Pre Diabetes Diagnosis

Pre Diabetes Diagnosis questions and answers

Save money by ordering Metformin 30mg Online at The Drug Company.

Q: diagnosis of diabetes?
Hello, I have a question about the diagnosis of diabetes. when I went for thyroid level check, my family doctor told I have diabetes becuase my sugar level is 128.The next day, I have started diabetic diet and was doing lot of exercise. when I went for next visit after 3 months, my family doctor was not there and the replacemet doctor went through my file and asked me to have glucose tolerance test to confirm diabetes. now, I am confused whether I have diabetes or pre-diabetes or now it will show controlled diabetic number due to my exercise and food which will be misleading. any help in this regard is appreciated. Thanks bob

A: Hi Bob. You have not yet been diagnosed with Diabetes. Your first doctor was negligent in diagnosing you with Diabetes just because your glucose level was 128. You may have eaten or drunk something within 2 hours before seeing him. What he should have done is a blood test called a hemoglobin A1c test. This test shows how your glucose levels have been doing for the past 3 months. If you are over 6%, you have Diabetes. Very simple. The A1c test is a definitive test for the diagnosis of Diabetes. The doctor who is now doing a glucose tolerance test is doing the right thing. This test requires you to come in with an empty stomach - no food or drink, except water. Then they check your glucose level. You will then be given a small amount of a sweet syrup to drink. An hour after you drink it, they will check your glucose level again. Then after 2 hours & after 3 hours. This will show them if your body is able to break down the glucose properly. This is also a definitive diagnostic test for Diabetes. Until that test or an A1c test shows positive for Diabetes, you don't know if you have it. However, it is still a good idea to eat well and to exercise. This will not cause you to show a controlled glucose level on the test. If you have Diabetes, your body will react to the test. You seem to have a problem with your thyroid gland, as do I. Hyper or Hypo thyroidism is an auto-immune disease. Very often, when a person has a problem with the glands, more than one breaks down. Diabetes Type 1 is a breakdown of the pancreas, where it stops producing insulin. So, your doctor is smart to check for Diabetes if there is any suspicion. Do you have increased thirst and/or frequent urination? Those 2 symptoms are the hallmark signs of Diabetes. But you will know for sure once the 2 tests are done. I am very glad that you have a replacement doctor. That first doctor was not a good one. I wish you the best of luck.

Q: Daughter diagnosed with pre-diabetes? Is this right?
Hi, On Friday my daughter went to get a physical at her doctors office and they told us she had "pre-diabetes". She is only 10 and is not anywhere near overweight for her age. I thought pre-diabetes meant if you loose weight it can be reversed and not get full blown diabetes. But I just don't understand how she could "reverse" it? The doctor barely told us anything about it. I am very concerned and wondering if maybe it was a wrong diagnosis. They had her do an OGTT and they said that confirmed it. I am really worried. My dad has type 1 diabetes and I really don't want her to have to go through all he does. Thanks,

A: Since your family does have a history of diabetes this could be possible. My cousin that is also 10 has full diabetes. Her older sister does too. It comes from her mom's side of the family but the other two kids do not have the diabetes. Pre-diabetes is when your daughters glucose level is higher than normal, but not enough to be called as diabetes. She probably has sugar a lot since she's a little kid, I would reccomend that she stays off sugary foods for a while. She also is probably going to have diabetes when she is older. In the OGTT, a person's blood glucose is measured after a fast and 2 hours after drinking a glucose-rich beverage. Normal blood glucose is below 140 mg/dl 2 hours after the drink. In pre-diabetes, the 2-hour blood glucose is 140 to 199 mg/dl. If the 2-hour blood glucose rises to 200 mg/dl or above, a person has diabetes.

Q: What can cause male night sweats, and fever of unknown origin?
my husband has had several episodes of fevers at night followed by extreme night sweats. Feels ok in the morning. Has a diagnosis of pre-diabetes that are under control. Also has been very tired lately? I am worried that it could be Hodgekins? Any thoughts?

A: There are a lot of diseases causing night sweats and fevers.You will not get any good qualified answer here:take the bull by the horns and go see the Dr:have blood tests done to exclude diseases.And find the cause.Fevers are way tyring :so that does not surprise me at all. Sky.

Q: Avg Score 5.8 since diagnosed.Was 17 in apr 06 when GP measured.Is this pre diabetes?
Post diagnosis in April 06 changed diet and exercise routines. Score averages 5.8 since measured every morning and sometimes afternoon evening...but total comes to 5,8. Could this be a pre diabetic condition.

