blood testing for diabetes

[Guest guest]

Hello everyoneI have a long term female client, aged 72 (owner of children's day nursery and still working) who is experiencing an increase in tiredness over the last few months - . Whilst I wouldn't want to tell someone that maybe a full time, full on job, working with very young children is perhaps starting to take it's toll - she is now gently exploring the possibility herself that this may be the case. However, because the tiredness has become an issue for her relatively suddenly (she's now feeling like she needs an afternoon nap, whereas she didn't a few months ago) - I also think it's important to look at other possibilities. She does have an under active thyroid dx several years ago, so I've suggested that she have her levels checked (for some reason she hasn't had her usual annual recall from her surgery for this). There's no weight loss and no change in appetite, however, she has noticed an increase in frequency of urination and she does have mild, intermittent vaginal pruritis - so I've suggested that a blood glucose test might be a good idea as well. I'm also wondering about anaemia, she lives alone and her diet is a little restricted and sparse - I think she just doesn't bother about food very much. She sees a cardiologist yearly on a private basis - he tried to put her on statins a while ago, but they made her tired so she stopped taking them last year (as her HDL cholesterol levels were good he didn't press the issue) and on stopping she saw improvement in her energy levels at that time. He also suspected that she has very mild angina - she doesn't experience any pain. She has taken Amlodipine for high blood pressure for 3 years - which could also explain the tiredness.  

So, I've suggested she has a few blood tests, but she's not a great fan of her own GP and has decided to go to pay privately for the tests. The private hospital have asked which test for blood sugar she wants to have, and I have to admit, I'm not sure what would be the best to request in this instance (I've never been in the position of requesting this type of test before). I've read about fasting glucose, glucose tolerance  and HbA1c test - can any of you advise which would be the most suitable to request in this situation, please?

Thank youBest wishesSue Salmon, Huddersfield