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What constitutes a firm T2 diagnosis?

VinnyJames

VinnyJames

Well-Known Member
Messages
624
Location
Liverpool
Type of diabetes
Treatment type
Diet only
From Wiki;

According to the current definition, two fasting glucose measurements above 126 mg/dl (7.0 mmol/l) is considered diagnostic for diabetes mellitus.



Iv'e only had one measurement and I had eaten 2 pasties and a fizzy sugary drink in the 2 hours before my HbA1C test.

My reading was measured at 7.2%. (I know that's over a 3 month range).

Now, since I was told by my GP that I was 'in the diabetes range' I have quit sugar and been on a low carb diet for a week and lost nearly 5kgs. I might not get a 'diabetic reading' for say 10 years so I'm wondering if I'm more accurately pre-diabetic?

Did they put me on the register too quick?

I'm asking this because I'd like to maybe buy some life insurance and travel insurance next January......

Look forward to any replies.

Vinny
 
I doubt it will make any difference now. If you are taken off the register, it'll still be something you will need to declare, or it'll just show in your records if you need to claim, and maybe invalidate your insurance if you don't declare.
You must have had a reason for the HbA1C test, so again, if you did, the HbA1C test confirmed the diagnosis depending on why you went, but wouldn't have been the reason for the diabetes being found.
 
According to the current definition, two fasting glucose measurements above 126 mg/dl (7.0 mmol/l) is considered diagnostic for diabetes mellitus.
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Only in the absence of classical symptoms, otherwise one abnormal BG result is sufficient.

Iv'e only had one measurement and I had eaten 2 pasties and a fizzy sugary drink in the 2 hours before my HbA1C test.

My reading was measured at 7.2%. (I know that's over a 3 month range).
Click to expand...
An HbA1c is not a fasting blood glucose test. You don't have to fast for HbA1c test so the food you would not expect food you had to cause a false positive. The diagnostic cut-off for HbA1c (the test you did have) is > 6.5%, (with 6.0-6.5 being considered at risk of developing diabetes).

However, much like the FBT, the result needs to be confirmed unless symptoms are present so I suppose that you might demand another HbA1c, and demand to be taken off the register if the second test comes back normal IF you had the HbA1c as part of a random shotgun screening (hell, apparently some employers like putting all their healthy managers through MRIs and such)

I have quit sugar and been on a low carb diet for a week and lost nearly 5kgs
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The theoretical maximum weight loss through expended energy is 0.6 pounds per day for your average male if you eat nothing at all, so I seriously doubt that this weight loss is sustainable or healthy.

I might not get a 'diabetic reading' for say 10 years so I'm wondering if I'm more accurately pre-diabetic?
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Sorry, but you did get a diabetic reading last week (unless it turns out to be a false positive as you seem to be hoping).
 
Thanks for the replies,

The reason I went to see my Doctor was for heartburn and he decided there and then to give me the HbAC1 test, perhaps as I'm 44 and slightly overweight.


When I said I might not get another diabetic reading what I meant was if I have only ever had one test that was positive in 10 years what is my status?

I'm realistic here and appreciate my levels are not normal and I will have to eat healthy and low carb for the rest of my life combined with daily exercise - that's what I am now doing on a daily basis.

In a way I'm pleased my high levels have been picked up early as I have the chance to act upon it - but obviously there are implications that go with being on a diabetic register.

I am probably wanting the best of both worlds I guess..............

:shifty: :shifty: :shifty:

Ps It wasn't the GP that did the test he referred me to someone in an adjoining room who took bloods straight after my appointment with the GP.
 
VinnyJames said:
When I said I might not get another diabetic reading what I meant was if I have only ever had one test that was positive in 10 years what is my status?

I
Click to expand...

Your HbA1c of 7.2 means that, for the last 3 months at least , your body has not been able to process glucose in the way it should. Barring some kind of mistake it indicates that you are diabetic. Now that you are aware of this and eating less carbs, a follow up HbA1c test will no longer be a reliable indicator of your ability to process glucose normally as you are limiting your glucose intake and therefore manipulating the result.( A non diabetic person will be able to ingest an unlimited amount of glucose and produce enough insulin to still have a normal test result.)Through various eating strategies you may well be able to achieve a normal HbA1c in the future. This will not mean that you are no longer diabetic, merely that you are a well controlled diabetic. The only reliable test will then be a Glucose Tolerance Test, where you ingest a measured amount of glucose and your blood glucose level is measured after two hours to see if it is normal or not.
 
I would certainly declare that I have been on a diabetic register but go with a specialist provider as I believe I am a low risk diabetic.

Invested in an Accu-Chek Aviva Nano this morning and my fasting reading was 5.4%.

Am due a Hb1AC test in 2 weeks.

Am on a low carb diet <90g and exercise daily. Joining a gym this week too.
 
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