Unanswered Bloodwork/ diabetes question.

jrock645

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I had some bloodwork done yesterday. Ordered it on my own, not through my doc. Wanted to get some things checked that i havent before, and arent usually checked on a routine physical. Im awaiting the rest of the results but a1c came back at 5.7. Ive felt for a while that im very carb sensitive, so this isnt shocking but is at the same time not expected.

Thoughts, suggestions?
 

kisaj

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First off, I would always get a second lab if anything appears out of the norm. Second, if in fact the number is accurate, you are right on the cusp and simple lifestyle and diet changes can lower that easily.
 
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I had some bloodwork done yesterday. Ordered it on my own, not through my doc. Wanted to get some things checked that i havent before, and arent usually checked on a routine physical. Im awaiting the rest of the results but a1c came back at 5.7. Ive felt for a while that im very carb sensitive, so this isnt shocking but is at the same time not expected.

Thoughts, suggestions?
What is your fasted Blood Glucose?
What is your BG Prior to and 60-90 minutes after meals?
Sometimes A1C Runs high (Naturally)
Did you get fasted insulin tested? if fasted insulin comes back low then it isnt a very high worry.
If BG Is constantly high then you need to cut back calories/carbs and adjust nutrition as needed to get it lower (or get leaner) to become more insulins ensitivte
 

jmero2

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What is your fasted Blood Glucose?
What is your BG Prior to and 60-90 minutes after meals?
Sometimes A1C Runs high (Naturally)
Did you get fasted insulin tested? if fasted insulin comes back low then it isnt a very high worry.
If BG Is constantly high then you need to cut back calories/carbs and adjust nutrition as needed to get it lower (or get leaner) to become more insulins ensitivte
Boom, right here! Get your fasting insulin checked and possibly a Kraft test. This will tell you the complete story of how your body produces insulin based off of glucose load over 3 to 5 hours. I'm a type 1 (autoimmune) and have lived in the lab since my diagnosis 4 years ago.

As a safe measure and as Bob suggests, drop the carbs a bit and adjust your workout volume. My body likes higher intensity lower volume training sessions. Give it a try to see if it works for you.
 

jrock645

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What is your fasted Blood Glucose?
What is your BG Prior to and 60-90 minutes after meals?
Sometimes A1C Runs high (Naturally)
Did you get fasted insulin tested? if fasted insulin comes back low then it isnt a very high worry.
If BG Is constantly high then you need to cut back calories/carbs and adjust nutrition as needed to get it lower (or get leaner) to become more insulins ensitivte
Fasting insulin and glucose were both normal.

Edit: saw my pcp today and she wasnt too worried about it. Wants to keep an eye on it, thinks its weird but dint think it was worth getting too excited about.
 

jrock645

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Boom, right here! Get your fasting insulin checked and possibly a Kraft test. This will tell you the complete story of how your body produces insulin based off of glucose load over 3 to 5 hours. I'm a type 1 (autoimmune) and have lived in the lab since my diagnosis 4 years ago.

As a safe measure and as Bob suggests, drop the carbs a bit and adjust your workout volume. My body likes higher intensity lower volume training sessions. Give it a try to see if it works for you.

Ive primarily done shorter, more intense workouts- HIT and DC the past two years and that doesnt seem to be the remedy. I just switched over to high volume this week to see if i respond better to that.
 
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Fasting insulin and glucose were both normal.

Edit: saw my pcp today and she wasnt too worried about it. Wants to keep an eye on it, thinks its weird but dint think it was worth getting too excited about.
If fasted insulin is fine.
You are fine. It generally runs high (Same situation as myself)

my fasted BG Is around 80-85, A1C is a little high, but fasted insulin is super low (which is good)

Do not stress it then!
 

jrock645

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If fasted insulin is fine.
You are fine. It generally runs high (Same situation as myself)

my fasted BG Is around 80-85, A1C is a little high, but fasted insulin is super low (which is good)

Do not stress it then!
Ok well thats reassuring. Thank you!
 
