Generic Name: DARBEPOETIN ALFA - INJECTION Pronounced: (DAR-boh-poh-EE-tin AL-fuh) Aranesp (Polysorbate) Inj Precautions
Before using darbepoetin alfa, tell your doctor or
pharmacist if you are allergic to it; or to other drugs that cause more red
blood cells to be made (e.g., epoetin alfa); or to products containing human
albumin; or if you have any other allergies. This product may contain inactive
ingredients (such as polysorbate, latex), which can cause allergic reactions or
other problems. Talk to your pharmacist for more details.
This medication should not be used if you have a certain
medical condition. Before using this medicine, consult your doctor or
pharmacist if you have:
uncontrolled high blood pressure
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
high blood pressure (treated/controlled)
blood disorders (e.g., sickle cell anemia, white blood cell
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...
The Times on Type 2 Diabetes Part 2 of 2 Blood Sugar and Heart Disease Gina Kolata's recent story on diabetes in the New York Times is attempting to correct some common misconceptions about diabetes. In my previous post on this blog , I commented on her point that it's wrong to blame patients for their disease because it has a strong genetic component, and focusing on weight loss alone is not the answer. Another point that Kolata emphasizes is that it's not just blood sugar control that is important in diabetes. Most people with diabetes die from heart disease , so patients need to control their cardiovascular risk factors as well. These include blood pressure and cholesterol levels. I agree. But this idea is not new. The American Diabetes Association has had a campaign since the turn of the century for people to learn their "Diabetes ABCs," or A1c levels, blood pressure, and cholesterol levels. But again, apparently no one was listening.
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