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Diagnosis Healthy adults age 45 and older should get tested for diabetes every 3 years. Patients who have certain risk factors should ask their doctors about testing at an earlier age and more frequently. These risk factors include: A weight that is 20% more than ideal body weight Sedentary lifestyle High blood pressure (greater than 140/90) or unhealthy cholesterol levels -- especially for patients with low HDL ("good") cholesterol and high triglyceride levels History of heart disease, stroke, or peripheral artery disease A close relative (parent, sibling) with diabetes A high-risk ethnic group background (African-American, Latino, Native American, Asian American, Pacific Islander) Having delivered a baby weighing over 9 pounds or having a history of gestational diabetes (in women) Polycystic ovary disease (in women) Children age 10 and older should be tested for type 2 diabetes (even if they have no symptoms) every 3 years if they are overweight and have at least two risk factors. Testing for ...
E veryone who's had diabetes for a while is aware that there's some sort of relationship between their blood glucose (BG) levels and the results of their hemoglobin A1c (A1C) test. If someone's BGs are completely normal for the last three months, it's probably safe to assume that the A1C, if measured today, would be normal. But the reverse is not true: a normal A1C doesn't mean all the BGs the past three months have been normal: that might have been the case, but it's also possible, and indeed likely, that the BGs were a mixed bag, some high, some low, and some normal. For whatever it's worth, the A1C has become the "gold standard" lab test for measuring diabetes control: the lower the better; the usual advice is to aim to get your number under 7 (per one organization's recommendation) or 6.5 (per the recommendations of some other organizations).
A recent publication ( Translating the A1C Assay Into Estimated Average Glucose Values ) examined the relationship of the A1C assay...
Republished with permission of Amy Tenderich of DiabetesMine.com
For at least three consecutive years now at the annual ADA Conference, we keep hearing about a rumored switchover from the A1c as the gold standard average glucose measurement. Instead, we'll get something new and supposedly easier to understand: a new measure that more closely reflects the mg/dL (and international mmol/l) numbers we all get on our home glucose meters. This new test is now dubbed the eAG (estimated average glucose).
One of the big news announcements Scientific Sessions this week was the results of a large international study that supposedly underscores the accuracy of the eAG. In this 10-center study, 507 volunteers with diabetes had their A1c translated into eAG readings and compared with their running daily BG results, if I understood the press materials correctly. "Study investigators found a simple linear relationship," the ADA press release states.
Also stated: "Patients find it difficult ...
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