Slightly High Blood Sugar; AIC Normal - Could I have Pre-diabetes?

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Jeffx
New Member


Date Joined Dec 2016
Total Posts : 12
   Posted 1/28/2017 9:25 AM (GMT -7)   
Hello,

I recently went to the doctor for a physical. I don't go to doctors often, but while I was there, I was given a blood test.

I am a 51 year-old male. I'm underweight for my height, but I have been like that all my life.

I originally went to get my prostate checked, and all seemed fine with that (PSA 1.04 and had an ultrasound).

According to the blood test, my blood sugar is 110. My A1C is 5.3. I did not eat for about 10 hours before the doctor's visit.

When the doctor reviewed the results with me in a follow-up visit, he didn't seem too alarmed at the elevated blood sugar level. Should he have been?

I'm now a bit worried that I have prediabetes. I am usually quite active, as I can walk ten miles without stopping. I eat very little meat and dairy, but I think my carb intake may be a bit too high. I eat cereal everyday, which has sugar. So, maybe I should cut that out of my diet?

I don't know what to think of these conflicting numbers.

Thank you for any comments there may be!!

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 6024
   Posted 1/28/2017 10:13 AM (GMT -7)   
Hi Jeffx and welcome! First, I'm glad the prostate exam was good. about the blood sugar, I don't know but probably a follow-up test would be good just to rule out problems.

It's true that 110 is elevated for a fasting result but a 5.3 is considered normal. If your A1c had been in the high 5s or in the 6s, then I would absolutely ask for more testing. The fact that you are underweight seems to contradict type 2; also, you walk a lot and if you're doing this kind of exercise daily, then I wouldn't worry about the cereal.

Meats (and poultry, fish) don't have carbs or at least none to make a difference in blood sugar. Dairy varies in carb content but yogurt without sugar is a good source of calcium and probiotics. All grains including whole wheat, whole grain, whole berry will raise blood sugar, but in a non-diabetic who is physically active, bread and cereal made with these should not be too much of a problem unless the person lives on bread, cereal, pasta, etc. Then, blood tests should be done to see what's going on.

Generally, type 2 diabetics have a few common factors: family heredity, being overweight and sedentary, lots of carbs in the diet. Type 1 can happen at any age and this is diagnosed when the blood tests come back very high (much higher than yours), when the person is very thin despite what is eaten. The difference between type 1 and 2 is that type 1 doesn't make insulin anymore or not enough to help the metabolism of carbs.

So, what to do. Your fasting could have reflected a high-carb meal the night before or your fasting blood test could have taken place later in the morning. Our bodies want to wake up in the morning and our blood sugar will naturally rise to take on the day even if we don't eat breakfast. Maybe this happened. I don't know. If I were the doctor (and I'm NOT!), I'd probably do another blood test in a couple of months and see how the levels are. And I would monitor your weight. If you are losing weight (and you're already underweight), then I would order blood sugar tests sooner. Maybe this is something you can ask your doctor about as a follow-up.

In the meantime, I would suggest making sure you have a balanced diet of protein and veggies and not overload on carbs (like: pasta with breaded chicken and bread).

Being watchful is good but don't obsess. That's my way of thinking.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

Jeffx
New Member


Date Joined Dec 2016
Total Posts : 12
   Posted 1/28/2017 3:33 PM (GMT -7)   
Hi Lanie,

Thank you for the detailed reply!

I think I may have to make some changes to my diet. I eat basically once a day most of the time, and I think I need to increase protein and vegetables, and reduce some carbs (crackers and cereal). I've reduced the bread I eat a while ago (long before I had this blood test), so I'm hoping that is helping.

I plan to go back to a doctor in a couple of months to get retested.

Hopefully I'll make some progress.

Thanks again!!

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 6024
   Posted 1/28/2017 4:21 PM (GMT -7)   
Yeah, eating once a day is probably not the best way to eat. ;-)

Chicken, fish and some vegetables and salads and some small carb for meals. Nuts, a piece of fruit, yogurt, hard boiled egg for snacks. Then have some more blood work done.

Good luck and we'll keep the light on for you! yeah
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/

theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 20035
   Posted 1/28/2017 8:14 PM (GMT -7)   
stick away from white. pasta, rice and bread, as white =sugar.

including spuds, they break down into starch and spike ya sugar levels much later.
THE HAPPY TURTLE.

A QUOTE FROM THE HAPPY TURTLE THAT REFLECTS ME.

"COMPLEXITY IS MY WAY OF EXPRESSING MY NEEDS IN A MANNER THAT IS NEITHER DESTRUCTIVE, NOR NEGATIVE"
'

Betsy12
Regular Member


Date Joined Feb 2017
Total Posts : 75
   Posted 2/9/2017 11:41 AM (GMT -7)   
Jeff, I am also 51, though female. Diabetes does run in my family, but my fasting numbers have been holding steady in the mid 90's for years. Until last week. I too had a reading of 110, and am currently in panic mode. My doctor at first wrote it off saying "I'm assuming you weren't fasting..." (I was). Now she's giving me follow up A1c and repeat fasting in 3 months. I did buy an at home test kit for A1c, and got 5.2, which seems good, but of course I'm questioning its validity.

Anyway, you are not alone! I would push for followup testing, just so you aren't in the dark. I'm anxious about waiting 3 months, but from all I've read, the 110 won't wreak havoc quite yet.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 6024
   Posted 2/9/2017 12:39 PM (GMT -7)   
Hi Linda, welcome to HealingWell! I hope you will start a new thread and introduce yourself! I think it was reasonable that your doctor is giving you three months for another fasting test.

Having diabetes in your family does sometimes tip the balance for us so you are wise to be alert to that. This means have regular fasting and A1c tests to see if there is any rise. In the meantime, if you are carrying extra weight, see if you can start losing it. If you don't already get some regular, sustained exercise like walking, biking, swimming, running, then try to get started on a program either by yourself or with a friend or group. Activity like this uses blood sugar for energy and helps keep it in check. Finally, if you're eating a lot of carbs like potatoes, bread, pasta, breaded food, rice, cakes, etc., try cutting back on those because carbs like those drive blood sugar high.

Check out the link in my signature for more information about blood sugar and diabetes, too!

I'm glad you posted!

yeah
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Check out the following site for more info on blood sugar:
www.phlaunt.com/diabetes/
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