Testing

Momma Heather
By Momma Heather Latest Reply 2009-03-11 02:44:39 -0500
Started 2009-02-27 14:49:03 -0600

I was recently diagnosed with type 2 diabetes and I have a few questions. The first is my doctor said that my A1C was 11.3, what does this mean? What can I do about my A1C? Also my doctor does not want me to take my sugar any idea why?


10 replies

jsd2005
jsd2005 2009-03-11 02:44:39 -0500 Report

Interesting and leads me to ask a few questions. Have you just recently given birth? If so, The Dr. may want to to go about normal a she doesn't want an extra anxiety or stress since you have a newborn. Possibly he thinks this was gestational and didn't order blood sugar testing because the Hemoglobin A1c test gives an average over the past three months. your is very high, but maybe he is thinking it will come back down to normal over the next several months. Anyway, I think I forgot to mention this, as you A1c was high (over the past three months) he is assuming it was pregnancy related and will improve over the next several months. Personally I would buy a monitor and check my sugars anyway. This will only give you more information to provide and also leave you with many more questions to ask when you do see him.

For right now,, do as you are doing and try to follow a diabetic diet, test your sugars (there are several links on this site to places for free meters) Congratulations on your new baby. Enjoy and take everything in and DON'T
worry, this will all be resolved presumably at your next visit.

beauty416
beauty416 2009-03-10 11:05:43 -0500 Report

A1C is the measurement that the doctor does to show how much sugar is attached to your white blood cells. This can be very effective to the doctor so he can put you on the right medication to control your blood sugar. You can exercise as I am sure that your doctor has told you to do. I don't have any idea why your doctor told you not to test your blood. You would have to ask your doctor why.

PAT L
PAT L 2009-02-28 09:50:56 -0600 Report

HI. I HAVE BEEN A TYPE 2 SINCE 2002 AN I HAVE FOUND THAT MOST DOCTORS ARE GOOD AT ONE THING BUT THEY KNOW SOMETHING ABOUT EVERYTHING ELSE, BUT NOT ENOUGHT… I HAVE 4 DIFFERANT DOCS. 1 HEART,KIDNEY,SKIN,AN A DIABETIC DOC. THEY ARE ALL GOOD AT WHAT THEY WORK ON. BUT THEY ARE NOT VERY GOOD ON THE WHOLE BODY.. I TAKE 8 DIFFERANT MEDS IN THE MORNING, 5 ARE FOR THE HEART, 2 FOR MY DIABETIC PROBLEM.. AN SOME OF THE MEDS WORK FOR MORE THAN ONE PROBLEM, BECAUSE THEY WORK ON OTHER PROBLEMS ALSO.. THE HEART DOC WANTS ONE THING, AN THE KIDNEY DOC SAYS ITS A GREAT HELP FOR THE KIDNEY. ANYWAY WHAT I AM TRYING TO SAY IS, FIND A DOC TO TREAT OR LOOK AT YOUR DIABETIC PROBLEM THAT WORKS ON THAT PART OF THE BODY. SOUNDS LIKE YOUR DOC NOW IS A FEMALE DOC AN NOT FOR DIABETIC`S SIDE OF YOUR PROBLEM.. THE DIABETIC DOC WILL KNOW WHAT DO DO ABOUT YOUR KINEYS ALSO.. FOR I AM DOWN TO JUST A 1/2 OF 1 AT THIS TIME, AN HE SAYS THAT IT IS DOING ITS JOB AN HOLDING IN THERE… THATS WHAT I WOULD DO IF I WERE IN YOUR SHOES…

