I am 49, female. My FBS is 97, but my HbA1c is 6.89. Why?

Question

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.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your message. I think I can help you.

This suggests a possible impaired glucose tolerance (IGT). I would recommend getting an oral glucose tolerance test (OGTT). While many consider it outdated, I think it would yield a diagnosis in your case. Upload the report for further suggestions.

Meanwhile, start a diabetic diet. Avoid sugar and a high-carbohydrate diet.

I hope this helps.

Thank you.

Answer 2

Hello,

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, a high-calorie diet may have influenced HbA1c (glycated hemoglobin), in which case, OGTT should be normal. Stress as such would not cause this.

I hope this helps.

Thank you.