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The Question
02/07/10 11:13 PM

"Can a borderline diagnosis of diabetes with a genetic disposition for diabetes be the cause for peripheral neuropathy?"
Asked By: samird  
Category: Neuropathy

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Background information available in this thread: http://www.dlife.com/diabetes-forum/viewtopic.php?f=4&t=19555

Expert Answers (1)

02/23/10 08:10 AM

Hello samird
In 2010 new diagnostic parameters for diabetes were initiated. You say you are borderline diabetic. The American Diabetes Association Guidelines from 2010 no longer uses " borderline ". The parameters list people with a HgA1c of 5.7% to 6.4% as at high risk for future diabetes. A diagnoses of diabetes is established at a HgA1c of equal to or greater than 6.5%. Diagnosis is also established with a fasting glucose of 126mg/dl on two separate occasions or a 2 hour post prandial (after eating) glucose level of equal to or greater than 200mg/dl on 2 separate occasions. If the patient has these levels of 126 or 200 and has clear symptoms such as frequent urination, thirst, hunger. the diagnosis can be made with one reading.

Where are you in respect to these new guidelines? Has your doctor ever done a HgA1c test on you? If not, ask for one. If the result is 6.5% or higher, you have diabetes. Now, can a person develop neuropathy at even lower glucose levels? Sure. These ranges and diagnostic measures are for the general population. An individual may have problems at a lower level. Please see your doctor. Get fully evaluated and describe your symptoms carefully to the doctor. The two of you can develop a plan of care for you specifically.

dLife has more information about neuropathy at this link

click here to read it.

Answered By: Rita Juray
Accreditations: RN, MLT-ASCP, CCM, CDE
Sources Show

Community Answers (1)

02/23/10 10:39 AM

Thank you for the response, but the link you provided is the same as the one I provided. My doctor did do an A1c, but said it looked normal. I don't have the results to post. I don't think I got a copy. I've not had a fasting level higher than 106 except on the day of my gtt where it was 109. I ate sweet potato french fries and an Ahi Tuna salad at a local restaurant in the evening one day last week, and a test 1hr later was 143. I have not yet tested in the middle of the night when I think things go wrong for my body. The last two days my hands and feet have been swollen in the morning and my eyesight is noticeably blurry even after I put on my glasses. This morning, I can't feel the top part of my left finger. It's been an hour after I've woken and it's still like this. I can understand the sensitivity of individuals to elevated levels of glucose and the resulting damage. But this much damage this quickly with only these levels? This is what is puzzling the doctor and myself. Any other thoughts appreciated.
Answered By: samird
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