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question on A1c levels

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Someone was of the view:

" Okay. nne, that is terrific. But according to the researc out now

it isn't good to go below that. I'll hve to look and wee if I have any of

those articles. "

Me:

The research must be understood in light of the entire story and must not

be applied to all diabetics wholesale.

What the ada says is to have an a1c as close to normal as possible without

danger of lows for those for whom this could be a problem.

The research applies only to long term diabetics who are out of control,

obese, have heart disease, don't exercise and have an a1c far in excess of

a normal level.

In those studies they took these people and forced down the a1c using

larger doses of insulin without addressing the other factors and the result

was to increase problems with heart disease.

If those same people had lost weight and exercised and ate far fewer carbs

they would have on their own had lower a1c levels andlikely less drugs.

Likewise if they had from the time of diagnosis held good treatment habits

they could have had an a1c very close to and often within the normal range.

XB

IC|XC

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