New diabetes diagnosis – blood sugar 168 – did not fast before test – should I have another test run?
Diabetes Diagnosis 7 Comments »
My doctor ran a blood test to check my calcium level because I had muscle cramping. I did not fast before the test. I just got a message from the doctor stating my blood sugar is 168 and that I am diabetic. I’ve read through the symptoms of diabetes and I don’t have any of the other symptoms. The doctor wants me to pick up a prescription for Clometformin (? sp). I’m hesitent to accept this diagnosis under these conditions… any suggestions?
First off, diabetes canNOT be diagnosed through symptoms alone. Inf act, symptoms of diabetes are NOT important to the diagnosis AT ALL. The symptoms might cause you to go to the doctor, but diabetes is diagnoses TOTALLY through blood tests, NOT symptoms.
A proper diagnosis of diabetes REQUIRES a FASTING blood sugar reading. In fact, PROPER diagnosis of diabetes using blood glucose levels is thus: "Two consecutive fasting readings of more then 130".
But now, a new test is being used, the A1C test. The A1C test, because it AVERAGES your blood sugars over the last 90 days, can be taken fasting or not. But A1C readings come back, like, "5.6" or "8.2", NOT "168". So it appears that you did NOT get an A1C test.
SO . . . .
You have had ONE reading, and it was not fasting, Therefore, your diagnosis of diabetes is much to be questioned.
You need to make an appointment with an ENDOCRINOLOGIST for a "second opinion", and ASK FOR proper testing for diabetes.
Your current GP is "Old School", and, while he is trying to protect your life, he is being a bit too conservative with his judgments.
Make the appointment for the second opinion NOW, but wait on the prescritpion until you get a more definitive answer. But get that second opinion BY THE END OF NEXT WEEK!
Pavel Fort MD Ped Endo
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