Waiting for 2nd Hbac1 test

Ali58 said:

I’ve been pre-diabetic for about 4 years, I recently had a fresh HBac1 test, result of 49 mmol. I have a second HBac1 blood test booked for 9th January. If it’s the same result, does that mean I’m Diabetic. If I am what would treatment look like? Feeling quite scared.

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Yes, you would be automatically diagnosed at that point. The second test is a check of the first, which they do if you're close to the line (there's a bit of allowable error).

If diagnosed, you might be offered metformin. This interferes with your liver adding glucose to your bloodstream (livers do this all the time - it's perfectly normal) and you might see a small blood glucose fall as a result. I can't really speak to the experience because I have never taken metformin, but there are fairly common and well known side-effects.

What I did the day I was diagnosed was to begin a low-carb (very low carb, in my case) approach. This reduces the amount of digestable carb you take in (all such carb is digested to glucose) and therefore takes a lot of the pressure off both your insulin response system and the possible damage that high blood glucose levels can do to nerves and capillaries. In my case I had an HbA1c of 36 four months after diagnosis and almost all my symptoms had gone.

You might want to look at the "success stories" part of this forum - it's full of the experiences of real people who've had a lot of success managing this condition.