A1c Accuracy

while this is a good critique of the A1C, i feel it is somewhat of a smokescreen, in that trending A1C is always more important than a single (perhaps theoretically irreducible) measurement- in fact, one could critique any lab value along these lines, but it doesn't make the values invalid or inaccurate even if they deviate from the population norm- so trending A1C movement for an individual can be accurate even if it is varying from what is 'normal'- as Aristotle said, there is no science of the particular- but change in a particular can become a science- so i would integrate HgBA1C trend along with changes in weight, diet , and exercise as key pieces to modifying a diabetes plan of action, even if those pieces may be exotic

My Granddaughter was treated for Gestational Diabetes, and 2 months after safely delivering a 1 month premie, (due to an amniotic fluid leakage that put the baby in jeopardy) we found out that she had been bleeding internally as a result of undiagnosed Chrones Disease! 

During her pregnancy, even while taking the best vitamin protocol, she was anemic, iron deficient and feeling less than her normal healthy & bubbly self.

After 2 months of steroid treatment and terrible weight loss she has had surgery, .  The outcome was better than any of us had even dared to hope and her surgeon suggested that she could safely complete another pregnancy after recovering.

She is doing well now, her baby is a healthy 9 month old, and she is preparing to get pregnant again soon, as her Gastrointerologist says the sooner the better, if she wants another child.

Is it possible that she really didn't have Gestational Diabetes? Would it be helpful to add this information to the mix, or would it be better to just let her be treated for Gestational Diabetes in the event that comes up again? 

My child has had higher sugars in three months...but she diets and fasts before going in to the doctor thus faking overall resuts!??

Hi Gretchen,

I have thalassemia and last month was dx'ed as T2 diabetes. I'm having an A1C test next week, though I've read that because of the thalassemia, the results may not be accurately translated into my average blood glucose levels for the past three months.Is there another test that can be done that can?

Thanks,

Nicole