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Question: From Oak Hill, Virginia, USA: I am a 40 year old male who exercises regularly, eats healthy, has no known other health problems, stands 5 feet 9 inches tall, and weighs 165 pounds. About a month ago, I was not feeling well with flu-like symptoms (very fatigued, no appetite, persistent headache, and fever) so I went to my doctor. (These symptoms still remain.) He ordered blood tests, and my CBC was normal, my glucose was 100 mg/dl [5.6 mmol/L], and my A1c was 5.9%. My doctor sent me a note recommending I come back to discuss these test results. The note from the lab said that an A1c over 6% was considered positive for diabetes, but I don't see that I have any of the risk factors for developing diabetes. Could there be other factors that resulted in my high A1c results that I should be investigating? Answer: Hemoglobin A1c, though very effective for measuring control of diabetes, is not a definitive diagnostic marker for diabetes mellitus. The lab itself could be suspect. I would ask your physician to repeat the test and use a different lab. Diagnostic markers used are C-peptide and insulin levels, insulin antibody levels and various immunological markers. The best test would be a one or two-hour postprandial glucose. Other risk factors include family history. If your glucose is within normal parameters and no other abnormalities, I generally ask my patients to monitor their diet, exercise and monitor their glucoses with a meter. ABS DTQ-20030901142222 Original posting 2 Sep 2003 Posted to A1c, Glycohemoglobin, HgbA1c and Diagnosis and Symptoms

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:48
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