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Totally bewildered by my doctor.

An HbA1c is normally the only diagnostic tool used. If there is still concern about the diagnosis, an OGTT. Your HbA1c was perfectly normal, as the doctor said. However, if you are anaemic this can skew HbA1c results because your haemoglobin is abnormal. There is plenty about this via Google. HbA1c tests can also be skewed if your red blood cells are long or short lived compared with the norm. There is another test that can be done, called a Fructosamine test but doctors rarely do these because they have to be sent off to special labs. This is normally used for anaemic patients.
 
Bluetit1802 said:
An HbA1c is normally the only diagnostic tool used. If there is still concern about the diagnosis, an OGTT. Your HbA1c was perfectly normal, as the doctor said. However, if you are anaemic this can skew HbA1c results because your haemoglobin is abnormal. There is plenty about this via Google. HbA1c tests can also be skewed if your red blood cells are long or short lived compared with the norm. There is another test that can be done, called a Fructosamine test but doctors rarely do these because they have to be sent off to special labs. This is normally used for anaemic patients.
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This is my primary concern. My red cells at the time were at the low end of normal. He said not at a level that would raise alarm bells though. IDK, perhaps im just over thinking this. He didn't see it as a good enough reason to rerun the test.
 
Jamesuk9 said:
This is my primary concern. My red cells at the time were at the low end of normal. He said not at a level that would raise alarm bells though. IDK, perhaps im just over thinking this. He didn't see it as a good enough reason to rerun the test.
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So your doctor believes your result is accurate - that's good news :)

As I said above, a second opinion will verify this for you. You could also request a follow up test sooner to put your mind at rest rather than worrying for months while waiting for another check.
 
Jamesuk9 said:
This is my primary concern. My red cells at the time were at the low end of normal. He said not at a level that would raise alarm bells though. IDK, perhaps im just over thinking this. He didn't see it as a good enough reason to rerun the test.
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Relax. A diabetes diagnosis is just a label. It won't alter the need to find a suitable diet that keeps your blood glucose at good acceptable levels. If you do that, all should be well.
 
Jamesuk9 said:
Hi thanks for responding. Nothing scientific as my doctor refused to send me for one. A simple bottle of lucozade classic from the local shop.
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don´t do those glucose testing at home, it is very unhealthy to do them..
yes it seems that you are close to prediabetic... but if you loose weight like you do, then you are doing the right thing.

fasting will not make you diabetic, so try doing it like 3 days in a row which according to Jason Fung https://www.dietdoctor.com/therapeutic-fasting-dr-jason-fung, is the optimal time to occasionally lowering ones insuline (which also leads to less obesity when lowered, as the body only fills fatty-cells when having raised insuline..
then you´ll see your morning numbers go down even when fasting, because you´ll exhaust you liver reserves too then

if you do want to do the best for yourself then go lower carbing, those breakfast smoothies what are they made of ?
 
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Freema said:
don´t do those glucose testing at home, it is very unhealthy to do them..
yes it seems that you are close to prediabetic... but if you loose weight like you do, then you are doing the right thing.

fasting will not make you diabetic, so try doing it like 3 days in a row which according to Jason Fung https://www.dietdoctor.com/therapeutic-fasting-dr-jason-fung, is the optimal time to occasionally lowering ones insuline (which also leads to less obesity when lowered, as the body only fills fatty-cells when having raised insuline..
then you´ll see your morning numbers go down even when fasting, because you´ll exhaust you liver reserves too then

if you do want to do the best for yourself then go lower carbing, those breakfast smoothies what are they made of ?
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Apple, pear, raspberry and nuts and milk. It doesn't send my numbers soaring, I've checked. Back at starting level in under 2 hours, at around 7 or just over at 1 hour. I seem to tolerate fruit OK.
 
Home testing before you eat , one and two hours later give you the best picture of what's going on. Find the foods that spike you and either eliminate or reduce them. Simple as that. Find foods / meals that's work within your desired range and don't ffectnother health issues.
I don't go by A1c as they average the lows and highs and the roller coasters are never good. I wouldn't put my body through a glucose challenge test but I am vlc, have been for years and will never change. I'd sky rocket.

There is room for improvement but your numbers could be much worse. Some would kill for them. Test and retest. Eliminate or minimize. You will do great!
 
Jamesuk9 said:
I clearly have issues, but my doctor doesn't take them seriously.
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Unfortunately T2D has become so prevalent that they have accepted it as the norm. They have been conditioned thru their experience to accept that it is progressive and all the complications are inevitable...

We are the anecdotal few...
 
Indy51 said:
There's another discussion on the forum about physiological insulin resistance resulting from a low carb diet that you might want to read. It may be a factor in your raised fasting levels:

http://www.diabetes.co.uk/forum/threads/low-carbing-and-physiological-insulin-resistance.114504/
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That is really interesting as I ate very low carb yesterday and this morning have recorded the highest fasting in a while at 6.4.

This in itself turns me straight back to carbs usually.
 
I always give any change I make a good few weeks to stabilise.
 
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