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diabetes test

66 replies

babyjane67 · 30/09/2013 13:02

Hi all
Does anyone know what the normal result for this test is?
ive just been to my local chemist&had it done.result was6.0& she said it was anything up to then was ok but she checked with pharmacist who said was ok but to eat more fruit!try get my5a day
Has anyone any experience of the test&can tell me thia is definately ok
many thanks

OP posts:
Sidge · 03/10/2013 12:22

I can't speak for all areas but in our area we don't use HbA1c for diagnosing diabetes as we follow NICE guidelines rather than WHO recommendations.

We take a fasting venous sample, if it's 7.0 or over with symptoms it is diagnostic for diabetes, between 6-6.9 indicates impaired fasting glycaemia (pre-diabetes).

OP - you can ask your practice nurse to dip your urine - the presence of glucose could indicate diabetes and allow further blood tests and investigations.

ChippingInNeedsSleepAndCoffee · 03/10/2013 12:23

Whatever you do though BJ, don't go along with 'eat lots of carbs' - that the NHS recommends. That way madness lies :(

lotsofcheese · 03/10/2013 13:24

Chipping: like many other centres, the one where I work is not using the new WHO guidelines, although this may change in time. We are using NICE/SIGN at the moment.

When diagnosing diabetes, we often have to expect the unexpected eg Type 2 & MODY in children, Type 1 in over 50's etc. So we can't assume that someone has a certain type of diabetes eg Type 2 etc until we have the full lab tests back. HbA1c is only part of the jigsaw.

ChippingInNeedsSleepAndCoffee · 03/10/2013 14:06

lotsofcheese - I don't know whether to go somewhere else to have some tests done to see what conclusion they come to. I don't know if I have diabetes or not? They said I do, but only after my HbA1c came back at 9.3. 3 months later it was 5.8 and the following test was 5.3.

What do you think I should do?

lotsofcheese · 03/10/2013 14:15

Chipping: don't worry! Even looking at the new guidelines, a HbA1c of 9.3% is clearly reflective of diabetes & I'm sure if you'd had fasting plasma glucose tests at the time it would have confirmed the diagnosis.

And the reduction in HbA1c is reflective of the lifestyle changes you have made since diagnosis eg losing weight, improving diet. Well done - it sounds like you've worked very hard.

babyjane67 · 03/10/2013 14:55

But i thought yr urine was only tested after first having a blood test?
As ive said in my first msg my test result was 6.0so is that normal or high or do i ignore it&just abide by waht gp test result is?
Does nurse alao do the blood test or just urine test?

OP posts:
babyjane67 · 03/10/2013 14:56

Sidge what area are you in?

OP posts:
ChippingInNeedsSleepAndCoffee · 03/10/2013 15:14

lotsofcheese - actually, thinking about it, as you do when painting >yawn< there was another result, that was 10.3, I think that might have been the fasting glucose test? It was the test where you drink the sugary stuff and get retested that I didn't do.

I have been low carbing. I lost 17kg/38lb (lots more to go unfortunately).

I have another test due in 3 weeks and I know it's going to be higher this time - sigh. But determined not to take the metformin. I need to start getting more exercise again, I busted my ankle and it's really put me back.

BJ no, they did my urine before doing the bloods, but it doesn't tell you much, only that you have some sugar in your urine, I suppose it 'justifies' the blood test.

The finger prick test is hopeless. The one the chemist did for me was 19

babyjane67 · 03/10/2013 15:23

Chipping thanks yea i will do that&
see what happens
Really the chemists shouldnt be allowed to do these tests if theyre not accurate!

OP posts:
Sidge · 03/10/2013 16:35

I'm in Hampshire.

A urine dip can be done at any time - it doesn't tell you a lot but if there is no glucose it can mean that there won't be excess glucose in the blood either. A fingerprick is useful where there is concern eg if there is glucose in the urine, or lots of symptoms but wouldn't in itself be diagnostic.

A random capillary (ie fingerprick) blood sugar of 6 is not abnormal and even if you haven't eaten doesn't mean that you are diabetic, but if it was 6 after you'd eaten a bacon butty and a cappucino full of sugar then you are unlikely to be diabetic. But the only way to check for sure is a fasting venous sample.

babyjane67 · 03/10/2013 16:56

Ok sidge thanks.

OP posts:
Orchidlady · 03/10/2013 17:07

baby I am diabetic and would over the moon to get reading anywhere near 6. Not sure why you are panicking about all this. Is there any other reason other than you mentioned being thirsty do you think you might have diabetes?

babyjane67 · 03/10/2013 18:00

Orchid am not panicking.as ive said in my other msgs
it was more that id been thinking about doing it for a while
im thirsty but not through the night or owt
Im also tired both of which i realise could be put down to anything!
I just thought id ask on here if that was an ok resukt&the threads taken off from there really!

OP posts:
DameDeepRedBetty · 04/10/2013 00:22

Hi BabyJane sorry been off MN most of today...

No, I don't have diabetes, but DP does (type 2). Diagnosis 6 months ago.

