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Member Forum >> Diabetes / Pre-Diabetes Forum >> Questionable Validity of Fasting Blood Glucose and HbA1c Levels
 Questionable Validity of Fasting Blood Glucose and HbA1c Levels
aerobic1

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Posted: 8/13/2017 12:16:13 PM
Edited: 8/13/2017 1:26:30 PM (3)
 
I’ve read all sorts of comments for years that if a person has a low fasting blood glucose level and a low HbA1c that they don’t have pre-diabetes or full-blown Type ll.  I learned first hand this week that it is not an absolute.

Since 2010 I’ve tracked my FBG and A1c with a finger stick.  My FBG runs from 80-89 and A1C runs 4.8 - 5.2.  I also work very hard at following a VLC diet.  I am not a saint and will wander off once a month or so and slam a birthday dessert.

My doctor, Dr. Ford Brewer of Nashville, TN doesn’t follow that train of thinking.  He runs PrevMed Heart Center in Nashville http://www.prevmedheartrisk.com and has a solid background in heart attack, stroke, diabetes and cancer prevention.  It’s a concierge practice and follows the Bale-Doneen Method of prevention.

Dr. Brewer runs the FBG and A1c along with a 2-hour oral glucose tolerance test (OGTT) in addition to an extensive list of blood, urine, oral pathogen and genetic labs.  While my FBG and A1c came in very low, my OGTT test indicated a very high 1 and 2-hour postprandial glucose level after fasting and downing a solution of 75 grams of glucose.  My 2-hour postprandial level was even higher than the first hour.  I never thought all of this was possible.  

He calls it age-related insulin resistance and finds that 50% of patients over age 50 have it and if left untreated the majority will typically go onto develop full-blown Type ll.  The resulting inflammation from circulating glucose can damage the endothelial wall.  He uses the microalbumin/creatine ratio as one indicators of endothelial damage and my ratio is extremely high.

Here is what that looks like.





So now I take a moderate dose of Metformin in addition to my already VLC diet.  So, think twice the next time you and your doctor congratulate yourself for having a very low FBG and A1C, insist on having a fasting OGTT (fasting, 1-hour and 2-hour) performed.  You can be thin, exercise, eat right, have a normal FBG and A1c and still be pre-diabetic or diabetic.  If your doctor won’t do it you can get one performed by Quest Labs without a prescription by going to RequestATest.com for $69. http://requestatest.com/glucose-tolerance-test-2-hour--testing#



Age-related inflammation and insulin resistance: a review of their intricate interdependency

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4246128/  

How to Test for Cardiovascular Inflammation: Microalbumin Creatinine Ratio

https://www.youtube.com/watch?v=Gq3hwV2Z5TQ 

 



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xtronics

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Posted: 8/13/2017 2:34:04 PM
 
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aerobic1

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Posted: 8/13/2017 3:10:08 PM
 
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Posted: 8/13/2017 3:58:12 PM
 
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aerobic1

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Posted: 8/13/2017 4:53:18 PM
Edited: 8/13/2017 4:56:53 PM (1)
 
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Posted: 8/13/2017 6:24:08 PM
 
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aerobic1

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Posted: 8/13/2017 8:05:09 PM
 
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Posted: 8/13/2017 9:42:16 PM
Edited: 8/13/2017 9:47:24 PM (2)
 
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Posted: 8/13/2017 9:48:21 PM
 
Sorry, didn’t mean to hijack your thread.


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Posted: 8/13/2017 9:58:12 PM
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Posted: 8/13/2017 10:33:38 PM
 
aerobic:

I am curious about the video. How much melatonin does your doc suggest to combat MPO?

HH


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aerobic1

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Posted: 8/14/2017 6:50:34 AM
Edited: 8/14/2017 7:10:49 AM (3)
 
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Posted: 8/14/2017 8:55:09 AM
 
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Posted: 8/14/2017 9:05:22 AM
 
If you retest, get it done at a LabCorp or Quest facility.  Keep away from AnyLabTestNow.




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Posted: 8/14/2017 1:38:38 PM
 
Thank you


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Posted: 8/15/2017 10:28:52 AM
 
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Posted: 8/15/2017 12:45:18 PM
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Posted: 8/15/2017 2:05:54 PM
 
Thanks Dr C, good to know




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Posted: 8/15/2017 9:43:21 PM
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Posted: 10/17/2017 8:44:27 PM
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Posted: 10/24/2017 11:31:19 AM
 
Dr Davis thank you for chiming in, and thank you for your books and so much more. I have been grain free for 5 yrs and Keto 90% of the time for over 2 yrs. I test with blood and now with a Ketonix meter.
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