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RE: ADA A1C information

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That is true, but it none the less does happen to some diabetics.

Re: ADA A1C information

Speaking as a long term type 1, that doesn't happen pat if you check your

sugar frequently enough. I.E pre meal, 2 hours past eating, etc.

I know you know that Pat but wanted to post it for newbies. Main thing is,

you will not pass out if you check enough. It is only when you *assume* you

are ok that you can get in big trouble and pass out.

Regards,

ADA A1C information

>>>>>>>>

>>>>>>>>

>>>>>>>>>

>>>>>>>>> " But I have not seen research indicating that once one is in the

>>>>>>>>> " normal

>>>>>>>>> range " , additional lowering of one's A1C decreases the

probability

>>>>>>>>> of

>>>>>>>>> diabetic complications. "

>>>>>>>>>

>>>>>>>>> The better known complications kick in at the high end of the 6

>>>>>>>>> range

>>>>>>>>> where

>>>>>>>>> the curve for risk increases greatly. Heart disease and the more

>>>>>>>>> general

>>>>>>>>> cvd risk knows no lower range starting around 5 when the data

runs

>>>>>>>>> out

>>>>>>>>> for

>>>>>>>>> research into the matter. the rate is linear with each measure

>>>>>>>>> of

>>>>>>>>> increase from within the normal range. Less researched

>>>>>>>>> complications

>>>>>>>>> such

>>>>>>>>> as erectile function and the neural involvement in feet and

bowels

>>>>>>>>> etc.

>>>>>>>>> have already started to kick in before diagnosis and any

>>>>>>>>> thresholds

>>>>>>>>> are

>>>>>>>>> not

>>>>>>>>> known.

>>>>>>>>>

>>>>>>>>> The a1c is a proxy for glycation in all tissues of the body, not

>>>>>>>>> just

>>>>>>>>> for

>>>>>>>>> blood cells. It affects more long lasting cells such as

>>>>>>>>> connective

>>>>>>>>> tissue

>>>>>>>>> in skin and tendons for example and lead to such things as

frozen

>>>>>>>>> shoulder.

>>>>>>>>> Glycation is indirectly related to rate of physical aging and

>>>>>>>>> diabetics

>>>>>>>>> are

>>>>>>>>> often said to be 10 years older then others at the same calendar

>>>>>>>>> age.

>>>>>>>>> If

>>>>>>>>> a

>>>>>>>>> type 2, increased rates of beta cell death and suppression of

new

>>>>>>>>> cells

>>>>>>>>> is

>>>>>>>>> a factor. Your statement is only valid for such things as

having

>>>>>>>>> limbs

>>>>>>>>> chopped off and losing sight, not heart/stroke and the other

>>>>>>>>> things

>>>>>>>>> mentioned for which there is no lower limit or they are unknown.

>>>>>>>>>

>>>>>>>>> XB

>>>>>>>>> IC|XC

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

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Guest guest

That is true, but it none the less does happen to some diabetics.

Re: ADA A1C information

Speaking as a long term type 1, that doesn't happen pat if you check your

sugar frequently enough. I.E pre meal, 2 hours past eating, etc.

I know you know that Pat but wanted to post it for newbies. Main thing is,

you will not pass out if you check enough. It is only when you *assume* you

are ok that you can get in big trouble and pass out.

Regards,

ADA A1C information

>>>>>>>>

>>>>>>>>

>>>>>>>>>

>>>>>>>>> " But I have not seen research indicating that once one is in the

>>>>>>>>> " normal

>>>>>>>>> range " , additional lowering of one's A1C decreases the

probability

>>>>>>>>> of

>>>>>>>>> diabetic complications. "

>>>>>>>>>

>>>>>>>>> The better known complications kick in at the high end of the 6

>>>>>>>>> range

>>>>>>>>> where

>>>>>>>>> the curve for risk increases greatly. Heart disease and the more

>>>>>>>>> general

>>>>>>>>> cvd risk knows no lower range starting around 5 when the data

runs

>>>>>>>>> out

>>>>>>>>> for

>>>>>>>>> research into the matter. the rate is linear with each measure

>>>>>>>>> of

>>>>>>>>> increase from within the normal range. Less researched

>>>>>>>>> complications

>>>>>>>>> such

>>>>>>>>> as erectile function and the neural involvement in feet and

bowels

>>>>>>>>> etc.

>>>>>>>>> have already started to kick in before diagnosis and any

>>>>>>>>> thresholds

>>>>>>>>> are

>>>>>>>>> not

>>>>>>>>> known.

>>>>>>>>>

>>>>>>>>> The a1c is a proxy for glycation in all tissues of the body, not

>>>>>>>>> just

>>>>>>>>> for

>>>>>>>>> blood cells. It affects more long lasting cells such as

>>>>>>>>> connective

>>>>>>>>> tissue

>>>>>>>>> in skin and tendons for example and lead to such things as

frozen

>>>>>>>>> shoulder.

>>>>>>>>> Glycation is indirectly related to rate of physical aging and

>>>>>>>>> diabetics

>>>>>>>>> are

>>>>>>>>> often said to be 10 years older then others at the same calendar

>>>>>>>>> age.

>>>>>>>>> If

>>>>>>>>> a

>>>>>>>>> type 2, increased rates of beta cell death and suppression of

new

>>>>>>>>> cells

>>>>>>>>> is

>>>>>>>>> a factor. Your statement is only valid for such things as

having

>>>>>>>>> limbs

>>>>>>>>> chopped off and losing sight, not heart/stroke and the other

>>>>>>>>> things

>>>>>>>>> mentioned for which there is no lower limit or they are unknown.

>>>>>>>>>

>>>>>>>>> XB

>>>>>>>>> IC|XC

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

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Guest guest

That is true, but it none the less does happen to some diabetics.

Re: ADA A1C information

Speaking as a long term type 1, that doesn't happen pat if you check your

sugar frequently enough. I.E pre meal, 2 hours past eating, etc.

I know you know that Pat but wanted to post it for newbies. Main thing is,

you will not pass out if you check enough. It is only when you *assume* you

are ok that you can get in big trouble and pass out.

Regards,

ADA A1C information

>>>>>>>>

>>>>>>>>

>>>>>>>>>

>>>>>>>>> " But I have not seen research indicating that once one is in the

>>>>>>>>> " normal

>>>>>>>>> range " , additional lowering of one's A1C decreases the

probability

>>>>>>>>> of

>>>>>>>>> diabetic complications. "

>>>>>>>>>

>>>>>>>>> The better known complications kick in at the high end of the 6

>>>>>>>>> range

>>>>>>>>> where

>>>>>>>>> the curve for risk increases greatly. Heart disease and the more

>>>>>>>>> general

>>>>>>>>> cvd risk knows no lower range starting around 5 when the data

runs

>>>>>>>>> out

>>>>>>>>> for

>>>>>>>>> research into the matter. the rate is linear with each measure

>>>>>>>>> of

>>>>>>>>> increase from within the normal range. Less researched

>>>>>>>>> complications

>>>>>>>>> such

>>>>>>>>> as erectile function and the neural involvement in feet and

bowels

>>>>>>>>> etc.

>>>>>>>>> have already started to kick in before diagnosis and any

>>>>>>>>> thresholds

>>>>>>>>> are

>>>>>>>>> not

>>>>>>>>> known.

>>>>>>>>>

>>>>>>>>> The a1c is a proxy for glycation in all tissues of the body, not

>>>>>>>>> just

>>>>>>>>> for

>>>>>>>>> blood cells. It affects more long lasting cells such as

>>>>>>>>> connective

>>>>>>>>> tissue

>>>>>>>>> in skin and tendons for example and lead to such things as

frozen

>>>>>>>>> shoulder.

>>>>>>>>> Glycation is indirectly related to rate of physical aging and

>>>>>>>>> diabetics

>>>>>>>>> are

>>>>>>>>> often said to be 10 years older then others at the same calendar

>>>>>>>>> age.

>>>>>>>>> If

>>>>>>>>> a

>>>>>>>>> type 2, increased rates of beta cell death and suppression of

new

>>>>>>>>> cells

>>>>>>>>> is

>>>>>>>>> a factor. Your statement is only valid for such things as

having

>>>>>>>>> limbs

>>>>>>>>> chopped off and losing sight, not heart/stroke and the other

>>>>>>>>> things

>>>>>>>>> mentioned for which there is no lower limit or they are unknown.

>>>>>>>>>

>>>>>>>>> XB

>>>>>>>>> IC|XC

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

>>>>>>>>>

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Guest guest

I had a 4+ edema a year ago and my feet and ankles swole up. I don't mean

to be an alarmist here, but if you have swolen feet and ankles maybe you

need to rule out chronic heart failure. If you stopped taking the Actos and

your feet returned to normal within a few days, it is probably due to the

medicine, but I am not for sure. Since taking niacin daily in therapeutic

doses and doing walking exercise, I have had no further problems with swolen

feet and ankles.

