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Bloodwork: Lipid profile looks okay but high HB1AC

by 125 · September 03, 2013 at 08:48 PM

Just got my first set bloodwork done and need some advice!

Low TG but LDLs on the high side (didn't get to do VAP). What shocked me was my high A1C score - it screams pre-diabetics, doesn't it?

BTW I'm 24, asian female, and have been on paleo for about 3 months, doing moderate fat and moderate carb, and grain/dairy/legume-free.

TC: 211

HDL: 91

LDL: 112

LDL (Iranian): 78

TG: 41

Fasting blood glucose: 82

HBA1C: 6.2

C-reactive protein: 0.1

Will appreciate advice and help with analysis :)

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11363 · September 16, 2011 at 06:28 AM

neelie,

Congratulations on staying paleo for 3 months! Your numbers look good, which makes me suspect a lab error on the HBA1C result.

Some sources say a normal A1C can go up to 6.0%, instead of the more commonly reported 5.7%. Your result of 6.2% is close enough to the normal limit that it may be due to a measurement variation rather than being truly abnormal. It would be reasonable to repeat the A1C test in a few months.

I agree with Travis except for a minor quibble--hemoglobin A1C will usually come down in 3 months, because your body replaces most of its red blood cells within 3 months.

If your HBA1C test continues to be elevated when repeated, we know that it's not from inflammation/cortisol, because your CRP is close to zero. We also know that you're not consuming too much carbohydrate, because your triglycerides are low. Consider getting screened for hyperthyroidism at that point. Also, if you're taking high doses of iodine, stop.

Keep us updated if there are new developments.

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39204 · September 16, 2011 at 03:40 AM

Eveything looks great; you ought to keep doing what you're doing. The HbA1c takes time to come down since it's a reflection of glycation over a long period.

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30 · September 16, 2011 at 11:12 AM

Check this post out from Cris Kresser for why your A1C is most likely high.

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77340 · September 16, 2011 at 07:50 AM

You may also have long lived RBCs. But its probably just short time in low carb.

Ed: Low CRP doesn't rule out inflammation or stress.

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0 · September 03, 2013 at 08:48 PM

I got my blood work back last week, I was so shocked my A1c is 6:2, my doctor told me I am a pre diabetes patient now.I was test positive h.pylori in beginning of year and tried to get rid of it with nature methods. Not very successful yet, I guess I didn't take the bugs serious because I don't have stomach problems like others. Any here came my blood test,the elevated A1c. I have normal blood pressure, Asian woman, Hdl is 100, but LdL is 128. Total is 239. Blood glucose is 88. Triglycerides is 56. But Absolute Monocytes is 181, Low. The rest of test is pretty normal. I am 5'6 and 118. 57 years old. I read some of sites suggest HP can elevate A1C and also associate type 2 diabetes. Does any one has good suggestion regarding natural methods to get rid of bugs!

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