I’m Dragan from Croatia. I had a strange diagnosis recently so I thought I should ask community about advice.
I’m 39, slim (70kg/184cm) but not very active, mostly sitting and working at my computer but doing cardio about 2 times a week (sometimes every day when i have time). I eat normally and I usually have very plentiful late dinners, right before bedtime (sometimes at 11-12 PM). When I exercise, I do it on empty stomach in the morning.
As I was checking my blood about once a year for the past few years, I’ve noticed that my blood sugar number is getting higher and higher each year.
My fasting blood glucose results from previous years are:
2014: 5.31 mmol/l
2015: 5.68 mmol/l
2016: 5.62 mmol/l
march 2017: 6.05 mmol/l (this is when they told me I should see an endocrinologist)
There is somewhat of a general upwards trend but I thought it’s not something to worry about too much.
But I went to see an endocrinologist in December 2017. He ordered some blood tests and here are the results (bloodwork done after fasting for 12 hours):
HbA1C: 5.4% (Normal: 4.0 - 6.2 %)
OGTT, 2 hours, 75g of glucose:
Time____________Glucose (mmol/l)_________________Insulin (μIU/ml)
0’___________________6.01 ___________________________ 5.39
Please let me know if I should convert these to other units. In Croatia, we use these units.
I’ve made the charts for easier reading (As a new member, I can only include one image per post so here’s glucose):
So, after seeing the results, my doctor ordered the anti GAD test which came out negative.
He told me that the results are not quite normal, but not diabetes either. That I’m right at the very edge (of prediabetes?).
He diagnosed me with something that would be “increased fasting glycemia” when I translate it to English as a layman.
he prescribed Glucophage (Metformin), told me to eat healthy, not to eat after 7pm and exercise more. I should get back to him with HbA1C and OGTT for control in one year.
Now, I didn’t start with metformin right away, I wanted to inform myself and read about the condition to see if something could be done without tablets. But I’m only getting more and more confused because I’m very slim and all the advice is mostly for people who can afford to lose weight. Does the doctor suggest that I’m on my way of becoming a Type2? Do my OGTT insulin measurments and a negative anti-GAD definitely suggest that I’m not developing Type1?
Please share your thoughts. Should I buy a glucose meter and measure my levels throughout the day. If so, do you know of a guide as to when should I take measurements and how to interpret them? That is, what should my goal be?
Thank you very much for reading and helping out!