Re: ADA A1C information

>I can't take actos because it causes a lot of swelling in my feet.

> Making it hard to even put on my shoes.

> Does anyone else have the swelling problem?

> dave

>

>

>

>

>

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Guest guest

I had a 4+ edema a year ago and my feet and ankles swole up. I don't mean

to be an alarmist here, but if you have swolen feet and ankles maybe you

need to rule out chronic heart failure. If you stopped taking the Actos and

your feet returned to normal within a few days, it is probably due to the

medicine, but I am not for sure. Since taking niacin daily in therapeutic

doses and doing walking exercise, I have had no further problems with swolen

feet and ankles.

Re: ADA A1C information

>I can't take actos because it causes a lot of swelling in my feet.

> Making it hard to even put on my shoes.

> Does anyone else have the swelling problem?

> dave

>

>

>

>

>

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Guest guest

I had a 4+ edema a year ago and my feet and ankles swole up. I don't mean

to be an alarmist here, but if you have swolen feet and ankles maybe you

need to rule out chronic heart failure. If you stopped taking the Actos and

your feet returned to normal within a few days, it is probably due to the

medicine, but I am not for sure. Since taking niacin daily in therapeutic

doses and doing walking exercise, I have had no further problems with swolen

feet and ankles.

Re: ADA A1C information

>I can't take actos because it causes a lot of swelling in my feet.

> Making it hard to even put on my shoes.

> Does anyone else have the swelling problem?

> dave

>

>

>

>

>

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Guest guest

If a person has neuropathy, is that visible?

ADA A1C information

> >>>>>

> >>>>>

> >>>>>>

> >>>>>> " But I have not seen research indicating that once one is in the

> >>>>>> " normal

> >>>>>> range " , additional lowering of one's A1C decreases the probability

of

> >>>>>> diabetic complications. "

> >>>>>>

> >>>>>> The better known complications kick in at the high end of the 6

range

> >>>>>> where

> >>>>>> the curve for risk increases greatly. Heart disease and the more

> >>>>>> general

> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

> >>>>>> out

> >>>>>> for

> >>>>>> research into the matter. the rate is linear with each measure of

> >>>>>> increase from within the normal range. Less researched

complications

> >>>>>> such

> >>>>>> as erectile function and the neural involvement in feet and bowels

> >>>>>> etc.

> >>>>>> have already started to kick in before diagnosis and any thresholds

> >>>>>> are

> >>>>>> not

> >>>>>> known.

> >>>>>>

> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

just

> >>>>>> for

> >>>>>> blood cells. It affects more long lasting cells such as connective

> >>>>>> tissue

> >>>>>> in skin and tendons for example and lead to such things as frozen

> >>>>>> shoulder.

> >>>>>> Glycation is indirectly related to rate of physical aging and

> >>>>>> diabetics

> >>>>>> are

> >>>>>> often said to be 10 years older then others at the same calendar

age.

> >>>>>> If

> >>>>>> a

> >>>>>> type 2, increased rates of beta cell death and suppression of new

> >>>>>> cells

> >>>>>> is

> >>>>>> a factor. Your statement is only valid for such things as having

> >>>>>> limbs

> >>>>>> chopped off and losing sight, not heart/stroke and the other things

> >>>>>> mentioned for which there is no lower limit or they are unknown.

> >>>>>>

> >>>>>> XB

> >>>>>> IC|XC

> >>>>>>

> >>>>>>

> >>>>>>

> >>>>>>

> >>>>>>

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Guest guest

If a person has neuropathy, is that visible?

ADA A1C information

> >>>>>

> >>>>>

> >>>>>>

> >>>>>> " But I have not seen research indicating that once one is in the

> >>>>>> " normal

> >>>>>> range " , additional lowering of one's A1C decreases the probability

of

> >>>>>> diabetic complications. "

> >>>>>>

> >>>>>> The better known complications kick in at the high end of the 6

range

> >>>>>> where

> >>>>>> the curve for risk increases greatly. Heart disease and the more

> >>>>>> general

> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

> >>>>>> out

> >>>>>> for

> >>>>>> research into the matter. the rate is linear with each measure of

> >>>>>> increase from within the normal range. Less researched

complications

> >>>>>> such

> >>>>>> as erectile function and the neural involvement in feet and bowels

> >>>>>> etc.

> >>>>>> have already started to kick in before diagnosis and any thresholds

> >>>>>> are

> >>>>>> not

> >>>>>> known.

> >>>>>>

> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

just

> >>>>>> for

> >>>>>> blood cells. It affects more long lasting cells such as connective

> >>>>>> tissue

> >>>>>> in skin and tendons for example and lead to such things as frozen

> >>>>>> shoulder.

> >>>>>> Glycation is indirectly related to rate of physical aging and

> >>>>>> diabetics

> >>>>>> are

> >>>>>> often said to be 10 years older then others at the same calendar

age.

> >>>>>> If

> >>>>>> a

> >>>>>> type 2, increased rates of beta cell death and suppression of new

> >>>>>> cells

> >>>>>> is

> >>>>>> a factor. Your statement is only valid for such things as having

> >>>>>> limbs

> >>>>>> chopped off and losing sight, not heart/stroke and the other things

> >>>>>> mentioned for which there is no lower limit or they are unknown.

> >>>>>>

> >>>>>> XB

> >>>>>> IC|XC

> >>>>>>

> >>>>>>

> >>>>>>

> >>>>>>

> >>>>>>

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Guest guest

If a person has neuropathy, is that visible?

ADA A1C information

> >>>>>

> >>>>>

> >>>>>>

> >>>>>> " But I have not seen research indicating that once one is in the

> >>>>>> " normal

> >>>>>> range " , additional lowering of one's A1C decreases the probability

of

> >>>>>> diabetic complications. "

> >>>>>>

> >>>>>> The better known complications kick in at the high end of the 6

range

> >>>>>> where

> >>>>>> the curve for risk increases greatly. Heart disease and the more

> >>>>>> general

> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

> >>>>>> out

> >>>>>> for

> >>>>>> research into the matter. the rate is linear with each measure of

> >>>>>> increase from within the normal range. Less researched

complications

> >>>>>> such

> >>>>>> as erectile function and the neural involvement in feet and bowels

> >>>>>> etc.

> >>>>>> have already started to kick in before diagnosis and any thresholds

> >>>>>> are

> >>>>>> not

> >>>>>> known.

> >>>>>>

> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

just

> >>>>>> for

> >>>>>> blood cells. It affects more long lasting cells such as connective

> >>>>>> tissue

> >>>>>> in skin and tendons for example and lead to such things as frozen

> >>>>>> shoulder.

> >>>>>> Glycation is indirectly related to rate of physical aging and

> >>>>>> diabetics

> >>>>>> are

> >>>>>> often said to be 10 years older then others at the same calendar

age.

> >>>>>> If

> >>>>>> a

> >>>>>> type 2, increased rates of beta cell death and suppression of new

> >>>>>> cells

> >>>>>> is

> >>>>>> a factor. Your statement is only valid for such things as having

> >>>>>> limbs

> >>>>>> chopped off and losing sight, not heart/stroke and the other things

> >>>>>> mentioned for which there is no lower limit or they are unknown.

> >>>>>>

> >>>>>> XB

> >>>>>> IC|XC

> >>>>>>

> >>>>>>

> >>>>>>

> >>>>>>

> >>>>>>

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Guest guest

The neuropathy itself is not visible. However, neuropathy in the hands or

feet is often, if not always, accompanied by poor circulation and the

results of this are often visible.

Mike

ADA A1C information

>> >>>>>

>> >>>>>

>> >>>>>>

>> >>>>>> " But I have not seen research indicating that once one is in the

>> >>>>>> " normal

>> >>>>>> range " , additional lowering of one's A1C decreases the probability

> of

>> >>>>>> diabetic complications. "

>> >>>>>>

>> >>>>>> The better known complications kick in at the high end of the 6

> range

>> >>>>>> where

>> >>>>>> the curve for risk increases greatly. Heart disease and the more

>> >>>>>> general

>> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

>> >>>>>> out

>> >>>>>> for

>> >>>>>> research into the matter. the rate is linear with each measure

>> >>>>>> of

>> >>>>>> increase from within the normal range. Less researched

> complications

>> >>>>>> such

>> >>>>>> as erectile function and the neural involvement in feet and bowels

>> >>>>>> etc.

>> >>>>>> have already started to kick in before diagnosis and any

>> >>>>>> thresholds

>> >>>>>> are

>> >>>>>> not

>> >>>>>> known.

