Monday, September 12, 2011

What In A Blood Test Would Point Out A Concern For Diabetes?

396545384 I got results from a blood test and was wondering if there is anything I should be worried about that could be an indication of diabetes. The blood test done covered comprehensive metabolics, lipids and CBC. My glucose (108 mg/dl) and bilirubin (1.2 mg/dl) was a little high but the doctor credited that to me not fasting before taking the test. Everything else was in range with the levels given. With that said, should I still be concerned about possibly having diabetes or what else should I look at?

I am 27 years old, not obese and I don't drink or smoke. Any advice would be appreciated!
Oh, no family history of diabetes either.

2 comments:

  1. Elley Smith - Blood glucose levels and ketones are the best indicators of diabetes. A one-off glucose level isn't really a good guide. They have to do a more complete test where you fast and then drink a sugary drink to tell for sure.
    A diabetics sugar levels tend to be remarkably out of range, hence why your doctor is not concerned.
    If your levels were out enough your doctor would have ordered another test.

    Type 2 diabetes can get worse over time so just get your BSL done again in 6 months.

    If you are concerned - Type 2 diabetes is when your insulin becomes less effective because you build up a tolerance. To prevent this from occurring it is best to switch to a low GI diet and avoid all highly processed sugars and carbs. Move towards proteins, vegetables and low GI carbs. Pasta is generally a low GI carb. Oats are a low GI carb. Bread is generally not (yes not even wholemeal!) Just search the net.

    A low grade Type 2 diabetic can eliminate the need for medication if they eat right.

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  2. TheOrange Evil - 108 mg/dL is normal random blood sugar, but abnormal fasting blood sugar. Your doctor is right - the slightly elevated blood sugar is likely due to the fact that you ate before the blood draw.

    In people with insulin resistant Type 2 diabetes, often total cholesterol and LDL are elevated, as well as triglycerides. HDL may be low, too. In people who have had uncontrolled high blood sugar for a while, either due to Type 1 or Type 2 diabetes, the kidneys may be damaged.

    Off the top of my head, I can't think of any other routine blood tests that would point toward diabetes. The classics are the fasting or random blood sugar test and the HbA1c, a 3-month average of blood sugar levels.

    I understand you're concerned and I can't blame you, so I think you'd feel great comfort if you re-scheduled lab work in the near future. Make sure you fast at least eight hours and ask the doctor for both a fasting blood sugar test AND an A1c.

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