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Doctor Stoll
Is there two readings on a person with Diabetics my husband's Doctor says his sugur level is 115 but his over all level is 150 I have never heard of two readings? He eats very little sugar and he is 72 yrs.
Thanks for any help you can give, I have been off the board for awhile from a broken bone.
In Reply to: Diabetic posted by Connie Spivey [2480.44] on July 16, 2006 at 16:23:53:
yes, there are two readings. The first is the immediate one. You can do it with a home blood glucose meter or have a lab test (it will say 'glucose' on the lab report). This reading indicates current blood sugar as affected by the last meal and last medication.
The other blood sugar reading is an HbA1C, sometimes just called an A1C. It is a lab test that shows average blood sugar readings over the last 3 months-it is an indication of general blood sugar control 24 hours a day- not just before meals or upon rising. A 6.0 HbA1C is the equivalent of having an average blood sugar reading of 120. a 7.0 would be 150. An 8.0 is 180. A 6.5 is 135. Keeping the HbA1C under 7.0 (150) is considered best.
Please note: some doctors have an in-office HbA1C test to get a reading of that in a few minutes-but the in-office machines are not very accurate, and a lab test is much better. Some drugstores now do an HbA1C for about $25 without a doctor's orders and report the results directly to the patient. The pharmacies at Albertson's/Savon/Jewel/and Osco are among those offering the service. Since charges vary at hospitals (one just charged $126 for the test), pharmacies can be a good choice, if they are using a send-away test (ask).
In Reply to: Diabetic posted by Connie Spivey [2480.44] on July 16, 2006 at 16:23:53:
Connie,
The most common screening test is a FBS (fasting blood sugar) but 95% of all adult diabetics have a normal FBS! The most accurate screening blood test is a 2 hour PP BS (2 hours after a measured meal). The most accurate diagnostic (diabetic) test is a 5-6 hour GTT (glucose tolerance test). See the diabetic archives for more information.
Also listen to Ann about the "long term test".
In my opinion, docs who order the FBS, and tell their patients the results have ANYTHING to do with screening for diabetes, are guilty of malpractice and should not be practicing medicine.
Walt
In Reply to: Re: Diabetic Archive. posted by Walt Stoll [93.1889] on July 17, 2006 at 08:50:28:
It wasn't 100% clear from the question, but I think she meant the guy was already diagnosed and the two readings are part of follow up/treatment.
Connie- when was your husband diagnosed with diabetes?
In Reply to: Re: Diabetic Archive. posted by ANN [1003.516] on July 17, 2006 at 10:02:17:
Thanks, Ann.
In that case it is the combination of routine FBSs and 2hr PP BSs that works best for followup. One needs to make a form to record the amount (& type) of insulin given, and the BSs, to give to their doc when they visit her.
Walt
Walt
In Reply to: Re: Diabetic Archive. posted by Walt Stoll [93.1889] on July 18, 2006 at 07:13:15:
He has never been diagnoised with Diabetic, this is a new doctor and this was the first time he chected his blood period, believe he is mixed up or something,
In Reply to: Re: Diabetic Archive. posted by Connie [2480.44] on July 18, 2006 at 17:37:00:
an overall reading of 150 should mean he DOES have diabetes, but, as Dr Stoll mentioned, there are better tests for diagnosis.
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