High HbA1c Updates after 2 weeks test results

[prashantr]

Further to my last last post where i had asked for diet, exercise and other changes for reducing high level of HbA1c (16.1) , FBS (266 mg/dL) & PPBS (333 mg/dL) at that time. These are further test results which i have undergone. I have posted queries at the bottom of my post. Please give your valuable feedback.

1. BS levels

```FBS , NAF Plasma - 99 mg/dL

PPS, NAF Plasma - 131 mg/dL

Fasting Insulin - 5.3 uIU/mL

C-peptide - 2.22 ng/mL

```

2. Deficiency in vitamins

```

VITAMIN D, SERUM - 7.7 ng/mL

VITAMIN B12 , SERUM - 206 pg/mL

```

3. Renal profile - Chloride and creatinine is slightly less than preferred levels.

```

CREATININE - 0.81 mg/dL

UREA - 25.60 mg/dL

BLOOD UREA NITROGEN - 12 mg/dL

URIC ACID - 4.78 mg/dL

CALCIUM - 9.2 mg/dL

PHOSPHORUS, INORGANIC - 3.32 mg/dL

SODIUM - 137 mmol/dL

POTASSIUM - 4.1 mmol/dL

CHLORIDE - 98 mmol/dL

```

4. Lipid Profile - NON-HDL & LDL CHOLESTEROL is elevated

```

TOTAL CHOLESTEROL - 190 mg/dL

TRIGLYCERIDES - 105 mg/dL

HDL CHOLESTEROL - 47 mg/dL

NON-HDL CHOLESTEROL - 143 mg/dL

LDL CHOLESTEROL - 122.2 mg/dL

VLDL CHOLESTEROL - 21 mg/dL

CHOL / HDL RATIO - 4.05 mg/dL

```

Q1. I have been monitoring my blood sugar levels and it seems that the lab results are differing by about 15-20%. Are these results good?

Q2. How does vitamin deficiency come in picture with diabetes?

Q3. Also cholesterol levels what to infer?

[sandybrown]

Could you please let us know what did the doctor to the above given blood tests numbers?

I have been monitoring my blood sugar levels and it seems that the lab results are differing by about 15-20%. Are these results good?

What are the home monitor readings?

Thanks.

[prashantr in reply to sandybrown]

He was surprised a little about the levels being down so swiftly. I couldn’t ask the doctor about the difference in lab and home monitor readings, hence the query.

Home monitor reading is always in range of 110-130 mg/dL for FBS. About PPBS because of experimenting with different foods was in range of 125-190 mg/dL. Also I got to know that, because of glucometers using capillary blood and Labs using veinous blood plasma these differences are there. Thanks.

[sandybrown in reply to prashantr]

Like any devices the calibration do and can vary on the home machines. Home machines are a quick guide.

As your action in bringing your blood numbers down, keep on it till next HbA1c blood test and there after.

Enjoy one life.

[prashantr in reply to sandybrown]

Thanks a lot. You have been a great help.

[Babygs in reply to prashantr]

I will not trust 1 readings from any particular lab. I would take readings from multiple labs spanned over couple weeks. I know it is expensive but labs are notorious for using uncalibrated equipment

[prashantr in reply to Babygs]

I know that it could differ but whom to trust. Also someone suggested to keep getting tests from same lab for consistency. I have done these tests from one of the best hospitals in Bangalore so it should be reliable. Anyways I will try to get the results from different lab next time around. Thanks a lot.

[Babygs in reply to prashantr]

All I am trying to say, do not jump to any treatment by taking one reading on one particular day. Cross check

[prashantr in reply to Babygs]

Surely will do. Thanks.

[don9999]

Your numbers are excellent. Don't worry. Continue what you are doing.

I don't know your case but want to share an interesting matter. My friend, age 45, who has problem of bleeding from piles. When he went to doctor, he was asked for blood test before treatment.

His FS BS was 240, PP 280 and A1c around 11.5. He was asked to start medicines, he denied and changed his diet (just removed added sugar, reduced rice and added some raw foods) He taken treatment for piles which was recovered within 15 days.

Afterwards in his every blood test for continue 4-5 months, his Fasting was always below 110 and PP was near 90.

He discussed this with his doctors, who can't (or didn't) explained him satisfactorily. He is not sure whether he has diabetes or not. Later he comes to know that bleeding can cause to high blood sugar and this is temporary. Had he started the diabetes medicines he would have become patient for lifetime.

[prashantr in reply to don9999]

Thanks for your response. I am diagnosed recently of T2DM. The A1c was 16.1 with FBS/PPBS of 266/333 two weeks back. Before that I was not even aware of diabetes. I have been asking in this forum about diet exercises etc. Which has been aplenty responded by many people. You can look my only other post for more details. These numbers are after taking medications for two weeks with controlled low carb diet and regular exercising. This is the story so far. I have posted the results so as to keep everyone informed and get immensely valued feedback and suggestions.

[prashantr]

Thank you for your kind words and suggestions. I have started getting out more often for vitamin D. Does it take long time to get in healthy range?

[prashantr]

Yeah I have been taking supplement 6000 IU as well. It is prescribed by doctor. Thanks again.