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<blockquote data-quote="KennyA" data-source="post: 2742642" data-attributes="member: 517579"><p>Whether you're "pre-diabetic" or not depends on not only your HbA1c but also what the current assumptions are wherever you live. If you have an HbA1c od f 41 and the German healthcare system says"that's pre-diabetes" then according to them you are "pre-diabetic". Pre-diabetes isn't a diagnosis. It's used for someone whose HbA1c falls in the gap between normal blood glucose levels and the 48mmol/mol automatic diagnosis point. As I had full blown diabetic symptoms with an A1c of 43/44, it was of exactly no use in my case. Labels don't stack up very well against reality. </p><p></p><p>Incidentally, as this is a UK forum and we use the UK IFCC system, I'll give answers using that as it's what I'm familiar with.</p><p></p><p>1. It means that is what your current blood glucose was (given meter accuracy) at the point you tested. What was the difference from the earlier test? Were there any other factors that might have affected your blood glucose - illness, exercise, stress, etc? One reading on its own says nothing about what your HbA1c was or might be. The normal routine is to test before you eat and then again at +2 hrs. You are testing to see how well your system dealt with the carbs in whatever it was you ate. You want your second reading to be under 8.0mmol/l and within 2 mmol/l of the first. If you're eating very carby meals, you might expect to see prolonged BG rises. </p><p></p><p>2. I don't know what you mean by "borderline" - do you mean around 41, or around 48? HbA1c and fingerprick tests estimate blood glucose by measuring different things in different ways. So it shouldn't be expected that they would read across. </p><p></p><p>3. I don't know about your values improving. A large number of people on this forum have seen their BG values fall via a low carb lifestyle, I'm one of them. My BG was back in normal range inside four months, long before I'd lost much weight - the weight loss follows rather than causes normal BGs. I did lose a lot of weight afterwards, and it's added up to around 40kg. As I don't want both to regain that and to push my blood glucose up, I have kept my carb intake as it's been, around 20g/day. </p><p></p><p>4. It depends. What had you eaten? Were there any other factors, as in 1. above? Is this just the one reading, or is this a pattern noticed over many readings?</p></blockquote><p></p>
[QUOTE="KennyA, post: 2742642, member: 517579"] Whether you're "pre-diabetic" or not depends on not only your HbA1c but also what the current assumptions are wherever you live. If you have an HbA1c od f 41 and the German healthcare system says"that's pre-diabetes" then according to them you are "pre-diabetic". Pre-diabetes isn't a diagnosis. It's used for someone whose HbA1c falls in the gap between normal blood glucose levels and the 48mmol/mol automatic diagnosis point. As I had full blown diabetic symptoms with an A1c of 43/44, it was of exactly no use in my case. Labels don't stack up very well against reality. Incidentally, as this is a UK forum and we use the UK IFCC system, I'll give answers using that as it's what I'm familiar with. 1. It means that is what your current blood glucose was (given meter accuracy) at the point you tested. What was the difference from the earlier test? Were there any other factors that might have affected your blood glucose - illness, exercise, stress, etc? One reading on its own says nothing about what your HbA1c was or might be. The normal routine is to test before you eat and then again at +2 hrs. You are testing to see how well your system dealt with the carbs in whatever it was you ate. You want your second reading to be under 8.0mmol/l and within 2 mmol/l of the first. If you're eating very carby meals, you might expect to see prolonged BG rises. 2. I don't know what you mean by "borderline" - do you mean around 41, or around 48? HbA1c and fingerprick tests estimate blood glucose by measuring different things in different ways. So it shouldn't be expected that they would read across. 3. I don't know about your values improving. A large number of people on this forum have seen their BG values fall via a low carb lifestyle, I'm one of them. My BG was back in normal range inside four months, long before I'd lost much weight - the weight loss follows rather than causes normal BGs. I did lose a lot of weight afterwards, and it's added up to around 40kg. As I don't want both to regain that and to push my blood glucose up, I have kept my carb intake as it's been, around 20g/day. 4. It depends. What had you eaten? Were there any other factors, as in 1. above? Is this just the one reading, or is this a pattern noticed over many readings? [/QUOTE]
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