My doctor has been tracking my A1c and it has gone from a 5.9 to a 6.3 over the last ten months. He ordered a glucose tolerance test and I was told by the nurse that everything came back normal and that I have nothing to worry about. I just spent ten months hearing him tell me that I am headed for trouble and now they tell me everything is fine. Should I be worried? As background, I have no family history of diabetes and I am not over weight.

An a1c of 6.3 is not normal. Sorry, but that's the truth. While the GTT may be normal, there are all sorts of other places (like the dawn phenomenon overnight) where your glucose may go up. Also, the nurse may not know as much as she should as far as the numbers go. Do you know what the actual numbers were for the test?

Talk to your doctor about what you can do to get your a1c down. Best of luck.

Cora

That doesn't make sense to me. A 6.3% HBA1c corresponds to an average blood glucose of 147 mg/dl. For the average to be that high, spikes after meals (and an OGTT glucose challenge) must be going to 200+. You could do some blood glucose tests, both fasting and after meals, to see what happens.

As Cora stated. You can have 1 (or 10) glucose "checks" and not get an accurate understanding as to what your blood sugars are with overall health. There are just too many variables.

I would recommend long term testing at home with regular A1C (every 3 months for a year) testing and then diet and exercise changes immediately. An A1C of over 6 is definately diabetes, sorry. But don't fret too much as you are well within a range where control is not only hopeful but not too difficult with some lifestyle modifications.

It is important to get control as soon as possible as like all of us, it can get a whole lot worse.

Best regards,
~ Mark