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Do I have diabetes??

Whispernikki

Newbie
Messages
4
I had gestational diabetes, bs returned normal after birth, now 14 wks on Ive been feeling tired, thirsty, weeing etc, my doctor did a blood test but said I didn't need to fast and my results come back 9.0 and said it would be likely I have t2, I've now got to have glucose tolerance test
My question is do I have diabetes ?
 
You have to wait for the diagnosis and see, but from the test you did it seems likely if it was an HbA1c test (this doesn't require fasting) which you did. Wait for the results, then if it's confirmed you'll get lots of help on here. It needn't be as bad as you may be thinking. A change in diet and lifestyle is sometimes enough.
 
I saw a different doctor today and asked him about my result and he said it was normal so I'm confused why I'm getting 2 different opinions ???
 
Well, unfortunately my crystal ball is broken so I can only speculate unless you can tell us that that 9.0 reading was.

If that was a regular blood test, which you can, in principle do without fasting, then 9.0 mmol/l is a high but not high enough to diagnose diabetes - diagnostic cut-off for random BG test is >11.1 mmol/l.
A random blood test can be used to diagnose diabetes, but not exclude it, so it makes some sense to send you for a OGTT.
A negative OGTT means you're probably not diabetic (but might have impaired fasting glucose), which would explain what the 2nd doctor said [for example, you having a bottle of Lucozade before the first test might have caused this but since I don't know any details I can only speculate]

Another possibility is that the first test was an HbA1c, in which case 9.0 is probably a rather high 9.0% (DCCT, equivalent to 75 mmol/l in new IFCC units) - but then again, they'd have told you that the HbA1c is 75 because they are supposed to use the new IFCC units now. An HbA1c of 9.0% is probably high enough to diagnose diabetes (WHO recommends >6.5% for diagnosing diabetes, not sure what the NICE guidelines say on this). In this case, it seems very unlikely that the OGTT would be "normal" (that HbA1c corresponds to an average blood glucose of 13 mmol/l) - in that case, I'd ask for the detailed test results, and would ask for a fasting blood test (pharmacies might do diabetes screening - you could try skipping breakfast and going for test 1st thing in the morning if you GP doesn't want to do another test)

Again, the above is pure speculation. I'd recommend that you find out what exactly that "9.0" test was, because then we might be able to give you more specific advice.
 
I think it was a random non fasting.. my GP said I must have a OGTT to determine if I do have diabetes.
My doctor is calling me on Monday so I will find out for sure what test was preformed.
But what baffled me was the other doctor saying my blood glucose was normal. :-s and my own GP said it was high and that's why I've been feeling tired
Confusing !!
 
Whether it's high or not depends on what you'd eaten and when. If they didn't find that out, they can't comment. However, unless you had recently had something very high in carbs/sugar/high GI it warrants further investigation.
 
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