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Glucose spikes and diagnosis of diabetes
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<blockquote data-quote="daski" data-source="post: 2751091" data-attributes="member: 596359"><p>[USER=517579]@KennyA[/USER] thanks, let me address few things.</p><p>Following my Libre graphs I had not single high reading but exactly 13 of them in 14 days - so this is not a single event, furthermore for some of them I did as well finger check to make sure it is not Libre giving wrong data. MARD of Libre 3 is about 8%. I know it is an average so nothing very precise but you could say +-8%. So if you have readings of 13mmol/L this would be between 11. 96 or 14 (still too high).</p><p></p><p>On HbA1c - this measures average, I know now that diabetes is about <strong>sustained</strong> high glucose levels – so it is not my case as they go back to normal quickly. Saying all that in practice it doesn't really matter as despite having in range HbA1c you could still end up with coma or organ failures from high or low glucose (at least that is my understanding).</p><p></p><p>Now back to professional investigation. I sent Libre data and all results to specialist and had consultation online - then was told that:</p><p>1. these high readings are not normal (confirms what I thought)</p><p>2. they don't indicate diabetes (back to sustained factor) - but indicate resistance to insulin (issue 1) and reactive hypoglycemia (issue 2 probably as consequence of issue 1)</p><p>3. I have list of actions (usual exercise, diet and if no improvement medicine to avoid elevated glucose levels)</p><p>4. I have another appointment booked through BUPA with endocrinologist and some tests so should have everything re-confirmed</p><p></p><p>The only complain I have is that GP stating that these readings are ok and there is nothing wrong as my HbA1c is ok - is quite hm... far from anything I would consider a professional advice.</p><p>Thanks for all replies - they were really helpful.</p></blockquote><p></p>
[QUOTE="daski, post: 2751091, member: 596359"] [USER=517579]@KennyA[/USER] thanks, let me address few things. Following my Libre graphs I had not single high reading but exactly 13 of them in 14 days - so this is not a single event, furthermore for some of them I did as well finger check to make sure it is not Libre giving wrong data. MARD of Libre 3 is about 8%. I know it is an average so nothing very precise but you could say +-8%. So if you have readings of 13mmol/L this would be between 11. 96 or 14 (still too high). On HbA1c - this measures average, I know now that diabetes is about [B]sustained[/B] high glucose levels – so it is not my case as they go back to normal quickly. Saying all that in practice it doesn't really matter as despite having in range HbA1c you could still end up with coma or organ failures from high or low glucose (at least that is my understanding). Now back to professional investigation. I sent Libre data and all results to specialist and had consultation online - then was told that: 1. these high readings are not normal (confirms what I thought) 2. they don't indicate diabetes (back to sustained factor) - but indicate resistance to insulin (issue 1) and reactive hypoglycemia (issue 2 probably as consequence of issue 1) 3. I have list of actions (usual exercise, diet and if no improvement medicine to avoid elevated glucose levels) 4. I have another appointment booked through BUPA with endocrinologist and some tests so should have everything re-confirmed The only complain I have is that GP stating that these readings are ok and there is nothing wrong as my HbA1c is ok - is quite hm... far from anything I would consider a professional advice. Thanks for all replies - they were really helpful. [/QUOTE]
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