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514349 tn?1272801633

Why won't a doctor give me a diagnosis?

I had to have 2 blood chemistry panels done before 2 separate surgeries in June and October last year. According to the results, in June my non-fasting blood glucose was 117 and A1c was 5.8. In October the fasting glucose reading was 103 and A1c was 5.8. I cannot get a physician to diagnose either pre-diabetes or Type 2 diabetes. When I told my PCP and gastroenterologist all they said in effect was, "Uh-huh." Also, without their approval (and prescription) I can't even get a glucometer and test strips to keep track of it.
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973741 tn?1342342773
I did learn recently that ya, we do not need to fast anymore for blood work. New world with that bit of intel when it comes to getting lab work for me!  Non fasting blood glucose levels are considered normal if under 125. And your fasting is just ever so slightly elevated. Your A1c is also just barely over. Personally, you don't need a diagnosis at this point. You've got the info you need to work on it. You wouldn't be a good candidate for medication at this point so what is left to do? Lifestyle changes. How much do you exercise? Is your weight where you'd like it? Is your sleep good? How is your eating? Too many carbs or sugar? These are things we can work on. It's hard. I recently had a meeting with my own self to get my life together health wise. So about 4 months ago now, I started exercising moderately and eating better. I've lost weight. Many of my numbers improved or are steady. I started small. I also read the book Atomic Habit that kind of helped my mindset for changing habits. I don't think you are at the point of needing a glucometer and test strips. Work on lifestyle and check in again at your next annual physical. question the situation then after a solid amount of time working on lifestyle helpers. https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639
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