I am pretty new to this community at Health Central but, if you know me from outside of this site you know that I have been struggling with my diabetes management for quite some time. If you don't know, now you know!
For pretty much the past year I have been on a quest for a lower a1c. It has not been an easy one, I can tell you that much. I joined a gym last September and even hired a personal trainer. (Well that was because I was getting married, but that is besides the point, and it helped me along my quest too.) I changed my diet about a gazillion times, First buying the book the LOW GI Diet Revolution in December which gave me food choices that I haven't had before which were much better for my blood sugars. It seemed to be working well for me, my blood sugars were more in range during the day but I was still very high at night and into the morning.
Another factor were the lows and rebounding highs after gym work outs. Frustrating was not even the word. ...
How accurate are the hemoglobin A1c tests (which I'll call just A1c) that most of us with diabetes get about 4 times a year? The A1c is supposed to tell us what our average blood glucose (BG) level has been over the previous several months, and it has provided information that was lacking in the early days of diabetes treatment.
However, researchers have now begun to dig deeper into the meaning of the A1c test to try to explain why some people's A1c doesn't seem to agree with their daily BG measurements.
We should have an approximate idea of how well we're controlling just by measuring our BG levels with our home meters. But the meters only tell us what the BG level is at the time we test. Even if we test 8 or 10 times a day, there are times when we're not testing, especially overnight.
And not everyone can afford to test even eight times a day. For instance, Medicare thinks that people on insulin need only 100 strips a month, enough to test about three times a day. For people ...
F or years, physicians and patients have trusted the A1C lab test to judge if a patient's diabetes is well-controlled or not; diabetes physicians and diabetes organizations have urged people with diabetes to get their number under 7 (or in some cases, even lower). A1C, also called hemoglobin A1c, and sometimes abbreviated HbA1c, measures the amount of glucose that's hooked to hemoglobin in red blood cells, and gives an estimate of how the blood glucose has been doing the past 2 to 3 months.
But until recently, the possible use of the A1C test to diagnose diabetes has been considered a no-no. Diagnosis of diabetes has been based almost exclusively on fasting blood glucose values of 126 mg/dl (7 mmol/L) or greater. Symptoms (if present), fancy glucose testing with oral glucose tolerance tests, family history, positive tests for urine glucose, and elevated A1C values have all been considered supportive of the diagnosis, but if the glucose isn't 126 or more, the diagnosis cannot be...
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