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KittyCat
Happy Summer !
Member since 5/05 2241 total posts
Name:
Kathleen
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Diabetes help...
Ok, got my blood work back, dr. says I am pre-diabetic, thens says no you used enzo labs - their readings are different your fine. Then I review the lab work at home sheet says 110 glucose and the hemoglobin ac1 said 6.3 and it was in the "high" range.
am I or not?
T.I.A.
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Posted 8/24/12 4:32 PM  |
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kabr13
LIF Toddler
Member since 2/09 470 total posts
Name:
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Re: Diabetes help...
Your hgbA1c is elevated. That measures your body's glucose control over months. Your dr will probably check it again in a couple of months. You don't necessarily look at the glu alone. Here is a helpful site http://www.diabetes.org/diabetes-basics/prevention/pre-diabetes/diagnosis.html
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| Posted 8/24/12 5:32 PM |
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Beth
The Key to your new home....
Member since 2/06 24849 total posts
Name:
Beth
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Re: Diabetes help...
I found out last year I have type 1
watch your carbs and sugars - you should be able to reverse that with a healthy diet very easily
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| Posted 8/24/12 9:08 PM |
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GoldenRod
10 years on LIF!
Member since 11/06 26792 total posts
Name:
Shawn
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Re: Diabetes help...
If your BS fluctuates between 70 and 200 throughout the day, you may get lucky and catch it at 110, as it's heading up to 200 again. Spot-checking is good for adjusting your medicine, or seeing how to deal with the immediate scenario (eat or drink something for low BS, take insulin or exercise for high BS, etc).
The a1c gives a better idea of BS over time. It's sort of an "average". It won't indicate spikes in either direction (which the spot-checking is good for), but it gives an overall indication of how you're doing.
Here's a chart (there are hundreds of other ones, but this is the first one I found on Google...)
http://www.mayoclinic.com/health/a1c-test/MY00142/DSECTION=results
For someone who doesn't have diabetes, a normal A1C level can range from 4.5 to 6 percent. Someone who's had uncontrolled diabetes for a long time might have an A1C level above 9 percent.
When the A1C test is used to diagnose diabetes, an A1C level of 6.5 percent or higher on two separate tests indicates you have diabetes. A result between 5.7 and 6.4 percent is considered prediabetes, which indicates a high risk of developing diabetes.
For most people who have previously diagnosed diabetes, an A1C level of 7 percent or less is a common treatment target. Higher targets may be chosen in some individuals. If your A1C level is above your target, your doctor may recommend a change in your diabetes treatment plan. Remember, the higher your A1C level, the higher your risk of diabetes complications.
Here's how A1C level corresponds to average blood sugar level, in milligrams per deciliter (mg/dL) and millimoles per liter (mmol/L):
A1C level.....Average blood sugar level
5 percent.....80 mg/dL (4.4 mmol/L)
6 percent.....120 mg/dL (6.7 mmol/L)
7 percent.....150 mg/dL (8.3 mmol/L)
8 percent.....180 mg/dL (10 mmol/L)
9 percent.....210 mg/dL (11.7 mmol/L)
10 percent.....240 mg/dL (13.3 mmol/L)
11 percent.....270 mg/dL (15 mmol/L)
12 percent.....300 mg/dL (16.7 mmol/L)
13 percent.....333 mg/dL (18.5 mmol/L)
14 percent.....360 mg/dL (20 mmol/L)
This chart:
http://clinical.diabetesjournals.org/content/24/1/9.full
Indicates that my average a1c of 6.5 to 6.8, as a Type 1 diabetic is pretty good, but a non-diabetic wants it below 6.
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| Posted 8/25/12 7:28 AM |
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KittyCat
Happy Summer !
Member since 5/05 2241 total posts
Name:
Kathleen
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Re: Diabetes help...
OMG ! thank you all so much, for the information, I am just so confused b.c of the way the dr. said it and all websites say different things, I still don't know if I am borderline or not :( I am nervous about it really, my dad has it. I am going to call my dr.'s office monday and speak to the head dr. This dr. I saw was just the available dr that day.
I have had crazy headaches, but that is from anxiety and stress to, so it is hard to tell any symptoms right now, while I am going through a stressful time - just normal life but alot going on right now :(
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| Posted 8/25/12 10:51 PM |
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Beth
The Key to your new home....
Member since 2/06 24849 total posts
Name:
Beth
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Re: Diabetes help...
I am not a huge fan of western medicine
and my experinces post diabetis have only added to my feelings
the doctors are only going to tell you so much- they are VERY limited on nutriton and this an illness based on nutrion
if I ate was I was served in Stony brook hospital as a "diabetic"diet I would be dead
my doctor had me taking 6 units of insulin for each meal- that would have me eating 90 grams of carbs a meal- why on earth would a diabetic want to eat that many carbs- when they turn to sugar?????