rbergman
rbergman 2009-02-27 15:18:09 -0600 Report

Hi there, did you recently give birth? Were you diagnosed with gestational diabetes during pregnancy?(I ask these 2 questions because I noticed your profile picture looks to be a newborn) Did they put you on any type of medications to control your diabetes? Why did they do an A1C in the first place? What signs of diabetes did you have that prompted the test is what I'm asking. These are all questions that should be directed to your doctor, because if you don't have the answers you need to get them from the doctor that diagnosed you.
Sorry if this seems overwhelming but there are so many unanswered questions that the only answer I have to offer now is explaining what an A1C is, I can't begin to answer the others as I'm not your doctor but you need to be better informed on why they say your Type 2 and what to do to control it, all of this should have been explained to you in much better detail then what you posted here, if it wasn't you need to contact this doctor and get the answers.
To explain an A1C, it is a test that is done on the blood to give an average of what the blood glucose level has been for the past 3 months. an 11.3 is high, but I cannot understand why this doctor does not want you to monitor your blood glucose at home. Please don't panic over the fact that this number is high, when newly diagnosed a higher number wouldn't be unusual if you have had diabetes for awhile that went untreated or undetected.
If you could provide us with more information on the diagnosis we can offer our opinions a little better but please understand that's just what they are, our opinions.

~Robin

Momma Heather
Momma Heather 2009-02-27 15:37:35 -0600 Report

No I didn't recently give birth the photo is of my new little nephew that I love so very much.

In late December I developed a yeast infection on the inside of my legs, not the genital area just on the insides of my legs. The doctor prescribed me some medication which seemed to take care of the problem and then in January it started to return and she prescribe some more medicine and it went away. Then in first week of February it started back and I called the doctor back and she suggested that I have a full blood work up done because this was unusual and she didn't want me to become dependant on the medicine. She may very well have explained these things and I was just so upset that I don't remember.

I do take a medication which is actoplusmet and I take that two times a day the dosage is 15/500. There was also protein in my urine and she put me on a medication for my kidneys but I had a really bad reaction to it and had to be rushed to the hospital and they took me off that until I go back to the doctor in 2 months. Thank you for taking the time to explain the A1C test.

rbergman
rbergman 2009-02-27 16:13:16 -0600 Report

Hi again, your welcome for the A1C explanation I gave, its not a scientific explanation but I hope it helped you understand it a little better. And yes, your new nephew is adorable!!!
With the A1C results you gave I understand them putting you on meds to control your diabetes but it still amazes me that they said you didn't need to test your blood glucose at home and keep a record, not going back for 2 months, you'll have no idea what your numbers are running while on the med, nor do you have a baseline of what your numbers are meter wise prior to starting the medication. My daughter was recently put on Metformin and started with a 500mg dosage and now as of today takes 2000mg per day, 500mg were added per week to get her up to full dosage. I learned from others on this site that Metformin does not produce too low of blood glucose numbers and she is doing well with her numbers now, but we test several times a day, and they gave her a meter before she was even put on meds. Anyway, my point is (in my opinion) you need a meter and need to test, you won't have any idea where your numbers are if you don't test, thats why I say it amazes me that they would tell you not to test…just plain odd.
Sure another A1C at your next appointment will tell them if the meds are working but to not have a target range blood glucose reading and not to test just makes no sense to me personally.

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-02-27 14:57:50 -0600 Report

These would have been questions immediately posed to my doctor. Did you feel uncomfortable asking the doctor? These are things you need to know and have a right to know. No one else can tell you why he did or did not do something. Don't hesitate to question your doctor about any and everything.

Momma Heather
Momma Heather 2009-02-27 15:00:39 -0600 Report

The diagnosis was so shocking that I was a total wreck. I didn't even think to ask these questions. I am to go back to the dr in 2 months.

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-02-27 15:11:08 -0600 Report

There are many good discussions on the site that will give you an idea of what you'll be dealing with. Look through them all when you have the time. There are excellent articles and book recommendations too. Be sure to make yourself a list of questions prior to your next visit too. We all get a little flustered while at the doctor's office, so it's important to write down all you want to remember to ask.

I'm puzzled, frankly, that he did not have you testing and keeping a record until your next visit. Why was the A1c test done? Had you had symptoms? Was there sugar in your urine or a previous indication in a routine blood test? He must have had some reason to suspect, or he would not have performed the A1c.

Did he give you any instructions at all? Did he give you instructions about diet, exercise, etc? Did he refer you to a dietician, etc? The 11.3 is definitely not good and needs to be dealt with.

Good luck with understanding your new diagnosis and learning how to deal with it and, hopefully, control it.