>> >>>>>>

>> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> just

>> >>>>>> for

>> >>>>>> blood cells. It affects more long lasting cells such as

>> >>>>>> connective

>> >>>>>> tissue

>> >>>>>> in skin and tendons for example and lead to such things as frozen

>> >>>>>> shoulder.

>> >>>>>> Glycation is indirectly related to rate of physical aging and

>> >>>>>> diabetics

>> >>>>>> are

>> >>>>>> often said to be 10 years older then others at the same calendar

> age.

>> >>>>>> If

>> >>>>>> a

>> >>>>>> type 2, increased rates of beta cell death and suppression of new

>> >>>>>> cells

>> >>>>>> is

>> >>>>>> a factor. Your statement is only valid for such things as having

>> >>>>>> limbs

>> >>>>>> chopped off and losing sight, not heart/stroke and the other

>> >>>>>> things

>> >>>>>> mentioned for which there is no lower limit or they are unknown.

>> >>>>>>

>> >>>>>> XB

>> >>>>>> IC|XC

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

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Guest guest

The neuropathy itself is not visible. However, neuropathy in the hands or

feet is often, if not always, accompanied by poor circulation and the

results of this are often visible.

Mike

ADA A1C information

>> >>>>>

>> >>>>>

>> >>>>>>

>> >>>>>> " But I have not seen research indicating that once one is in the

>> >>>>>> " normal

>> >>>>>> range " , additional lowering of one's A1C decreases the probability

> of

>> >>>>>> diabetic complications. "

>> >>>>>>

>> >>>>>> The better known complications kick in at the high end of the 6

> range

>> >>>>>> where

>> >>>>>> the curve for risk increases greatly. Heart disease and the more

>> >>>>>> general

>> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

>> >>>>>> out

>> >>>>>> for

>> >>>>>> research into the matter. the rate is linear with each measure

>> >>>>>> of

>> >>>>>> increase from within the normal range. Less researched

> complications

>> >>>>>> such

>> >>>>>> as erectile function and the neural involvement in feet and bowels

>> >>>>>> etc.

>> >>>>>> have already started to kick in before diagnosis and any

>> >>>>>> thresholds

>> >>>>>> are

>> >>>>>> not

>> >>>>>> known.

>> >>>>>>

>> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> just

>> >>>>>> for

>> >>>>>> blood cells. It affects more long lasting cells such as

>> >>>>>> connective

>> >>>>>> tissue

>> >>>>>> in skin and tendons for example and lead to such things as frozen

>> >>>>>> shoulder.

>> >>>>>> Glycation is indirectly related to rate of physical aging and

>> >>>>>> diabetics

>> >>>>>> are

>> >>>>>> often said to be 10 years older then others at the same calendar

> age.

>> >>>>>> If

>> >>>>>> a

>> >>>>>> type 2, increased rates of beta cell death and suppression of new

>> >>>>>> cells

>> >>>>>> is

>> >>>>>> a factor. Your statement is only valid for such things as having

>> >>>>>> limbs

>> >>>>>> chopped off and losing sight, not heart/stroke and the other

>> >>>>>> things

>> >>>>>> mentioned for which there is no lower limit or they are unknown.

>> >>>>>>

>> >>>>>> XB

>> >>>>>> IC|XC

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

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Guest guest

The neuropathy itself is not visible. However, neuropathy in the hands or

feet is often, if not always, accompanied by poor circulation and the

results of this are often visible.

Mike

ADA A1C information

>> >>>>>

>> >>>>>

>> >>>>>>

>> >>>>>> " But I have not seen research indicating that once one is in the

>> >>>>>> " normal

>> >>>>>> range " , additional lowering of one's A1C decreases the probability

> of

>> >>>>>> diabetic complications. "

>> >>>>>>

>> >>>>>> The better known complications kick in at the high end of the 6

> range

>> >>>>>> where

>> >>>>>> the curve for risk increases greatly. Heart disease and the more

>> >>>>>> general

>> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

>> >>>>>> out

>> >>>>>> for

>> >>>>>> research into the matter. the rate is linear with each measure

>> >>>>>> of

>> >>>>>> increase from within the normal range. Less researched

> complications

>> >>>>>> such

>> >>>>>> as erectile function and the neural involvement in feet and bowels

>> >>>>>> etc.

>> >>>>>> have already started to kick in before diagnosis and any

>> >>>>>> thresholds

>> >>>>>> are

>> >>>>>> not

>> >>>>>> known.

>> >>>>>>

>> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> just

>> >>>>>> for

>> >>>>>> blood cells. It affects more long lasting cells such as

>> >>>>>> connective

>> >>>>>> tissue

>> >>>>>> in skin and tendons for example and lead to such things as frozen

>> >>>>>> shoulder.

>> >>>>>> Glycation is indirectly related to rate of physical aging and

>> >>>>>> diabetics

>> >>>>>> are

>> >>>>>> often said to be 10 years older then others at the same calendar

> age.

>> >>>>>> If

>> >>>>>> a

>> >>>>>> type 2, increased rates of beta cell death and suppression of new

>> >>>>>> cells

>> >>>>>> is

>> >>>>>> a factor. Your statement is only valid for such things as having

>> >>>>>> limbs

>> >>>>>> chopped off and losing sight, not heart/stroke and the other

>> >>>>>> things

>> >>>>>> mentioned for which there is no lower limit or they are unknown.

>> >>>>>>

>> >>>>>> XB

>> >>>>>> IC|XC

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

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Guest guest

At my last appointment, my doctor checked my feet. My other doctor didn't

do that for whatever the reason. She had me spread my toes and the checked

the pedal pulses and she said they were perfect. I guess that means they

were okay. I can tell you one thing, I have more feeling in my finger tips

as my blood sugar lowers. When I tell people that I can tell when the level

is high or low by the amount of feeling I have in my fingers, no one

believes me. It's true though, believe it or not.

ADA A1C information

> >> >>>>>

> >> >>>>>

> >> >>>>>>

> >> >>>>>> " But I have not seen research indicating that once one is in the

> >> >>>>>> " normal

> >> >>>>>> range " , additional lowering of one's A1C decreases the

probability

> > of

> >> >>>>>> diabetic complications. "

> >> >>>>>>

> >> >>>>>> The better known complications kick in at the high end of the 6

> > range

> >> >>>>>> where

> >> >>>>>> the curve for risk increases greatly. Heart disease and the more

> >> >>>>>> general

> >> >>>>>> cvd risk knows no lower range starting around 5 when the data

runs

> >> >>>>>> out

> >> >>>>>> for

> >> >>>>>> research into the matter. the rate is linear with each measure

> >> >>>>>> of

> >> >>>>>> increase from within the normal range. Less researched

> > complications

> >> >>>>>> such

> >> >>>>>> as erectile function and the neural involvement in feet and

bowels

> >> >>>>>> etc.

> >> >>>>>> have already started to kick in before diagnosis and any

> >> >>>>>> thresholds

> >> >>>>>> are

> >> >>>>>> not

> >> >>>>>> known.

> >> >>>>>>

> >> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> > just

> >> >>>>>> for

> >> >>>>>> blood cells. It affects more long lasting cells such as

> >> >>>>>> connective

> >> >>>>>> tissue

> >> >>>>>> in skin and tendons for example and lead to such things as

frozen

> >> >>>>>> shoulder.

> >> >>>>>> Glycation is indirectly related to rate of physical aging and

> >> >>>>>> diabetics

> >> >>>>>> are

> >> >>>>>> often said to be 10 years older then others at the same calendar

> > age.

> >> >>>>>> If

> >> >>>>>> a

> >> >>>>>> type 2, increased rates of beta cell death and suppression of

new

> >> >>>>>> cells

> >> >>>>>> is

> >> >>>>>> a factor. Your statement is only valid for such things as

having

> >> >>>>>> limbs

> >> >>>>>> chopped off and losing sight, not heart/stroke and the other

> >> >>>>>> things

> >> >>>>>> mentioned for which there is no lower limit or they are unknown.

> >> >>>>>>

> >> >>>>>> XB

> >> >>>>>> IC|XC

> >> >>>>>>

> >> >>>>>>

> >> >>>>>>

> >> >>>>>>

> >> >>>>>>

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Guest guest

At my last appointment, my doctor checked my feet. My other doctor didn't

do that for whatever the reason. She had me spread my toes and the checked

the pedal pulses and she said they were perfect. I guess that means they

were okay. I can tell you one thing, I have more feeling in my finger tips

as my blood sugar lowers. When I tell people that I can tell when the level

is high or low by the amount of feeling I have in my fingers, no one

believes me. It's true though, believe it or not.

