
What Do My Blood Sugar Levels Indicate?

My hba1c is 4.2 & I have mild insulin resistance and need to lose 30lbs. Are these readings ok?
Yes
Detailed Answer:
These readings are normal indeed.
Sorry to learn about your bothersome symptoms. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day


Follow up
Detailed Answer:
It is possible you may have a condition called Reactive Hypoglycemia in which the glucoses drop rapidly following meals.
I urge you to consult an endocrinologist in-person


I have seen an endo, he ran all kinds of blood tests including the ones you mentioned and does not believe blood sugar is causing my symptoms. But Ive read online 4.2 a1c can be indicative of hypo
Second follow up
Detailed Answer:
Use the glucose monitor and if your readings are below 70 then it will be important to see the endocrinologist and consider undergoing a MIXED MEAL test

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