I'm 33, 5 '11 153. Just got all of my bloodwork back. Everything was perfectly in range, or better. The only exception is that my glucose was 103. My doc. said that it was pre-diabetes & wanted to check it again in 6 months. I think that some of these measurements & docs. are a bit extreme!!! I'm thin, eat no sugar, some carbs., father & mother don't have diabetes. Seems kind of ridicuolus to me.
B/P was 113/65 away from the doc., liver, kidney, cholesterol+ was perfect. Ridiculous imo. Any ideas?
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Random2
05-13-2004, 03:05 PM
Any ideas????
modert
05-13-2004, 04:35 PM
I'm 33, 5 '11 153. Just got all of my bloodwork back. Everything was perfectly in range, or better. The only exception is that my glucose was 103. My doc. said that it was pre-diabetes & wanted to check it again in 6 months. I think that some of these measurements & docs. are a bit extreme!!! I'm thin, eat no sugar, some carbs., father & mother don't have diabetes. Seems kind of ridicuolus to me.
B/P was 113/65 away from the doc., liver, kidney, cholesterol+ was perfect. Ridiculous imo. Any ideas?
I agree - seems ridiculous to me too. Was the 103 your fasting? Did they do a HA1C? I would demand a further explaination as to why he thinks 103 is prediabetes. It is well within normal range of 60-110 and normal range used to be considered 70-120.
The HA1C will indicate your average glucose levels over a 3 month period. This will indicate if you tend to run higher throughout the day or after meals. Ask for this test to see what your doctor is thinking or to prove him wrong.
I get the feeling that many drs try to scare ppl into healthy eating habits because diabetes is on the rise. For all you know, he just got back from a seminar on early diabetes detection and is saying "pre-diabetes" to everyone that walks through the door!
Random2
05-13-2004, 05:07 PM
Yes, 103 was fasting & taken at 8:30 A.M.
All of my other results from many tests CBC, Metabolic, Thyroid+ were perfect. What else is she going to have to see me about in 6 months???? At 33 I had high blood pressure caused by anxiety.
The labe that they get the results from now consider anything over 99 high fasting.
She said that she wants to bring me in within 6 months to do the HA1C.... for 103???? Here is to docs. making more $'s for more tests that aren't necessary. The funny part is that she told me to drink diet soda & cut out carbs. I'm 33 5 '11 153. What does she want???? Me to turn into a skeleton????
How does she treat anxiety?
Give paxil which makes you feel like you have the stomach flu. They won't prescribe benzos, because she is just a follower in the medical community. The profession has turned into a joke. They keep lowering what is normal. Now anything over 99 is pre-diabetic.... yeah riiiiight.
modert
05-13-2004, 05:44 PM
eeek not sure what happened here!
Lagerhans
05-13-2004, 09:13 PM
find a new physician, maybe one who can read and think... they DO exist.
SamQKitty
05-14-2004, 12:16 AM
Lillian,
There's a very good reason they've lowered the standard for diagnosing diabetes and pre-diabetes (or insulin resistance). This is because even mild elevations can do serious damage to your entire body over a period of time. If your fasting blood glucoses are elevated, then your post-meal glucoses are likely to be even more elevated.
Now, at 103 you don't need to do much of anything just yet, but your doctor is wise to watch it. Would you rather she ignores this and you discover you have diabetes after your eyes have been damaged? Or perhaps you'd like to wait until you have kidney damage or diabetic neuropathy? That's a heck of a way to find out you're diabetic.
What your doctor is doing is just good sense...she's keeping an eye on something that may not progress but, if it does progress, would need to be treated. If it were me, I'd be grateful to have a doc who is so on top of things.
Ruth
modert
05-14-2004, 08:33 AM
I totally agree that the doctor is wise to be watching it, as they should for everyone. Put it their notes, check it next time, etc... But to alarm the patient, cause concern, expecially someone who is otherwise healthy and has a history of anxiety, is a bit over the top.
I forgot to ask if Lillian's Axe if there is diabetes the family. That of course would be another factor and it might make sense to advise the patient that they need to begin watching what they eat and making lifestyle adjustments. I can even understand if the patient was overweight and had other health problems, to warn that diabetes is more likely to occur unless changes are made.
Like I said, this doctor may be telling EVERYONE they have "pre-diabetes" I am curious, is there an established definition for what "pre-diabetes" means?
I typically don't think too highly of general practitioners - sometimes I think they completely forget to work with patients as people and they treat everyone who walks through the door exactly the same, without the important considerations. They also don't consider about how patients interpret their advise and instructions.
In this case, the doctor said to cut out carbs which is very over the top. That can often lead people to "hear" Atlkins diet and other low-carb foods which can be extremely unhealthy. The doctor could have suggested to eat healthier carbs or to add fiber, which would be a more subtle approach. In fact, the doctor could have asked the patient to keep a meal diary for a week and then actually look at it and make suggestions based on what the person is actually eating.
Random2
05-14-2004, 09:05 AM
They change the guidelines every few years...
It used to be 120 & over was pre-diabetes
They changed it to 110
Some labs use 100.