ADA A1C information

> >> >>>>>

> >> >>>>>

> >> >>>>>>

> >> >>>>>> " But I have not seen research indicating that once one is in the

> >> >>>>>> " normal

> >> >>>>>> range " , additional lowering of one's A1C decreases the

probability

> > of

> >> >>>>>> diabetic complications. "

> >> >>>>>>

> >> >>>>>> The better known complications kick in at the high end of the 6

> > range

> >> >>>>>> where

> >> >>>>>> the curve for risk increases greatly. Heart disease and the more

> >> >>>>>> general

> >> >>>>>> cvd risk knows no lower range starting around 5 when the data

runs

> >> >>>>>> out

> >> >>>>>> for

> >> >>>>>> research into the matter. the rate is linear with each measure

> >> >>>>>> of

> >> >>>>>> increase from within the normal range. Less researched

> > complications

> >> >>>>>> such

> >> >>>>>> as erectile function and the neural involvement in feet and

bowels

> >> >>>>>> etc.

> >> >>>>>> have already started to kick in before diagnosis and any

> >> >>>>>> thresholds

> >> >>>>>> are

> >> >>>>>> not

> >> >>>>>> known.

> >> >>>>>>

> >> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> > just

> >> >>>>>> for

> >> >>>>>> blood cells. It affects more long lasting cells such as

> >> >>>>>> connective

> >> >>>>>> tissue

> >> >>>>>> in skin and tendons for example and lead to such things as

frozen

> >> >>>>>> shoulder.

> >> >>>>>> Glycation is indirectly related to rate of physical aging and

> >> >>>>>> diabetics

> >> >>>>>> are

> >> >>>>>> often said to be 10 years older then others at the same calendar

> > age.

> >> >>>>>> If

> >> >>>>>> a

> >> >>>>>> type 2, increased rates of beta cell death and suppression of

new

> >> >>>>>> cells

> >> >>>>>> is

> >> >>>>>> a factor. Your statement is only valid for such things as

having

> >> >>>>>> limbs

> >> >>>>>> chopped off and losing sight, not heart/stroke and the other

> >> >>>>>> things

> >> >>>>>> mentioned for which there is no lower limit or they are unknown.

> >> >>>>>>

> >> >>>>>> XB

> >> >>>>>> IC|XC

> >> >>>>>>

> >> >>>>>>

> >> >>>>>>

> >> >>>>>>

> >> >>>>>>

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Guest guest

Neuropathy...Well, some is visible and some isn't. Neuropathy has to do

with nerve damage due to diabetes. There are all kinds of neuropathy among

them are numb feet and toes and hands and fingers, also some have a burning

sensation, which is a sure sign of nerve damage, and some fingers and toes

are not only numb, but tingle with painful sensations. Now let's go to the

eyes, which is a form of neuropathy when one starts getting blurry vision,

some loss of vision all the way down to just being plain blind. Let's not

stop here. How about the genitals. When the man cannot sustain an erection

it is known as erectile dysfunction all the way to complete impotence, not

able to have an erection at all. There are other forms of neuropathy, but

these are some common symptoms of it. Usually, when one is able to have

A1C's in the normal range some of these deteriorations are stopped

completely, and some are even reversed a little with tight blood glucose

control. So the secret for no diabetic complications is to run A1C's of 5.5

and lower. Of course this is just my opinion backed up with research, but

you choose the A1C goal you would like to have.

ADA A1C information

>> >>>>>

>> >>>>>

>> >>>>>>

>> >>>>>> " But I have not seen research indicating that once one is in the

>> >>>>>> " normal

>> >>>>>> range " , additional lowering of one's A1C decreases the probability

> of

>> >>>>>> diabetic complications. "

>> >>>>>>

>> >>>>>> The better known complications kick in at the high end of the 6

> range

>> >>>>>> where

>> >>>>>> the curve for risk increases greatly. Heart disease and the more

>> >>>>>> general

>> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

>> >>>>>> out

>> >>>>>> for

>> >>>>>> research into the matter. the rate is linear with each measure

>> >>>>>> of

>> >>>>>> increase from within the normal range. Less researched

> complications

>> >>>>>> such

>> >>>>>> as erectile function and the neural involvement in feet and bowels

>> >>>>>> etc.

>> >>>>>> have already started to kick in before diagnosis and any

>> >>>>>> thresholds

>> >>>>>> are

>> >>>>>> not

>> >>>>>> known.

>> >>>>>>

>> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> just

>> >>>>>> for

>> >>>>>> blood cells. It affects more long lasting cells such as

>> >>>>>> connective

>> >>>>>> tissue

>> >>>>>> in skin and tendons for example and lead to such things as frozen

>> >>>>>> shoulder.

>> >>>>>> Glycation is indirectly related to rate of physical aging and

>> >>>>>> diabetics

>> >>>>>> are

>> >>>>>> often said to be 10 years older then others at the same calendar

> age.

>> >>>>>> If

>> >>>>>> a

>> >>>>>> type 2, increased rates of beta cell death and suppression of new

>> >>>>>> cells

>> >>>>>> is

>> >>>>>> a factor. Your statement is only valid for such things as having

>> >>>>>> limbs

>> >>>>>> chopped off and losing sight, not heart/stroke and the other

>> >>>>>> things

>> >>>>>> mentioned for which there is no lower limit or they are unknown.

>> >>>>>>

>> >>>>>> XB

>> >>>>>> IC|XC

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

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Guest guest

Neuropathy...Well, some is visible and some isn't. Neuropathy has to do

with nerve damage due to diabetes. There are all kinds of neuropathy among

them are numb feet and toes and hands and fingers, also some have a burning

sensation, which is a sure sign of nerve damage, and some fingers and toes

are not only numb, but tingle with painful sensations. Now let's go to the

eyes, which is a form of neuropathy when one starts getting blurry vision,

some loss of vision all the way down to just being plain blind. Let's not

stop here. How about the genitals. When the man cannot sustain an erection

it is known as erectile dysfunction all the way to complete impotence, not

able to have an erection at all. There are other forms of neuropathy, but

these are some common symptoms of it. Usually, when one is able to have

A1C's in the normal range some of these deteriorations are stopped

completely, and some are even reversed a little with tight blood glucose

control. So the secret for no diabetic complications is to run A1C's of 5.5

and lower. Of course this is just my opinion backed up with research, but

you choose the A1C goal you would like to have.

ADA A1C information

>> >>>>>

>> >>>>>

>> >>>>>>

>> >>>>>> " But I have not seen research indicating that once one is in the

>> >>>>>> " normal

>> >>>>>> range " , additional lowering of one's A1C decreases the probability

> of

>> >>>>>> diabetic complications. "

>> >>>>>>

>> >>>>>> The better known complications kick in at the high end of the 6

> range

>> >>>>>> where

>> >>>>>> the curve for risk increases greatly. Heart disease and the more

>> >>>>>> general

>> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

>> >>>>>> out

>> >>>>>> for

>> >>>>>> research into the matter. the rate is linear with each measure

>> >>>>>> of

>> >>>>>> increase from within the normal range. Less researched

> complications

>> >>>>>> such

>> >>>>>> as erectile function and the neural involvement in feet and bowels

>> >>>>>> etc.

>> >>>>>> have already started to kick in before diagnosis and any

>> >>>>>> thresholds

>> >>>>>> are

>> >>>>>> not

>> >>>>>> known.

>> >>>>>>

>> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> just

>> >>>>>> for

>> >>>>>> blood cells. It affects more long lasting cells such as

>> >>>>>> connective

>> >>>>>> tissue

>> >>>>>> in skin and tendons for example and lead to such things as frozen

>> >>>>>> shoulder.

>> >>>>>> Glycation is indirectly related to rate of physical aging and

>> >>>>>> diabetics

>> >>>>>> are

>> >>>>>> often said to be 10 years older then others at the same calendar

> age.

>> >>>>>> If

>> >>>>>> a

>> >>>>>> type 2, increased rates of beta cell death and suppression of new

>> >>>>>> cells

>> >>>>>> is

>> >>>>>> a factor. Your statement is only valid for such things as having

>> >>>>>> limbs

>> >>>>>> chopped off and losing sight, not heart/stroke and the other

>> >>>>>> things

>> >>>>>> mentioned for which there is no lower limit or they are unknown.

>> >>>>>>

>> >>>>>> XB

>> >>>>>> IC|XC

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

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Guest guest

Neuropathy...Well, some is visible and some isn't. Neuropathy has to do

with nerve damage due to diabetes. There are all kinds of neuropathy among

them are numb feet and toes and hands and fingers, also some have a burning

sensation, which is a sure sign of nerve damage, and some fingers and toes

are not only numb, but tingle with painful sensations. Now let's go to the

eyes, which is a form of neuropathy when one starts getting blurry vision,

some loss of vision all the way down to just being plain blind. Let's not

stop here. How about the genitals. When the man cannot sustain an erection

it is known as erectile dysfunction all the way to complete impotence, not

able to have an erection at all. There are other forms of neuropathy, but

these are some common symptoms of it. Usually, when one is able to have

A1C's in the normal range some of these deteriorations are stopped

completely, and some are even reversed a little with tight blood glucose

control. So the secret for no diabetic complications is to run A1C's of 5.5

and lower. Of course this is just my opinion backed up with research, but

you choose the A1C goal you would like to have.

