Gvdriver

I recently did a blood glucose tolerance test
Fasting 98
1 hour 180
2hour. 97

Also the A1c which came to 5.7

I had previously done just a fasting test and came in at 100 so my doc asked me to do blood glucose tolerance test and the A1c
I see the 5.7 is in the pre diabetes range but everything else looks normal.
I will do the A1c again in maybe 60 days to see..
Any comments would be appreciated

lbfowlerjrmd

at present your are ok ... though you did not report the presence or absence of glucose in your urine. Note your family history and attend to your lifestyle ... make appropriate changes and monitor as u r doing

USMCFLYR

My Internal Medicine doc calls an A1C of 6.4 at the very top of the yellow arc for diabetes.

I think 5.7-6.4 was the yellow range if I remember correctly.

A person I work with has insulin dependent Type II and some literature she has gives an A1C of 7.0 as the thrshold for diabetes.

deadstick35

Correct. Make a lifestyle change now and get the fasting down too. That 98 is on high side of normal-ish. Diet (cut simple carbs) and exercise.

satpak77

A close buddy had a similar situation. Basically, don't get overly stressed yet. Walk every day or as much as possible, less (or zero) white food products (milk, bread, sugar, pasta), more fruits and vegetables, don't go crazy on red meat, skip the McDonalds/Burger King, and drink LOTS OF WATER.

Up your fiber intake also.

A multi-vitamin a day may help make up for vitamins/nutrients we tend to miss in between flights or when we eat a muffin and a starbucks for "lunch" between flights

RE-test in a few months and see how it reads.

Take a look at this worksheet for AME's

https://www.faa.gov/about/office_org...e-Diabetes.pdf

Also check this info from American Diabetes Association

Diagnosing Diabetes and Learning About Prediabetes: American Diabetes Association®

Basically LESS than 5.7 % A1C and LESS than 100 mg/dl is Normal and NOT considered Pre-Diabetes

If your re-test shows high, STILL DO NOT PANIC, continue with above lifestyle changes and re-test AGAIN six months later for your body to accept and adjust to the new changes.

Again, a co-worker had the same issue as you did and he spazzed out but the above (recommended by a Dr.) solved everything for his particular situation.

Keep us posted

Gvdriver

I bike 100 miles a week and the glucose is teetering back and forth.i have adopted the Mediterranean form of eating(for the last year)in other words trying to eat nothing out of a box ( a very difficult proposition in this society)

deadstick35

Any family history?

155mm

If it doesn't taste like a TOLD card, spit it out!

Gvdriver

Dad ..type1 ...dx @87 still alive and kicking

Gvdriver

If i have blood work done and the results are more favorable towards pre diabetes do i have to fill out my PD worksheet with my doctor (and attach any documentation , i imagine)
Present that to my AME at my next medical? Or does the AME fill it out based on my documents?