Doctor insights on:
Hb1ac has an upper limit of normal of 5.5
this test does not change quickly; only if your diet, exercise, and/or weight have changed a lot will it change.
Diabetes mellitus is diagnosed by this test at 6.0.
So if you are healthy, your result should put you at ease.
If, however, you rdoctor suspected diabetes, then the lab test may have been in error and needs repeating. ...Read more
Several things: Hi. Either you're having intravascular hemolysis and hemoglobin's coming out in the urine, or there are red cells in the urine that measure as urinary hemoglobin. I'd recommend a urine analysis with microscopic evaluation to see if it's reproducible. If no RBCs in urine, Check serum free hemoglobin and haptoglobin, and have a pathologist look at a peripheral blood smear. Good luck! ...Read more
Hemoglobin: Hgb is abbreviation for hemoglobin, the carrier of oxygen in the red blood cell. Low HGB is anemia. High HGB reflects excess red cells, called polycythemia. There are many causes so you will need further testing by your physician to establish the correct cause of your polycythemia. ...Read more
Anemia: You have anemia, though not severe it can become so. It is not unusual for menstruating females to get iron deficiency anemia. You need to see your doctor and make sure that is the reason for your anemia. If it is supplemental iron will fix this problem. ...Read more
Low oxygen, blood do:
Low oxygen levels sometimes can trick the body into making more blood, and can be seen in people with COPD / emphysema and even in smokers.
Blood disorders like polycythemia vera can do this also.
Some medications can cause the HGB (hemoglobin) levels to rise (erythopoetin, testosterone, etc).
Some people just naturally have a slightly high hgb. ...Read more
Primary and secondar: Primary elevation in hemoglobin is a bone marrow disorder called p.Vera, confirmed by a jak2 mutation test. Secondary elevation is due to other causes such as dehydration, low oxygen, exogenous testosterone/erythropoietin. The first requires an hematologist, the second requires the stimulus to be interrupted. ...Read more
It's okay: This is higher than most women but no reason to go hunting for a cause. Trusting she wasn't dehydrated. If she has sleep apnea or chronic lung disease, a history and physical exam will reveal it. Other causes would either have become known by her age, or are not worth discovering (e.g., a high-affinity hemoglobin). If this is much higher than it has been, consider repeating. ...Read more
UNCLEAR QUESTION: Try to write it simple and ask a clear question. ...Read more
If you are: overweight and have type 2 diabetes, you could possibly normalize your numbers with significant weight loss through diet and exercise. You should be on medication for now, metformin would be a good first choice to lower glucose, prevent progression of diabetes, and help weight loss. If you have type 1, you will probably need insulin.Also watch lipids and bp and prevent complications. ...Read more
Dr I am 23 and diabetic After I year also my hb1ac is 6.1 % What do u suggest My weight is 88 kgs?
Diabetes: Weight in & of itself isn't enough information. We need your height to determine your body mass index to assess normal vs overweight vs obese. Regardless, A1c less than 6.5-7 is accepted goal for younger pts & those w/shorter duration of disease w/less than 8 for those older with shorter lifespan (to minimize risk of stroke, blindness, heart attack, kidney failure & amputations). ...Read more
Lose weight.: That A1C puts you into a prediabetic category, for which weight loss can help. This may be evidence, though, that you're hard-wired to have diabetes in the future, so you'll always have to be careful about your weight, especially if there's a history of diabetes in your family. ...Read more
Dr six months back my hb1ac was 6.9% and now it is 6.1 %. I am 22 years. Can my diabetes be reversed?
Can reverse diabetes:
Read the book Reversing Diabetes by Dr. Julian Whittaker
and since then many more books have come on reversing diabetes.
Keep A1C at 5.5
Refer to drhoffman. Com also.
Daily exercise, at least 30 min. Daily & changing your diet.
Avoid baked goods, refined sugar, white flour, potatoes, white rice etc (all high glycemic food)
Add beans, chicken, fish etc Fresh veg, fruits & nuts.
Sugar weakens immune system ...Read more