ADA A1C information

>> >>>>>

>> >>>>>

>> >>>>>>

>> >>>>>> " But I have not seen research indicating that once one is in the

>> >>>>>> " normal

>> >>>>>> range " , additional lowering of one's A1C decreases the probability

> of

>> >>>>>> diabetic complications. "

>> >>>>>>

>> >>>>>> The better known complications kick in at the high end of the 6

> range

>> >>>>>> where

>> >>>>>> the curve for risk increases greatly. Heart disease and the more

>> >>>>>> general

>> >>>>>> cvd risk knows no lower range starting around 5 when the data runs

>> >>>>>> out

>> >>>>>> for

>> >>>>>> research into the matter. the rate is linear with each measure

>> >>>>>> of

>> >>>>>> increase from within the normal range. Less researched

> complications

>> >>>>>> such

>> >>>>>> as erectile function and the neural involvement in feet and bowels

>> >>>>>> etc.

>> >>>>>> have already started to kick in before diagnosis and any

>> >>>>>> thresholds

>> >>>>>> are

>> >>>>>> not

>> >>>>>> known.

>> >>>>>>

>> >>>>>> The a1c is a proxy for glycation in all tissues of the body, not

> just

>> >>>>>> for

>> >>>>>> blood cells. It affects more long lasting cells such as

>> >>>>>> connective

>> >>>>>> tissue

>> >>>>>> in skin and tendons for example and lead to such things as frozen

>> >>>>>> shoulder.

>> >>>>>> Glycation is indirectly related to rate of physical aging and

>> >>>>>> diabetics

>> >>>>>> are

>> >>>>>> often said to be 10 years older then others at the same calendar

> age.

>> >>>>>> If

>> >>>>>> a

>> >>>>>> type 2, increased rates of beta cell death and suppression of new

>> >>>>>> cells

>> >>>>>> is

>> >>>>>> a factor. Your statement is only valid for such things as having

>> >>>>>> limbs

>> >>>>>> chopped off and losing sight, not heart/stroke and the other

>> >>>>>> things

>> >>>>>> mentioned for which there is no lower limit or they are unknown.

>> >>>>>>

>> >>>>>> XB

>> >>>>>> IC|XC

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

>> >>>>>>

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Guest guest

When diabetes affects the eyes or causes blindness is that neuropathy? I

didn't know it was caused by that.

Jen

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All I can say is the retina is the nerve at the back of the eyeball. So if

one has neuropathy of the retina, then I guess it would be considered

neuropathy, which is nerve deterioration of the eye. It may be vision loss

for sure, but it is still neuropathy due to diabetes.

Re: ADA A1C information

> When diabetes affects the eyes or causes blindness is that neuropathy? I

> didn't know it was caused by that.

>

> Jen

>

>

>

>

>

>

>

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The retina is the very thin film that covers most of the back of the

eyeball. It has rods and cones, which help you, see colors, and are

basically millions of nerve ending that transmits what people see to the

ophthalmic area of the brain. (This is the very back, lower area of the

brain above your neck.) Diabetic retinopathy happens with a long period of

high sugars and the circulation of the eye is compromised. In order to

accommodate the vessel damage, eye " tells " itself to grow more circulation.

These vessels that grow are thin and fragile and grow in the wrong

places-like into the eye or over the optic nerve. They break and your eye

fills with blood -or they grow under the retina and make it detach.

Re: ADA A1C information

When diabetes affects the eyes or causes blindness is that neuropathy? I

didn't know it was caused by that.

Jen

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Dear Harry,

As I have 500 messages in my in box for this group, I'm catching up and just

read the account of your first heart attack. How frightful! It's so good that

you are beating the family odds and kind of you to consider your wife's possible

needs without you.

I among many others will be feeling and saying far more than you are out of

here. Keep setting your great example for us. You would be very missed.

I'm glad you've had a good run. I hope you plan some vacations or get tickets to

events you like. In other words, life should continue being a good run for you.

Always With Love,

Lissi

Re: ADA A1C information

>>>>>>

>>>>>>

>>>>>> Harrry:

>>>>>>

>>>>>> I'm going to be frank: your continual harping on a normal A1C being

>>>>>> between 4.2 and 5.2 is sheer twaddle and does a severe disservice to

>>>>>> diabetics both old and new including yourself. For starters, it

>>>>>> depends

>>>>>> upon what lab you use what a " normal " A1C is. Some go between 4.8 and

>>>>>> 6.2 (a navy lab, I believe); the National Diabetes, Digestive and

>>>>>> Kidney

>>>>>> Diseases Institute of the NIH say a " normal " A1C is between 4 and 6;

>>>>>> the

>>>>>> ADA also says this; The AACE says 3.8 to 6 and I've seen 4.2 to 6

>>>>>> elsewhere. In fact, there *is* no national standard for A1C

>>>>>> measurement.

>>>>>> That's the dirty little secret that *no* one wants to acknowledge.

>>>>>> There

>>>>>> *is* a taskforce working on one but it hasn't finished its work yet

>>>>>> and

>>>>>> there are some problems, apparently, coming up with a standard. I am

>>>>>> not

>>>>>> sympathetic; I feel that a national standard is imperative. That's

>>>>>> why

>>>>>> I

>>>>>> said the best thing was to work wioth one's lab and corelate this

>>>>>> with

>>>>>> average blood glucose readings.

>>>>>>

>>>>>> So please, in the name of honesty, stop misleading people with your

>>>>>> BS

>>>>>> about what a " normal " A1C is. And before you accuse me of trysting my

>>>>>> Big Bad Doctor, I, too, have searched the Internet. And there is as

>>>>>> much

>>>>>> horse-s**t on the Internet as there is valid scientific data.

>>>>>>

>>>>>> In the words of Oliver Cromwell: I beseech you in the Bowels of

>>>>>> Crist:

>>>>>> think it possible you might be mistaken!

>>>>>>

>>>>>> Mike Freeman

>>>>>>

>>>>>>

>>>>>>

>>>>>>> I have copied the information below directly from the ADA home page.

>>>>>>> I

>>>>>>> feel

>>>>>>> they sugar coat what you should know, since a thorough search of the

>>>>>>> " normal

>>>>>>> range " of an A1C via the internet will reveal that the real normal

>>>>>>> range

>>>>>>> of

>>>>>>> a non-diabetic is 4.2-5.2, and it seems that most doctors are

>>>>>>> unaware

>>>>>>> of

>>>>>>> this research finding. So when a doctor tells you that the normal

>>>>>>> range

>>>>>>> for

>>>>>>> a non-diabetic is 5.8, they are giving you false information. Also

>>>>>>> you

>>>>>>> will

>>>>>>> notice that they C Y A (cover your arse) any information regarding

>>>>>>> the

>>>>>>> A1C

>>>>>>> by saying it varies from lab test to lab test and from laboratory to

>>>>>>> laboratory. While this is true to some extent, one should be aware

>>>>>>> that

>>>>>>> even laboratories have to meet certain standards. A foot on my

>>>>>>> ruler

>>>>>>> measures twelve inches, and this measurement can be converted to any

>>>>>>> metric

>>>>>>> system and visa versa. Even the ADA admits that the average A1C

>>>>>>> level

>>>>>>> for

>>>>>>> a

>>>>>>> non-diabetic, as you read below, is around 5%. This would be an A1C

>>>>>>> of

>>>>>>> 5.0.

>>>>>>> An A1C reading of 13.0 shows serious impairment and it should be

>>>>>>> taken

>>>>>>> seriously. You should have your A1C taken at least once every three

>>>>>>> months

>>>>>>> or once per quarter of a year to gage your diabetes control until

>>>>>>> you

>>>>>>> have

>>>>>>> it in fairly good control. Now read what the ADA says:

>>>>>>>

>>>>>>> American Diabetes Association Home Page

>>>>>>>

>>>>>>> A1C test

>>>>>>>

>>>>>>> Because you have diabetes, you and your doctor, diabetes educator,

>>>>>>> and

>>>>>>> other

>>>>>>> members of your health care team work to keep your blood glucose

>>>>>>> (sugar)

>>>>>>> at

>>>>>>> ideal levels. There are two powerful reasons to work for effective

>>>>>>> blood

>>>>>>> sugar control:

>>>>>>> List of 2 items

>>>>>>> . You will feel better.

>>>>>>> . You may prevent or delay the start of diabetes complications such

>>>>>>> as

>>>>>>> nerve, eye, kidney, and blood vessel damage.

