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Re: Blood Glucose Levels

From: Chris (anonymous@obgyn.net)
Wed, 28 Feb 2001 20:32:16 -0600 (CST)


At Wed, 28 Feb 2001, William McIntosh, MD wrote: >
>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.

Hi!

Thank you for your answer. Do you think those numbers warrant further investigation or are you suggesting a glucose tolerance test just because I must be concerned about it.?

Thank you

--
Chris S.





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