risk of diabet?

[alirezaa]

i am a 37 year old man with 182 cm hight 80 kg weigh and exercise 3-4 times a week and walk  average about 10 kmeters a day. i never dink eat very little sweet and eat withy respect to necessary colorie. but my last blood test results was: hba1c  : 5- FBS: 106 - cholestrol: 162- ldl: 66 - hdl : 85 - bun : 25- creatinine: 1.1  is there any risk for me especialy about my fbs?

[Super_sally888]

Hi,
You a1c is at the top of totally normal.  Your FBS is a bit higher than ideal.  At this point it is really hard to say if you are at risk or not.  However, I would recommend that you consider yourself at risk and adopt lifestyle that will prevent further development, if ever.  The most important thing is a lower carb diet.  This doesn't just mean no sweets, but also means limiting all grains and fruits and starchy vegetables.  Instead you eat protein, plenty of unprocessed fats, and unlimited non-starchy veges.  Keep up the exercise.  Would recommend you repeat the a1c in 6 months (along with fasting glucose) to keep track of things.

[alirezaa]

thanks for your valuueable guide to me.one question: the importance precision or reliability of which test is more? a1c or fbs.? another question.when i see my test results in 2 past yearsit seems when my fbs increase than pat test(that would be about 2 or 3 months ago) the a1c decrease than past test.i guess this would be abnormal. what about your idea about this?

[Super_sally888]

Hi, the A1c and the FBS test different things.   A1c tests  your average blood sugar over the past 3 months.  An a1c of 5 gives you an average blood sugar of about 100.  I think A1c is veyr important for monitoring trend over time.  Fasting blood glucose is a bit useful in that fasting glucose can change over time and indicate a problem.  But in many people the fasting blood glucose might be one of the last numbers to be abnormal.  On the other hand fasting blood sugar can also be affected by your previous day's meal and activity levels.  

[alirezaa]

hi can the time gap between meals affect fbs? my eating style consist of light breakfast at 8 am and dinner at 8 pm is this kind of eating(being hungry for many hours) could result in high fbs? and other question now with my condition do you prescribe use drug for me to decrease fbs? i really  donot eat coke, sweet, cake, chocolate and other sweet things and eat only  very little hydrocarbon and i can not tight my diet more.