>>>>>>> list end

>>>>>>>

>>>>>>> One way to keep track of your blood sugar changes is by checking

>>>>>>> your

>>>>>>> blood

>>>>>>> sugar at home. These tests tell you what your blood sugar level is

>>>>>>> at

>>>>>>> any

>>>>>>> one

>>>>>>> time.

>>>>>>>

>>>>>>> But suppose you want to know how you've done overall. There's a test

>>>>>>> that

>>>>>>> can help. An A1C (also known as glycated hemoglobin or HbA1c) test

>>>>>>> gives

>>>>>>> you

>>>>>>> a

>>>>>>> picture of your average blood glucose control for the past 2 to 3

>>>>>>> months.

>>>>>>> The results give you a good idea of how well your diabetes treatment

>>>>>>> plan

>>>>>>> is

>>>>>>> working.

>>>>>>>

>>>>>>> In some ways, the A1C test is like a baseball player's season

>>>>>>> batting

>>>>>>> average. Both A1C and the batting average tell you about a person's

>>>>>>> overall

>>>>>>> success.

>>>>>>> Neither a single day's blood test results nor a single game's

>>>>>>> batting

>>>>>>> record

>>>>>>> gives the same big picture.

>>>>>>>

>>>>>>> How It Works

>>>>>>>

>>>>>>> You know from the name that the test measures something called A1C.

>>>>>>> You

>>>>>>> may

>>>>>>> wonder what it has to do with your blood sugar control. Hemoglobin

>>>>>>> is

>>>>>>> found

>>>>>>> inside red blood cells. Its job is to carry oxygen from the lungs to

>>>>>>> all

>>>>>>> the

>>>>>>> cells of the body. Hemoglobin, like all proteins, links up with

>>>>>>> sugars

>>>>>>> such

>>>>>>> as glucose.

>>>>>>>

>>>>>>> You know that when you have uncontrolled diabetes you have too much

>>>>>>> sugar

>>>>>>> in

>>>>>>> your bloodstream. This extra glucose enters your red blood cells and

>>>>>>> links

>>>>>>> up (or glycates) with molecules of hemoglobin. The more excess

>>>>>>> glucose

>>>>>>> in

>>>>>>> your blood, the more hemoglobin gets glycated. It is possible to

>>>>>>> measure

>>>>>>> the

>>>>>>> percentage of A1C in the blood. The result is an overview of your

>>>>>>> average

>>>>>>> blood glucose control for the past few months.

>>>>>>>

>>>>>>> Thanks for the Memories

>>>>>>>

>>>>>>> How does the A1C test look backward? Suppose your blood sugar was

>>>>>>> high

>>>>>>> last

>>>>>>> week. What happened? More glucose hooked up (glycated) with your

>>>>>>> hemoglobin.

>>>>>>> This week, your blood glucose is back under control. Still, your red

>>>>>>> blood

>>>>>>> cells carry the 'memory' of last week's high blood glucose in the

>>>>>>> form

>>>>>>> of

>>>>>>> more

>>>>>>> A1C.

>>>>>>>

>>>>>>> This record changes as old red blood cells in your body die and new

>>>>>>> red

>>>>>>> blood cells (with fresh hemoglobin) replace them. The amount of A1C

>>>>>>> in

>>>>>>> your

>>>>>>> blood

>>>>>>> reflects blood sugar control for the past 120 days, or the lifespan

>>>>>>> of

>>>>>>> a

>>>>>>> red

>>>>>>> blood cell.

>>>>>>>

>>>>>>> In a person who does not have diabetes, about 5% of all hemoglobin

>>>>>>> is

>>>>>>> glycated. For someone with diabetes and high blood glucose levels,

>>>>>>> the

>>>>>>> A1C

>>>>>>> level is

>>>>>>> higher than normal. How high the A1C level rises depends on what the

>>>>>>> average

>>>>>>> blood glucose level was during the past weeks and months. Levels can

>>>>>>> range

>>>>>>> from normal to as high as 25% if diabetes is badly out of control

>>>>>>> for

>>>>>>> a

>>>>>>> long

>>>>>>> time.

>>>>>>>

>>>>>>> You should have had your A1C level measured when your diabetes was

>>>>>>> diagnosed

>>>>>>> or when treatment for diabetes was started. To watch your overall

>>>>>>> glucose

>>>>>>> control,

>>>>>>> your doctor should measure your A1C level at least twice a year.

>>>>>>> This

>>>>>>> is

>>>>>>> the

>>>>>>> minimum. There are times when you need to have your A1C level tested

>>>>>>> about

>>>>>>> every 3 months. If you change diabetes treatment, such as start a

>>>>>>> new

>>>>>>> medicine, or if you are not meeting your blood glucose goals, you

>>>>>>> and

>>>>>>> your

>>>>>>> doctor

>>>>>>> will want to keep a closer eye on your control.

>>>>>>>

>>>>>>> How Does It Help Diabetes Control?

>>>>>>>

>>>>>>> How can your A1C test results help your control? Here are two

>>>>>>> examples.

>>>>>>>

>>>>>>> Bob D., 49 years old, has type 2 diabetes. For the past seven years,

>>>>>>> he

>>>>>>> and

>>>>>>> his doctor have worked to control his blood sugar levels with diet

>>>>>>> and

>>>>>>> diabetes

>>>>>>> pills. Recently, Bob's control has been getting worse. His doctor

>>>>>>> said

>>>>>>> that

>>>>>>> Bob might have to start insulin shots. But first, they agreed that

>>>>>>> Bob

>>>>>>> would

>>>>>>> try an exercise program to improve control.

>>>>>>>

>>>>>>> That was three months ago. Bob stuck to his exercise plan. Last

>>>>>>> week,

>>>>>>> when

>>>>>>> the doctor checked Bob's blood sugar, it was near the normal range.

>>>>>>> But

>>>>>>> the

>>>>>>> doctor

>>>>>>> knew a single blood test only showed Bob's control at that time. It

>>>>>>> didn't

>>>>>>> say much about Bob's overall blood sugar control.

>>>>>>>

>>>>>>> The doctor sent a sample of Bob's blood to the lab for an A1C test.

>>>>>>> The

>>>>>>> test

>>>>>>> results would tell how well Bob's blood sugar had been controlled,

>>>>>>> on

>>>>>>> average,

>>>>>>> for the past few months. The A1C test showed that Bob's control had

>>>>>>> improved. With the A1C results, Bob and the doctor had proof that

>>>>>>> the

>>>>>>> exercise program

>>>>>>> was working. The test results also helped Bob know that he could

>>>>>>> make

>>>>>>> a

>>>>>>> difference in his blood sugar control.

>>>>>>>

>>>>>>> The A1C test can also help someone with type 1 diabetes.

>>>>>>> Nine-year-old

>>>>>>>

>>>>>>> J. and her parents were proud that she could do her own insulin

>>>>>>> shots

>>>>>>> and

>>>>>>> urine

>>>>>>> tests. Her doctor advised her to begin a routine of two shots a day

>>>>>>> and

>>>>>>> to

>>>>>>> check her blood sugar as well.

>>>>>>>

>>>>>>> kept records of all her test results. Most were close to the

>>>>>>> ideal

>>>>>>> range. But at her next checkup, the doctor checked her blood and

>>>>>>> found

>>>>>>> her

>>>>>>> blood

>>>>>>> sugar level was high. The doctor sent a sample of 's blood for

>>>>>>> an

>>>>>>> A1C

>>>>>>> test. The results showed that 's blood glucose control had in

>>>>>>> fact

>>>>>>> been

>>>>>>> poor

>>>>>>> for the last few months.

>>>>>>>

>>>>>>> 's doctor asked to do a blood sugar check. To the doctor's

>>>>>>> surprise, turned on the timer of her meter before pricking her

>>>>>>> finger

>>>>>>> and putting

>>>>>>> the blood drop on the test strip. The doctor explained to and

>>>>>>> her

>>>>>>> parents that the way was testing was probably causing the blood

>>>>>>> sugar

>>>>>>> test

>>>>>>> errors.

>>>>>>>

>>>>>>> With time and more accurate blood sugar results, and her

>>>>>>> parents

>>>>>>> got

>>>>>>> better at using her results to keep food, insulin, and exercise in

>>>>>>> balance.

>>>>>>> At

>>>>>>> later checkups, her blood sugar records and the A1C test results

>>>>>>> showed

>>>>>>> good

>>>>>>> news about her control.

>>>>>>>

>>>>>>> A1C tests can help:

>>>>>>> List of 3 items

>>>>>>> . Confirm self-testing results or blood test results by the doctor

>>>>>>> . Judge whether a treatment plan is working

>>>>>>> . Show you how healthy choices can make a difference in diabetes

>>>>>>> control.

