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Home fasting blood glucose numbers much higher than arm - are arm tests accurate?
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<blockquote data-quote="LittleGreyCat" data-source="post: 2203922" data-attributes="member: 6467"><p>From this I must ask why you are convinced that it has to be a finger prick?</p><p>Alternative site testing is fully acceptable, and is sometimes the only option for long term T1s with pincushion fingers.</p><p></p><p>Assuming that your blood test at the Nuffield was a fasting BG and not an HbA1c then this looks normal and not diabetic. If it an HbA1c it is (if possible) even more normal and would rule out diabetes.</p><p></p><p>If you are concerted that you have diabetes but are struggling to produce enough evidence for a diagnosis I would recommend having an HbA1c at the Nuffield (or other testing organisation) because that is what would happen if you showed signs of diabetes from finger prick testing.</p><p></p><p>It was a long time ago but if I remember correctly, my diagnosis route was:</p><ul> <li data-xf-list-type="ul">Sudden weight loss and weeing all the time</li> <li data-xf-list-type="ul">Finger prick test at Lloyds Pharmacy which was stratospheric</li> <li data-xf-list-type="ul">FBG test through the local GP which was also well high</li> <li data-xf-list-type="ul">HbA1c at local clinic organised by GP</li> <li data-xf-list-type="ul">"Got me bang to rights, Guvnor"</li> </ul><p>If you are having problems getting your GP to listen then a private HbA1c test should provide one of three things, hopefully. Definitely diabetic, definitely not diabetic, possibly pre-diabetic.</p><p></p><p>If you can afford it this then this should cut out a lot of uncertainty and worry.</p><p></p><p>Finally, again, there is no need to struggle to test through your finger tips.</p><p>If you test at an alternative site this will still be accurate enough to provide evidence (to yourself as well as others) about your BG control.</p><p></p><p>Can I point you towards these two pages, please?</p><p><a href="https://www.diabetes.co.uk/Diabetes-diagnosis.html" target="_blank">https://www.diabetes.co.uk/Diabetes-diagnosis.html</a></p><p>which includes a reference to</p><p><a href="https://www.diabetes.co.uk/fasting-plasma-glucose-test.html" target="_blank">https://www.diabetes.co.uk/fasting-plasma-glucose-test.html</a></p><p>Noting that according to the second reference your FBG from the arm of 5.1 mmol/l is well within the normal range and would not support a diagnosis of diabetes.</p><p>Your finger pricks of 6.9 mmol/l falls within the possible pre-diabetic range but is certainly nowhere near enough to support a diagnosis of diabetes. Further doubt is cast because of your difficulty in getting a blood sample from your finger and (with respect) your lack of understanding and experience of BG testing.</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 2203922, member: 6467"] From this I must ask why you are convinced that it has to be a finger prick? Alternative site testing is fully acceptable, and is sometimes the only option for long term T1s with pincushion fingers. Assuming that your blood test at the Nuffield was a fasting BG and not an HbA1c then this looks normal and not diabetic. If it an HbA1c it is (if possible) even more normal and would rule out diabetes. If you are concerted that you have diabetes but are struggling to produce enough evidence for a diagnosis I would recommend having an HbA1c at the Nuffield (or other testing organisation) because that is what would happen if you showed signs of diabetes from finger prick testing. It was a long time ago but if I remember correctly, my diagnosis route was: [LIST] [*]Sudden weight loss and weeing all the time [*]Finger prick test at Lloyds Pharmacy which was stratospheric [*]FBG test through the local GP which was also well high [*]HbA1c at local clinic organised by GP [*]"Got me bang to rights, Guvnor" [/LIST] If you are having problems getting your GP to listen then a private HbA1c test should provide one of three things, hopefully. Definitely diabetic, definitely not diabetic, possibly pre-diabetic. If you can afford it this then this should cut out a lot of uncertainty and worry. Finally, again, there is no need to struggle to test through your finger tips. If you test at an alternative site this will still be accurate enough to provide evidence (to yourself as well as others) about your BG control. Can I point you towards these two pages, please? [URL]https://www.diabetes.co.uk/Diabetes-diagnosis.html[/URL] which includes a reference to [URL]https://www.diabetes.co.uk/fasting-plasma-glucose-test.html[/URL] Noting that according to the second reference your FBG from the arm of 5.1 mmol/l is well within the normal range and would not support a diagnosis of diabetes. Your finger pricks of 6.9 mmol/l falls within the possible pre-diabetic range but is certainly nowhere near enough to support a diagnosis of diabetes. Further doubt is cast because of your difficulty in getting a blood sample from your finger and (with respect) your lack of understanding and experience of BG testing. [/QUOTE]
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