Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
May 31, 2003
Diagnosis and Symptoms
Question from Independence, Missouri, USA:
I am 44 years old, overweight, and I have PCOS. Four months ago, my fasting blood glucose was within normal range, my insulin level was 45, my A1c was 6.2%, and my C-peptide was normal. I was told I have type 2 diabetes, put on metformin twice per day and told to cut back on carbohydrates. Do I really have diabetes? If so, this does not seem like a good treatment plan to me. Should I be checking my own blood at home?
At the present time, the diagnosis of diabetes is not defined on the basis of a hemoglobin A1c. It is determined by the result of blood sugar determinations as they are performed in the laboratory (and not on finger stick blood sugars). Previous studies have shown that the A1c is not a sensitive enough to diagnose diabetes early.
With that being said, we know that Polycystic Ovary Syndrome is associated with insulin resistance, and many who have it are at risk for
type 2 diabetes later on. Therefore, it is not surprising that you may have diabetes.
It has become popular to use metformin in these patients, and it does have a beneficial effect to lower blood sugars. However, this should be done in concert with changes in lifestyle, such as diet and exercise modification. I am a big advocate that if you have diabetes, you should be checking your blood sugars at home.
[Editor’s comment: See Classification and Diagnosis of Diabetes.