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The Question
10/02/09 06:11 PM

"Is an A1c ">6,5" type 2 diabetes? I getting conflicting information. Endocrinologist says it is type 2 diabetes. No fasting glucose test was taken."
Asked By: maximost  
Category: Newly Diagnosed

Background Info Hide
Newly diagnosed type 2

Expert Answers (1)

10/07/09 07:27 PM

Dear maximost, Traditionally diabetes has been diagnosed using fasting glucose measures. Two tests with glucose readings of 126 or higher is indicative of diabetes. If the person has a glucose test taken and is not fasting, usualy the glucose has to be over 200 to indicate diabetes. Another way to diagnose diabetes is by a glucose tolerance test. Since that test involves a lot of patient time, it isn't used as much as the fasting glucose test. There has been discussion among endocrinologists to utilize the A1c value to diagnose diabetes. I am hearing that an A1c of 6.5 or higher will be the diagnostic indicator. It is most likely that you have type 2 diabetes. Your goal now is to learn how to take care of yourself, exercise, and eat a healthy diet. Ask your doctor to refer you to a local diabetes self management education program to start learning about this.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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Community Answers (1)

10/07/09 03:04 PM

An a1c below 6.5 doesnt mean either thing, type 1 or type 2 you could be either. Also the fact there was no fasting taken doesnt mean much either. Are you on insulin and what age were you diagnosed, are you overweight and on oral pills. If you are on orals and not insulin your a type 2 diabetic. I would suggest you come to the forums and learn about diabetes there is some great info there.
Answered By: furball64801
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