Whom do u believe . Endocrinologist or ADA. If i follow the endo guideline for diabetes, then im a diabetic,?

If i go by ADA guidelines, then im not a diabetic. Endo guidelines are less than 110 after fasteing, and less than 140 2 hrs after meal. ADA guidelines are less than 140 fasting and less than 180 after 2 hrs meal. Are the pharmaceutical cos playing with our lives just to make big bucks by having those smaller number for a diabetic. Remember, 5 years ago 212 total cholesterol was considered normal, and now its less than 160. Following are my glucose numbers. In the morning before any meal, my number is 129-133 and 2 hrs after meal , my number is anywhere from 140 -180, Whom do u belive . I know if i go to a doc he/she will go by Endo guidelines, by which i am diabetic. Please help

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  • Anonymous
    1 decade ago
    Favorite Answer

    Pahd is right, the new ADA guidelines are much lower and are in line with American College of Endocrinologists.

  • Pahd
    Lv 4
    1 decade ago

    By ADA do you mean the American Diabetes Association?

    The ADA guidelines are now less than 126 for fasting...http://www.diabetes.org/about-diabetes.jsp

    I think those were the old ADA guidelines for the diagnosis of diabetes. The old guidelines were lowered because of a VERY large long term study in England that showed people with fastin blood sugars below 140 fasting but above 126 had an increased chance of retinopathy even though they were not considered to be diabetic under the old guidelines. Because of this, the ADA decided to switch over to the new guidelines.

    In page 8 of the American Association of Clinical Endocrinologists guidelines for the treatment of diabetes, they use the same fasting and 2 hours after meal numbers as the new ADA guidelines (126 fasting and 140 after meals)

    http://www.aace.com/pub/pdf/guidelines/DMGuideline...

    If you go strictly by the new ADA guidelines and endo guidelines, both say you are diabetic.

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    Whom do u believe . Endocrinologist or ADA. If i follow the endo guideline for diabetes, then im a diabetic,?

    If i go by ADA guidelines, then im not a diabetic. Endo guidelines are less than 110 after fasteing, and less than 140 2 hrs after meal. ADA guidelines are less than 140 fasting and less than 180 after 2 hrs meal. Are the pharmaceutical cos playing with our lives just to make big bucks by having...

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  • 4 years ago

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  • 1 decade ago

    I'm an RN and in the hospital (switched jobs a few years ago) and we used <110 fasting as the cutoff for normal. <150 after a meal. But some doctors would only treat elevated blood sugar that was >200. >200 it was always treated with insulin.

    You definitely have elevated blood sugar as compared with the average person. Does it need to be treated? If it were me I would treat it. I think the closer to normal the better. But if you're resistant to treatment the endo should respect that as you are borderline. The doc would also factor in your age - the younger you are, I'd say the harder he would push for treatment.

    I don't think the doctors are trying to make money off you per se; I think the research shows that strictly controlling blood sugar leads to better outcomes and fewer complications. But if you ever do take oral medication, do a lot of research because some of the newer antidiabetic medications have a lot of negative side effects. Don't just take the meds the doctor prescribes - research it yourself.

  • 1 decade ago

    Believe your doctor.

    The reason he is using different guidelines is because new research has come out showing that the numbers that had been being used needed to be changed.

    By treating you now instead of waiting possibly years your doctor will be preventing more of the side effects of diabetes, and giving you a much healthier life.

  • Madre
    Lv 5
    1 decade ago

    I think the difference is that the ADA's guidelines are set for those who may need medication to treat their symptoms. If your fasting level is less than 140, the a diet adjustment may resolve the issue, without using medications. Anything over 140 probably calls for treatment rather than just a change in eating habits.

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