• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Type 2 Retesting for diagnosis

F

Felicity11

Member
Messages
23
Type of diabetes
Treatment type
Diet only
Hi all
Bit of a random question but how soon after a high Hb1ac do you normally have another test to confirm it? Thanks
 
Thank you. I’ve just been looking at my full blood results (not sure if asking for them to be emailed to me was a good idea!!) and my erythrocyte sedimentation rate is well over the normal range. Does anyone know what this means?
 
I had my two diagnostic HbA1cs about a week apart. The erythrocyte sedimentation rate is a marker for inflammation I think.
 
Hi, they only normally do a second test a week or two later if there is some doubt about the first, usually because it is borderline diabetic. My first HbA1c was 52 with no symptoms, considered borderline, so a second one was done and came back at 53. My diagnosis was therefore confirmed.

This may explain the erythrocyte sedimentation rate.

https://labtestsonline.org.uk/tests/erythrocyte-sedimentation-rate-esr
 
Felicity11 said:
Thank you. I’ve just been looking at my full blood results (not sure if asking for them to be emailed to me was a good idea!!) and my erythrocyte sedimentation rate is well over the normal range. Does anyone know what this means?
Click to expand...






Search Results
Featured snippet from the web
An erythrocyte sedimentation rate (ESR) is a type of blood test that measures how quickly erythrocytes (red blood cells) settle at the bottom of a test tube that contains a blood sample. Normally, red blood cells settle relatively slowly. A faster-than-normal rate may indicate inflammation in the body.31 Jul 2020

Erythrocyte Sedimentation Rate (ESR): MedlinePlus Medical ...
upload_2021-3-7_11-15-14.png
 
Hi and welcome after the first one or two close together tests your next one would normally be 3 or 6 months later. BTW, do ask your surgery to provide access to your online test results and coded notes. You have a right to these and they are useful to have before future reviews.
 
borderter said:
Its three months here and ot a day less ,I think it must be partly hba1c wont change that quickly and also down to cost
Click to expand...

Hi, I think the 2nd test (for initial diagnosis) is to simply confirm that the first one wasn't a fluke rather than to see whether it's gone up or down.
 
In my case I only had 1 test as I had a glucose meter and told the hp I was diabetic.. So the hba1c was just to confirm my diagnosis

I did however have a load of other test in a short period of time

After the first hba1c I had a fasting test.. That was just to get my fasting glucose level but did not include hba1c
 
borderter said:
Its three months here and ot a day less ,I think it must be partly hba1c wont change that quickly and also down to cost
Click to expand...
Yes they won’t test more than 3 months, I recently had mine repeated < 3 months and the lab wouldn’t do it. However, for this question For initial diagnosis, where asymptomatic and the bloods are not massive there is a 2 week potential retest
 
It might depend on where you live too. I had to repeatedly request one at 3 months. Even then, although surgery did the test, the lab refused to process it.
Most of this was in the early Covid days.
I'm hoping the process better now
 
MrsA2 said:
It might depend on where you live too. I had to repeatedly request one at 3 months. Even then, although surgery did the test, the lab refused to process it.
Most of this was in the early Covid days.
I'm hoping the process better now
Click to expand...
Surely the lab can't refuse a GP's test request; it's the GP's decision and not the labs. The GP has the skill and training for that - lab technicians have different skills but they can't override a GP request without very good reason.
 
Daibell said:
Surely the lab can't refuse a GP's test request; it's the GP's decision and not the labs. The GP has the skill and training for that - lab technicians have different skills but they can't override a GP request without very good reason.
Click to expand...

Not normally... About 2 years ago I had 4 hba1c tests done in a month
 
Daibell said:
Surely the lab can't refuse a GP's test request; it's the GP's decision and not the labs. The GP has the skill and training for that - lab technicians have different skills but they can't override a GP request without very good reason.
Click to expand...
Each speciality within the hospital pathology laboratory has a Consultant as the Clinical Lead. Sometimes GPs (or hospital doctors) requests tests that are inappropriate and, rather than waste resources, the laboratory Consultant may over-rule the request.
 
Back
Top