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chemays75 · Aug 20, 2010, 11:21 PM

I was diagnosed with diabetes during a hospital stay. My A1C level was 6.2.The hospital doctor provided me with educational materials, but did not prescribe any medication, nor did he suggest that I monitor my sugar daily. I am wondering should I be monitoring and taking meds or is it not that serious?

Clough · Aug 21, 2010, 02:26 AM

Hi, chemays75!

If you want the most accurate and official opinion, then it would be best to be speaking to the doctor again, or even getting a second opinion from another doctor. It's possible that some people here might have been or are in a similar situation as you, but they can't give you any opinion the same way that a doctor can who knows much more about you and is licensed to give you the facts that you need to know.

Thanks!

KISS · Aug 21, 2010, 04:41 AM

I hate putting all the eggs into the basket of h1ac.

I believe monitoring is in order. Occaisional full day: fasting before breakfast (80-120 ish), 2 hrs after (<150), before lunch (<150), 2 hrs after (<150), before dinner (<150), 2 hrs after (<150) and bedtime (<150) and when your sick.

This at least every two months. Guideline could be changed by your doctor.

GO SEE AN ENDOCRINOLOGIST! You may need a sick plan.

First plan will probably be treat with Metformin, an insulin sensitizer.

You may need to see a diabetic nutritionalist.

Get a copy of the Glycemic index of foods and restrict or eliminate foods with a high index. e.g. white bread, refined sugar, pizza, ice cream

Don't let it get out of hand. Don't let your PCP initially treat it.

DoulaLC · Aug 21, 2010, 06:04 AM

Certainly have a follow-up with your own doctor. An a1c is sometimes used to diagnose diabetes, but it depends on the doctor and their view point. However, a 6.2, while above what is considered normal, does not fall into the diabetic range for diagnostic purposes.

You might be what is considered pre-diabetic, or glucose intolerant, in which diet and exercise play a vital role, but only your doctor could make the determination.

Monitoring would probably be a wise thing to do so that you can keep track of your levels over a period and discuss with your doctor a plan to keep your levels in check. Then in another 2 or 3 months, you would likely have another a1c check to compare.