Diabetes

[ignis]

Do not understand..

Diagnosed about 10 years ago with diabetes type 2...

My Dr in the UK said that the Urine type test was fine for type 2, but I had already bought a machine to do my blood tests..

About 18 months ago my machine would not work, it is not a type sold in Thailand, so thought never mind will do the urine test every so often, always fine always right at the bottom of the colour chart.. So all is fine ? have dropped the 'metfomin' from 2 tables 3 a day to 1x per day over that past 2 years..

Last week went for a full medical check up at the Hospital... Everything was fine except the Blood/Sugar.. different reading here than UK.. The Hospital test showed 268, the Dr said was very high as it should be between 90 - 110.. He said to increase the Metforin to 2x 2 per day.

Bought a new machine.. This morning one week on did a Urine test = lowest colour = No glucose in my urine, did a blood test shows 178.. So it is coming down, but still lots of glucose in the blood.

Why 2 different readings?

Did a search but cannot find anything about different readings, when I came here to live the urine test was always up about 4 - 5 colours.......... 1st test a Dtr or clinic do is a urine test so on my reading they would say I do not have Diabetes

[lopburi3]

Do not believe urine is used for testing here and you seem to have lowered from 15 to 10 (UK method) so looks to be on right track. I have no knowledge of the urine test so not sure what may effect it or if high temp storage of material might make it inaccurate. As suspect hospital was a fasting lab test both it and your home unit indicate the need for action.

[Sheryl]

Urine tests are not used any more AFAIK. Not as exact and also not as timely i.e. can reflect conditions many hours prior. Certainly not the way to assess fasting glucose levels. In addition, individuals can vary somewhat in the threshold at which their kidney excretes glucose, so 2 people with the same urine test result may have different degrees of hyperglycemia.

As Lopburi2 said, the drop from 268 to 178 a weel after doubling the metformin does is fien and suggests you are on the right track, but of course should continue to recheck regularly.

Even more useful than fasting blood glucose in the HbA1c (glycated hemoglobin). This gives an accurate indication of what your average blood glucose has been like over an extended period of time. If this was not done during your recent physical you should get one now, to serve as a baseline, and then repeat about every 3 months until stable and then every 36 months thereafter.

[ignis]

Urine tests are not used any more AFAIK. Not as exact and also not as timely i.e. can reflect conditions many hours prior. Certainly not the way to assess fasting glucose levels. In addition, individuals can vary somewhat in the threshold at which their kidney excretes glucose, so 2 people with the same urine test result may have different degrees of hyperglycemia.

As Lopburi3 said, the drop from 268 to 178 a weel after doubling the metformin does is fine and suggests you are on the right track, but of course should continue to recheck regularly.

Even more useful than fasting blood glucose in the HbA1c (glycated hemoglobin). This gives an accurate indication of what your average blood glucose has been like over an extended period of time. If this was not done during your recent physical you should get one now, to serve as a baseline, and then repeat about every 3 months until stable and then every 6 months thereafter.

Many thanks, have an appointment 1st week of October with the Hospital.. Metformnin are very cheap [298 baht for 500- 500mg tablets], so my cutting them right back was not good. Silly urine test strips, OK they are from 2003 will throw them now.