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Understanding Elevated Glucose & Hemoglobin A1c: Impact of Coffee & Potential Causes


Question
Hi,
 My husbands doctor went over his blood test results. He noted his glucose at 121 and Hemoblobin A1C at 6.1 meant he was "diabetic".  The blood was supposed to be taken after fasting but my husband had a cup of coffee with 2 sugar packets in it just prior to the blood being drawn. Could this have caused a higher reading and is it possible his readings would have been normal without the coffee?
Also of concern:  
Mono%  9.6
Mono Abs 1.0
Newt Abs 6.9
The doctor never mentioned these as being high but on the print out it indicates they are. What do they mean and are they reason for concern?

Thank you.

Answer
Hi Tracy.  Yes, the two packets of sugar was his coffee could have definitely affected his glucose and A1C results.  Did he tell his doctor this information?  If not, he should.  I would recommend that your husband have those two tests redone, after a 12-14 hour fast.  I wouldn't accept the diagnosis of diabetes without first rechecking after the fast.  Also the other results you gave me are part of a CBC (Complete Blood Count).  Mono is short for monocytes and Neut is short for neutrophils, which are both a type of white blood cell.  These results are only slightly out of range, which is unlikely to be of any clinical significance.

Samantha