A: Once you are labelled diabetic you cannot become "un" diabetic...you are merely a diabetic with the condition under control. You have done well to bring your levels dowm so well, keep up the good work.

Q: Conflicting diagnosis from two doctors re diabetes and high cholesterol.?
One doctor says I am diabetic and that my cholesterol is under control. The other one says I am pre-diabetic and should be taking a higher dosage of Zocor because my cholesterol is high. How do I determine who to believe? My blood tests are available to both doctors. I am 70 years old, eating a proper diet (most of the time). I guess what I should have asked is how doctors determine the dosage of Zocor for a patient. One says 20 mg the other says 40 mg.

A: Get copies of both blood work results. You have paid for them and are entitled to them. Most labs have the "satisfactory" ranges for each item on the results page. You can google for the definition of each of the lines on the results page. If doctor #1 says you are diabetic, and doctor #2 says you are Pre diabetic, find out what the A1c number actually is. I would much rather be labeled diabetic. Insurance and medicare will pay for all testing supplies and if necessary the meds. They will also pay for your referal to dietician and to Certified Diabetes Educator and Diabetes Education classes. These are all very expensive except some of the meds. I thought for years that I was eating healthy!! I taught foods and nutrition to children!! I lived, ate, and taught the food pyramid!!! Now I find that if I lop off the bottom layer of the food pyramid, lay off potatoes, carrots, peas, corn, dried beans, I can control my glucose levels much better. Cholesterol meds do not lower cholesterol very much at all!!! Neither does eating fewer cholesterol containing foods. Maybe the statins do help with preventing kidney damage, Loosing weight, tight control of glucose levels, and more exercise do work wonders in lowering Cholesterol. Maybe you should go see a third doctor? This one an Endocrinologist?? At preferably a teaching hospital!!

Q: Why is blood glucose around 113 fasting AM and fine all day ?
Is 110 to 113 a definitive diagnosis for pre - diabetes even though it is fine all day. I am a marathon runner so plenty of exercise. Thanks

A: Years ago anything over 120 was a problem. 110-113 is fine. You probably are borderlin according to todays standards but your exercise is masking it. Exercise and diet is the key to control. Keep running.

Q: I 'may have diabetes...'?
I have just signed up with a new clinic as i've moved home. However, part of the signing up process requires a urine test. Today, the nurse conducted a urine sample and looked a little concerned and then announced that i had a bladder infection (i frequently suffer from bladder infections) and also that my blood sugar level was a little high. I asked what this meant and she explained that i may have diabetes, i'm not sure if anyone else has ever been diagnosed with either pre diabetes or diabetes, but currently i'm feeling devastated. There is no solid diagnosis yet as i am going for a blood test tomorrow and should find out early next week. However, i'm pretty sure i will have diabetes as i have had on off eating disorders for years, in which i would binge and then starve myself alternately. I am a fairly average size (12), but don't exercise at all anymore so could probably do with changing my diet and (creating an) exercise plan in order to help my body cope. I'm really, very upset so if anyone has some advice about coping with diabetes it would mean a great deal. I'm also 24 if that helps at all.

A: I know when you are first diagnosed with diabetes it can be devastating but these days as more is learnt about the disease the treatment is improving. I would not panic to much until you get a proper diagnosis. The main thing you will need to do is learn to adjust your diet and keep your blood glucose levels as near normal as possible. I suggest that you look up the GI of food (see link) This will help you learn what foods are most and least likely to cause spikes in your blood glucose levels try to stick to foods in the low or medium range and have high ones only occasionally. Try to find an exercise you like and enjoy so that you stick to it. Remember diabetics may live a near normal life. so a diagnosis is not a death sentence I know I was diagnosed just over 3 years ago.

Q: Is it possible to have diabetic neuropathy at 23 with just insulin resistance present (no diabetes)???
I am 23 years old and have had numbness in my feet and calves with slight pain in my calves from time to time. This has been constant pain with no period of absense for 2 months now. I went to a neurologist and he just pricked my feet with a needle and then chocked it up to neuropathy caused by pre-diabetes. Is this possible? I thought it took a long time for people to develope neuropathy complications from diabetes. He prescribed me Topamax, and it hasn't help. Not to mention I don't like that medication. What else could be going on? I am fairly healthy (although overweight from PCOS), and active physically on my feet. I feel like the doctor blew me off and that his diagnosis was not thorough. The numbess/pins & needles feeling is constant 24 hrs. Any help would be greatly appreciated! Thanks for the answers. What I forgot was that it happened the exact morning after I had gotten a back massage from my boyfriend. I wasn't sure if it was a coincidence or not. Every time my blood sugar levels are tested, they are within normal range. This goes for the handheld devices and blood tests from the doctors offices. This is why I am so confused!

