I was diagnosed with diabetes on December,24,2018.Hba1c result was 12.1%.I bought Glucometer and managing my glucose level.My physician advised me to take Glucophage 500mg twic a day.At breafast and dinner.My urine dr shows glucose negative.There are no symptoms of thirst and excess urine.My kidneys are also functioning well.I am unable to understand how is possible to have diabetes with Hba1c as high as 12.1% with negative Glucose in urine dr test.please explain it to me.I am confused.
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Diabetes without symptoms
- Thread starter jnizamani
- Start Date
Bluetit1802
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Hello and welcome to the forum,
By no means everyone has obvious symptoms. I certainly didn't. However, if you are overweight, that in itself is a symptom of high circulating insulin, which is a pathway to Type 2 diabetes. T2 is a metabolic disorder, and is grouped together with other markers that are known as metabolic syndrome. These are high blood pressure, high triglycerides, and being overweight particularly round the middle. Not everyone has all of these.
Have a good read round, learn as much as you can about diabetes, and ask as many questions as you like. Meanwhile I will tag @Daisy 1 for her excellent introductory post - please read this.
Guzzler
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My A1c at diagnosis was 98 (11.1) with none of the classic symptoms. My liver function test was "dodgy" according to the locum GP who arranged another raft of tests. All other markers were pretty normal.
Have you had a second HbA1c to confirm diagnosis?
Have you had a second HbA1c to confirm diagnosis?
Actually from one lab I got the result 11.39%.Then from second lab I got result of 12.1%.As i was under medication of vitamin b 12 deficiency so for confirmation I again got tested from the same lab where i had got the result of 12.1%.This time after 12 days result is 11.1 %.This test was done on January 5 2019.One more thing I was diagnosed with dystonia in 2012.I had been suffering from that problem for years.My dystonic symptoms were severe in 2005,I was not diagnosed at that time.One thing is very surprising after managing my glucose levels I am feeling much better.Even at some moments It feel like my dystonia is being cured.
I was also recently diagnosed and had no symptoms until I started to get very very dizzy. Turned out my hba1c was 103.
I also have no other health problems, am only 26 and not overweight...
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Higher blood glucose levels often exacerbate other non Diabetes related conditions, I have seen an improvement in my chronic pain and symptoms of Menieres Syndrome which leads me to conclude that for me a diet lower in carbohydrates has beneficial effects on overall health.
May I ask how you are managing your bg levels now?
May I ask how you are managing your bg levels now?
Resurgam
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I was not all that unwell, as far as I knew - since stopping the carbs and restoring normal readings I feel a lot better.
I have never seen a positive glucose in the urine test, even though my Hba1c was 91 and blood glucose was 17.1 at diagnosis.
I have never seen a positive glucose in the urine test, even though my Hba1c was 91 and blood glucose was 17.1 at diagnosis.
Just correcting the tag for the info post @Bluetit1802 wrote, it should read @daisy1 with a lower case d 
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It's possible your hba1c doesn't accurately reflect your blood sugar (several blood conditions can distort an hba1c result). No sugar in your urine means that your blood sugar is staying below 10, so I too am surprised by such a high hba1c result. I'd strongly suggest that you invest in a glucometer and test your blood sugar.
https://www.steadyhealth.com/articles/reasons-for-elevated-a1c-without-diabetes
OK, the link above is one of many that says b12 deficiency can cause falsely elevated hba1c. I'd go back to my doctor and ask for a different test (eg fructosamine) and also take a diary of blood sugar results. Good luck.
daisy1
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@jnizamani
Hello Jnizamani and welcome to the Forum Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.
BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS
Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.
A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.
On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.
The role of carbohydrate
Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.
If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.
The bad news
Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.
The good news
People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.
Controlling your carbs
The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:
A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.
The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.
Choosing better carbohydrates
The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.
Read more on carbohydrates and diabetes.
Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.
Eating what works for you
Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.
To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.
The blood sugar ranges recommended by NICE are as follows:
Blood glucose ranges for type 2 diabetes
Access to blood glucose test strips
The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.
You may also be interested to read questions to ask at a diabetic clinic.
Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.
Hello Jnizamani and welcome to the Forum
Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS
Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.
A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.
On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.
The role of carbohydrate
Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.
If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.
The bad news
Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.
The good news
People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.
Controlling your carbs
The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:
- Reduce your carbohydrate intake
- Choose ‘better’ carbohydrates
A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.
The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.
Choosing better carbohydrates
The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.
Read more on carbohydrates and diabetes.
Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.
Eating what works for you
Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.
To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.
The blood sugar ranges recommended by NICE are as follows:
Blood glucose ranges for type 2 diabetes
- Before meals: 4 to 7 mmol/l
- 2 hours after meals: under 8.5 mmol/l
- Before meals: 4 to 7 mmol/l
- 2 hours after meals: under 9 mmol/l
- Before meals: 4 to 8 mmol/l
- 2 hours after meals: under 10 mmol/l
Access to blood glucose test strips
The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
- structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
- self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education
Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.
You may also be interested to read questions to ask at a diabetic clinic.
Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.
- Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
- Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
last night after 4 hours of dinner i checked my glucose level it was 72.today in the morning fasting glucose level was 83.So I skipped dose of glucophage 500.Now intent to check post meal glucose level after dinner without taking glucophage 500 mg.Then will decide to carry on glucophage or leave it.Am right?Your valued replies will help me to make decision.My physician has asked me that you will have to check and keep record of your glucose level by your self.In this matter no one can help you.So certainly I will visit him at weekend.
Last edited:
Bluetit1802
Legend
Just correcting the tag for the info post @Bluetit1802 wrote, it should read @daisy1 with a lower case d
Ooops. Thank you for correcting me, and apologies to the other daisy. Yet another senior moment.
Traceymac23
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What's your BMI f you don't mind me asking?
Sure, my BMI is 21.6
