A member asked:

Glucose 131 fasting, hgba1c 5.2..does this mean i'm diabetic? wasn't given medicine.just a special diet and will be repeating labs in 3months.

4 doctors weighed in across 2 answers

High fasting sugar: Fasting lab sugar is elevated and doesn't match your hba1c as that is perfectly normal. A fasting blood sugar of 131 mg/dl is well into the diabetic range so would've expected a comparable hba1c. Sometimes when there are hemoglobinopathies or significant anemia or post transfusion, hba1c can be falsely lowered. A fructosamine might be more helpful. Measuring home blood sugars may help figure out.

Answered 3/23/2013

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Probably: The definition for diabetes is having two fasting glucose levels above 125, post prandial sugars above 200, or a hba1c above 6.5%. Your fasting glucose is above 131, but needs to be repeated to confirm. The hba1c is much lower than one would expect. Hba1c are not always accurate, especially in people with kidney disease and/or anemia.

Answered 11/9/2017

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