Pre-Diabetes: is it PDQ?

Discussion in 'DoDMERB' started by kellen0176, Sep 23, 2015.

  1. kellen0176

    kellen0176 AROTC MSIV

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    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.
     
  2. Usnavy2019

    Usnavy2019 Member

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    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.
     
  3. kellen0176

    kellen0176 AROTC MSIV

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    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.
     

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