glucose levels that vary widely may mean a problem. This test is also called a casual blood glucose test.
It is true that your age,positive family history and being African American are risc factors for Diabetes.
But the test result can not be taken in consideration for the diagnosis because it is not fasting.
A fasting blood sugar level from 100 to 125 mg/dL is considered prediabetes.
If it's 126 mg/dL or higher or a a random blood sugar level of 200 mg/dL or higher ; on two separate tests, you have diabetes.
(Actually,if you were fasting, 129 mg/dl can be suggestive of diabetes not prediabetes and the next step will be to repeat the test for the confirmation of the diagnosis)
In my opinion you don't have reason to be concerned because the test result is not a fasting but a random measurement and we can not reach the diagnosis only with this test.
So,be patient because the true fasting test will give the exact information about your situation.
Hope this is helpful.
If you have other dobts,feel free and ask.
Best regards.
I have gone through your question and understood your concern.
Fasting blood sugar (FBS) measures blood glucose after you have not eaten for at least 8 hours.
It is the first test done to check for prediabetes and diabetes.
If you were not fasting ,than the result can not be taken in consideration for the diagnosis of pre-diabetes or diabetes.
In my opinion,This result can be considerated like a random blood sugar (RBS) and measures blood glucose regardless of when you last ate.
Random testing is useful because glucose levels in healthy people do not vary widely throughout the day and Blood glucose levels that vary widely may mean a problem. This test is also called a casual blood glucose test.
It is true that your age,positive family history and being African American are risc factors for Diabetes.
But the test result can not be taken in consideration for the diagnosis because it is not fasting.
A fasting blood sugar level from 100 to 125 mg/dL is considered prediabetes.
If it's 126 mg/dL or higher or a a random blood sugar level of 200 mg/dL or higher ; on two separate tests, you have diabetes.
(Actually,if you were fasting, 129 mg/dl can be suggestive of diabetes not prediabetes and the next step will be to repeat the test for the confirmation of the diagnosis)
In my opinion you don't have reason to be concerned because the test result is not a fasting but a random measurement and we can not reach the diagnosis only with this test.
So,be patient because the true fasting test will give the exact information about your situation.
Hope this is helpful.
If you have other dobts,feel free and ask.
Best regards.
I find this answer helpful
Hi,
I understand your concern.
Non fasting glucose of 129 is not telling you are pre-diabetic.
Let's wait for the result of measuring blood sugar after fasting for at least 8 hours. This is the most accurate test.
HBA1C level is also helpful in determining the average blood sugar during the last 3 months. Hope you have already done this. If not, ask your doctor to run.
After having the results we can determine whether you are pre/diabetic or not.
All the best.
I understand your concern.
Non fasting glucose of 129 is not telling you are pre-diabetic.
Let's wait for the result of measuring blood sugar after fasting for at least 8 hours. This is the most accurate test.
HBA1C level is also helpful in determining the average blood sugar during the last 3 months. Hope you have already done this. If not, ask your doctor to run.
After having the results we can determine whether you are pre/diabetic or not.
All the best.
I find this answer helpful
HI
Thank for asking to HCM
Your query will be appreciated, if you do have family history of diabetes then you have to rule out the possibility of this in your case too and for that all the three status of sugar level need to be assessed like RBS that is Random blood sugar, second is PPBS that is postprandial blood sugar or post meal test, and third is FBS that is fasting blood sugar, beside this GTT (Glucose Tolerance test ) may be needed, if all the test shows elevated sugar level beyond the reference range it could be diabetes.
With family history of diabetes one really concern about that.
hope this information helps.
Thank for asking to HCM
Your query will be appreciated, if you do have family history of diabetes then you have to rule out the possibility of this in your case too and for that all the three status of sugar level need to be assessed like RBS that is Random blood sugar, second is PPBS that is postprandial blood sugar or post meal test, and third is FBS that is fasting blood sugar, beside this GTT (Glucose Tolerance test ) may be needed, if all the test shows elevated sugar level beyond the reference range it could be diabetes.
With family history of diabetes one really concern about that.
hope this information helps.
I find this answer helpful
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