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Need help to understand results - New in UK

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Need help to understand results - New in UK

Postby sumitkumar0102 » March 5th, 2012, 4:32 pm

Hi Guys,

I am a diabetic from couple of years now recently moved to UK. I had my first test in GP a week back. I have got an appointment with diabetic nurse on 20th March. But I just called up the GP and got to know my results.

Below is what results I was being told – can someone please tell what’s bad and what’s very bad in this.

Serum cholesterol levels 4.9
Calculated LDL 3.2
Calculated HDL 4.1
Liver Function Normal
BG (Fasting) 8.4
HBA1C 75 mmol/mol

I know my BG was high when I when in for test but I have been managing and monitoring since them (Accu Check Compact Plus) almost 3-4 times a day since last 3 weeks

3 weeks Average – 7.5
1 week average - 6.8

Please help to understand the results

Also – Can I get a copy of my reports or GP’s don’t give that, what is the process I need to follow to get a copy of my reports for my records as I might travel to a different country in next 1-2 years.

What question to ask the nurse, how can I be referred to a dietician….
sumitkumar0102
 
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Re: Need help to understand results - New in UK

Postby BeccaJaneStClair » March 28th, 2012, 6:47 pm

I can't help you with understanding it, as I'm newly diagnosed and originally from the US, so I'm as baffled as you with the figures! But I was able to get a print out of my blood test results just by asking my GP for it. I was going to write everything down and then he offered to print it for me, so it's worth asking if s/he will print it for you!
Rebecca - Type 2
Diagnosed March 2012 HbA1c 50 (6.7%)
June 2012 - HbA1c 36 (5.4%)
Sept 2012 - HbA1c 34 (5.2%)
Nov 2012 - HBA1c 34 (5.2%)
March 2013 - HBA1c 28 (4.8%)
Taking Metformin for PCOS & Metabolic Syndrome 1000mg/day since May 2013
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Re: Need help to understand results - New in UK

Postby AndyS » March 28th, 2012, 7:29 pm

There is a conversion tool for your HbA1c here: http://www.diabetes.co.uk/hba1c-units-converter.html

75mmol/mol = 9% in DCCT units :)

As for your records if you are going to be going to another country you can get a copy of your file though some surgerys will charge you for that. If they try to withold your records (which I am pretty sure is not even legal) I beleive there are ways to get them and your first stop may be to find your nearest Citizens Advice Bureau
T1 Diagnosed April 2009 (BG 33.6) DAFNE Feb 2011 / 12+32u Levemir & Carb Counting with Novorapid Variable Ratios.
HbA1c 6.3 and rising :/
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Re: Need help to understand results - New in UK

Postby Tinytoez » March 28th, 2012, 7:34 pm

AndyS, is the conversion thing working properly, Ive just tried it by entering my current Hba1c of 46 and it said 479.2367, which looks strange to me, but I dont quite understand how it works myself, so am just checking.
Officially diagnosed T2 end of Feb 2012, after 3 UTIS, 3 Blood Tests, and an A&E Visit.
Have a club foot too, a bottle of pop and a sausage roll, and Im generally mowing a meadow - which could be the problem.
GTT on 12th June
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Re: Need help to understand results - New in UK

Postby AndyS » March 28th, 2012, 7:38 pm

Hehe.. yes it is just make sure you put the values in the right box.

The new units mmol/mol go in the bottom box.
T1 Diagnosed April 2009 (BG 33.6) DAFNE Feb 2011 / 12+32u Levemir & Carb Counting with Novorapid Variable Ratios.
HbA1c 6.3 and rising :/
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Re: Need help to understand results - New in UK

Postby Tinytoez » March 28th, 2012, 7:45 pm

So thats the % value right??????
Officially diagnosed T2 end of Feb 2012, after 3 UTIS, 3 Blood Tests, and an A&E Visit.
Have a club foot too, a bottle of pop and a sausage roll, and Im generally mowing a meadow - which could be the problem.
GTT on 12th June
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Joined: February 20th, 2012, 8:34 pm
Location: Kent

Re: Need help to understand results - New in UK

Postby Tinytoez » March 28th, 2012, 7:49 pm

Ahh that looks better 46= 6.3590. :D
Officially diagnosed T2 end of Feb 2012, after 3 UTIS, 3 Blood Tests, and an A&E Visit.
Have a club foot too, a bottle of pop and a sausage roll, and Im generally mowing a meadow - which could be the problem.
GTT on 12th June
Tinytoez
 
Posts: 172
Joined: February 20th, 2012, 8:34 pm
Location: Kent

Re: Need help to understand results - New in UK

Postby phoenix » March 29th, 2012, 7:30 am

Th levels given are in mmol/l, some other parts of the world uses mg/dl which is what you may be used to.

Serum cholesterol levels 4.9mmo/l =189.5 mg/dl
Calculated LDL 3.2mmol/l =125mg/dl
Calculated HDL 4.1 mmol/l =159mg/dl
(to change cholesterol mmo//dl to mg/dl multiply by 39)


The National Institute for Health and Clinical Excellence (NICE) and Department of Health cholesterol guidelines, which is the policy doctors follow, are:

Total cholesterol - less than 5.0mmol/l
LDL cholesterol - less than 3.0mmol/l
However, the Joint British Societies (a group of the main UK expert societies involved in cardiovascular disease) recommend different cholesterol limits for people who have, or are at risk of, coronary heart disease:

Total cholesterol - less than 4.0mmol/l
LDL cholesterol - less than 2.0mmol/l
These guidelines match the more stringent recommendations used in Europe.

NICE is currently reviewing its national policy guidelines.http://www.bbc.co.uk/health/physical_he ... rol_levels
The BBC report doesn't give a level for HDL which other sites from the UK say should be above 1.2mmol/l




Liver Function Normal

BG (Fasting) 8.4mml/l = 151.2 mgdl
(to change blood glucose from mmol/l to mg/dl multiply by 18)

The HbA1c as people have already said uses the IFCC units of mmol/mol and it's easiest to use a calcuator or chart
HBA1C 75 mmol/mol= 9%
this is an estimated average glucose level of 11.8mmol/l = 212 mg/dl .http://professional.diabetes.org/GlucoseCalculator.aspx
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