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Confused with my Lab Blood test results!

R

raj25

Member
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Dear Everyone,

My lab results just came through earlier on this month and I am somewhat confused with the readings.Before we go onto it, let me provide you with a few other details;

I am a Male of 30 yrs old. I weigh 69 kg and my height is 5ft 7 (172 cm). I am considered to be 'Healthy'' as per my BMI
I eat a low fat/non-starchy well balanced meal throughout the day although I limit my carb intake for Diner. I get most of my carbs via fruits which I consume during day-time.
My blood pressure is normal (118/81)
I exercise moderately for around 45 minutes 6 times a day
Diagnosed Type 2: July 2010
Treatment: Diet and Exercise only

Now, coming onto my blood results which was done earlier on this month;

Triglycerides: 0.8 mnol/l
Total Cholesterol: 4.2 mnol/l
HBA1C: 5.7 mnol/l
12 hr overnight Fasting (water only)Glucose/blood sugar level: 6.3 mnol/l

I am concerned over my fasting blood glucose figure and cant understand why it is somewhat elevated when the fact it that my HBA1C is 5.7!As far as I am aware, no matter what I consumed 12 hours prior to the test is not meant to affect the readings if everything was normal with me. It appears that I have glucose intolerance but if that is truly the case, how come my HBA1C level is within the normal range? My GP hasn't called me to express any concerns but the reading of 6.3 mnol/l is giving me lots of worries!

I would be very grateful to get your comments on my situation.

Thanking you in advance for your kind advices.

Raj Patel
 
Hi Raj25
Do you have a meter and if so what are your readings through the day, Your HBA1C gives you the average BG over the last 3 months and 5.7 is good, The highish reading of 6.3mmol in the morning is probably down to what is called Dawn phenomenon which is an overnight liver dump which can be affected by many things which will always be difficult to define. Personally I never measure my sugars in the morning but always 2 hours after a meal. But looking at all your results I would not be concerned as you seem to be in pretty good nick. and your diet must be OK looking at A1C. Why is it concerning you so much?

Blood glucose ranges for type 2 diabetes
Before meals: 4 to 7 mmol/l
2 hours after meals: under 8.5 mmol/l
 
Hi Raj25

According to the leaflet that comes with my test strips, normal fasting blood glucose levels for a person without diabetes are between 3.9mmol/l and 6.1mmol/l. So according to this your result of 6.3mmol/l isn't too bad. Congratulations on the A1C. That's fantastic!
 
Hi RoyG,

Thank you for your reply.

I do not normally take my readings on a daily basis as I was advised by my GP not to do so given that my last HBA1C reading back in May 2011 was 5.4!He told me that there was no need to test and advised me to continue with my diet and exercise.
I think I may start taking readings before I have breakfast in order to draw any patterns in my figures. It could be the 'dawn phenemenon' as you say! It is concerning me because the figure is slightly elevated and from what I have researched, it's meant to be preferably below 6.
 
Hi Glucosegirl,

Thank you for your reply and for your felicitation!

Well, it's got to be below 6.1 and that's the bit which I am unhappy about as in my case that wasn't the case. I take my health very seriously as I come from a diabetic family and want to do whatever I can in order to bring my figures in the normal range!When I was diagnosed with Type 2 back in July 2010, my HBAIC was 7.7!From July 2010 till date, I have lost 20kg and have reduced the amount of overall carbs and fat in my diet. At all cost, I want to avoid meds
 
Hi Raj

Brilliant results basically, well done.

the difference between the HBA1c and the fasting test is because the fasting test is a snapshot of that moment. As mentioned by Roy the dp can influence the morning read as the liver will give you a glucose dump to prepare you for the day. The HBA1c is based on the last 3 months, therefore it is the more accurate. It will take into account all the times you are not testing so to get an HBA of 5.7% it works out as an average on your meter of 7mmol. Bacially excellent, the target we're given is <6.5%

Cholesterol. the targets for diabetics are

Total - <4
HDL (good chol) > 1.2
LDL (bad chol) <2
Trigs <1.8
Ratio <6

So all in all a good set of results - you're only slightly over on the total but it could be the HDL is pretty high (good thing) but without those numbers we dont know.
 
Hi MaryJ,

Thank you for your reply and for the reassurances & compliments!:)

The breakdown of my Cholesterol result is as follow;

Serum Cholesterol: 4.2
Serum Triglycerides: 0.8
HDL: 1.4
LDL: 2.4
Total Cholesterol-HDL ratio : 3.0
 
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