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The Question
07/31/09 04:43 PM

"I am not sure if my husband's blood sugar and A1c levels indicate prediabetes or not."
Asked By: brighteyes3  
Category: Newly Diagnosed

Background Info Hide
My husband had an incident approx 2 months ago where he came close to fainting, was sweating and feeling anxiety. He was told his blood sugar level was 36 and that is why, but after testing him the doctor says he is pre-diabetic so we start with the diet change to a very healthy lifestyle. His blood sugars run about 107 on average in the morning before he eats his breakfast. His doctor says it is still too high. We just jot back his A1c and it is 5.7. We are little confused and not sure if he actually is pre-diabetic. It is all very confusing to us. according to the blood results we received today, his T4 free is 1.05, his T3 Total is 80.4, his TSH is 3.78, and his cortisol 14.7. He is losing alot of weight and not sure if he should be. I feel like he is not eating enough for his height and weight. Any help will do. Thank You! Monica

Expert Answers (1)

09/29/09 03:33 PM

Hi brighteyes3. Thanks for a great question. Prediabetes is diagnosed with one of two blood tests—a fasting plasma glucose test or a two-hour oral glucose tolerance test (OGTT). The fasting plasma glucose test requires an eight-hour fast, after which a blood draw is performed. It is usually done in the morning. For an oral glucose tolerance test, a patient is given a drink of 75 grams of glucose, and a blood draw is taken two hours later. The following lab values are the American Diabetes Association (ADA) practice guidelines for the diagnosis of prediabetes: A fasting plasma glucose value between 100 to 125 mg/dl or more (indicating impaired fasting glucose). An oral glucose tolerance test plasma glucose value between 140 to 199 mg/dl at 2 hours post-glucose load (indicating impaired glucose tolerance). Experts currently do not use HbA1c as a tool to diagnose prediabetes or diabetes. It is instead used to assess overall control of the disease. An HbA1c of 5.7% indicates that your husband's overall average glucose is estimated to be 117 mg/dl. This is very good. Keep in mind that prediabetes and diabetes are progressive diseases. There are factors that can be controlled and factors that can't be controlled. Your husband should be eating regularly scheduled well balanced meals and he should be exercising regularly. If he is doing this and not able to control his blood glucose than a medication should be considered. Starving oneself to control blood glucose is not recommended and can actually cause blood glucose control to worsen. Also, recommended weight loss is 1/2 to 2 pounds per week. If your husband is losing weight faster then he isn't eating enough food. If his weight loss is unexplained than he should be re-evaluated by his physician. The DLife website has great information on healthy eating to give you additional guidance. Also, a registered dietitian is a great resource to help with menu planning. Good luck!
Answered By: Jodi Limacher
Accreditations: MS, RD, CDE
Sources Show

Community Answers (1)

08/07/09 08:42 PM

Having a hypoglycemic incidence is sometimes what prediabetics have. Your husbands fastings are in a prediabetic range that is anything over 100 so all indication by the numbers is yes he is. The best thing to always do is treat it like diabetes so that you can either delay or prevent it from becoming full blown type 2.
Answered By: furball64801
FLAG
SourcesShow



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