I did much of my own research and figured out what worked for me- my doctor told me after a year or so I would need MORE insulin- well....I actually use LESS and it continues to drop
I would see a nurtionist and work on your diet- I went to a vegan plant based diet and this is working the best for me
I refuse to have diabetic complications- I need my eyes and feet- I love shoes too much to eat a cookie
if you have any questions let me know- I read a bunch of great books to help me understand this- I am determined to reserve or come close to reversing type 1 - which is no small feat- but I would rather try then not
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| Posted 8/27/12 2:17 PM |
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Re: Diabetes help...
Posted by GoldenRod
If your BS fluctuates between 70 and 200 throughout the day, you may get lucky and catch it at 110, as it's heading up to 200 again. Spot-checking is good for adjusting your medicine, or seeing how to deal with the immediate scenario (eat or drink something for low BS, take insulin or exercise for high BS, etc).
The a1c gives a better idea of BS over time. It's sort of an "average". It won't indicate spikes in either direction (which the spot-checking is good for), but it gives an overall indication of how you're doing.
Here's a chart (there are hundreds of other ones, but this is the first one I found on Google...)
http://www.mayoclinic.com/health/a1c-test/MY00142/DSECTION=results
For someone who doesn't have diabetes, a normal A1C level can range from 4.5 to 6 percent. Someone who's had uncontrolled diabetes for a long time might have an A1C level above 9 percent.
When the A1C test is used to diagnose diabetes, an A1C level of 6.5 percent or higher on two separate tests indicates you have diabetes. A result between 5.7 and 6.4 percent is considered prediabetes, which indicates a high risk of developing diabetes.
For most people who have previously diagnosed diabetes, an A1C level of 7 percent or less is a common treatment target. Higher targets may be chosen in some individuals. If your A1C level is above your target, your doctor may recommend a change in your diabetes treatment plan. Remember, the higher your A1C level, the higher your risk of diabetes complications.
Here's how A1C level corresponds to average blood sugar level, in milligrams per deciliter (mg/dL) and millimoles per liter (mmol/L):
A1C level.....Average blood sugar level
5 percent.....80 mg/dL (4.4 mmol/L)
6 percent.....120 mg/dL (6.7 mmol/L)
7 percent.....150 mg/dL (8.3 mmol/L)
8 percent.....180 mg/dL (10 mmol/L)
9 percent.....210 mg/dL (11.7 mmol/L)
10 percent.....240 mg/dL (13.3 mmol/L)
11 percent.....270 mg/dL (15 mmol/L)
12 percent.....300 mg/dL (16.7 mmol/L)
13 percent.....333 mg/dL (18.5 mmol/L)
14 percent.....360 mg/dL (20 mmol/L)
This chart:
IMAGE
http://clinical.diabetesjournals.org/content/24/1/9.full
Indicates that my average a1c of 6.5 to 6.8, as a Type 1 diabetic is pretty good, but a non-diabetic wants it below 6.
If you don't mind me asking, does your Dr. give you a goal for A1C? My husband's new endo gave a goal that was higher than what the old one gave. I don't now if the new Dr. is just more realistic. The other Dr. really pushed for numbers that a non-diabetic would get. Dh is probably more consistent and not up & down as much as he once was but I wish that number, being a 3 month average, was lower.
PS..thanks for the chart about A1C compared to how much control a person has. I am used to looking at charts for the whole population or looking at very high A1C numbers from the disabled population that I work with.
Message edited 8/27/2012 7:46:21 PM.
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| Posted 8/27/12 7:43 PM |
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GoldenRod
10 years on LIF!
Member since 11/06 26792 total posts
Name:
Shawn
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Re: Diabetes help...
Posted by Kerie-is-so-very
If you don't mind me asking, does your Dr. give you a goal for A1C? My husband's new endo gave a goal that was higher than what the old one gave. I don't now if the new Dr. is just more realistic. The other Dr. really pushed for numbers that a non-diabetic would get. Dh is probably more consistent and not up & down as much as he once was but I wish that number, being a 3 month average, was lower.
PS..thanks for the chart about A1C compared to how much control a person has. I am used to looking at charts for the whole population or looking at very high A1C numbers from the disabled population that I work with.
My Dr. wants me under 7, which I can manage fairly easily, as long as I stay on top of things. There's no way I'm staying under 6. I tried that a couple of times, and for me, it's dangerous. I almost passed out a couple of times. I'd rather have an a1c around 7 and be conscious all the time, instead of trying to be under 6, and risking passing out while I'm driving...
