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Endocrinology And Diabetes Question

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Posted 5/12/2011 2:00 PM (GMT 0)
hey Guys and Gals

how are ya all, i would like some help with the following information if any have you been through this before.
A friend of mine did her tests a week ago and the results came as follows

Special procedures

Code Test - 8467 GLYCOSYLATED Hb (HbA1c)
Result - 6.4 %TOT.Hb
Reference Range - [Normal 4.0 - 6.0]
[Controlled Diabetes < 7.0]

Endocrinology

Code Test - 8307 Insulin
Result: 20.6 mu/mL
Reference Range [2.0 - 19.0]

As it shows both results are above normal, does that mean anything dangerous? im asking because i just got the results and the doctor is out of the country and i would like some insight on this.

Thank you alot in advance
Posted 5/12/2011 2:19 PM (GMT 0)
They are only slightly elevated. Nothing to get overly concerned with at this point. Just make an appointment with the doctor when s/he returns from vacation to discuss the results.

Most likely the doctor will, at this point, just suggest watching the diet and starting an exercise program and then will want to retest in 3-6 months.
Posted 5/12/2011 2:22 PM (GMT 0)
Welcome to the Forum Maherovic'.  As you can see, the results of those blood tests are elevated but not critical.  Even if your friend's doctor is not available, there must be another doctor taking his patients in the meantime, so if your friend needs help, she should call his office and speak to the doctor or nurse designated to care for the absent doctor's patients.  I would also encourage your friend to join up here at HealingWell so she can ask all the questions she probably has at this point.  Also, she will learn a lot by reading the 2 stickies at the top of the Diabetes Forum.  One is a testimonial from TVEditor who controls his diabetes by diet and exercise and the other has lots of information about blood sugar etc.  Your friend may have elevated blood sugar but it may still be able to be controlled by diet and exercise.
Posted 5/12/2011 2:39 PM (GMT 0)
thank you lanie and jim, thanks for the help, and i will definitly have her enrolled with this forum soon, so the results prove shes not yet in a critical condition and doesnt have diabetes but she must watch her diet and do some exercise which she has been for 2 months now, but thanks nontheless this was very helpful from you
Posted 5/12/2011 2:58 PM (GMT 0)
Please remember that no one here is a doctor and we cannot diagnose diseases.  I am speaking from my own experience.  Your friend's lab report does not show her blood sugar to be critically high, and that's great.  However, her blood sugar is elevated, higher than someone who has no problems with blood sugar metabolism.  I think she needs guidance from her doctor (and I would expect him/her to do this) to control her blood sugar because it should not go higher.  She can probably control it with diet and exercise but she would need a blood sugar meter in order to know what her blood sugar is after meals, etc.  If she has any questions, she can ask here and we can help her with what we know but she also needs to learn what her own doctor is advising.  (I am not comfortable with a patient having lab tests done and then the doctor not being available for follow-up.  This is why I think she should talk with his office.)
Posted 5/13/2011 1:29 AM (GMT 0)
Your friend may end up labeled as "pre-diabetic" or possibly even as diabetic or she may not be diagnosed with any diabetic label at this time. That is a call for a doctor to make.

Assuming this was your friends first A1c blood test and given the slightly elevated results it really is hard to guess what her doctor will diagnose, and a lot will probably depend on what, if any, symptoms she may be having. The reason for this is that there are so many reasons why a person's test results may be raised and only some of them are due to a "diabetic condition".

For example, if she has been on a course of medication for several weeks, been ill for several weeks, been under a lot of stress for weeks and so forth before having the test this could account for the higher than normal results. Then again it is also just as likely it could mean that she is having issues with controlling her blood sugar.

Because there are so many possibilities only her doctor is really able to determine what may or is happening and make a diagnosis.

If it is going to be a while before she can consult with a doctor, at least one who has access to her medical records, it wouldn't hurt anything if she went and purchased a glucose meter and some test strips and began testing at least 3 times per day. Morning before eating and before bed every day and then vary the 3rd test in between before lunch or dinner and 2-3 hours after eating. If she does test she needs to keep a log of her readings including what time she tested and if it was a fasting reading (8+hours no food) or a pre-meal or a post meal reading as well as the date. Many meters come with a log book but if it doesn't you can simply use a piece of paper or even download a glucose record online.

Wal Mart has a meter for around $10 and the test strips are probably the cheapest available. The brand is Reli-On. Even though it is a cheap meter it has gotten good reviews for accuracy. Later on if her doctor prescribes testing and she has insurance she can work with her doctor and insurance company to get a meter the insurance approves and will pay for.
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