could the fasting test be wrong for diagnosing diabetes?
silly rabbit asked:
I went to the doctor to get blood work a week ago, but saw a nurse practitioner instead.
the results finally came in- he said I had a glucose level of 87.
I didn’t trust these results because, well frankly, it is too much of a coincidence that I happen to have the symptoms for diabetes& it runs in my family (for example, my mom is “borderline” diabetic). So I bought a self test thing and been administering my own fasting tests. each morning, after fasting at least 12 hours, I have been getting 115-119mg/dl. I know the range for pre-diabetes is 100-126 after fasting. What is going on here? I know the combo pill can cause the glucose level to go up, but does that mean I have pre-diabetes? When the nurse practitioner, who btw would not listen to be about anything, did the test, it was the day before my period, which means, i was off the pill for 2 days.
i’m “normally” on the pill. (2 yrs now)
I have many of the symptoms/ complications of type 2 diabetes
what kind of dr. could i talk to
I am not a hypochondriac, thank you very much.
I went to the doctor to get blood work a week ago, but saw a nurse practitioner instead.
the results finally came in- he said I had a glucose level of 87.
I didn’t trust these results because, well frankly, it is too much of a coincidence that I happen to have the symptoms for diabetes& it runs in my family (for example, my mom is “borderline” diabetic). So I bought a self test thing and been administering my own fasting tests. each morning, after fasting at least 12 hours, I have been getting 115-119mg/dl. I know the range for pre-diabetes is 100-126 after fasting. What is going on here? I know the combo pill can cause the glucose level to go up, but does that mean I have pre-diabetes? When the nurse practitioner, who btw would not listen to be about anything, did the test, it was the day before my period, which means, i was off the pill for 2 days.
i’m “normally” on the pill. (2 yrs now)
I have many of the symptoms/ complications of type 2 diabetes
what kind of dr. could i talk to
I am not a hypochondriac, thank you very much.
Thanks to all of you who left real answers.
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You could see an endocrinologist or go back to your regular doctor and request another blood check. I’m sure the lab results were correct. Of course, make sure you’ve not eaten anything after midnight. I also have symptoms of diabetes but my glucose levels are within normal range.
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an endocrinologist or a general practitioner. your pills may have an effect on your blood glucose
there are two tests to correctly diagnose diabetes oral glucose challenge test and oral glucose tolerance test. you have to take both for a better diagnosis. also let a liscened professional do the test and interpret it. talk to your doctor about your results and method for clarification
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Perhaps the information in these series of articles could help you in figuring it out, or at least help you converse with your Drs:
Living With Diabetes :
– “The Silent Killer”
– The Challenge of Treatment
– A Disease of the young?
– The Role of Glucose, the Pancreas, and Sugar
– Diabetes Simplified
Understanding Your Doctor :
– Doctors in a Changing World
– Doctors Under Stress
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Blood drawn peripheral (through a vein in the arm) usually yields lower results than blood drawn from the finger. I’ve had glucose levels vary by 20-30 points (much like the numbers you gave).
As far as pre-diabetes goes, 100 is a perfectly normal reading fasting. Fasting range is 70-120. Anything over 200 is considered diabetes. Most doctors I know consider monitoring patients who have fasting readings over 160. (They don’t administer medication; they just watch to make sure the levels don’t get any higher.)
If you want to see another doctor (and even if they tell you same thing, at least you get the peace of mind you need), then you need to see an endocrinologist. They specialize in diabetes and other conditions related to endocrine disorders.
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Endocrinologist is the type of specialist that sees people with diabetes. However it seems like you are being a bit of a hypochondriac. You levels aren’t that high and actually are within the normal range. Plus remember that the fasting test at the doctor’s office most of the time is going to be more accurate than a test on a home meter.