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No problem
I am very meticulous about my health. Trust me I have ran alot of bloodwork, and now that my fasted BG is in check I have seen very good growth and stayed very lean in the process. If your BG Is high you are very prone to fat gain. Make sure insulin and BG are in check and you will grow at a lean rate. If it shoots up then you are going to add more fat then muscle and your health won't be in a good place.
 

jrock645

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No problem
I am very meticulous about my health. Trust me I have ran alot of bloodwork, and now that my fasted BG is in check I have seen very good growth and stayed very lean in the process. If your BG Is high you are very prone to fat gain. Make sure insulin and BG are in check and you will grow at a lean rate. If it shoots up then you are going to add more fat then muscle and your health won't be in a good place.
Blood glucose was on the high side of normal, but in normal range. I ordered a few tests, they drew 7vials of blood and glucose was tested twice in the multiple tests. One said 98, the other 94.
 
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Blood glucose was on the high side of normal, but in normal range. I ordered a few tests, they drew 7vials of blood and glucose was tested twice in the multiple tests. One said 98, the other 94.
Get a BG Monitor and take it at home.
 
HIT4ME

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So, here are some things that are often not pointed out clinically.

The A1C measures the amount of glycation in your blood over 90 days, in theory. When your blood sugar rises, it attaches to the proteins in blood at a reliable rate/unit of glucose. Since blood cells, in theory, live for 90 days and then get replaced, measuring the amount of glycation in your blood should allow you to back into the average level of glucose in your blood stream over the last 90 days.

The issue is that in an average person, this is great. But if you are unhealthy (diabetic for instance) - your red blood cells won't live quite as long - in some people it is as little as 60 days. This means that instead of having the theoretical 90 days of exposure to glucose, they just had 60 days. Using this timeframe, the A1C would be 50% higher than what is actually read in a lab, and thus the lab is artificially reduced in an unhealthy individual.

In reverse, if you are very healthy, you may have blood cells that actually live longer than 90 days - and this would create an artificially high reading for someone like this.

So in other words, this is the problem with the A1C - if you are unhealthy your actual A1C could be as high as 8 if your cells lived longer, and if you're healthy and your red blood cells are living 120 days, your actual A1C could be as low as 4.3 - or anywhere in between. It's a good guess based on the average of the population, but it is not definitive.

In men, fasting glucose is a better indicator of health. If that is on the high side of normal AND you have an A1C of 5.7 - I certainly would not freak out about it, but it's a warning that you're going in the wrong direction.

An oral glucose tolerance test or a kraft test would be much better then either of these, but good luck getting a doctor to spend 3 hours with you when there is little clinical evidence of an issue.

As The Solution said, it can help to monitor your BG.

I wouldn't cut carbs actually either. You need to track your caloric intake. Fat is a more reliable inducer of diabetes than carbohydrate is - but ultimately caloric overload is the culprit. A lot of keto people think that keto is good for diabetics because it reduces blood sugar - and it may - because calories are reduced AND simple carbs are often eliminated and you thus reduce glucose on a glucose meter. But elevated lipids in the blood stream still need insulin to be used, and this is usually what led to the carb intolerance to begin with.

One final, a little crazy and off the wall thought - if you feel like you are carb intolerant, take a tablespoon of apple cider vinegar every day. It has a lot of quackery behind it on the internet, but I think it may actually improve carb tolerance to a small degree.
 
HIT4ME

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jrock645

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I can’t believe you are asking an internet chat room for advice
You must have missed the part where I said I saw my PCP as well. Dr’s don’t know as much as they would have you believe and they only look at this from a certain POV. I’m trying to gather as much info as I can.
 

KBFuzz

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You must have missed the part where I said I saw my PCP as well. Dr’s don’t know as much as they would have you believe and they only look at this from a certain POV. I’m trying to gather as much info as I can.
I recovered from a adult onset diabetes, first thing that help is drastically reducing carbs and sugar next I did more cardio and lost weight, and finally which was confusing is I stopped taking supplements. Here’s my non MD advice
 

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