>>>>>>> list end

>>>>>>>

>>>>>>> Test Limit

>>>>>>>

>>>>>>> Although the A1C test is an important tool, it can't replace daily

>>>>>>> self-testing of blood glucose. A1C tests don't measure your

>>>>>>> day-to-day

>>>>>>> control. You can't

>>>>>>> adjust your insulin on the basis of your A1C tests. That's why your

>>>>>>> blood

>>>>>>> sugar checks and your log results are so important to staying in

>>>>>>> effective

>>>>>>> control.

>>>>>>>

>>>>>>> It is important to know that different labs measure A1C levels in

>>>>>>> different

>>>>>>> ways. If you sent one sample of your blood to four different labs,

>>>>>>> you

>>>>>>> might

>>>>>>> get back four different test results.

>>>>>>>

>>>>>>> For example, an 8 at one lab might mean that blood glucose levels

>>>>>>> have

>>>>>>> been

>>>>>>> in the near-normal range. At a second lab, a 9 might be a sign

>>>>>>> that,

>>>>>>> on

>>>>>>> average,

>>>>>>> blood glucose was high. This doesn't mean that any of the results

>>>>>>> are

>>>>>>> wrong. It does mean that what your results say depends on the way

>>>>>>> the

>>>>>>> lab

>>>>>>> does

>>>>>>> the test.

>>>>>>>

>>>>>>> Talk to your doctor about your A1C test results. Know that if you

>>>>>>> change

>>>>>>> doctors or your doctor changes labs, your test numbers may need to

>>>>>>> be

>>>>>>> " read "

>>>>>>> differently.

>>>>>>>

>>>>>>> The A1C test alone is not enough to measure good blood sugar

>>>>>>> control.

>>>>>>> But

>>>>>>> it

>>>>>>> is good resource to use along with your daily blood sugar checks, to

>>>>>>> work

>>>>>>> for

>>>>>>> the best possible control.

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

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Guest guest

Dear Harry,

As I have 500 messages in my in box for this group, I'm catching up and just

read the account of your first heart attack. How frightful! It's so good that

you are beating the family odds and kind of you to consider your wife's possible

needs without you.

I among many others will be feeling and saying far more than you are out of

here. Keep setting your great example for us. You would be very missed.

I'm glad you've had a good run. I hope you plan some vacations or get tickets to

events you like. In other words, life should continue being a good run for you.

Always With Love,

Lissi

Re: ADA A1C information

>>>>>>

>>>>>>

>>>>>> Harrry:

>>>>>>

>>>>>> I'm going to be frank: your continual harping on a normal A1C being

>>>>>> between 4.2 and 5.2 is sheer twaddle and does a severe disservice to

>>>>>> diabetics both old and new including yourself. For starters, it

>>>>>> depends

>>>>>> upon what lab you use what a " normal " A1C is. Some go between 4.8 and

>>>>>> 6.2 (a navy lab, I believe); the National Diabetes, Digestive and

>>>>>> Kidney

>>>>>> Diseases Institute of the NIH say a " normal " A1C is between 4 and 6;

>>>>>> the

>>>>>> ADA also says this; The AACE says 3.8 to 6 and I've seen 4.2 to 6

>>>>>> elsewhere. In fact, there *is* no national standard for A1C

>>>>>> measurement.

>>>>>> That's the dirty little secret that *no* one wants to acknowledge.

>>>>>> There

>>>>>> *is* a taskforce working on one but it hasn't finished its work yet

>>>>>> and

>>>>>> there are some problems, apparently, coming up with a standard. I am

>>>>>> not

>>>>>> sympathetic; I feel that a national standard is imperative. That's

>>>>>> why

>>>>>> I

>>>>>> said the best thing was to work wioth one's lab and corelate this

>>>>>> with

>>>>>> average blood glucose readings.

>>>>>>

>>>>>> So please, in the name of honesty, stop misleading people with your

>>>>>> BS

>>>>>> about what a " normal " A1C is. And before you accuse me of trysting my

>>>>>> Big Bad Doctor, I, too, have searched the Internet. And there is as

>>>>>> much

>>>>>> horse-s**t on the Internet as there is valid scientific data.

>>>>>>

>>>>>> In the words of Oliver Cromwell: I beseech you in the Bowels of

>>>>>> Crist:

>>>>>> think it possible you might be mistaken!

>>>>>>

>>>>>> Mike Freeman

>>>>>>

>>>>>>

>>>>>>

>>>>>>> I have copied the information below directly from the ADA home page.

>>>>>>> I

>>>>>>> feel

>>>>>>> they sugar coat what you should know, since a thorough search of the

>>>>>>> " normal

>>>>>>> range " of an A1C via the internet will reveal that the real normal

>>>>>>> range

>>>>>>> of

>>>>>>> a non-diabetic is 4.2-5.2, and it seems that most doctors are

>>>>>>> unaware

>>>>>>> of

>>>>>>> this research finding. So when a doctor tells you that the normal

>>>>>>> range

>>>>>>> for

>>>>>>> a non-diabetic is 5.8, they are giving you false information. Also

>>>>>>> you

>>>>>>> will

>>>>>>> notice that they C Y A (cover your arse) any information regarding

>>>>>>> the

>>>>>>> A1C

>>>>>>> by saying it varies from lab test to lab test and from laboratory to

>>>>>>> laboratory. While this is true to some extent, one should be aware

>>>>>>> that

>>>>>>> even laboratories have to meet certain standards. A foot on my

>>>>>>> ruler

>>>>>>> measures twelve inches, and this measurement can be converted to any

>>>>>>> metric

>>>>>>> system and visa versa. Even the ADA admits that the average A1C

>>>>>>> level

>>>>>>> for

>>>>>>> a

>>>>>>> non-diabetic, as you read below, is around 5%. This would be an A1C

>>>>>>> of

>>>>>>> 5.0.

>>>>>>> An A1C reading of 13.0 shows serious impairment and it should be

>>>>>>> taken

>>>>>>> seriously. You should have your A1C taken at least once every three

>>>>>>> months

>>>>>>> or once per quarter of a year to gage your diabetes control until

>>>>>>> you

>>>>>>> have

>>>>>>> it in fairly good control. Now read what the ADA says:

>>>>>>>

>>>>>>> American Diabetes Association Home Page

>>>>>>>

>>>>>>> A1C test

>>>>>>>

>>>>>>> Because you have diabetes, you and your doctor, diabetes educator,

>>>>>>> and

>>>>>>> other

>>>>>>> members of your health care team work to keep your blood glucose

>>>>>>> (sugar)

>>>>>>> at

>>>>>>> ideal levels. There are two powerful reasons to work for effective

>>>>>>> blood

>>>>>>> sugar control:

>>>>>>> List of 2 items

>>>>>>> . You will feel better.

>>>>>>> . You may prevent or delay the start of diabetes complications such

>>>>>>> as

>>>>>>> nerve, eye, kidney, and blood vessel damage.

>>>>>>> list end

>>>>>>>

>>>>>>> One way to keep track of your blood sugar changes is by checking

>>>>>>> your

>>>>>>> blood

>>>>>>> sugar at home. These tests tell you what your blood sugar level is

>>>>>>> at

>>>>>>> any

>>>>>>> one

>>>>>>> time.

>>>>>>>

>>>>>>> But suppose you want to know how you've done overall. There's a test

>>>>>>> that

>>>>>>> can help. An A1C (also known as glycated hemoglobin or HbA1c) test

>>>>>>> gives

>>>>>>> you

>>>>>>> a

>>>>>>> picture of your average blood glucose control for the past 2 to 3

>>>>>>> months.

>>>>>>> The results give you a good idea of how well your diabetes treatment

>>>>>>> plan

>>>>>>> is

>>>>>>> working.

>>>>>>>

>>>>>>> In some ways, the A1C test is like a baseball player's season

>>>>>>> batting

>>>>>>> average. Both A1C and the batting average tell you about a person's

>>>>>>> overall

>>>>>>> success.

>>>>>>> Neither a single day's blood test results nor a single game's

>>>>>>> batting

>>>>>>> record

>>>>>>> gives the same big picture.

>>>>>>>

>>>>>>> How It Works

>>>>>>>

>>>>>>> You know from the name that the test measures something called A1C.

>>>>>>> You

>>>>>>> may

>>>>>>> wonder what it has to do with your blood sugar control. Hemoglobin

>>>>>>> is

>>>>>>> found

>>>>>>> inside red blood cells. Its job is to carry oxygen from the lungs to

>>>>>>> all

>>>>>>> the

>>>>>>> cells of the body. Hemoglobin, like all proteins, links up with

>>>>>>> sugars

>>>>>>> such

>>>>>>> as glucose.

