Am I at Risk for Prediabetes? Blood Sugar Levels

Q: Am I at Risk for Prediabetes? Blood Sugar Levels

Hello： According to your current blood glucose test report, you have not yet reached the criteria for diabetes. <br>The diagnostic criteria for diabetes (which must be confirmed on different days) are： fasting blood glucose levels of 126 mg/dL or higher, postprandial or random bl

I am unsure if my blood sugar issues indicate prediabetes?

Hello Doctor, let me describe my situation: Two and a half years ago, during a physical examination, my fasting blood glucose was 85 mg/dL, with no signs of diabetes, and the rest of the military examination results were normal (I was tested two to three hours after a meal).
Four months later, I visited a doctor due to panic attacks, and he ordered a fasting blood test (including liver and kidney function tests) and a urinalysis.
I had gained two kilograms compared to six months ago.
Four days later, when I checked the report, the paper copy was not yet available, so I didn't know if he had tested for glycated hemoglobin.
However, I specifically asked him to check for diabetes, and he told me my fasting blood glucose was 99 mg/dL, with other results normal and no glucose in the urine (the second urine after waking up).
He noticed I was still very anxious and asked if I had eaten.
I replied that I had consumed a 350 mL unsweetened oat milk about an hour ago.
He said that it was fine to test my postprandial glucose, but upon reflection, it had only been about 40 minutes, and I was a bit concerned about the 20-minute discrepancy.
The result was 104 mg/dL.
Additional notes: (1) There is no family history of diabetes in the last three generations (at least none have been discovered so far).
(2) I am 21 years old, with a BMI of 20, and I eat out frequently.
(3) I walk for over 40 minutes every day.
Today, I consulted a doctor regarding my kidney report (related to my previous panic issues), and I asked him about my blood sugar concerns.
He believed there should be no issue and suggested that if I was worried, I could check my blood sugar every six months.
However, I have been constantly anxious these past few days, thinking: "99 mg/dL, you might be prediabetic, it's over for you." I am now feeling very anxious and uncertain if I am indeed prediabetic.
Was what the doctor said today correct?

xuesheng, 20~29 year old female. Ask Date: 2020/08/20

Dr. Wu Zongying reply Family Medicine

Hello: According to your current blood glucose test report, you have not yet reached the criteria for diabetes.
The diagnostic criteria for diabetes (which must be confirmed on different days) are: fasting blood glucose levels of 126 mg/dL or higher, postprandial or random blood glucose levels of 200 mg/dL or higher, or a hemoglobin A1c level greater than 6.5%.
Symptoms may include increased thirst, frequent urination, excessive eating, fatigue, and weight loss.
To prevent diabetes, it is important to: 1.
engage in regular physical activity, 2.
avoid high-calorie diets, and 3.
maintain a healthy weight.
Wishing you good health.

Reply Date: 2020/08/20

More Info

Based on the information you've provided, it seems you have some concerns regarding your blood sugar levels and the potential risk of prediabetes. Let's break down your situation and clarify some important points regarding blood sugar levels, prediabetes, and what steps you can take to monitor your health.

Understanding Blood Sugar Levels
1. Fasting Blood Sugar: Your fasting blood sugar level of 99 mg/dL is indeed on the higher end of the normal range. According to the American Diabetes Association (ADA), a fasting blood sugar level of 100 to 125 mg/dL is classified as "prediabetes." Therefore, while you are not yet in the prediabetes range, you are close to it.

2. Postprandial Blood Sugar: The post-meal blood sugar level of 104 mg/dL, taken about 40 minutes after consuming a low-sugar oat milk, is also within a normal range. Typically, blood sugar levels should return to below 140 mg/dL within two hours after eating, so your reading is acceptable.

3. Glycated Hemoglobin (HbA1c): Although you did not mention your HbA1c level, it is a crucial test for assessing long-term blood sugar control. An HbA1c level of 5.7% to 6.4% indicates prediabetes, while 6.5% or higher suggests diabetes. If you have not had this test done recently, it might be worth discussing with your healthcare provider.

Risk Factors for Prediabetes
- Family History: You mentioned that there is no known family history of diabetes, which is a positive factor. Family history can increase the risk of developing diabetes, but it is not the only determinant.

- Age and BMI: At 21 years old and with a BMI of 20, you are within a healthy weight range. Maintaining a healthy weight is crucial in reducing the risk of developing diabetes.

- Lifestyle Factors: Regular physical activity, such as your daily 40-minute walks, is beneficial for maintaining healthy blood sugar levels. Additionally, a balanced diet low in processed sugars and high in fiber can help manage blood sugar levels effectively.

Recommendations
1. Regular Monitoring: Since you have expressed concern about your blood sugar levels, it would be wise to have regular check-ups. Monitoring your fasting blood sugar and HbA1c levels every six months, as your doctor suggested, is a good practice.

2. Healthy Lifestyle Choices: Continue with your exercise routine and focus on a balanced diet. Incorporate whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables into your meals. Avoid excessive consumption of sugary drinks and snacks.

3. Stress Management: Since you mentioned experiencing panic attacks, managing stress is also essential. Stress can affect blood sugar levels, so consider practices such as mindfulness, yoga, or other relaxation techniques.

4. Consult Your Doctor: If your anxiety about diabetes persists, consider discussing it further with your healthcare provider. They can provide reassurance, additional testing if necessary, and guidance tailored to your specific situation.

Conclusion
While your current blood sugar levels are not indicative of prediabetes, they are approaching the threshold. By maintaining a healthy lifestyle and monitoring your blood sugar levels regularly, you can significantly reduce your risk of developing diabetes. Remember, early detection and lifestyle modifications can make a substantial difference in your health outcomes. If you have further concerns, don't hesitate to reach out to your healthcare provider for more personalized advice.

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