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9/19/2017 7:27:10 PM
Posted: 2/7/2006 1:37:08 PM EDT

Here's what happened. I went to my Urologist about a urinary tract infection and he said that I had sugar in my urine and he drew a blood sample to do a A1C test.

The next day I went to a health fair at work and they also took blood samples for every thing. That test came back that my glucose level was 170. The nurse suggested that I check with my doctor about this.

I called my urologist about the A1C test results and the nurse said the results were fine. I did eat before the glucose test at the health fair. Would that throw the test off that much?

Sould I follow up with my family doctor?
Link Posted: 2/7/2006 1:50:03 PM EDT
Link Posted: 2/7/2006 1:53:22 PM EDT
Run Forrest Run.

To the Doctormobile, Batman!
Link Posted: 2/7/2006 1:59:44 PM EDT

IANAMD, but eating does throw off the glucose level a LOT. You need to talk with your primary care physician and make an appointment for at least a fasting glucose level. Then make sure they give you the protocol for the fasting glucose (no food after whenever, maybe no water after whenever, etc.). Then FOLLOW THE PROTOCOL EXACTLY.

Eating, exercise, and all kinds of things will make your glucose level bounce around "...like a Jack Russel fucking terrier". I think it might even be a good idea to eat lightly the day before the test, in case a large gut-load of food has an effect on the test. I say this because I once did a fasting glucose test for my annual physical, and the evening before I had a large dinner fairly late. The test results were questionable, so I had to do a retest, and (like every test before and since) my glucose levels were perfectly normal.

Jim
Link Posted: 2/7/2006 2:49:21 PM EDT

Originally Posted By KS_Physicist:
IANAMD, but eating does throw off the glucose level a LOT. You need to talk with your primary care physician and make an appointment for at least a fasting glucose level. Then make sure they give you the protocol for the fasting glucose (no food after whenever, maybe no water after whenever, etc.). Then FOLLOW THE PROTOCOL EXACTLY.

Eating, exercise, and all kinds of things will make your glucose level bounce around "...like a Jack Russel fucking terrier". I think it might even be a good idea to eat lightly the day before the test, in case a large gut-load of food has an effect on the test. I say this because I once did a fasting glucose test for my annual physical, and the evening before I had a large dinner fairly late. The test results were questionable, so I had to do a retest, and (like every test before and since) my glucose levels were perfectly normal.

Jim



Thank you Jim for not using scare tactics on me!
Link Posted: 2/7/2006 2:55:00 PM EDT
You would have had to mixed pixie sticks and coke and snickers to get your BS to 170 without being diabetic.
Link Posted: 2/7/2006 3:40:52 PM EDT

Originally Posted By Dusty_C:
You would have had to mixed pixie sticks and coke and snickers to get your BS to 170 without being diabetic.



Your blood glucose will rise for a half hour to an hour and a half beore the insulin response fully kicks in and draws it back down. I've always heard "up to 200 mg/dl" for post-meal glucose levels, and what I'm finding online indicates 180 mg/dl at 90 minutes.

The "below 126" being normal non-diabetic applies ONLY to fasting glucose level, and has no bearing on post-meal glucose.

Jim
Link Posted: 2/7/2006 4:27:46 PM EDT


It seems complicated. I'm gonna make a doctors appointment. But the test my urologist took the day before came back normal. I don't know.
Link Posted: 2/7/2006 4:30:15 PM EDT

Originally Posted By KS_Physicist:

Originally Posted By Dusty_C:
You would have had to mixed pixie sticks and coke and snickers to get your BS to 170 without being diabetic.



Your blood glucose will rise for a half hour to an hour and a half beore the insulin response fully kicks in and draws it back down. I've always heard "up to 200 mg/dl" for post-meal glucose levels, and what I'm finding online indicates 180 mg/dl at 90 minutes.

The "below 126" being normal non-diabetic applies ONLY to fasting glucose level, and has no bearing on post-meal glucose.