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| Posted 8/28/12 7:55 AM |
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GoldenRod
10 years on LIF!
Member since 11/06 26792 total posts
Name:
Shawn
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Re: Diabetes help...
Posted by Beth
I am not a huge fan of western medicine
and my experinces post diabetis have only added to my feelings
the doctors are only going to tell you so much- they are VERY limited on nutriton and this an illness based on nutrion
if I ate was I was served in Stony brook hospital as a "diabetic"diet I would be dead
my doctor had me taking 6 units of insulin for each meal- that would have me eating 90 grams of carbs a meal- why on earth would a diabetic want to eat that many carbs- when they turn to sugar?????
I did much of my own research and figured out what worked for me- my doctor told me after a year or so I would need MORE insulin- well....I actually use LESS and it continues to drop
I would see a nurtionist and work on your diet- I went to a vegan plant based diet and this is working the best for me
I refuse to have diabetic complications- I need my eyes and feet- I love shoes too much to eat a cookie
if you have any questions let me know- I read a bunch of great books to help me understand this- I am determined to reserve or come close to reversing type 1 - which is no small feat- but I would rather try then not
It's not quite that simple. Type 1 means that the body's own immune system has destroyed some or all of the pancreatic cells. For some diabetics, the pancreas is not producing any insulin at all. In those cases, it's impossible to reverse it. The organ has ceased to function. For many, it's running at a drastically reduced capacity.
For me, 6 units doesn't come anywhere near compensating for 90 grams of carbs. For me, 6 units barely compensates for 0 carbs. The body naturally tries to regulate blood sugar, and it will rise on its own, even without eating for hours.
It's definitely not a cut-and-dry disease. That would be awesome if you could eliminate your need for insulin, but also realize that most diabetics can't do that, even if they stopped eating.
Diabetics need to work with their doctors, but still need to spend a lot of time and research figuring out what works best for THEM. I actually figured out the glycemic index before it was widely published. I just figured out what worked for me.
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| Posted 8/28/12 8:11 AM |
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Beth
The Key to your new home....
Member since 2/06 24849 total posts
Name:
Beth
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Re: Diabetes help...
I only take 12 units of lantus once a day (down from 15 2 months ago)
and 2-4 with eat meal depending on what I eat- some veggies have more carbs then other
I can correct 100 points with 1 unit- but I eat no processed food, no meat, no dairy, no gluten (I only have to correct if a shot doesn't work- which happens sometimes when you shot so little)
I excerise daily and only drink water- and wine on occassion- which oddly has no effect on my BS if I don't eat anything I shouldn't
I know reversing type 1 is next to impossible (so is paying off over $100K in debt in 3 years and becoming one of the top realtors in the worst market- but I did that)- I like to aim high- but if my pancaras is working at all- I would like to know I am eating properly and not overloading my body with crap
for someone who would be very boardline type 2- food is a huge factor- the medincines they put type 2 people on are worst then insulin- I have watched my Uncle struggle for years as a type 2 and the side effects from the meds are terrible
I will keep doing what I am doing- b/c it's working for me- and I am a believer that the proper diet and nutriton is the best medicine- not drugs-
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| Posted 8/28/12 3:30 PM |
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Re: Diabetes help...
Posted by GoldenRod
Posted by Kerie-is-so-very
If you don't mind me asking, does your Dr. give you a goal for A1C? My husband's new endo gave a goal that was higher than what the old one gave. I don't now if the new Dr. is just more realistic. The other Dr. really pushed for numbers that a non-diabetic would get. Dh is probably more consistent and not up & down as much as he once was but I wish that number, being a 3 month average, was lower.
PS..thanks for the chart about A1C compared to how much control a person has. I am used to looking at charts for the whole population or looking at very high A1C numbers from the disabled population that I work with.
My Dr. wants me under 7, which I can manage fairly easily, as long as I stay on top of things. There's no way I'm staying under 6. I tried that a couple of times, and for me, it's dangerous. I almost passed out a couple of times. I'd rather have an a1c around 7 and be conscious all the time, instead of trying to be under 6, and risking passing out while I'm driving...
Thanks. DH used to run low a lot more often than he does now but he had a recent A1C of 7.3 and I am not very happy about it. I am less worried about him getting low but I do not like such a high A1C. Even if he did not eat at all, he would still need a basal. I've had a lot of clients disabled from diabetes & so many of the effects are not reversible. So if client got good control after having a "late stage " diabetes issue, the issue did not always go away even if the control got better. It is scary and I hope for better research to be done.
Message edited 8/29/2012 12:08:31 AM.
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| Posted 8/29/12 12:08 AM |
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