Dr. Saumya Mittal
Internal Medicine
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Patient's Query
Hello doctor,
I got my blood test results today. My fasting blood sugar is 97 mg/dL. But, my HbA1c is 6.89 with mean blood glucose at 144. I am going through premenopause and I am 49 years old female. Please help.
Hi,
Welcome to icliniq.com.
I have read your message. I think I can help you. This is suggestive of a possible impaired glucose tolerance (IGT). I would suggest getting an oral glucose tolerance test (OGTT). While many do consider it out of date, I think in your case it would yield the diagnosis. Upload the report for further suggestions. Meanwhile, start diabetic diet. Avoid sugar and high carbohydrate diet.
Patient's Query
Hello doctor,
Over the last three months, I have been pretty stressful since my daughter got married 33 days back. Will this have any effect on the test? Does this mean that I am diabetic or a high disposition to diabetes?
Hi,
Welcome back to icliniq.com.
If the OGTT comes out to be positive, then you may be a diabetic. As of now, I would suggest that you have a predilection for diabetes. However, high calorie diet may have influenced HbA1c (glycated hemoglobin), in which case OGTT should be normal. Stress as such would not cause this.
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Internal Medicine
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