Jim

Thats what I'm talking about, for it to be that high when you ate prior then apparently traveled some distance then had the test. It usually comes back down pretty quick.
Link Posted: 2/7/2006 4:34:36 PM EDT
The Hemoglobin A1c test is a measurement of glucose control over the preceeding couple of months - it can absolutely be negative in the face of an elevated solitary blood glucose. Some people are using it as a screening test, although fasting blood glucose & glucose tolerance tests are still the norm w/ most of the docs I work with. They use hgbA1c as a monitoring tool - to see how well your glucose is being controlled.

All that said, I wouldn't jump to the diabetes diagnosis w/o a lot more investigation.

I see blood sugars all over the place w/ my non-diabetic patients - due to stress, medications, etc... A single random blood sugar is not diagnostic in my opinion.
Link Posted: 2/7/2006 4:34:59 PM EDT

Originally Posted By Dusty_C:

Originally Posted By KS_Physicist:

Originally Posted By Dusty_C:
You would have had to mixed pixie sticks and coke and snickers to get your BS to 170 without being diabetic.



Your blood glucose will rise for a half hour to an hour and a half beore the insulin response fully kicks in and draws it back down. I've always heard "up to 200 mg/dl" for post-meal glucose levels, and what I'm finding online indicates 180 mg/dl at 90 minutes.

The "below 126" being normal non-diabetic applies ONLY to fasting glucose level, and has no bearing on post-meal glucose.

Jim

Thats what I'm talking about, for it to be that high when you ate prior then apparently traveled some distance then had the test. It usually comes back down pretty quick.



I ate around 6am and the test was on site at about 7:30 am. Oh yeah my "breakfast" wasn't that healthy. Can't remember but prolly some type of pastry and Dr. P.
Link Posted: 2/7/2006 4:37:02 PM EDT
[Last Edit: 2/7/2006 4:41:11 PM EDT by drjarhead]
ETA: Don't answer all of my questions here. Something to think about and see your primary care doc.
Lousy diet BTW. You should reconsider how you are treating that body of yours.

1] Did you have a urinary tract infection and why did you think you did, if not?
It is EXTREMELY unusual for a young heatlhy male to have a UTI.

2]Blood glucose will fluctuate but 170 is really pushing it IMO.
There can be other reasons to have glycosuria(glucose in the urine). Generally, if otherwise normal individual with normal kidneys you have to get over a glu of 180, minimum, to spill into the urine.

3]HgbA1C is a long term measure of blood glucose without getting into specifics. If that is nml and you have high blood glucose, glycosuria, etc you need to be followed at minimum or maybe need be further evaluated.

4]Why did you see a urologist for this?
Might be a good example of why you should see a primary care doc for starters. If so, this is a good example of why people don't know how to pick their own specialists. So your final question may be the best advice. Find a good doc.
Link Posted: 2/7/2006 4:37:56 PM EDT

Originally Posted By Flotsam:
The Hemoglobin A1c test is a measurement of glucose control over the preceeding couple of months - it can absolutely be negative in the face of an elevated solitary blood glucose. Some people are using it as a screening test, although fasting blood glucose & glucose tolerance tests are still the norm w/ most of the docs I work with. They use hgbA1c as a monitoring tool - to see how well your glucose is being controlled.

All that said, I wouldn't jump to the diabetes diagnosis w/o a lot more investigation.

I see blood sugars all over the place w/ my non-diabetic patients - due to stress, medications, etc... A single random blood sugar is not diagnostic in my opinion.



+1.

HgB A1C is THE marker for Diabetes.

Also does anyone in your family have or have had Diabetes?

Are you over weight?

Are you on any medications?


Need more info on you.
Link Posted: 2/7/2006 4:40:46 PM EDT
David Heinlein is absoloutely right....


no you should not go see your doctor, you should let it progress naturally untill you require amputation of your lower apendages.



I really do need to build up my firearms collection again. Let's go one toe at a time and about 90 days between each just to be safe. Once the toes are gone, I can go Trans-metatarsal Amps.