A: Pre-diabetes is a nebulous term. It varies from doctor to doctor. If you really want to know if you're diabetic or not, find a new doctor or get a glucometer and find out yourself. Here's a handy web page that will help you: http://en.wikipedia.org/wiki/Glucose_tolerance_test As for the neuropathy, yes... it's possible. Likely? Depends on how high your blood glucose has gotten and for how long. There are other possibilities such as fibromyalgia. Also, you don't have to be diabetic to get peripheral neuropathy. BTW, PCOS doesn't cause weight gain, it's caused by weight gain and poor diet... just like type two diabetes. If you need sources to verify this, let me know. I've done an awful lot of reading on this, and doctors often tell you want you want to hear instead of what you need to know. Find a new doctor. You desperately need one.

Q: Vytornin lowering glucose levels?
Has anyone who been diagnosis with pre-diabetes and also has high cholestrol level and are taking vytornin notice that their glucose levels has lowered as well as their cholestrol? i was just wondering because i started taking vytornin for my cholestrol and i've notice that it kept my glucose low also-my glucose was a little high but not high enough to be consider a diabetic. And since i started with vytornin both chol. and glucose has been within normal range

A: Vytorin didn't do me any favors that way or any other way!! It didn't lower my cholesterol, and it had absolutely no effect on my glucose levels other than maybe making them worse. I took it for maybe a year. It made my brain not work well. I forgot things! I got so bad my husband was doing all the cooking so that I would quit trying to burn down the house. I quit taking the junk and gradually got back to normal. My cholesterol has come down with regular diet and tight glucose control. I eat butter on my toast, regular milk, and avoid any of the low fat foods on the market. My lipids panel has gotten into the low normal range in less than a year with the HDL being way above normal!!! I am not convinced that these meds do anything but make the manufacturers of them rich!!

Q: How fast does insulin pills work?
Hi, my 20 year old daughter was just diagnosed as having pre-diabetes. The Doctor called while I was at work so my daughter got the call and they gave her the diagnosis of pre-diabetes. They said she'll need oral medication and the right diet to feel better. The made her a follow up appt. in a week but over the phone, they forgot to mention phoning in the medication and she forgot to ask them to. I called today and left a message for the nurse to call but they haven't called yet. Maybe I'll have better luck tomorrow. She has incredible brain fog and can't do her college studies due to it. If she can start on the medication tomorrow afternoon (I'm going to try and get them to call it in then), how fast would it work. I'm assuming they'll give her insulin? Could it work within a day or so to pull her out of this brain fog? Thank you.

A: Its really rare that someone that is pre-diabetic will need insuling they will probably adjust her diet, high protien and low sugar and low card diet,penuts are great to stabolize her sugar lvls they will probably give somthing that helps her pancreas produce more inuslin on its own.like metformin its a pill type once a day to help her pancreas to work better... she can probably be safe just eating stuff with low sugar lvls and low carbs.

Q: Could she have been mis-diagnosed?
My daughter has recently been diagnosed with "pre-diabetes" after a blood sample and OGTT. She is only 10 and almost underweight. Since the docs. appt I have bought a glucose meter to check her sugar just a few times a week. Just to kinda see how high her sugars actually are. So far she has had at least 5 readings over 150. The highest we have seen was 168. The lowest was 62. Her "fasting" reading for the past few days that we have checked has been completly normal at 80's and 90's. I am doubting her diagnosis of pre-diabetes even though it does run in the family. What do you think? Should we get another test or something? I am a very concerned mom right now. Thanks so much for putting up with all my questions! :-)

A: Get a GAD antibody test. If she is developing type 1 diabetes it is not the same thing as having "pre diabetes." If her immune system is attacking her pancreas early intervention (insulin) can preserve pancreatic function resulting in a longer "honeymoon" phase and better metabolic control. She'll still get diabetes, but get in front of this thing, don't let it get in front of you. Go to a pediatric endocrinologist, not a regular doctor.

Q: Could this be diabetes?
I've been unable to keep weight on, regardless of eating square meals. I usually feel nauseous 24/7, and I have period of intense binge-like hunger for sugar. My legs ache, and I'm very sensitive to temperature change. I have had some very low blood sugar readings (about 40-60 mg/DL) only 3 hours after eating, I usually don't get highs (I did have one 126 mg/DL fasting reading). I can't tolerate heat, it makes me feel like I'm going to pass out. I'm having a GTT tomorrow, but I wanted to hear your thoughts for those of you who went through the pre-diagnosis suffering. My CBC is normal, no anemia, except I do have a low platelet count (140) and low white blood cell count.

