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What Do Lab Test Results Indicate?
Question: Can you please advise whether i am pre-diabetic; and, if so, what can i do to not become a diabetic type 2?
My test results are:
6 Mar. 2012: SERUM/PLASMA GLUCOSE fasting, serum 5.8* mmol/L (3.4 to 5.4): 'A fasting glucose level of 5.5 to 6.0 mmol/L is in a zone of uncertainty. This patient's result is therefore equivocal. Suggest follow-up as clinically indicated.'
12 Mar. 2012: 2 HR GLUCOSE TOLERANCE TEST: fasting 5.5 mmol/L (reference ranges 3.4 to 5.4; diabetic ranges >6.9); 1: 11.7* mmol/L; 2: 6.3 mmol/L(reference ranges 11.0): 'Fasting glucose in the range 5.5 to 6.0 mmol/L and 2 hour glucose <7.8 mmol/L. The fasting glucose result is indeterminate but less than that required to diagnose impaired fasting glycaemia. Suggest follow up review as clinically indicated'
25 Aug. 2012: GLYCATED HAEMOGLOBIN (HBA1c): HbA1c-NGSP (4.0-6.0%): 6.0%; HbA1c-IFCC (20-42 mmol/mol): 42 mmol/mol;
8 Sep. 2012: GLYCATED HAEMOGLOBIN (HBA1c):HbA1c-NGSP (4.0-6.0%): 5.7%; HbA1c-IFCC (20-42 mmol/mol): 39 mmol/mol;
7 Dec. 2012: GLYCATED HAEMOGLOBIN (HBA1c): HbA1c-NGSP (4.0-6.0%): 6.2%; HbA1c-IFCC (20-42 mmol/mol): 44 mmol/mol
6 Aug 2013: GLYCATED HAEMOGLOBIN (HBA1c): HbA1c-NGSP (4.0-6.0%): 5.5%%; HbA1c-IFCC (20-42 mmol/mol): 36 mmol/mol
'The most commonly recommended target for glycated haemoglobin in ordinary diabetic adult patients is an HbA1c of < 6.5 to 7.0% (48 to 53 mmol/mol). For some patients a tighter glycaemic target of <6.0% (42 mmol/mol) may be appropriate, if it is clinically attainable. For patients with severe and/or frequent hypoglycaemia, less intensive targets may be appropriate.'
7 Dec. 2012: SERUM/PLASMA GLUCOSE:random, serum (3.4 to 7.7 mmol/L):6.1.
My test results are:
6 Mar. 2012: SERUM/PLASMA GLUCOSE fasting, serum 5.8* mmol/L (3.4 to 5.4): 'A fasting glucose level of 5.5 to 6.0 mmol/L is in a zone of uncertainty. This patient's result is therefore equivocal. Suggest follow-up as clinically indicated.'
12 Mar. 2012: 2 HR GLUCOSE TOLERANCE TEST: fasting 5.5 mmol/L (reference ranges 3.4 to 5.4; diabetic ranges >6.9); 1: 11.7* mmol/L; 2: 6.3 mmol/L(reference ranges 11.0): 'Fasting glucose in the range 5.5 to 6.0 mmol/L and 2 hour glucose <7.8 mmol/L. The fasting glucose result is indeterminate but less than that required to diagnose impaired fasting glycaemia. Suggest follow up review as clinically indicated'
25 Aug. 2012: GLYCATED HAEMOGLOBIN (HBA1c): HbA1c-NGSP (4.0-6.0%): 6.0%; HbA1c-IFCC (20-42 mmol/mol): 42 mmol/mol;
8 Sep. 2012: GLYCATED HAEMOGLOBIN (HBA1c):HbA1c-NGSP (4.0-6.0%): 5.7%; HbA1c-IFCC (20-42 mmol/mol): 39 mmol/mol;
7 Dec. 2012: GLYCATED HAEMOGLOBIN (HBA1c): HbA1c-NGSP (4.0-6.0%): 6.2%; HbA1c-IFCC (20-42 mmol/mol): 44 mmol/mol
6 Aug 2013: GLYCATED HAEMOGLOBIN (HBA1c): HbA1c-NGSP (4.0-6.0%): 5.5%%; HbA1c-IFCC (20-42 mmol/mol): 36 mmol/mol
'The most commonly recommended target for glycated haemoglobin in ordinary diabetic adult patients is an HbA1c of < 6.5 to 7.0% (48 to 53 mmol/mol). For some patients a tighter glycaemic target of <6.0% (42 mmol/mol) may be appropriate, if it is clinically attainable. For patients with severe and/or frequent hypoglycaemia, less intensive targets may be appropriate.'
7 Dec. 2012: SERUM/PLASMA GLUCOSE:random, serum (3.4 to 7.7 mmol/L):6.1.
Brief Answer:
Yes
Detailed Answer:
Based on the results shared above, you do have Pre diabetes, except for the one normal report of 5.5% A1c in 2013.
However we need current reports to know if you still have it or whether you have successfully reversed it to normal, or if it has progressed to type 2 diabetes.
Healthful eating , regular physical activity, achieving and maintaining healthy body weight are key to preventing diabetes
Yes
Detailed Answer:
Based on the results shared above, you do have Pre diabetes, except for the one normal report of 5.5% A1c in 2013.
However we need current reports to know if you still have it or whether you have successfully reversed it to normal, or if it has progressed to type 2 diabetes.
Healthful eating , regular physical activity, achieving and maintaining healthy body weight are key to preventing diabetes
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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