Feeling really anxious about my upcoming A1c test this week

(21F) I’m scheduled for blood work this week, including an A1c check due to my PCOS. The last time I had this done was when I was 18 and first diagnosed; it was 5.5 then. I haven’t been the best at managing my health, and my eating habits were pretty poor until recently. That said, I had three glucose checks between September and October during some hospital visits, and they were all within normal range—97, 98, and 99—even though I’d eaten a few hours prior. I realize blood sugar readings aren’t the whole picture for a diagnosis, especially since I’ve been dealing with frequent urination (without thirst), high WBCs in my urine (but no sugar or ketones), and some random numbness and tingling. The thought of a diagnosis, even prediabetes, is terrifying. My father developed T2D in his 40s, and there’s such a negative stigma surrounding diabetes. I know it’s not an end-of-life scenario, but it will complicate things, and I’m dreading the judgment from my family. I just want to know if a normal life is still possible if the results are bad.

Update: My A1c came back at 5.4 and fasting glucose is 96, so no diabetes for me! So relieved!

Getting a diagnosis doesn’t mean your life is over. You can still live a “normal” life; you’ll just need to be more mindful of your diet, make some healthy lifestyle adjustments, and try to keep your stress levels down. Unless you’re open about it with everyone, people won’t even know as long as you’re staying on top of your health.

I’m sorry you’re dealing with this stress. It’s strange your family would judge you when your father also has the condition. Since there’s a genetic component, it’s likely linked to your family history anyway. I haven’t personally faced any ridicule, but if you keep it private, most people won’t have a clue. I usually mention it just so people understand why I’m skipping treats or pizza at work. There’s zero reason to feel ashamed. Plenty of people are in the same boat, and new cases are found every day. Plus, medical treatments and medications have improved significantly in just the last few years.

What kind of stigma are you referring to? I’ve lived with it for 22 years; mine was brought on by psychiatric medication but was also in my genes, so I likely would have developed it eventually like my father did. Why do you feel there’s a stigma? Do you look down on others for their health issues? I’m asking sincerely because, out of all the conditions you could face, this one is very controllable if you follow the necessary steps.

I was told I had prediabetes years back, and my A1c hit 6.0 earlier this year. I also dealt with fatty liver and high liver enzymes. I’ve had PCOS since I was 20 and I’m turning 43 soon. Starting Ozempic was a game-changer for my blood sugar; my A1c dropped from 6 to 5. Medical science has come a long way with diabetes, and it’s very manageable if you get diagnosed. With Type 1 on my mom’s side and Type 2 on my dad’s, I always felt it was inevitable for me. I understand the fear, but you can definitely have diabetes and still live a full life.

Looking back after a year of being diagnosed, I’ve realized how many people I know have had diabetes for decades and are doing just fine, even those who aren’t perfectly controlled. I used to worry a ton, but it’s actually a fairly straightforward condition to handle. Some studies even suggest that people with well-managed T2 actually live longer than those without it. It’s annoying having to watch what you eat and skipping the donuts, but I’ve changed my perspective—I don’t take meds and I’ve embraced daily walks. Don’t panic; it’s frustrating but not a death sentence, and you’ll start feeling better soon. You didn’t choose this, and if anyone gives you a hard time, they aren’t worth your energy. I’ve cut those types of people out of my life.