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You want to control your diabetes as much as possible. You wouldn't be reading this if you didn't. So you regularly check your A1C level. This is the best measurement of our blood glucose control that we have now. It tells us what percentage of our hemoglobin -- the protein in our red blood cells that carry oxygen -- has glucose sticking to it. The less glucose that remains in our bloodstream rather than going to work in the cells that need it the better we feel now and the better our health will continue to be. As we are able to control our diabetes better and better, the reasonable goal is to bring our A1C levels down to normal -- the A1C level that people who don't have diabetes have. But before we can even set that goal, we have to know what the target is. The trouble with setting that target is that different experts tell us that quite different A1C levels are "normal." They tell us that different levels are normal -- but I have never heard of actual studies of normal A1C leve...
Read David's first update from the Scientific Sessions here!
San Francisco -- Yesterday I was wearing Band-aids on six of my fingers. I had my A1C tested six times in one day with five different systems. I'm in San Francisco at what is probably the only place in the world
where I could have this bloody experience. It's the annual Scientific
Sessions of the American Diabetes Association. The consistency of the results of these six tests is good news for
people with diabetes. Each of these tests claim to be certified by the National Glycohemoglobin Standardization Program (NGSP) or comparable to it, and the closeness of the results confirm these claims. But my higher numbers from a year ago was bad news for me. At last
year's ADA in Chicago only three booths offered A1C tests. My results
varied from 4.6 with Bayer HealthCare's A1CNow+ to 5.1 with Siemens Healthcare Diagnostics' DCA 2000+ Anaylzer to 5.3 with the Bio-Rad in2it A1C Anaylzer . Those results for a person with typ...
I recently saw the following question:
My granddaughter’s HgbA1c was elevated to 10. Her glucose readings have been normal. Why does she have this elevated reading?
It seems obvious at first glance that either the elevated HgbA1c is wrong, or the glucose readings are misleading. I’ll assume that your granddaughter has a diagnosis of diabetes, and that the glucose readings you describe are being done by her with a home glucose meter, rather than being done in a commercial laboratory. You don’t describe her as being a child, teen, or adult, but the issues are mostly age-independent.
As you are aware, the glycosylated hemoglobin test (called by various acronyms including HgbA1c and A1C) has a normal range well below your granddaughter’s value of 10. In people without diabetes, the value is usually about 5; for people with diabetes, most endocrinologists would want to see the value below 7. So, based on her value of 10, one would assum...
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