Pre-Diabetes: is it PDQ?

[kellen0176]

I previously posted about hypoglycemia after being told that symptoms I have been dealing with were due to post-prandial (after eating) hypoglycemia. Since then I have had no luck at the symptoms subsiding and they continue to go uncontrolled. I recently had an A1C test that came back in the pre-diabetic range (5.7%). In all my previous fasting blood tests, my blood glucose levels have hovered around the high end of "normal."

DoD Instruction 6130.03 states "(2) Current or history of pre-diabetes mellitus defined as fasting plasma glucose 110- 125 milligrams per deciliter (mg/dL) and glycosylated hemoglobin greater than 5.7 percent"

and

the Army's AR 40-501 simply states, "b. Current or history of diabetes mellitus (250) does not meet the standard."

If my A1C level is 5.7% (I know this is the low end of the pre-diabetic range) is that DQ as well? I know that obviously the Army standards apply to me, but do the ones in the DoD pamphlet also apply to me? If it's only Army, does pre-diabetes not meet the standard since it's not full blown diabetes?

Thanks for all the help.

 

[Usnavy2019]

The standard says greater than 5.7 %. You said you are at 5.7%. You are technically within standards. I think the Army just simplified the standards where in reality they consider pre-diabetes to be above 5.8%. I would talk to your command and see what they have to say about it. They would probably know more about Army Medical Standards than you or me.

 

[kellen0176]

Thanks, USnavy2019. The numbers confused me because the pre-diabetic range is 5.7-6.4%, so I didn't really understand why DoD says 5.8% and above. I've spoken with my PMS and he said he has no idea. I graduate in December, but they won't submit my package for a medical determination because the doctor who did the tests wrote that I'm pre-diabetic and just to increase cardio exercise, go on a low-carb diet, and re-test in a year. Well, I don't exactly have a year to just wait around since I graduate in three months. Yes, I have loved my experiences with the military, but it's not the end of the world if I can't be in anymore. I just need an answer and I can't seem to get one from anyone in my CoC.