I thought I had diabetes about a year ago, so went to GP, who diagnosed anaemia from very heavy perimenopausal periods (I'm 48). One's periods are MEANT to get lighter and more infrequent, I'd always thought - but apparently I'm part of the unlucky minority who get heavier and more frequent Sad. Anyway, I got a prescription and within weeks felt a million times better.

Moving ahead six months, DP is clearly not well. He went to GP - after severe nagging from me, with helpful remarks that what I'd thought was a lifechanging illness turned out to be crap periods and totally fixable.

GP arranged for him to have a fasting blood test first thing one morning later that week with the practice nurse. His symptoms at that point were tiredness, thirst and (my words) 'looking like death warmed up all the time'.

The blood test results came in at lunchtime, and he was called into the surgery later that day. This was because his results were way way over - 20+! GP immediately prescribed Metformin and handed him very strict diet sheet. Followup with specialist diabetes nurse two days later. He now sees the nurse every two weeks.

Since then he's been very virtuous with diet and drugs and is doing brilliantly. He looks ten years younger, we have a sex life again, and I've even discovered a way of making apple crumble that doesn't have sugar in it! Yes, he misses vast quantities of lager, ketchup, and marmalade but he's discovered that English beer is lovely and distinctly lower in sugar, Heinz make a perfectly decent sugar free ketchup, and sugar free marmalade tastes nicer than ordinary.

Best of luck at the GP's op.

babyjane67 · 04/10/2013 07:13

Dame sorry to hear yr dp has it but glad hes found somr very decent altrtnatives of what he likes!
So thirst&tiredness were his only symptoms?
Was he getting up throigh the night though?
Ive got no real family history of it.my cousins hubbyhad it for yrs&my godmother has it but noone closer
I know what you mean with perimeno.
Im having something the same though not really heavy but bit heavier for me&bleeding in between periods which ive had scans for.
Waiting to see gyny now
Feels like everythings going wrong in thr lst couple of yrs!

OP posts:
Orchidlady · 04/10/2013 09:50

dame blimey your DP seems to be one of the lucky ones, not to have diabetes because that is shit but to be getting the proper support. I was diagnosed a year ago, often have levels in the 20. I have never even seen a GP just the nurse who feed out crap advise like eating pasta and bread is ok.
baby I did not mean to be disrespectful Smilebut the symptoms you describe sound connected your other problems and I think you mentioned you have 5 yr old. God that would have me knackered in itself Smile

babyjane67 · 04/10/2013 10:55

Orchid no probs!
It could well be connected to other things ive got going on&my5yr old!lol
I really hope it is cuz i dont want owt else to cope with!lol

OP posts:
DameDeepRedBetty · 04/10/2013 11:04

He was getting up to use the loo a couple of times every night as well, although he was putting it down to drinking lager...

Orchid your local diabetes support sounds abysmal. Could you make an appointment to discuss general stuff with GP and try and find out if she/he even knows you've got it and how badly? Are you prescribed Metformin?

DP's diabetes nurse is great, but reading up the condition and taking note of the diet has been even more valuable.

Orchidlady · 04/10/2013 11:23

dame I actually have a thread running in this subject. Sadly my rubbish care is not unusual, the advise given is seriously misguided. I self test having bought a monitor, ( told it was not necessary) low carb ( a silly fad apparently) exercise. Luckily I am into food an understand the impact on blood levels. I suspect though I may not be run of the mill type2 if such a thing exists. Need to put my foot down when I go back for annual check. Sorry baby did not mean to hyjack your thread, I hope you sort you tiredness out Smile

babyjane67 · 04/10/2013 11:49

Thanks orchid&i hope you get some better treatment sorted very soon!
Dame i very rarely have to get up to use the loo.
I just drink&urinate lots through the day!

OP posts:
ChippingInNeedsSleepAndCoffee · 05/10/2013 00:05

Dame - I low carb too, it controls it. If I listened to the NHS advice I would be on metformin, statins and god alone knows what else - all to control something I can control by not eating lots of carbs?!

babyjane67 · 05/10/2013 07:17

How easy is it not to eat lots of carbs though?
I have to admit i woildnt find it very easy at all!

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babyjane67 · 08/10/2013 09:53

Hi all have got my app with gp today at10.30
Went into my local independent chemist on way bk from school just to see what test in there woild say first.kind of get a comparison from othe one iyswim
id had breakfast of a small bowl of cornflakes with skimmed milk&sweetener.plus2cups of tea milk no sugar an hr&halftohr&40mins before test&this time result was7.4
Again they didnt take my weight bmi ir height but filled in amore detailed form&he asked few questions
Theyve asked me to tell go when i see her&show her the form&also to go bk tomorrow for a fasting test unless dr says otherwise
He said results should be between4&7so was bit high but prob cuz id had breakfast!
Will let u know what gp says but what do you think?

OP posts:
babyjane67 · 08/10/2013 14:36

Saw gp&shes taken a venus blood test(hope thats right lol)which ive gotta ring for results for on friday.
Think im gonna still do fasting test at chemist tomorrow anyway&see what happens
Gp said she wont do fasting test unless venus test comes bk high

OP posts:
babyjane67 · 08/10/2013 14:39

Gp also didnt mention weight height or bmi!

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