testing for diabetes/hypoglycemia in thal minors

Hi Everyone,

I just got my A1C result back and it was 4.9 (ref range 4.8-6.3) but I found from searching on this forum that A1C is messed up for thals (artificially high?).  What test can I ask for to see if I am hypoglycemic or diabetic and how do I explain this to the healthcare provider.  They don't seem to know about this.

The only other piece of data I have is my fasting glucose was 88.  I wonder if I am hypoglycemic because I am having trouble waking in the night being very hungry despite adequate calorie intake.

Thanks,
Amy

Is it artificially high or low?  I’ve heard the opposite of what your are suggesting too.  Research is hard to find. What is your soursce?  Thanks

I'd try the fructosamine test instead. It is a blood test that measures average blood glucose levels over the two or three weeks prior to when the test is performed. It doesn't involve hemoglobin so the results should not be messed up by the hemoglobinopathy. This test is rarely used by labs though. That's probably because they use the A1C test.

I agree that the fructosamine test is more accurate for thals. HbA1c can include hemoglobin variants in the count and throw the test off.