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T2 Diagnosis Results Confusion

S

SweetHeart

Well-Known Member
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It's taken ages to get our surgery to give us a copy of the blood test results used to diagnose MH's T2 diabetes. I thought there would be an Hb1Ac test result but it appears this test wasn't carried out - is that usual?

We'd appreciate some help in trying to figure out these;

Serum Cholesterol 6.2mmol/L
Serum HDL Cholesterol 1.2mmol/L
Serum LDL Cholesterol 4.3mmol/L
Serum Triglycerides 1.6mmol/L (0.5 - 1.7U)
Serum Cholesterol/HDL ratio 5.2mmol/L


Please could someone say what's good or bad here? We've never had them explained to us so we're feeling a bit ignorant.

Ju
 
Hi there
None of those results have anything to do with diagnosing Diabetes. They are his cholesterol results, not his blood sugar results.

Has he a fasting blood test figure taken by the Doctor or Nurse?
 
Not an expert, but the triglycerides look OK.
The choleterol ratio is a tad higher than they like for diabetics. They seem to like us to be below 4, compared to your hubby's 5.2. None of these things diagnose diabetes though.
If they didn't use HbA1c tests to diagnose him, what did they use? Think you should find out and get the figures. Did he have to drink a sweet fluid, then have various tests at different times after? That's an OGTT, oral glucose tolerance test. Or did he have a couple of fasting tests on different days? Whatever it was, get the numbers for future reference
 
I've got pages of results Grazer. He didn't do an oral glucose test. They took a BG level from his fasting level first thing in the morning - it was 14.9 mmol.

However, the day before he had been incredibly thirsty (a common symptom, I know) and had been trying to quench his thirst with apple juice. He drank about 6 pints of apple juice that day, then after 8pm he had to fast and it was water only but, again, pints of it.

We've got his TSH levels - normal. His urine creatinine levels 21.1mmol/l And quite a few other levels but no HbAc1.

Ju
 
OK, get it. Really, if they diagnose on fasting BG, they're supposed to do two tests on separate days to confirm. Having said that, the fasting BG of 14.9 is pretty conclusive, despite the amount of apple juice he drank. A non-diabetic wouldn't go that high even straight after drinking glucose - that's what the OGTT is. He should have an HbA1c though, that's what they will test in future months and you need to compare results with where he is now to monitor progress.
 
A 14.9 mmol/l fasting blood glucose is pretty diagnostic of diabetes.
The cholesterol tests are irrelevent to that diagnosis.

It would be pretty much unheard of for a non-diabeic to have a blood lucose of 14.9, even immediately after drinking a whole bottle of lucozade. Normal blood glucose is around 4.5 - 5.0 most of the time.
Hana
 
shop said:
Sorry to but in.................His TSH is to do with thyroid.

Lucy.
Click to expand...

I know - I was surprised to see that one Lucy. I have hypothyroidism and it took me years and years of badgering to even get doctors to request blood tests, and yet MH gets it no bother! :roll:

Ju
 
SweetHeart said:
shop said:
Sorry to but in.................His TSH is to do with thyroid.

Lucy.
Click to expand...

I know - I was surprised to see that one Lucy. I have hypothyroidism and it took me years and years of badgering to even get doctors to request blood tests, and yet MH gets it no bother! :roll:

Ju
Click to expand...

Typical eh! lol There are quite a few of us on here with hypothyroidism. Glad your hubbys is OK though! :)
 
Okay, after a little digging, I think we need to be reversing MH's HDL and LDL levels. Hopefully the low carb diet is doing that, but might get him to watch his fat intake (it's higher than mine) as he isn't taking the horrible Simvastatin.

It's quite frustrating that we won't have a previous HbA1c level to compare when he has his bloods done later this month. It would have been good to see a comparison.

Ju
 
Whatever else you do, please ask him to drink something else. Apple juice is full of sugar and very bad for blood glucose levels.
 
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