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Off Topic :
A1c numbers

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 annb (original poster member #22386) posted at 8:43 PM on Thursday, August 17th, 2023

Just had two sets of blood tests done, one from my primary, and one from my endocrinologist.

The tests were done just a few days apart.

The first test from my primary showed my A1c at 6.

Several days later test from my endo showed 6.2

Wonder why such a difference in just a matter of days?

I've been in the pre-diabetes range for about 3 years now, not much change, 5.8 - 6.0, but this 6.2 scared me a bit.

posts: 12201   ·   registered: Jan. 10th, 2009   ·   location: Northeast
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tushnurse ( member #21101) posted at 10:29 PM on Thursday, August 17th, 2023

First of all 2 tenths of a point is not a big swing, and could be accounted for if the tests were done on different machines. Well w/in the margin of error so to speak. More concerning if it were a full point different on the same machine.

That said, it's trending in the wrong direction, and I'm sure you didn't like that part. But if the Endo did it 3 months ago what you need to be interested in is the difference from that prior number to this one. The other thing to find out is are these point of care machines (POC) vs done in a real lab machine. The POC machines like glucometers, are there in the office and give you the results at that time. Vs a blood draw that is sent to the lab. The POC machines typically are not as accurate as blood draw.

I would not be concerned about that difference. Although I would encourage you to decrease carbs of all sorts to bring that number down. More quality protein, less carbs. In addition to bringing the A1C this change will also prevent you from getting that ravenous hunger, and allow that blood sugar to be more stable overall. I know the diabetic educators, and dieticians encourage a certain amount of carbs, but they are also supported, and funded by the companies that make the drugs to treat the condition. Scientifically we know sugar/carbs are what make glucose levels rise, and when that insulin kicks in, the glucose levels fall, that triggers the hunger hormone so you don't die. More protein, prevents all of that. You will also feel fuller longer.

Me: FBSHim: FWSKids: 23 & 27 Married for 32 years now, was 16 at the time.D-Day Sept 26 2008R'd in about 2 years. Old Vet now.

posts: 20291   ·   registered: Oct. 1st, 2008   ·   location: St. Louis
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 annb (original poster member #22386) posted at 11:11 AM on Friday, August 18th, 2023

Thanks, Tush, first test done by Quest, second by LabCorp.

I've actually cut out white pasta, white rice and all white bread. I do have a sweet tooth but try desperately to limit the sugar I eat.

I also walk every day, need to lose about 15 lbs, guess I have to try a little harder to control my diet.

posts: 12201   ·   registered: Jan. 10th, 2009   ·   location: Northeast
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tushnurse ( member #21101) posted at 1:06 PM on Friday, August 18th, 2023

Try some of the Keto ice creams for that sweet tooth. Get some quality protein shakes too. It will make a difference, and satisfy that sweet tooth.
My H got serious in April, and did full on Keto, he has lost more than 40 lbs since then. He has a wicked sweet tooth, the Keto ice cream has made it a lot easier for him.

Me: FBSHim: FWSKids: 23 & 27 Married for 32 years now, was 16 at the time.D-Day Sept 26 2008R'd in about 2 years. Old Vet now.

posts: 20291   ·   registered: Oct. 1st, 2008   ·   location: St. Louis
id 8804783
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