Doctor insights on:
The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or animal. The body naturally tightly regulates blood glucose levels as a part of metabolic homeostasis. Glucose is the primary source of energy for the body's cells, and blood lipids (in the form of fats and oils) are primarily ...Read more
Normal fasting: 65-105 when drawn out of a vein while fasting. Various authorities have different "normal" levels. There are, however, no exact cut-offs, it's all a continuium. Finger sticks are not accurate enough for diagnosis. Two hour post meal should be less than 130-140, and any glucose >200 at any time suggests diabetes. An a1c >6% is also suggestive and needs further evaluation. See diabetes.Org for info. ...Read more
Fsh:7.3, lh:5.19, prolactin: 27.81ng/ml (4.79 - 23.3) , fasting glucose level :111.1 (prediabetic), fasting insulin:12.85 (2.6-24.9), do I have pcos?
Possible PCOS: Pcos is characterized with symptoms of annovulation (irregular periods) and hyperandrogenism (biochemically or clinically, ie hirsutism). Patients can also have cysts on their ovaries, but is not needed for the diagnosis. Pcos is a diagnosis of exclusion so your dr. Should make sure there is not something else causing your symptoms. Including your elevated prolactin. ...Read more
Nope: Those are excellent numbers, even going to a little low. Diabetes is not a concern until your fasting glucose starts going over 100, and it isn't called diabetes until higher than that. A1c would also be much higher (6.5% or above is diabetes, 5.7-6.4% is increased risk, 4-5.6% is normal). Good luck! ...Read moreSee 1 more doctor answer
Cause of elevations in proinsulin, c-peptides and proinsulin:c-peptide ratio, c reactive protein & ferritin. Normal A1c & glucose. Previously overwei?
Can't answer: Nobody here can answer without your clinical history, though i wouldn't be surprised if you have hemochromatosis -- truth is, i hope you do, because it's the easiest of all the deadly diseases to manage. It's also worth remembering that serum ferritin is an acute phase reactant and likely to be high during some other illness. You're a person, not a set of labs. Insist on a full explanation. ...Read more
Male 34 no sex drive, struggling with erections, small testicles, Gynomastia from puberty, but testosterone levels are normal at 750 ng/dl ?
fasting insulin 76pmol/l
after 75gOral glucose-
1hr-insulin-849pmol/l . 2 hr-864pmol/l
glucose fast 5.4mmol/l
Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, suggesting insulin resistance. Now is the time to start getting your weight under control, proper diet, and physical activity. Talk to your doctor about your particular situation. ...Read more
No diabetes, normal fasting insulin levels, gaining weight fast, no thyroid issues, but low fasting glucagon levels (25pg/ml), no energy, healthy diet?
Basal glucose =81 mg/dl but insuline =38 mU/ml (insuline/glucose > 0,3 ). Symptoms of ipoglycemia... How to exclude an insulinoma? Ultrasound?thanks!
Hypoglycemia: To diagnose insulinoma, you need to demonstrate inappropriately high insulin/C-peptide when your glucose is low. A glu of 81 is not low, it is normal. You have symptoms of hypo, but these symptoms are often from something else. Insulinoma is rare. Do not start getting CT/ultrasound etc until you establish the biochemical diagnosis first. An Endocrinologist can help you. ...Read more
Premature ejaculatio: I'm not sure of your question but if you're asking about premature ejaculation, it's fairly common. There are many ways to help men last longer w/o taking medications. But if practice doesn't make perfect, ssris (antidepressants) such as paroxetine are useful. I've written more at http://alvinblin.Blogspot.Com/search/label/premature%20ejaculation. ...Read more
Can creatinine levels be transiently high over baseline during hyperglycemia (sugar ~ 500)? Asking because creatinine values are normal when fasting
Yes: Depending on method for creatinine testing, presence of ketosis, that may accompany hyperglycemia, the result may be falsely elevated. Make sure to control your glucose and A1c. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
My bl sugar level drops to 50 3 h after eating,normal insulin, c-peptide, liver enzymes' levels,family history of diabetes,is it reactive hypoglycemia?
Reactive hypoglycemi: yes. It is. Whenever you eat ready sugars or simple sugars( made with table sugar, juices) your body releases lots of insulin . Your sugars get absorbed mostly from stmach and there is still insulin in the blood that continue to lower your sugar.you should avoid ready sugars and take more complex carbs. Along with proteins. You most likely will be developing diabetes in near future. So watch !! ...Read moreSee 1 more doctor answer