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A New (and Unwelcome) Wrinkle...
I felt I needed to add a little to "My Story" given the diagnosis I received over the last few days. I went in for my yearly checkup with my GP, and as he was going over the bloodwork (metabolic panel, mainly), he mentioned that my pre-diabetic levels have now qualified me to be diagnosed as "Type 2 Diabetic." I don't require any meds at this point -- just coping with lifestyle changes.
I can't say I didn't see this coming, I guess... but still, I felt blindsided by this information. Diabetic questions really haven't been prominent in my thinking... but now they certainly are! My head is still spinning from this, and I'm woefully ignorant of what it all means.
I am soon to attend some "Coping with Diabetes" classes the local hospital puts on that are very helpful and informative, but still, I am saddened quite a bit by this news. As my GP said, "We caught it very early in the process," and I know that is a good thing. But still...
So, my question for this forum is, are there special considerations or concerns we should keep in mind when it comes to the relationship between Type 2 Diabetes and Moderate Aplastic Anemia?
After initially writing this post, and while re-looking at my recent test report, I noticed that what we often refer to as the "A1c" reading is actually the "HgbA1c %" reading. I wondered: Is there some relationship between an abnormal Hgb level and an abnormal HgbA1C level? After doing a few quick searches online, I found several articles that relate the two! From a very cursory look at these articles, it appears that a low Hgb reading can somewhat "inflate" the HgbA1C reading -- so there is a sort of inverse relationship.
My Hgb tends to run between 9.5-10.0, where for a male my age, I think the low-end of "normal" is something like 14.0. So, I wonder if my GP has jumped the gun a bit on declaring me a Type 2 Diabetic by basing his diagnosis on an HbgA1c reading that is not accurate? Obviously, I need to read more on this possibility. Do any of you have any experience / knowledge in this area?
Thanks,
David M
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David M, reds/whites/plats slowly declining since 2000; hypo-cellular bone marrow; diagnosed Mild AA; low counts, but stable since 2009; watch and wait -- no treatments required to this point.
Last edited by David M : Sat Jan 11, 2025 at 12:52 PM.
Reason: Updated info on possible inverse relationship between Hgb and HgbA1c.
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