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Profile picture for laura1970 @laura1970

@bajjerfan huh. What have you HA1c values been?

Well, for one thing, unexplained hypoglycemia in someone not taking sugar lowering medication is often a harbinger for overt diabetes. So regardless of whether or not you had pre-diabetes in the past, you are at risk for diabetes (one could argue you have pre-diabetes with this alone, though it not the typical way of making the diagnosis).

So be alert and aware of the symptoms of high and low blood sugar and see your doc frequently. I think with your history of hypoglycemia it would be appropriate to start checking blood sugars. Some diabetics check their sugars before every meal and at bedtime. One approach would be to check you sugar once each day, alternating the time you check them so that over time you will develop a clear picture of your overall daily blood sugar. Ask your doc about this. In your case, I would recommend an MD or even an endocrinologist unless you’re certain a specific nurse practitioner or PA has the necessary knowledge and skill level. It’s more of an art than a science sometimes.

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Replies to "@bajjerfan huh. What have you HA1c values been? Well, for one thing, unexplained hypoglycemia in someone..."

@laura1970

First off it seems that HA1c is not checked during normal physical exams where bloodwork is done. Right now I get them at no cost as part of my research participation at Mayo. WalMart offers them for IIRC about $35.
My last 3 were 03/05/25 6.8 06/05/25 2.7 11/25/25 6.0

As far as HG I can pretty much get it to happen at will. For lunch if I have oatmeal wtih milk and maybe some fruit and wait 2-3 hours to excercise like walking around shopping at WalMart I can feel it start to come on. I'll pop 4-5 4 gram glucose tabs and that usually tames it. Sometimes my eyes will start to flash. If I exercise after I eat it generally doesn't happen. I remember a 5 hour GTT from 40 some years ago. About 2 hours into it they told me to lie down as they were afraid that I would pass out. Nothing ever happened tho. Back then the doc called it reactive hypoglycemia.
I've never been advised to monitor glucose. FWIW I do see an endocrinologist, but she doesn't seem to be concerned about the HG. The couple times I mentioned it, it seems like she didn't hear it. I'm not THAT concerned myself tho I would like to know what could be causing it. Seems like once I get a certain demand for insulin the pancreas overproduces.

@laura1970

Forgot to add that way back when I had the GTT the doc said that I would likely get diabetes if I got heavy. Now I'm around 220 regularly.

Also what are the symptoms of high blood sugar?