I am so confused. Everything I had read in the past said over 6 on the A1C was diabetic, but the newest doc I was just turned over to told me that mine was 6.1 and my fasting glucose was 121 (nurses told me 122 on phone) and that I am not yet diabetic. I tried to get him to put me back on metformin as I had spent a few years on it before they moved us to Germany, but this guy was useless and instead just kept repeating to diet and exercise (no DUH!!!) and that would then "cure" the diabetes!!
He also said that my non fasting test that I had a week or two before this last one was 160 something. I am thinking that I had eaten lunch like 2 hours before this one.
Isn't it normal to consider these numbers diabetic? Would it be odd for me to expect the Met and to be checking my sugar daily right now? Would love any info. I can get from your alls experiences. Oh...and I am trying hard not to go back to see this idiot. He was even looking at the info. they input on my meds and all and said "well at least you don't have HBP" I was like, Ummm, that's what 2 of my daily meds are for! Then he didn't notice I was on Zoloft either and just said he would see me in 3 months. I know when my normal doc was leaving for the states that she said this guy would be a fill in and that a full time regular doc would be coming in a few months...that day can't come soon enough!
__________________ Saprina-41, DH-40
Happily married 18+ years now!
2 sons, 6 angels
TR June, 2002 by Dr. Perez
DX PCOS with IR 11-03
DX depression with anxiety 2-07
There are 20.8 million children and adults in the United States, or 7% of the population, who have diabetes. While an estimated 14.6 million have been diagnosed with diabetes, unfortunately, 6.2 million people (or nearly one-third) are unaware that they have the disease.
In order to determine whether or not a patient has pre-diabetes or diabetes, health care providers conduct a Fasting Plasma Glucose Test (FPG) or an Oral Glucose Tolerance Test (OGTT). Either test can be used to diagnose pre-diabetes or diabetes. The American Diabetes Association recommends the FPG because it is easier, faster, and less expensive to perform.
With the FPG test, a fasting blood glucose level between 100 and 125 mg/dl signals pre-diabetes. A person with a fasting blood glucose level of 126 mg/dl or higher has diabetes.
In the OGTT test, a person's blood glucose level is measured after a fast and two hours after drinking a glucose-rich beverage. If the two-hour blood glucose level is between 140 and 199 mg/dl, the person tested has pre-diabetes. If the two-hour blood glucose level is at 200 mg/dl or higher, the person tested has diabetes.
From the American Diabetes Association's website.
If you aren't happy with the doc, and it doesn't sound like you should be!, then do whatever you can to get a different doctor.
BUT excercising 30 minutes a day, alternating cardio and weight training, and going on a low carb diet 30gmeals/15gsnacks and eating three regular meals and three regular snacks can go a loooong way toward controlling the problems you're having. Obviously it's not a cure, there IS not cure. But if you don't have diabetes yet then you might have the opportunity to hold it off for a while longer if you make some drastic changes in your lifestyle, if they're called for.
If you are sedentary and you eat lots of carbs then those are two things that you can change now and possibly hold the diabetes off another decade or two. And THAT is really worth doing if it's at all humanly possible. I wish I'd had some kind of fore knowledge to prevent this merry go round I've gotten on!!
Yeah it does sound like diabetic numbers to me as well. I mean the 6.1 on the Hgb a1c isnt bad but a fasting of 122. The 122 isnt bad either but it should be under 100. Diet/exercise probably would keep yours under control but if you arent able to do it with diet/exercise he should be willing to put you back on the met. I would def find a new dr.
When I was dx as type 2, my A1C was a 6.0. My fasting number was 117 and my gtt high was 265. My doc dx me as type 2, but didn't put me on any medications. He told me to exercise and sent me to diabetic teaching classes. It wasn't until I mentioned the other problems (pcos) that he sent me to a endocrinologist. The endo put me on Metformin to start with and added meds and tried combos to see what worked best. I am still trying medications along with the met to see what will work. I tried met/januvia, which the januvia didn't work for me at all and now I am no met and byetta. I will find out next month if he is going to switch me again. I am not sure if the byetta is working or not. I have an A1C done in a few weeks. Good luck and you do sound like you are type 2. Have you done a Glucose Tolerance Test? If so, what was the high number and how far into the test was that high number?
__________________ DX 1994-told to lose weight by GYN,Suffered 12 years before seeking treatments: REDX 2006 by a family doc sent to endo July 31, 2006 and glad I went; Byetta, 2000mg Metformin, 28 units of levemir, fish oil, 1000mg calcium. Type 2 diabetic and high cholesterol dx March 05, psoriasis dx 1992. Married 20 yrs 2 kids: girl 19 yrs old and boy 17 yrs old.
Unfortunately, we have a small clinic for our overseas military post, and we are in the middle of losing all of our regular docs right now. I am keeping a close ear out for when we get someone else besides this guy that I can be seen by. I was shocked by his lack of caring to the point of not even looking at my info. right there on the computer in front of his face. I have had good, bad, and in between docs a lot since my DH joined the military, but this guy takes the cake on being bad!!
