Your Blood Sugar Test Results: Are They Normal?

Blood glucose recheck results?

Hello Dr.
Lee! A few days ago, I consulted you about my blood sugar issues and followed your advice to do another blood test.
I had dinner at 8 PM the night before the test and did not drink any water after midnight.
The blood draw was done around 9:50 AM the next day, and the results showed a fasting blood sugar of 99 mg/dL and an HbA1c of 5.2%.
Although my fasting blood sugar did not exceed 100 mg/dL, it is already at the borderline.
Is this considered normal? Thank you!

W, 20~29 year old female. Ask Date: 2020/10/02

Dr. Li Jian reply Internal Medicine

The current test results are considered normal; however, if there is an issue with overweight or a family history of diabetes, it may be advisable to consider a follow-up in one year.

Reply Date: 2020/10/02

More Info

Hello! Thank you for reaching out with your questions regarding your blood sugar test results. Based on the information you've provided, let's break down your results and what they mean in the context of diabetes risk and overall health.

Your fasting blood sugar level is 99 mg/dL, and your HbA1c (glycated hemoglobin) is 5.2%. According to the American Diabetes Association (ADA) guidelines, normal fasting blood sugar levels are less than 100 mg/dL. Therefore, your fasting blood sugar of 99 mg/dL is considered normal, as it falls within the acceptable range. However, it is important to note that it is indeed close to the threshold of 100 mg/dL, which is classified as prediabetes.
Regarding your HbA1c level, a result of 5.2% is also within the normal range. The ADA defines normal HbA1c levels as being below 5.7%. An HbA1c of 5.2% indicates that your average blood sugar levels over the past two to three months have been well-controlled and are not indicative of diabetes.
In summary, both your fasting blood sugar and HbA1c levels suggest that you are currently in a healthy range and do not have diabetes. However, since your fasting blood sugar is close to the upper limit of normal, it would be wise to monitor your blood sugar levels regularly and maintain a healthy lifestyle to prevent any potential progression towards prediabetes or diabetes in the future.

Additional Considerations
1. Lifestyle Factors: Maintaining a balanced diet, engaging in regular physical activity, and managing stress are crucial for keeping your blood sugar levels in check. Aim for a diet rich in whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. Regular exercise can help improve insulin sensitivity and overall metabolic health.

2. Regular Monitoring: Since you are close to the threshold for fasting blood sugar, it might be beneficial to have regular check-ups with your healthcare provider. They may recommend periodic blood tests to monitor your glucose levels and HbA1c, especially if you have risk factors for diabetes, such as a family history of diabetes, obesity, or a sedentary lifestyle.

3. Understanding HbA1c: The HbA1c test is a valuable tool for assessing long-term blood sugar control. It reflects your average blood glucose levels over the past two to three months. Keeping your HbA1c below 5.7% is ideal for preventing the onset of diabetes.

4. Symptoms to Watch For: While your current results are normal, it’s essential to be aware of any symptoms that could indicate rising blood sugar levels, such as increased thirst, frequent urination, fatigue, or blurred vision. If you experience any of these symptoms, consult your healthcare provider promptly.

5. Consulting Your Doctor: If you have any concerns about your blood sugar levels or overall health, it’s always best to discuss them with your healthcare provider. They can provide personalized advice based on your medical history and lifestyle.

In conclusion, your results indicate that you are currently in a healthy range concerning blood sugar levels. However, vigilance and proactive health management are key to maintaining this status. Keep up the good work, and don’t hesitate to reach out to your healthcare provider for further guidance!

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