Diabetes ?

Wibbles

I had my annual blood test by my GP on Friday (supposedly to check for diabetes as well) - and the results are in .

All satisfactory

Serum lipid levels
Serum cholesterol level 4.6 mmol/L [< 5.2]
Serum HDL cholesterol level 1.11 mmol/L [> 1.45]
Below low reference limit
Serum non high density lipoprotein cholesterol level 3.5 mmol/L
Serum cholesterol/HDL ratio 4.1
Serum triglyceride levels 1.3 mmol/L [< 2.3]
Serum LDL cholesterol level 2.9 mmol/L

Renal profile
Serum sodium level 143 mmol/L [136.0 - 145.0]
Serum potassium level 4.0 mmol/L [3.5 - 5.1]
Serum urea level 7.3 mmol/L [2.8 - 8.1]
Serum creatinine level 95 umol/L [59.0 - 104.0]

Which of these are the Diabetes results ?

I expected diabetes to be mentioned but its not...

plus I would not say that the levels of Serum HDL cholesterol 1.11 is satifactory - because it is considerably lower than the expected level of 1.45mmol !!

janer1967

Hi

Diabetes check is usually referred to as hbc level  not sure of the full technical name 

poppy123456

The test is called HbA1c. More info here. https://www.diabetes.org.uk/

janer1967

Thanks @poppy123456 your a star 

poppy123456

You're welcome @janer1967 and thanks.

Wibbles

poppy123456 said:

The test is called HbA1c. More info here. https://www.diabetes.org.uk/

Thanks - no mention of that test in my latest record update
I will ask them whether the test was done 

janer1967

It's a purple test tube they collect your blood in for the diabetes check 

janer1967

@Wibbles have you had any symptoms of diabetes also would ve surprised if you had it that it wasn't identified during your hospital admissions 

Ring your gp if you have any concerns 

Wibbles

Results in..... 

Haemoglobin A1c level - IFCC standardised 43.0 mmol/mol
IFCC non-diabetic normal range
25-41 mmol HbA1c/mol HbA
I assume from that., that I am not diabetic? 

janer1967

Yes that's right that's a good result 

My target reading as a diabetic is 60 my last test was 71 so still some work yo do but a massive improvement as it was over 100 when I was admitted to hospital for sepsis 

Wibbles

The only confusing one is

Serum HDL cholesterol level 1.11 mmol/L [> 1.45] 
Which is less than the acceptable level (greater than 1.45) 
Yet is 'satisfactory"

janer1967

Depends if its what is classed as your good or bad cholesterol 

If your results have been checked by your gp and they say they are satisfactory then you should have no issues 

Wibbles

Would you expect to be contacted by your GP when you have a blood pressure of 147/87 - averaged over 7days?
And are already taking blood pressure tablets!
Mine doesn't appear interested!! 

janer1967

I'm no expert or medical professional but reading on the Internet a normal blood pressure for over 65 year old is 120/80 

Obviously there could be reasons why yours is above this and your doctor isn't concerned due to your other medical conditions 

Wibbles

janer1967 said:

I'm no expert or medical professional but reading on the Internet a normal blood pressure for over 65 year old is 120/80 

Obviously there could be reasons why yours is above this and your doctor isn't concerned due to your other medical conditions 

I am 59 on Saturday 

janer1967

Happy birthday for Saturday 

If you check nhs site it will advise you of normal pressures and advise on what to do if concerned obviously your gp would be first action but it seems they are not concerned 

vikingqueen

     I fail to see how any doctor wouldn't be concerned about a blood pressure reading if it is abnormal.  I would ask for a medication review. 

Wibbles

janer1967 said:

Happy birthday for Saturday 

If you check nhs site it will advise you of normal pressures and advise on what to do if concerned obviously your gp would be first action but it seems they are not concerned 

I know why my blood pressure is high - I am unable to even walk more than a few feet - I need to do some exercise but struggle to do any - I just sit in my arm chair all day

janer1967

@Wibbles I am wheelchair bound can transfer to a chair of sofa 

I have just started with wheelchair or sitting exercises which I am finding quite enjoyable 

There are some of nhs website search sitting exercise but I have some dvd I ordered which give fu wheelchair workout happy to share details in pm if you are interested 

Karen7788

Wibbles said:

Would you expect to be contacted by your GP when you have a blood pressure of 147/87 - averaged over 7days?
And are already taking blood pressure tablets!
Mine doesn't appear interested!! 

Make an appointment with your GP or practice nurse and explain it’s to discuss your blood pressure and ask if your medication needs adjusting if you are concerned. 

Wibbles

janer1967 said:

@Wibbles I am wheelchair bound can transfer to a chair of sofa 

I have just started with wheelchair or sitting exercises which I am finding quite enjoyable 

There are some of nhs website search sitting exercise but I have some dvd I ordered which give fu wheelchair workout happy to share details in pm if you are interested 

Yes please