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11/16/11 12:51 PM

"My daughter was recently dx as prediabetic. Her Aic is 6.9. Her blood sugar never elevetates after eating. It is always 83-84. Is this natural."
Asked By: donnagrimes  

Background Info Hide
Thin,very athelitic. Does cardio, treadmill ect 4-5 times week. Did eat out a lot. Has recently change diet to include more fresh veggies and fruits. Has cut out eating fast foods to once or twice a month. Has problems with anemia. Is 25 years old.Only medication she is taking is iron tablet once a day. Has been complaining of feeling tired.Had iron infusion 6 months ago. I am type 2. I take insulin and byetta.

Expert Answers (1)

01/11/12 01:17 PM

Dear donnagrimes,

Thank you for writing dLife.

An A1C of 6.9 converts into an estimated average blood glucose (sugar) of 151 mg/dl - which is definitely inconsistent with the readings your daughter reports.

A good way for her to determine why the discrepancy exist, is to track and record her blood glucose levels, before and after meals over several days.

However, she will first want to make sure her meter is providing accurate readings. She can learn more about quality control of her meter by clicking here. If the meter is not the problem, then she would probably benefit from tracking and recording her blood glucose levels, as outlined below.

For three consecutive days, she should check her blood glucose before breakfast and again two hours after breakfast. Then the next three days, check before lunch and again two hours after lunch. Finally, the next three days, check before dinner and again two hours after dinner.

Keeping track of her blood glucose - and making note of her food choices and activities, can help her identify how they affect her glucose levels. Her record should include:

  • What kind of foods are eaten.
  • How much food is eaten - be sure to include the preparation method, and ingredient lists for mixed dishes like salad.
  • What kinds of beverages she drinks.
  • Carbohydrate content by counting the grams of carbohydrate.

    Once she completes the record, she may be surprised to find, that at times her blood glucose is higher than her target. If that's the case she may need to eat smaller portions or less carbohydrate at her meals.

  • Accreditations: MSEd, RD, CDE, CDN
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    *** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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