My A1c was always very stable around 6.0+-0.1.
I argued often with my family Dr on catergorizing me as PD (Pre-diabetic).
But Dr always pointed out to my borederline A1c which is a little higher
than that of a "normal" person. Dr also kept sending me to do eye check and everytime was OK.
Unfortunately, my PD status became the primary reason of rejection whenever I applied for new private medical insurance policy.
A year or two ago on internet, I came across some people posted a similar inquiry. I do think I am not alone having this kind of weid BG "problem".
I have this "symptom" well over 23 years.
I wonder this may not be any problem at all, but the classification of PD or D is not adequate or well-defined.
Post Edited (LanieG) : 7/28/2009 4:04:39 PM (GMT-6)
Only once BD<70 for both fasting and PP (+2hrs) in past 2 years. morning fasting BG=110, morning PP (+2hr)=64 in the same day.
I did a lot of dinner PP(+2hrs) and the following morning fasting - some examples
( evening PP / next morning fasting BG _home test) -- (118/120) , (90/90), (86/75), (113/117),(104/84), (87,98), (80/89), (103/79) etc.
There were many fasting data <100 when test was done at home. Unfortunately, they all became higher >100 at Hospital test +1hr later.
If A1c is accurate, then the only explanation for my case is that there exists a big spike right after meal which also comes down fast at +2hrs test time. ie. the peak is well high to cause high average A1c value. I need to check at shorter PP intervals as you've suggested.
I just did another round of BG tests before and after dinner at -0.1hr,+1hr,+2hr,+4hr,+11hr and +13hr. Dinner at about 60 Carb. I typicall eat 60 Carb for 3 meals with two snack times at <45 carb in mid-after and late night.
BG(-0.1,+1,+2,+4, +11,+13)= (78, 106, 125, 94, 92) ; FPG at 94/92
1. My FPG was always betwenn 100-120 when it was done at Clinics for past 2 years, despite that home-tested value was 80-100, rarely >100. Is home test kit accurate?
2. It appears my BG is always <125. A1C should be less than 6.0%.
3. The Johns Hopkins Diabetes 2009 White Paper "the panel recommended using an HbA1c cutoff of 6.5% as a screening test for diabetes and suggested follow-up tests to confirm the diagnosis of diabetes. These recommendations await consideration by major medical associations, but one day they may allow many people to become diagnosed sooner." A1C spec for diabetic will be raised from 6.0% to 6.5%?
sorry, correction ---
BG(-0.1,+1,+2,+4, +11,+13)= (78, 106, 125, 68, 94, 92) ; FPG at 94/92
Thanks for the comments.
What I like to find out is that anyone out there Dx with Pre-Diabetic -
1. What is their A1c range? <6.0 or >>6.0 ??
2. What is their after-meal BG level? "normal" at <125 or much higher than 125??