I have not yet had a GTT ordered since my previous doc had only gotten to the point of ordering the A1C and fasting blood glucose level. If she hadn't been sent back to the states I know by her usual way that the GTT would have been the next test ordered, but this idiot guy didn't even mention it let alone order any test whatsoever. I actually haven't had a GTT done in almost 13 years since I was pg. with my 12 year old and ended up with high enough numbers that I had the full 5 hour draw and barely passed the last draw of it.
I am sure that I will soon need attention for something else, and then I will go in to the appt. people and tell them to give me a PA or anything they can give me besides this idiot.
__________________ Saprina-41, DH-40
Happily married 18+ years now!
2 sons, 6 angels
TR June, 2002 by Dr. Perez
DX PCOS with IR 11-03
DX depression with anxiety 2-07
You need a new doc. This one sounds like a first rate moron. I was diagnosed with type 2 when my fasting readings were always over 126 (130, 150, 170, 188) and always first thing in the morning. I sought help from an endo who put me on Metformin & Glyburide immediately. My last A1C was around 5.7, taken back in July.
Well, looks like I don't have to see the temp doc anymore since we finally have gotten a couple of new full time docs now. I saw one yesterday, and she is ok, but she still didn't seem interested in doing anything more than ordering a follow up chem panel to recheck my fasting sugar level. I will be leaving shortly to go give them that blood so I can finally eat this morning. I did ask about a GTT and she said no, not at this time. I sometimes just don't get why some military docs don't go with what is usual!
__________________ Saprina-41, DH-40
Happily married 18+ years now!
2 sons, 6 angels
TR June, 2002 by Dr. Perez
DX PCOS with IR 11-03
DX depression with anxiety 2-07
My glucose reading in the mornings are fine until after I eat breakfast. That is when it goes up and then stays up the rest of the day despite the fact I am on 2000mg metformin and byetta. I was dx with a glucose tolerance test. My 1 1/2 hr reading was a 265. When I had blood work, it showed my fasting number to be 126. But my morning readings are usually in the 90's. I would keep asking the doc for that gtt. what was your last A1C?
__________________ DX 1994-told to lose weight by GYN,Suffered 12 years before seeking treatments: REDX 2006 by a family doc sent to endo July 31, 2006 and glad I went; Byetta, 2000mg Metformin, 28 units of levemir, fish oil, 1000mg calcium. Type 2 diabetic and high cholesterol dx March 05, psoriasis dx 1992. Married 20 yrs 2 kids: girl 19 yrs old and boy 17 yrs old.
A random blood sugar test measures your blood sugar at any point in time, not necessarily a certain amount of time after a meal, snack or beverage.
What's normal?
A normal random blood sugar level hasn't been clearly defined. However, even if you've recently eaten and your blood sugar level is at its peak, your random blood sugar level shouldn't be higher than 200 mg/dL.
What level suggests prediabetes?
If your random blood sugar level is higher than 140 mg/dL but lower than 200 mg/dL, you may have prediabetes.
What level suggests type 1 or type 2 diabetes?
A random blood sugar level higher than 200 mg/dL suggests either type 1 or type 2 diabetes. Remember, your blood sugar level alone isn't enough to differentiate between type 1 and type 2 diabetes. Your doctor may do other tests to determine which type of diabetes you have.
Oral glucose tolerance test
What is an oral glucose tolerance test?
An oral glucose tolerance test measures your body's response to sugar. First your fasting blood sugar level is measured. Then you drink a sugary solution. Your blood sugar level is measured after one hour and again after two hours. If your blood sugar level rises more than normal, you may have diabetes.
For this test to be accurate, it's important to eat normally and be in good health. Even a cold can affect the results. So can inactivity or certain medications. A modified version of the oral glucose tolerance test, known as a glucose challenge test, is often used to screen pregnant women for gestational diabetes.
What's normal?
A normal blood sugar level after an oral glucose tolerance test is lower than 140 mg/dL.
What level suggests prediabetes?
If your blood sugar level is 140 mg/dL to 199 mg/dL after an oral glucose tolerance test, you may have prediabetes.
What level suggests type 1 or type 2 diabetes?
A blood sugar level of 200 mg/dL or higher two hours after you drink the sugary solution may indicate diabetes. Your doctor may repeat this or other tests to confirm the diagnosis.
Glycated hemoglobin (A1C) test
What is a glycated hemoglobin (A1C) test?
An A1C test, also known as a glycated hemoglobin test, isn't used for diagnosing prediabetes or diabetes. Instead, it gauges how well you're managing your diabetes.
Unlike a fasting blood glucose test or a daily finger stick, both of which measure your blood sugar level at a given time, the A1C test reflects your average blood sugar level for the past two to three months. Test results show what percentage of your hemoglobin — a protein found in red blood cells — is sugar coated (glycated).
What's normal?
The normal range for people without diabetes is 4 percent to 6 percent. An A1C level lower than 7 percent is a common target for people with diabetes — although your doctor may recommend a level lower than 6 percent if you're pregnant or have other health concerns. An A1C level higher than 7 percent may indicate the need for a change in your diabetes treatment plan.
The normal range for A1C results may vary somewhat among labs. If you consult a new doctor or use a different lab, it's important to consider this possible variation when interpreting your test results.
Not diabetic with these numbers? 
