A1c - page 2

Why would a person still be diagnosed as a diabetic and have an A1c of 4.9? Why would this be dangerous to a new diabetic?... Read More

  1. by   ninasnr
    Re:
    I had a patient who had a GTT, and it was high indicating Diabetes. About 10 years earlier, was diagnosed with hypoglemia. The patient refused to take the actos that was ordered (after DX of Diabetes) because it made the patient feel 'bad'. Dizziness, tired, hungry, etc. So patient was unmedicated. Pt came in with hypoglycemia through ED, was given D50 x2, was given breakfast, and BG was still unstable 50-60's. Pt admitted with D10 continuous IV, was in for 3 days. Various tests were done checking for tumor on pancreas etc, nothing was ever found. Was taught diet for hypoglemia. I later heard pt was again diagnosed with DM. What do you make of this? Any ideas? It sure confuses me! Could this be weight related? The patient had weight fluctuations.

    This patient did have elevated fasting BG a couple of times, reportedly but less than 150.
  2. by   classicdame
    there are other things besides diabetes that causes fluctuations in metabolism. This patient needs to see an endocrinologist, IMHO
  3. by   Miami NightNurse
    I know I am a bit late adding to this but I got a big mouth and I am a diabetic and I just have to put my in . An endocrinologist will not just use a HgbA1C, they will also have patient bring in their Blood sugar machine and download their results onto computer and it will come up with a nice little graph giving the highs and lows. Here's the HgbA1C=what average glucose
    HgbA1C: Average Blood Sugar for 3 months:
    4--------------- 60
    5--------------- 90
    6 ---------------120
    7 ---------------150
    8 ---------------180
    9--------------- 210
    10------------- 240
    11------------- 270
    12-------------- 300
    13-------------- 330
    Last edit by Miami NightNurse on Mar 3, '08 : Reason: to add
  4. by   dansingrn
    Quick little formula for figuring BG average from A1c:

    A1c - 2 x 30 = BG average

    example: if A1c is 9.6%-2x30=228
  5. by   Miami NightNurse
    Quote from dansingrn
    Quick little formula for figuring BG average from A1c:

    A1c - 2 x 30 = BG average

    example: if A1c is 9.6%-2x30=228
    Thank You!!! I didn't know that. I love this site I learn something new every day.

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