A: AS per your symptoms, you are not a diabetic but suffering from Low Blood Pressure. Your pancreas are over functioning and that leads to more consumption of sugar and glucose while keeping your blood pressure low. Low BP will also lead to migraine and headache. You must carry sufficient sweet stuff like sugar, cake, chocolate and toffee to munch when feeling low. Drink fruit juices to built strong immune system. Since, your blood pressure remains very low, you have to be very careful. Low BP is more serious than high BP. Eat carrots, tomatoes and beetroots to get more energy. Eat banana, mango, papaya, watermelon, muskmelon, cantaloupe, grapes to remain healthy. Add raisins, and dates with other dried fruits in your daily intake. Eat cucumbers daily and drink sufficient water. Take care and be in good health.

Q: Gall stone with hypertension and Diabetes. Why?
My uncle recently had a laproscopic removal of his gall bladder because of a stone. Pre operative he was diagnosis with Hypertension and DM and interestingly both disappeared postoperatively. Hypertension could be assigned to the body reaction to the acute inflammation but how come diabetes. Is it because of the obstruction caused by the stone cause back pressure of bile and hepatic dysfunction. I know hepatic dysfunction will cause raise in blood glucose but it that related to the insulin deficiency and associated gluconeogenolysis. What explains this type of presentation? And is there any extra precaution to take in the future ?

A: Types of Diabetes Type 1-Less than 10% of diabetics have this type of diabetes.. This type of Diabetes is caused by an insufficient amount of insulin. An abnormal autoimmune process damages the pancreas islet cells. Both milk protein and viral particles have been implicated in triggering antibodies that cause the autoimmune damage to the pancreas islet cells. The treatment consists of replacing the insulin by injections of various types of insulin. Type 2 – More than 90% of diabetics have this type of diabetes. Cellular resistance to insulin causes this type of Diabetes. The muscle, fat, and other body cells do not respond adequately to insulin. Heredity, obesity and inactivity are implicated in causing the resistance. Treatment consists of increasing the amount of insulin and/or decreasing the resistance in the body cells to insulin. Treatment includes diet, exercise and medications. http://www.lordsday.org/diabetes.htm

Q: Is this a pre-existing condition?
I was diagnosed with type 1 diabetes 24 years ago. I moved out of state and was without insurance for several months. I now have insurance through my employer, but have to wait 6 months before I can be covered for a pre-existing condition. I have recently been having issues with 1 of my eyes (retinopathy I'm assuming) and would like to get it checked. My question is if it is diabetic retinopathy, would this be considered a pre-existing condition since it's related to my diabetes or would this be considered a unique diagnosis for which I would be covered? And if the answer is that it would not be covered and I go see a doctor right away, would I be correct in assuming that any costs incurred after the 6 months then would be covered?

A: It shouldn't be pre-existing. Yes, diabetes is, however, the retinopathy is an entirely new diagnosis. It should be covered. You could call your ophthalmologist's office and speak to one of his Tech's and they should be able to tell your for sure.

Q: What is a normal blood sugar reading when you "cheat"?
I've been monitoring my blood sugar carefully because I'm pregnant and I technically failed the 3-hour blood glucose test, thus resulting in a diagnosis of gestational diabetes. (I say technically failed because I had a weird reaction to it, so the doctor was unsure I actually have it.) My fasting/ before meal readings are always in the 70s... in fact, they are usually around 73 or 74. When I follow the diet, my 2-hour post-meal readings are usually between 84 and 88, but they are sometimes in the 70s as well. When I cheat, however, my post-meal readings sometimes (though not always) inch up between 92 and 115. For example, last night I ate at Burger King (chicken sandwich and a decent helping of onion rings), and my 2-hour post meal number was 95. A couple of nurses told me that any readings above 100 are "proof" that I have diabetes. And I've read that anything close to that (i.e., in the 90s) is pre-diabetes, regardless of what I ate beforehand. Is that true?

A: I had 2 gestational diabetes scares with my first 2 pregnancy's. My blood sugar was over 150. Normal (unpregnant) people can go up to 120 - 130 after meals and it doesn't mean they have diabetes. As I got older I turned into full blown diabetic and now when my blood sugar gets under 90 I feel dizzy because I am usually around and well above 200 on a daily basis. That is with doing 4 shots of insulin a day. I would say your blood sugar is fine, be concerned if it goes over 130. Last night my sugar was 469 before bed so to me your numbers would be excellent. I don't think you have real gestational diabetes in my unprofessional opinion. Just follow your doctors advice despite what anyone says here.