Question 1

how effective is an a1c test in determining hypoglycemia?

Accepted Answer

Ineffective: Hemoglobin A1c level has been utilized to monitor how well hyperglycemia (as in diabetics) has been controlled.

Question 2

how accurate is a hemoglobin a1c test in indicating hypoglycemia?

Accepted Answer

Poor: Hba1c is fair at detecting chronically high bgs, but very poor at detecting low bgs. Fortunately, true low bgs are very rare and almost never sustained or recurrent. The sensation of "hypoglycemia", when related to sugar at all in people not treated with diabetes medications, is usually the normal response to low-ish sugars, which corrects them and keeps the body well.

Question 3

my a1c is 5.9 & cortisol after   8 am test 33.5, insulin 28.7. i always feel shaky after meals . dr says i have reactive hypoglycemia are my test bad?

Accepted Answer

Obese, lab normal: In my 35 years of practice, I have never seen a case of reactive hypoglycemia.  The disorder doesn't exist, if you're overweight the symptoms are a natural response to your glucose level returning to normal. It is not hypoglycemia, which doesn't occur unless you're receiving treatment for diabetes or have had GI surgery, cancer, severe liver or kidney disease.

Question 4

went to endo after gtt test as advised, said *not* diabetic, hypoglycemia. a1c is 5.9. dr on here says hypoglycemia not real; im underweight. other dx?

Accepted Answer

Borderline sugar: A hemoglobin a1c of 5.9 indicates borderline high blood sugar.  Normal is &lt;5.7, and over 6.5 is diabetes.

Question 5

gp ordered 1 hr ogt to test for hypoglycemia, citing 4.8 a1c in 2019. fasting gluc: 97. ogtt result: 67. endocrinologist said test unnecessary, was never at risk, results normal. gp said im borderline hypo, need freq. protein meals. who is right?

Accepted Answer

: If I had to choose I would put more weight on the endocrinologist's opinion. If you are not satisfied with your doctors, you may get an opinion from a different doctor, however, because  a doctor may not give the answer you may be looking for.

Question 6

how precise is hemoglobin a1c with indicating hypoglycemia?

Accepted Answer

Not good at all: Hgb a1c should not be used to assess for hypoglycemic episodes or trends. It indicates only average blood sugars over months, and if there is concern or symptoms of hypoglycemia, then fingerstick blood sugar levels should be checked. Do some random ones, especially at night, and after high demand glucose things like exercise. Also check if having any symptoms - don't drive if you are low!

Question 7

fasting glucose 36mg/dl w/ fainting spells, after meal 82mg/dl, a1c 5.5 (math err?). can a 8mm adrenal cyst cause hypoglycemia? also-abd pain, acnes.

Accepted Answer

You don't: Have hypoglycemia after meals, as it's not a disease and doesn't exist in the absense of diabetes medication, cancer, end-stage liver or kidney disease, GI surgery, etc. If it's a finger-stick it's not accurate in that range. Your adrenal cyst is benign and has nothing to do with your complaints. Cyst should be followed over time. Glucose should be ignored ; it's a natural response to your obesity.

Question 8

10 days post-op total hysterectomy; hx of reactive hypoglycemia, well controlled w/diet, a1c 5.2; i am having higher fasting& elevated glucose numbers; is this result of surgery and how long does it last?

Accepted Answer

: It is not usual to have elevated glucose levels in the postoperative period. If you have had a change in your diet, it is possible that this may be contributing to your changed glucose levels. If it persists, you should speak with your surgeon or your primary care doctor. Good luck.

Question 9

what's a normal score on the a1c diabetes test?

Accepted Answer

Less than 6.0: This is a test of the chronic level of blood sugar and is useful to monitor the effectiveness of diabetic treatment.  You should, if you are a diabetic, endea vor to get this below 7.0 and even lower if possible.  The higher numbers show an increased risk of rather bad complications of diabetes.

Question 10

i was diagnosed with type 2 diabeties from a a1c test of 6.1. along with 125 fasting bloodsugar readings in mornings today my fasting  is 178 ?

Accepted Answer

Question?: That seems to be a statement and not a question. You fasting blood sugar is very high. Recommend diet and exercise to get it under control. Follow closely with your physican to get this controlled!

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Doctor answers about:

How effective is an A1c test in determining hypoglycemia

A member asked:

How effective is an a1c test in determining hypoglycemia?

A member asked:

How accurate is a hemoglobin a1c test in indicating hypoglycemia?

A member asked:

My a1c is 5.9 & cortisol after 8 am test 33.5, insulin 28.7. i always feel shaky after meals . dr says i have reactive hypoglycemia are my test bad?

A member asked:

Went to endo after gtt test as advised, said *not* diabetic, hypoglycemia. a1c is 5.9. dr on here says hypoglycemia not real; im underweight. other dx?

A member asked:

Gp ordered 1 hr ogt to test for hypoglycemia, citing 4.8 a1c in 2019. fasting gluc: 97. ogtt result: 67. endocrinologist said test unnecessary, was never at risk, results normal. gp said im borderline hypo, need freq. protein meals. who is right?

A member asked:

How precise is hemoglobin a1c with indicating hypoglycemia?

A member asked:

Fasting glucose 36mg/dl w/ fainting spells, after meal 82mg/dl, a1c 5.5 (math err?). can a 8mm adrenal cyst cause hypoglycemia? also-abd pain, acnes.

A member asked:

10 days post-op total hysterectomy; hx of reactive hypoglycemia, well controlled w/diet, a1c 5.2; i am having higher fasting& elevated glucose numbers; is this result of surgery and how long does it last?

A member asked:

What's a normal score on the a1c diabetes test?

A member asked:

I was diagnosed with type 2 diabeties from a a1c test of 6.1. along with 125 fasting bloodsugar readings in mornings today my fasting is 178 ?

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Questions?

Went to endo after gtt test as advised, said not diabetic, hypoglycemia. a1c is 5.9. dr on here says hypoglycemia not real; im underweight. other dx?