Doc ordered an A1C test for me :( page 2

[choppedliver]

Another misleading FBG caused probably by physiological insulin resistance. In his case though, his is a bit higher and he's 50, so I would tend to think he's prediabetic. But you can recover from prediabetes, yes.

You might be pleasantly surprised with your A1C test results. My last two fasted glucose numbers were 101 and 105 despite the fact that I've been eating low carb. I thought they would be lower so had an A1C done which came in at a solid 4.9.

[yodiewan]

Here's some good info regarding the A1C test from Chris Kresser:

Why hemoglobin A1c is not a reliable marker

tldr: A1C can be skewed high if your red blood cells live longer than average.

Have you checked your numbers fasting, before your first meal and 1 hour post- and 2 hours post-prandial? Doing so can give insight to what's happening. If your numbers actually go down after you eat, maybe you should back off on the IF for a while or cut back on exercise somewhat to try to lower cortisol. If your BG goes really low in the post-meal window it could be reactive hypoglycemia. Lots of possibilities that checking with a glucometer could help figure out.

[Linny]

I think I read somewhere that you should eat more carbs for a few days before the glucose test because it tends to measure artificially high for people on paleo diets.

Just want to point out that that is for a glucose tolerance test. An AIc doesn't require this since it's a 3 month average.

[choppedliver]

Correct, just take HbA1c. You can buy a kit from Walmart for $9.99 and that's pretty reliable (I would add 0.2 to the result, however). If you're like 5.7-6.9, that may be considered "prediabetic" and you can recover doing low carb or moderate carb. Beyond that, I'm not so sure. We know it doesn't have an arbitrary cut-off point and is a continuum for each individual. Some really strict docs think even 5.7 is prediabetic.

Just want to point out that that is for a glucose tolerance test. An AIc doesn't require this since it's a 3 month average.

[sbhikes]

Just want to point out that that is for a glucose tolerance test. An AIc doesn't require this since it's a 3 month average.

Yes, you are right. I was pointing that out as a possible explanation for why the results were so high. Perhaps there is no actual problem.

[fiercehunter]

Sorry to comment but you should stop running.

[pace2race]

Got a call from the Doctor's office and the result is 5.5. The print out is being mailed. Relieved and I have much to learn. Reading has started. I've felt better since going primal the past year. It's good to have hope the results can get better as I learn and continue on.

Thanks everyone!

[emmie]

Congratulations! You're well into 'safe' territory with anything in the 5s.