45mmol in blood sugar test, Dr says no further action required

[Shopaholic100]

Surely 45 mil is pre diabetes isn’t it?

Within the pre-diabetic range , so you can manage with diet exercise etc to bring it down. What action do you feel it needs? Even slightly above that is often not medicated in first instance

Others have been offered pre diabetes courses, to teach and offer guidance on how to reduce blood sugars so it doesn’t progress to diabetes, which have been very effective. By saying no further action it tells the patient there is nothing wrong, so won’t make changes. I know you don’t go straight on medication.

All the information you need is out there. You don’t need to sit in a room full of other people for a two hour talk to get this information.

www.diabetes.org.uk/preventing-type-2-diabetes/prediabetes

www.diabetes.org.uk/preventing-type-2-diabetes/ten-tips-for-healthy-eating

Look up Desmond or www.england.nhs.uk/diabetes/diabetes-prevention/

Is gp planning to repeat the hbac1 in a few months time?

Read Michael Moseley's Fast 800 book. The advice is perfect for reversing the pre-diabetic status through diet and exercise.

No idea, the receptionist just said no further action. Surely if it’s in pre diabetes range the patient should be told. I was only told the 45mmol because I was persistent and said I wanted to know, they didn’t want to tell me.

Thanks will do.

The blood test was done 1 1/2 months ago.

I am a fair bit overweight and pre diabetic at 42mm and had a rise to 44 straight after Xmas. I have eaten very healthily for last 4 months, radically cut alcohol etc and yet still it went up- I can only blame it on Xmas booze( not tons but some) and statins which I started about a month before. My doctor did say a biggie is age and weight round your middle and I'm 61 now and she said around 50% of over 55s are borderline or even diabetic but just don't know it !!

I've just been diagnosed as T2. When talking to the Dr, she said my sugars have been around 42-46 for 2/3 years, but I had no idea, no-one even mentioned it to me, so I'd done nothing to mitigate the prediabetes. (The bloods were taken routinely for another condition, and when I rang up for results, they only discussed the results relating to that condition with me, it never occurred to me to ask about my blood sugar, as I had no idea that it was potentially an issue.)

It's a bit rubbish really. My levels are only just over the threshold now (50), so I hope a few dietary changes should put me into remission, but I'm a bit frustrated that I could have done this a few years ago.

Can you not make an appointment to review with gp/diabetic nurse? Were the blood tests specifically to rule out diabetes or part of a general review?

He had a blood test in October/November and was told he had diabetes. They did another blood test in December to decide on treatment. A month and a half later when we hadn’t heard from them, I called for an update and was told no further action.

Presumably the hbac1 level had reduced in the interim. Has he made changes since October? If so best continue them to keep that trend going.

@mrsm43s you are not only one who has said this I have had a number of family and friends who had a similar experience. They were not made aware of the risk so didn’t take steps to mitigate the risk, many over a couple of years. I’m not sure why the Dr is doing this, isn’t prevention better than cure? Surely having patients with diabetes and related complications is going to mean more work in the long term. Saying no further action tells me everything is ok, when 45mmol is pre diabetes and lifestyle changes need to be addressed. Many low fat foods contain more sugar and sweeteners and fruit is healthy but high in natural sugars, so it’s not as simple as lose weight.