Hi all,
Since I had a bunch of bloods done in January after a chest infection, I've had some high Hba1c results, a couple prediabetic, one 51 mmol/mol and another 53. I have really low ferritin which is being addressed through Tranexamic acid for heavy periods and iron supplementation - in Jan it was below 10 ug/L, it went up to slightly over 20 in June, then I had a stomach bug for ages and it's back down below 10. A diabetes specialist GP at my surgery saw me as she has coded me as diabetic based on my Hba1c scores, I was very surprised as I have no symptoms (I think), never been overweight, very active, good diet etc. There's no diabetes in my family.
I asked if we could try a fasting plasma glucose test which came back 5.9 mmol/L so just within normal (6.0 is prediabetic cut off). She now says she think I am diabetic despite the fasting plasma glucose result as she 'doesn't like to use two different kinds of tests as it's confusing', is insisting that as my haemoglobin levels are within normal the iron isn't affecting the Hba1C and trying to offer me 'healthy lifestyle education' which I have said I think I don't need. I'm not against assuming I am diabetic if it's unclear to be on the safe side but she said I need to 'change my diet' and she will redo the Hba1c in 3 months to look for improvement, otherwise I will need medication of some sort. She doesn't seem to think the chronically low ferritin is important. She insists there's no point testing for antibodies as she 'is sure I'm not Type 1'.
I suppose I'm questioning how ignoring the normal fasting blood glucose result makes sense and also wondering how I have diabetes as I don't seem to fit the profile (as I understood it) for Type 2. Does anyone else here have a similar story? Does it seem like I am getting sensible medical care and if not, how do I find someone better? I am concerned that she won't test for antibodies for Type 1. On the other hand, she is a diabetes specialist so presumably knows what she's talking about?
Thanks for your help,
Rachel
Since I had a bunch of bloods done in January after a chest infection, I've had some high Hba1c results, a couple prediabetic, one 51 mmol/mol and another 53. I have really low ferritin which is being addressed through Tranexamic acid for heavy periods and iron supplementation - in Jan it was below 10 ug/L, it went up to slightly over 20 in June, then I had a stomach bug for ages and it's back down below 10. A diabetes specialist GP at my surgery saw me as she has coded me as diabetic based on my Hba1c scores, I was very surprised as I have no symptoms (I think), never been overweight, very active, good diet etc. There's no diabetes in my family.
I asked if we could try a fasting plasma glucose test which came back 5.9 mmol/L so just within normal (6.0 is prediabetic cut off). She now says she think I am diabetic despite the fasting plasma glucose result as she 'doesn't like to use two different kinds of tests as it's confusing', is insisting that as my haemoglobin levels are within normal the iron isn't affecting the Hba1C and trying to offer me 'healthy lifestyle education' which I have said I think I don't need. I'm not against assuming I am diabetic if it's unclear to be on the safe side but she said I need to 'change my diet' and she will redo the Hba1c in 3 months to look for improvement, otherwise I will need medication of some sort. She doesn't seem to think the chronically low ferritin is important. She insists there's no point testing for antibodies as she 'is sure I'm not Type 1'.
I suppose I'm questioning how ignoring the normal fasting blood glucose result makes sense and also wondering how I have diabetes as I don't seem to fit the profile (as I understood it) for Type 2. Does anyone else here have a similar story? Does it seem like I am getting sensible medical care and if not, how do I find someone better? I am concerned that she won't test for antibodies for Type 1. On the other hand, she is a diabetes specialist so presumably knows what she's talking about?
Thanks for your help,
Rachel