Am I pre-diabetic or diabetic?

By Jackie91761 Latest Reply 2010-08-03 08:11:50 -0500
Started 2010-08-01 10:57:41 -0500

I've been on Janumet 50/1000 for a two years. My A1C levels are usually in the low 5's. I've never done daily blood monitoring. My family doctor said we're calling it pre-diabetic, but the last time I said "pre" he gave me the knowing smile. Now I'm wondering if I'm really a diabetic who is under control with medication or truly pre-diabetic. I also wonder if I should stay with my family doctor or see a specialist. Any opinions?

3 replies

Jackie91761 2010-08-03 08:11:50 -0500 Report

Thank you both for your input. I'm going to talk to him about self-monitoring. This site has already helped me know more about diabetes, but I have so much to learn. I may also check into a diabetes educator.

GabbyPA 2010-08-01 18:44:59 -0500 Report

Sometimes I get kind of crazy over the word "pre-diabetes" To me, it is like being "pre-pregnant" If you are in an early detection stage of the disease, there are many more options open to you for control, but it doesn't mean that it will go away or stop being diabetes.

Diabetics can control their disease though many methods and you and your doctor should figure out the one that works best. It sounds like you are on a good treatment plan, but some self monitoring might not be a bad idea. I only say that because it will teach you how to detect some changes between doctor appointments. You might not have to change your doctor, but maybe add a specialist to the mix to make sure you are getting the best care you can.

RAYT721 2010-08-01 12:20:51 -0500 Report

I am sure there are a lot of people more qualified to answer your question than I because I am not on medication. I am thinking that a pre-diabetic wouldn't or shouldn't be medicated but rather alerted to the condition. That is my theory. I recently read an article in "Diabetic Living" magazine - Fall 2010 issue that mentions the conditions for diabetes have changed recently to be more liberal. The new criteria for diabetes according to the American Diabetes Association is based on:

A1c greater than or equal to 6.5%

Fasting plasma glucose greater than or equal to 126 mg/dl

Greater than or equal to 200 mg/dl after consuming 75 grams of glucose

A random plasma glucose test with results of greater than or equal to 200 mg/dl

I would assume the criteria for pre-diabetes may have changed and should be available through the American Diabetes Association.