WOMENS-HEALTH Messages for February, 2001: Re: Blood Glucose Levels

Re: Blood Glucose Levels

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 28 Feb 2001 10:06:43 -0600 (CST)

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At Tue, 27 Feb 2001, Chris S. wrote: >
>I bought myself a home glucose meter. At 1 1/2 hours after lunch my
>glucose level read 198. I understand that this would be equal to a
>plasma glucose of approx 220. 1 hour later (2 1/2 hours post prandial)
>it was 80! (the control and the standard strip were within acceptable
>limits) At 2 hours after dinner my level was 123 (138 plasma)
>
>>From what I read in the archives and various websites, the 198 (220) is
>abnormal and the 123 (138) is marginal. The reason I am testing myself
>is because my doctor recently tested my fasting blood sugar (normal at
>90) and my hemoglobin A1C (6.3) because of persistently elevated
>cholesterol and triglycerides. I have read that in type II Diabetes it
>is not unusual to have a normal fasting value and I thought a hemoglobin
>A1C of 6.3 in someone who is not supposed to be diabetic seemed a little
>high. I read that most nondiabetics test at about 5.
>
>Would you be concerned about these values in a patient? (I am not
>pregnant) Do they represent some kind of impaired glucose tolerance? I
>do have risk factors, including hypertension and the above mentioned
>hyperlipidemia, plus possible microvascular angina. I have no family
>history of diabetes. My last baby was 8 lbs 13 oz.
>
>Thank you,
>
>--
>Chris S.
>

Home glucose monitoring units are not suitable for diagnosing diabetes. You would be better off requesting a formal 3 hour glucose tolerance test from your doctor.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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