A nurse called from my doctor’s office today, and my A1C was actually excellent. On the one hand, I’m thrilled by this news. As I said earlier, I was worried I might actually have become diabetic, rather than just insulin resistant (IR), which is essentially pre-diabetic. An A1C of over 7 is considered diabetic, and 6.5 to 7 (or sometimes 6 to 7) is considered prediabetic. 4.5 to 6 is normal. I was a 4.8! And since the test measures my average blood sugar for the last 3 months, and I’d only been dieting for about 6 weeks, that wouldn’t have affected the result.
But the fact remains: I’m not losing weight like I have in the past. If insulin isn’t causing me to hold onto my weight, what the heck is? Unfortunately, my doctor did not run a thyroid test with the other blood work, so it’s possible that my thyroid is the cause. Thyroid issues run in my family, although I’ve always tested well in the past. (However, I’ve also read that the current test is notoriously inaccurate.)
So unfortunately, I’m probably going to have to go back to the doctor to try to figure out what the next step should be, medically – or if there is one at all other than trudging along on my own. That’s mostly unfortunate b/c it means another $25 copay. But I guess if that’s what I need to do to get on track, that’s what I need to do.
I am really scratching my head, though, b/c I was SURE my insulin was the culprit. Since additional weight usually intensifies insulin resistance and I was at my highest weight ever, it made logical sense. I’m just trying to be happy I’m actually healthier than I thought…