Doctor insights on:
Hba1c To Diagnose Diabetes
Diabetic nephropathy: Diabetes (d) affects the kidney and can cause them to fail. The kidney disease caused by d is called "diabetic nephropathy" (dn). Before going into renal failure, those with diabetic nephropathy can go into various stages of ckd. Treatment of blood pressure elevations, proteinuria and blood glucose levels can lead to slowing of kidney failure due to dn. ...Read more
Gestational diabetes: It's diabetes diagnosed during pregnancy. It accounts for about 7% of all pregnancies in the us. Anyone can get it and there are risk factors that can increase your risk of getting it. One thing for sure, if you have gestational dm, you are at risk for developing dm lifelong (not just during pregnancy). Thus if you have been diagnosed with gdm, get check for dm every 3 years lifelong. ...Read moreSee 1 more doctor answer
Both: As one develops type 2 diabetes, the blood sugar after eating will typically rise first, before the fasting sugar. A fasting glucose above 100 and after eating sugar above 140 is abnormal. You should also be screened for metabolic syndrome: (any 3 of the following) obesity, high blood pressure, high triglycerides, low HDL cholesterol, high blood sugar. This is a prediabetic condition. ...Read more
Many things: Work with your doctor to develop a good diabetes treatment regimen. Try to utilize diabetes drugs that do not cause weight gain if possible. Start a consistent exercise and diet program. Eat more soluble fibers (oats, lentils, apples, berries...). Keep track of bs and keep close contact with your doctor. ...Read moreSee 2 more doctor answers
Hba1c=6,6% diagnosis diabetes. metformine for 6m hba1c=6,2%.So I tested glycemia every 2 h for 2days,never hyperglycaemia:healing or wrong diagnosis?
Several points.: Glycemia test while on diabetic medication isnt entirely valid. The AiC of 6.6% with treatment makes it very UNlikely to NOT be a diabetic (its very high for normal; pretty good for diabetic WITH TREATMENT). At really good levels, getting slightly better and moving into the category of not diabetic , impaired glycemic control occurs, but I think diabetic is more accurate. ...Read more
Urine not diagnostic: Hi. The tests for diabetes (fasting glucose, post-challenge glucose, 3-month average glucose, and random glucose) all have their strengths and weaknesses. A1c is an excellent test and vital to the modern management of diabetes; it's NOT the most sensitive diagnostic test, however. Fasting and post-challenge glucoses can both reveal more subtle abnormalities. Random glucose is a blunt instrument. ...Read more
Should a prediabetic use glucose meter to monitor glucose after meals to learn which foods cause hi blood sugar to avoid further insulin resistance?
Maybe but it depends: While your suggestion is not currently part of ada guidelines & recommendations, if it will help you see result of your food choices & help you make better choices, then i think it's reasonable. In truth, your nutritionist can help you develop healthy eating habits w/o using a glucometer. For instance, check out the mediterranean diet. Don't forget to exercise regularly to reduce Insulin resistanc. ...Read more
No absolute value: Hi. That's an overly simplistic question. I must assume (hate to do that) that we're talking type 2 here. It depends on what other diabetes medications the patient is on. Often other non-insulin meds can be used before insulin. Nothing is more effective than insulin at bringing sugar down, but other drugs may be perfectly adequate without the risk of hypoglycemia that comes with insulin. Good luck ...Read more