Link Posted: 2/8/2006 3:37:42 PM EDT

Originally Posted By AFARR:
David Heinlein is absoloutely right....


no you should not go see your doctor, you should let it progress naturally untill you require amputation of your lower apendages.



I really do need to build up my firearms collection again. Let's go one toe at a time and about 90 days between each just to be safe. Once the toes are gone, I can go Trans-metatarsal Amps.




Guns? Who me? I don't own any guns. I'm just an internet wannabe.
Link Posted: 2/8/2006 3:44:21 PM EDT

Originally Posted By drjarhead:

1] Did you have a urinary tract infection and why did you think you did, if not?
It is EXTREMELY unusual for a young heatlhy male to have a UTI.



4]Why did you see a urologist for this?
Might be a good example of why you should see a primary care doc for starters. If so, this is a good example of why people don't know how to pick their own specialists. So your final question may be the best advice. Find a good doc.



1. A: I didn't have a UTI after all. The Doc said it was an infection at the base of the tube where sperm leaves the testical. I'm not sure what the term was but he didn't act like it was a big deal. Why did I get it? Don't know. i'm not circumcised?

4. A: I have had this problem before and thought it best to see a specialist.
Link Posted: 2/8/2006 3:45:40 PM EDT
Link Posted: 2/8/2006 3:48:40 PM EDT
Normal blood sugar tops at areound 120. 170 is high but not to the damaging level yet. I would suggest you get a glucose monitor from the pharmacy (walmart used to carry a decent one that is affordable) and check it several times a day. I'm diabetic and I can tell you it is not something you want to ignore. Call your doc soon. My pharmacy carries a disposable A1C test kit for about $20.00. You could always give that a try.

Good luck
Link Posted: 2/8/2006 3:54:58 PM EDT
I'd go see a family doc, tell him what you told us and say you are mildly concerned that you might have problems with the way your body regulates its glucose and insulin and have him run the tests mentioned earlier in this thread. You may not be diabetic, but if you are borderline, the way you are treating your body with Dr. P and pastry breakfasts will push you over.
Link Posted: 2/8/2006 4:09:22 PM EDT
That blood sugar sounds high, mine doesn't really go above 120 even when I have something to eat. It's usually around 70-80 when I have had nothing to eat.

Go to the doctor, even if it's just for peace of mind.
Link Posted: 2/8/2006 4:26:55 PM EDT
I had a complete workup a couple of weeks ago, i have had trouble with sugar in the past and got it under control with diet and excersise. When my results came back my sugar level was 118 at 7:00 at night when the blood was drawn, so today i got another letter from the lab { about 2 weeks later from my last results} it said my Hgb A1C level was slightly elevated at 5.9 %. Does anyone know about what may be considered normal ?
Link Posted: 2/8/2006 5:25:08 PM EDT

Originally Posted By drjarhead:
ETA: Don't answer all of my questions here. Something to think about and see your primary care doc.
Lousy diet BTW. You should reconsider how you are treating that body of yours.

1] Did you have a urinary tract infection and why did you think you did, if not?
It is EXTREMELY unusual for a young heatlhy male to have a UTI.

2]Blood glucose will fluctuate but 170 is really pushing it IMO.
There can be other reasons to have glycosuria(glucose in the urine). Generally, if otherwise normal individual with normal kidneys you have to get over a glu of 180, minimum, to spill into the urine.

3]HgbA1C is a long term measure of blood glucose without getting into specifics. If that is nml and you have high blood glucose, glycosuria, etc you need to be followed at minimum or maybe need be further evaluated.

4]Why did you see a urologist for this?
Might be a good example of why you should see a primary care doc for starters. If so, this is a good example of why people don't know how to pick their own specialists. So your final question may be the best advice. Find a good doc.



Because there are so many armchair experts here, I need to reemphasize what Dr. Jarhead has said. Especially #4 -- unless you have some underlying anatomical defect which predisposes you to UTIs, you are better treated by a Family Doc or Internist. Also be aware that surgeons (Urologists for example) often have a different idea of what an "ok" A1C is versus Family Doc or Internist.
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