>>>>>>>

>>>>>>> You know that when you have uncontrolled diabetes you have too much

>>>>>>> sugar

>>>>>>> in

>>>>>>> your bloodstream. This extra glucose enters your red blood cells and

>>>>>>> links

>>>>>>> up (or glycates) with molecules of hemoglobin. The more excess

>>>>>>> glucose

>>>>>>> in

>>>>>>> your blood, the more hemoglobin gets glycated. It is possible to

>>>>>>> measure

>>>>>>> the

>>>>>>> percentage of A1C in the blood. The result is an overview of your

>>>>>>> average

>>>>>>> blood glucose control for the past few months.

>>>>>>>

>>>>>>> Thanks for the Memories

>>>>>>>

>>>>>>> How does the A1C test look backward? Suppose your blood sugar was

>>>>>>> high

>>>>>>> last

>>>>>>> week. What happened? More glucose hooked up (glycated) with your

>>>>>>> hemoglobin.

>>>>>>> This week, your blood glucose is back under control. Still, your red

>>>>>>> blood

>>>>>>> cells carry the 'memory' of last week's high blood glucose in the

>>>>>>> form

>>>>>>> of

>>>>>>> more

>>>>>>> A1C.

>>>>>>>

>>>>>>> This record changes as old red blood cells in your body die and new

>>>>>>> red

>>>>>>> blood cells (with fresh hemoglobin) replace them. The amount of A1C

>>>>>>> in

>>>>>>> your

>>>>>>> blood

>>>>>>> reflects blood sugar control for the past 120 days, or the lifespan

>>>>>>> of

>>>>>>> a

>>>>>>> red

>>>>>>> blood cell.

>>>>>>>

>>>>>>> In a person who does not have diabetes, about 5% of all hemoglobin

>>>>>>> is

>>>>>>> glycated. For someone with diabetes and high blood glucose levels,

>>>>>>> the

>>>>>>> A1C

>>>>>>> level is

>>>>>>> higher than normal. How high the A1C level rises depends on what the

>>>>>>> average

>>>>>>> blood glucose level was during the past weeks and months. Levels can

>>>>>>> range

>>>>>>> from normal to as high as 25% if diabetes is badly out of control

>>>>>>> for

>>>>>>> a

>>>>>>> long

>>>>>>> time.

>>>>>>>

>>>>>>> You should have had your A1C level measured when your diabetes was

>>>>>>> diagnosed

>>>>>>> or when treatment for diabetes was started. To watch your overall

>>>>>>> glucose

>>>>>>> control,

>>>>>>> your doctor should measure your A1C level at least twice a year.

>>>>>>> This

>>>>>>> is

>>>>>>> the

>>>>>>> minimum. There are times when you need to have your A1C level tested

>>>>>>> about

>>>>>>> every 3 months. If you change diabetes treatment, such as start a

>>>>>>> new

>>>>>>> medicine, or if you are not meeting your blood glucose goals, you

>>>>>>> and

>>>>>>> your

>>>>>>> doctor

>>>>>>> will want to keep a closer eye on your control.

>>>>>>>

>>>>>>> How Does It Help Diabetes Control?

>>>>>>>

>>>>>>> How can your A1C test results help your control? Here are two

>>>>>>> examples.

>>>>>>>

>>>>>>> Bob D., 49 years old, has type 2 diabetes. For the past seven years,

>>>>>>> he

>>>>>>> and

>>>>>>> his doctor have worked to control his blood sugar levels with diet

>>>>>>> and

>>>>>>> diabetes

>>>>>>> pills. Recently, Bob's control has been getting worse. His doctor

>>>>>>> said

>>>>>>> that

>>>>>>> Bob might have to start insulin shots. But first, they agreed that

>>>>>>> Bob

>>>>>>> would

>>>>>>> try an exercise program to improve control.

>>>>>>>

>>>>>>> That was three months ago. Bob stuck to his exercise plan. Last

>>>>>>> week,

>>>>>>> when

>>>>>>> the doctor checked Bob's blood sugar, it was near the normal range.

>>>>>>> But

>>>>>>> the

>>>>>>> doctor

>>>>>>> knew a single blood test only showed Bob's control at that time. It

>>>>>>> didn't

>>>>>>> say much about Bob's overall blood sugar control.

>>>>>>>

>>>>>>> The doctor sent a sample of Bob's blood to the lab for an A1C test.

>>>>>>> The

>>>>>>> test

>>>>>>> results would tell how well Bob's blood sugar had been controlled,

>>>>>>> on

>>>>>>> average,

>>>>>>> for the past few months. The A1C test showed that Bob's control had

>>>>>>> improved. With the A1C results, Bob and the doctor had proof that

>>>>>>> the

>>>>>>> exercise program

>>>>>>> was working. The test results also helped Bob know that he could

>>>>>>> make

>>>>>>> a

>>>>>>> difference in his blood sugar control.

>>>>>>>

>>>>>>> The A1C test can also help someone with type 1 diabetes.

>>>>>>> Nine-year-old

>>>>>>>

>>>>>>> J. and her parents were proud that she could do her own insulin

>>>>>>> shots

>>>>>>> and

>>>>>>> urine

>>>>>>> tests. Her doctor advised her to begin a routine of two shots a day

>>>>>>> and

>>>>>>> to

>>>>>>> check her blood sugar as well.

>>>>>>>

>>>>>>> kept records of all her test results. Most were close to the

>>>>>>> ideal

>>>>>>> range. But at her next checkup, the doctor checked her blood and

>>>>>>> found

>>>>>>> her

>>>>>>> blood

>>>>>>> sugar level was high. The doctor sent a sample of 's blood for

>>>>>>> an

>>>>>>> A1C

>>>>>>> test. The results showed that 's blood glucose control had in

>>>>>>> fact

>>>>>>> been

>>>>>>> poor

>>>>>>> for the last few months.

>>>>>>>

>>>>>>> 's doctor asked to do a blood sugar check. To the doctor's

>>>>>>> surprise, turned on the timer of her meter before pricking her

>>>>>>> finger

>>>>>>> and putting

>>>>>>> the blood drop on the test strip. The doctor explained to and

>>>>>>> her

>>>>>>> parents that the way was testing was probably causing the blood

>>>>>>> sugar

>>>>>>> test

>>>>>>> errors.

>>>>>>>

>>>>>>> With time and more accurate blood sugar results, and her

>>>>>>> parents

>>>>>>> got

>>>>>>> better at using her results to keep food, insulin, and exercise in

>>>>>>> balance.

>>>>>>> At

>>>>>>> later checkups, her blood sugar records and the A1C test results

>>>>>>> showed

>>>>>>> good

>>>>>>> news about her control.

>>>>>>>

>>>>>>> A1C tests can help:

>>>>>>> List of 3 items

>>>>>>> . Confirm self-testing results or blood test results by the doctor

>>>>>>> . Judge whether a treatment plan is working

>>>>>>> . Show you how healthy choices can make a difference in diabetes

>>>>>>> control.

>>>>>>> list end

>>>>>>>

>>>>>>> Test Limit

>>>>>>>

>>>>>>> Although the A1C test is an important tool, it can't replace daily

>>>>>>> self-testing of blood glucose. A1C tests don't measure your

>>>>>>> day-to-day

>>>>>>> control. You can't

>>>>>>> adjust your insulin on the basis of your A1C tests. That's why your

>>>>>>> blood

>>>>>>> sugar checks and your log results are so important to staying in

>>>>>>> effective

>>>>>>> control.

>>>>>>>

>>>>>>> It is important to know that different labs measure A1C levels in

>>>>>>> different

>>>>>>> ways. If you sent one sample of your blood to four different labs,

>>>>>>> you

>>>>>>> might

>>>>>>> get back four different test results.

>>>>>>>

>>>>>>> For example, an 8 at one lab might mean that blood glucose levels

>>>>>>> have

>>>>>>> been

>>>>>>> in the near-normal range. At a second lab, a 9 might be a sign

>>>>>>> that,

>>>>>>> on

>>>>>>> average,

>>>>>>> blood glucose was high. This doesn't mean that any of the results

>>>>>>> are

>>>>>>> wrong. It does mean that what your results say depends on the way

>>>>>>> the

>>>>>>> lab

>>>>>>> does

>>>>>>> the test.

>>>>>>>

>>>>>>> Talk to your doctor about your A1C test results. Know that if you

>>>>>>> change

>>>>>>> doctors or your doctor changes labs, your test numbers may need to

>>>>>>> be

>>>>>>> " read "

>>>>>>> differently.

>>>>>>>

>>>>>>> The A1C test alone is not enough to measure good blood sugar

>>>>>>> control.

>>>>>>> But

>>>>>>> it

>>>>>>> is good resource to use along with your daily blood sugar checks, to

>>>>>>> work

>>>>>>> for

>>>>>>> the best possible control.

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

>>>>>>>

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