FROM OUR EXPERTS
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...
Every three to six months we have our A1C measured…but what does that number really mean? You know it’s a measure of your average blood sugar reading, but when was the last time your blood glucose monitor gave you a percentage? Your A1C is essentially a measurement of the Advanced Glycogenated End-products that have accumulated in your blood from blood sugar levels…the higher our blood sugars are, the more AGEs are present in our blood. These AGEs are also what lead to various complications we’re warned about: nerve damage, retinopathy, etc. So, as usual, our goal is to reduce our A1C which will reduce our AGEs, and we do this by controlling our blood sugars better. The Joslin Diabetes Center recently published an article about a new way to report your A1C so you can translate that number to the numbers you see on your monitor. This is your eAG= Estimated Average Glucose. So what does it mean to you when your doctor says your A1C is 8%? According to the Joslin ar...
San Francisco -- For the past five days people with diabetes have taken
over downtown San Francisco. More than 20,000 diabetes professionals
have been here for the annual meeting of the American Diabetes
Association. Those of us wearing ADA name badges not only filled the
exhibition halls but also San Francisco's already crowded sidewalks. The
city was a gracious hostess, providing the best possible accommodations
and weather. We met in in the city's largest convention and exhibition
complex, the Moscone Center . Built in 1981, the center is named for George Moscone, a former mayor of San Francisco who was assassinated in 1978.
Moscone Center Entrance This
vibrant city itself explains a lot why for me this was the best ADA
ever. It almost tempts me to move back to California and to live in a
big city again. But now we are leaving. I tried to stop this bus, but
Stop the Bus!
was here a dozen years ago that the ADA introduced us to new
terminology describing the types of diab...
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