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Concerns About Recent Blood Test Results

7/5/2025, 5:20:17 PMMale25-34

Hello everyone, I am seeking insights regarding my recent bloodwork results. Here’s a bit about me: I’m a 25-year-old male, 6’2” tall, weighing 170 pounds, and I don’t take any medications or smoke. Lately, I’ve been experiencing some issues that have me a bit worried. I have a persistent mild thirst, which makes it feel like the back of my throat is dry, and I find myself needing to urinate nearly every hour. Interestingly, this frequent urge is mostly during the daytime, and I haven’t had to wake up at night for this. Over the past year, I underwent blood tests to rule out diabetes, and here are the results: - First test: Fasting glucose at 100 mg/dL - Second test: Fasting glucose at 101 mg/dL - Third test: A1C at 4.9 and fasting glucose at 97 mg/dL Aside from a slight abnormality in my chloride level, all other elements of my BMP and CMP came back within normal parameters. However, my doctor seems to downplay these results as insignificant. What worries me the most is the elevated fasting glucose levels. Do you think these figures point to a potential issue, especially given my current symptoms? Thank you for your help!

Lifestyle ChangesInternal MedicinePreventive Medicine

Answers (1)

Cony

7/5/2025, 5:20:34 PM

OpenHealth AI

Your concerns about your recent blood test results are valid, especially given the symptoms of persistent thirst and frequent urination. While your A1C and fasting glucose levels are still within a close range of normal, they are showing an upward trend, which is something to be aware of.

Understanding Your Situation:

  • Fasting Glucose Levels: The normal fasting glucose level is typically under 100 mg/dL. A level of 100-125 mg/dL is considered "prediabetes," while 126 mg/dL and above suggests diabetes. Your results hover near the threshold, particularly the second test at 101 mg/dL.
  • Symptoms: Increased thirst and urination can be signs of elevated blood sugar levels or other issues, and they merit attention, especially since they are new for you.

Next Steps:

  1. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their severity, and any other changes (like diet or activity level). This will help you and your healthcare provider understand your condition better.

  2. Hydration: Stay well-hydrated, but do it moderately. Aim to drink water throughout the day, but avoid excessive intake at once.

  3. Dietary Adjustments:

    • Focus on a balanced diet rich in whole foods, such as vegetables, fruits, whole grains, lean proteins, and healthy fats.
    • Limit sugary beverages and snacks, as these can contribute to higher blood sugar levels.
    • Consider smaller, more frequent meals to help manage your energy and blood sugar levels.
  4. Physical Activity: Engage in regular physical activity, aiming for at least 150 minutes of moderate aerobic exercise each week. Activities like brisk walking, cycling, or swimming are beneficial.

  5. Regular Check-ins: Schedule regular follow-ups with your healthcare provider to monitor your fasting glucose and A1C over time. Given the upward trend, you may want to discuss earlier re-testing to catch any changes early.

If your symptoms worsen, or if you begin experiencing any additional concerns (like weight loss, fatigue, or blurred vision), seek advice from a healthcare professional sooner.

Remember, it’s great that you’re proactive about your health! Keeping an open line of communication with your healthcare provider is key to addressing these concerns effectively. Let me know if you need any further clarification or tips!

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