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Need some help understand A1C levels

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Posted 10/26/2015 9:58 PM (GMT 0)
Hello all,

My 10 yr old son had blood work done in May 2014, his A1C was 5.7. His doc redid blood work a week ago and his A1C levels were 6.1. He is not over weight, in fCt his on the smaller end of the scale in weight for his age. He does suffer from migraines. Does his levels indicate that he is predabetic?

Thanks for your responses.
Posted 10/26/2015 11:48 PM (GMT 0)
Welcome back. His A1c levels have risen and this should be a concern for the doctor. A non-diabetic's A1c is in the 4's and 5's. Is he taking any medications that could affect his blood sugar?

Maybe the doctor suspects he could have type 1 diabetes? If so, there is the c-peptide test to check to see if the pancreas is producing insulin.

These lab results mean the doctor must follow up on them to make sure the tests are accurate and if your son needs more tests to find out what's going on. The lab tests for diabetes (A1c, c-peptide, fasting and the glucose tolerance test) are all done by taking blood. The GTT is done by taking blood, drinking a glucose drink and taking more blood usually an hour and maybe two hours later.

Make sure your doctor knows you're waiting for the next step because this should not be dropped. I hope he's doing ok. How does he feel?

Here are some sites with information:

/www.nlm.nih.gov/medlineplus/ency/article/003701.htm

www.mayoclinic.org/diseases-conditions/type-1-diabetes-in-children/basics/tests-diagnosis/con-20029197
Posted 10/27/2015 2:40 AM (GMT 0)
Thanks for responding Lanie. He just got out of the hospital after a severe asthma attack. The only mess he is on is Albuterol and Flovent. He is feeling well but he does not eat well. He is very picky and he drinks a lot. I plan to stay on his doctor because I am worried about him.
Posted 10/27/2015 12:17 PM (GMT 0)
Good morning. When I searched for side effects of those drugs, diabetes comes up as a possibility with albuterol. This does not mean it occurs frequently or with everyone but since his A1c blood tests were elevated, then he absolutely should be monitored. Are there other drugs for asthma he could take?

So, yes, keep in close contact with the doctor. I'm sorry you and your son have to deal with this but I'm glad you're a mom on the alert! Too often parents sit back and are not pro-active while they just wait and follow what their doctors say. I'm not saying to challenge his doctor but to question and tell him about your concerns.

Keep us updated. I hope he gets an appetite back (but of course he shouldn't fill his plate with lots of heavy carbs either, just as for adults with elevated A1c results).
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