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Tuesday, December 10, 2013
Quality Health Care and You - Diabetes
Low A1C in a non-diabetic
My husband just had an "8-10 hour fasting" blood profile (self-ordered with no doctor involved) performed by a reputable diagnostics lab. Here are some of the results sent directly to us:
Hgb A1C - 2.7 Insulin - 2.58 Glucose - 93 Chol/HDL Ratio - 2.5
When delaying or missing meals, he experiences definite symptoms of what I would consider "low blood sugar." He swims 2-3 miles every morning and is what I would consider "fit" for his age of 56. He is a slim 6`1" and weighs approx 160 lbs. I have three questions: Should we be concerned with such a low A1C?? Should we be concerned about future diabetes (no diabetes in his family history)?? Should we consider a hypoglycemic diet for him?? I am not asking you to diagnose or recommend treatment--just your overall thoughts. Thank you!
Most of known symptoms related to low sugar are not specific for this condition, so having symptoms means nothing unless your husband has a documented low glucose level at the same time. Your primary physician could give you a glucometer for checking his glucose levels when he is symptomatic. Additionally, his symptoms should improve when he eats carbohydrates. If that is the case, he has to be seen by an endocrinologist for further work up. The result of A1C level is not likely to be correct, so it can be repeated.
Marzieh Salehi, MD
Assistant Professor of Endocrinology
College of Medicine
University of Cincinnati