I'm thin
Have a good diet
It was only 103...
jdimassimo is right, someone with anxiety should get alarmed when all of the other blood tests were perfect.
Most sites including ***** use 110-126 as pre-diabetes.
It's not like I had 140 or something.
I think that the doc. is going overboard.
My Mom & Dad are 62 & do not have diabetes.
On my mom's side, her mom had diabetes later on, but was also 50 pounds overweight & had unhealthy eating habits. No other diabetes in my family.
liver, kidneys, cholesterol++++ were all perfect including cell counts & many other tests. I think once a year is enough. It was only 103. Be realistic.
modert
05-14-2004, 10:33 AM
Actually, Anything over fasting 110 is considered diabetes. But like I said, what is the official definition of "pre-diabetes?" To me, that means someone who is in a risk category (family, weight, poor diet, etc), has borderline labs, or exhibits symptoms of diabetes but has normal labs. Maybe I am wrong, so if anyone knows if there were an established definition I would be interested in that!
arubagal
05-14-2004, 11:40 AM
That's rediculous!
You can always find another Dr.
Random2
05-14-2004, 12:10 PM
I agree... it is ridiculous.
So should she try & test everything every 6 months. I'm only 33 & everything turned out fine. It is one thing to be cautious... another to be overly cautious. It was only 103.
I'm 33....
I'm 5 '11 153.... thin if anything
Eat no sweets & my cholesterol+ was fine.
She told me to cut way down on carbs & just have protein
Once again it was only 103.
My Mom doesn't have diabetes & neither does my Dad. Both are 62.
My grandmother on my mom's side had diabetes, but like I said she was 50 pounds or more overweight & had a poor diet.
She told me to cut out carbs & drink diet soda, as opposed to iced tea. I'll turn into a skeleton.
I guess when there is nothing else wrong in comprehensive tests, then they need to find something to bring you back in sooner than a year. At 33????
I have HBP caused by anxiety. I take altenolol, which seems to increase glucose in some people. My carbon dioxide was a little low (stress). Does she want to re-test in 6 months???? No.
jdimassimo, according to ***** & many other site diabetes is 126 fasting or over. 110-126 is considered pre-diabetes.
rubydoo63
05-14-2004, 01:28 PM
Hi All>
My doc is calling me prediabetic.
I just received my fasting result - mine was 106. My doc said that the level now is 110, but the are lowering the pre-diabetes number to 100.
Rubydoo.
Random2
05-14-2004, 02:24 PM
You either are diabetic... 126 or over in glucose or not. The AMA lowered it's b/p guidelines to 115/75. Pretty soon everyone will be pre-diabetic with high blood pressure. It used to be 120, then they switched it to 110, now 100 is pre-diabetic.
I'm under 45
In perfect shape (maybe I'm a little thin at 153)
Have very little family history (mom & dad don't have it)
No sweets
very little carbs
I switched from sprite to diet coke.
103 doesn't seem so horrible to me fasting.
modert
05-14-2004, 03:04 PM
Lillian, If your doctor is recommending that you cut way down on carbs and eat only protein, then I WOULD find another doctor. High protein is not healthy for your kidneys or liver function. In fact it is recommended that a healthy amount of protein is 1 gram per every 1.8 kilograms of body weight (per day). Obviously diabetics cannot always meet this restriction because they have to montitor carbs.
The key to good health is balance balance balance. If you are healthy you could probably eat a diet that consists of 60% carbs 20% protein and 20% fat and you would do just fine. You could try eating 50% carbs 25% protein and 25% fat, but reducing carbs lower than that is unnecessary.
They key is eating good carbs and avoiding bad carbs. If all your carbs are coming from pepsi, potato chips, oreos, you WILL become diabetic. Try to focus on consuming healthy "complex" carbs - lots of veggies, grains, fruit and high fiber foods. Avoid white flour, sugar, and foods made with them. Remember, you don't have to eat sweets to consume lots of sugar. Start reading ingredients and watch for things that are heavy on corn syrup, dextrose, high fructose, etc. Avoid foods labeled "low-carb" or read the ingredients carefully, they can be loaded with chemicals and sugar alchohols, which are really not good for you... if you are not diabetic, you are better off eating the carbs!
arkie6
05-14-2004, 04:11 PM
Actually, Anything over fasting 110 is considered diabetes. But like I said, what is the official definition of "pre-diabetes?" To me, that means someone who is in a risk category (family, weight, poor diet, etc), has borderline labs, or exhibits symptoms of diabetes but has normal labs. Maybe I am wrong, so if anyone knows if there were an established definition I would be interested in that!
Currently, a fasting blood glucose level of >125 mg/dl is considered diabetes. Most labs consider a fasting bloodsugar level of >110 mg/dl outside of normal and this is classified as impaired glucose tolerance and is often referred to as "pre-diabetes". Recent studies have shown that fasting glucose levels >100 mg/dl measurably increases your risk of heart disease - this is the reason for the recent lowering of the normal fasting glucose range to <100 mg/dl. Optimum fasting glucose levels generally fall into the 70-90 mg/dl range.