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.
June 22, 2006
Diagnosis and Symptoms
Question from Salinas, California, USA:
I had an A1c done and the result was 5.8%. This is of concern to me. However, my random glucose at the laboratory was 93 mg/dl [5.2 mmol/L]. Also, my one hour oral glucose tolerance test (OGTT) was 113 mg/dl [6.3 mmol/L]. What do you think of this?
The diagnosis of diabetes is made with a fasting glucose or an oral glucose tolerance test. It is not made with a random blood sugar, or at least it has to be greater than 200 mg/dl [11.1 mmol/L] with symptoms on more than one occasion for a random glucose to be diagnostic. The one-hour glucose is not a diagnostic milestone either. The hemoglobin A1c is a powerful tool for following patients. However, it is not a diagnostic test either. Following the fasting glucose is the best bet.