A1c

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.

there are other things besides diabetes that causes fluctuations in metabolism. This patient needs to see an endocrinologist, IMHO

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:twocents: 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

Quick little formula for figuring BG average from A1c:

A1c - 2 x 30 = BG average

example: if A1c is 9.6%-2x30=228

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.