Accurate Examination For Pre-diabetic Patients?

Illustration of Accurate Examination For Pre-diabetic Patients?
Illustration: Accurate Examination For Pre-diabetic Patients? Bing

I have diagnosed Pre-diabetic. Sugar fasting test 78 mg/dl. Sugar test tolerance With 75 grams 1 hour 255 and 2 hours 245. Then 2 weeks later I did the HBA1c test the result was 5%. If hba1c 5% is normal. so my question :rn1. Which test is more accurate Sugar test tolerance or HBA1C to determine diabetes or pre-diabetes?rn2. I completely stop eating rice or bread, I eat more salad / vegetables, meat and fish, is this harmful to the body?rn3. I also increase activity or exercise, I am thin, ringgit 163 cm, weight 57 kg, if I go to the gym to increase muscle, can I improve the pancreatic system or insulin says?rnrnTerms Karin is a lot

1 Answer:

Good morning, thanks for asking at The sugar tolerance test or glucose tolerance test is a test that tests the body's response to consuming sugar or glucose after eating. While HbA1c is a form of red blood cell component that binds to glucose. And because the lifespan of red blood cells in the body ranges from 8-12 weeks before being renewed, the HbA1c test can be used to determine blood sugar levels during that range.

So regarding your question about which test is more accurate, it really depends on what your doctor wants to see. If your doctor wants to see if there is an abnormality in the body's response to elevated sugar levels, then this can only be detected by performing a glucose tolerance test and cannot be detected by an HbA1c test. On the other hand, if your doctor wants to see your blood sugar levels over the past few years, usually to control adherence and treatment progress, the only test that provides this data is the HbA1c test. Regarding the relationship with pre-diabetes, the diagnosis was made after looking at the overall results of blood sugar tests while, fasting blood sugar, and blood sugar 2 hours after eating, also HbA1c days.

For the next question, stop eating rice or bread or other carbohydrates, this is dangerous in the sense that the body still needs carbohydrates even though you are diabetic. The body still needs salt even if you have high blood pressure. And the body still needs fat, even if you have high cholesterol. Our advice if you want to reduce the carbohydrate content of your diet because you want to avoid diabetes, you can simply reduce the portion of rice, or replace white rice with brown rice, or replace rice with sweet potatoes which is much healthier. But it is not recommended to avoid carbohydrates altogether because you will feel weak, especially if you are exercising regularly.

Gym exercise to increase muscle does not directly affect your pancreas or insulin, but a healthy lifestyle, one of which is manifested by exercise, will obviously have a good impact on your organs and overall health. I hope you and your family are always healthy.

That's all, hope it helps.

dr. Amadeo D Basfiansa

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