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Re: Long Overdue Update

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pat bakeman wrote:

>Back in April, I had posted about my db circumstance

>and getting a new glucometer. Eunice had asked for a

>follow up with how the new meter worked out and I

>agreed to do so.

>

>

YAY!! Awesome news. So great to hear!! :)

HUGS!

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In a message dated 8/31/2004 5:23:25 PM Eastern Daylight Time,

pdbakeman@... writes:

Is it possible to drop the number

that far in 6 weeks?

Hi Patb,

First congratulations on a great A1c. You're doing great.

I think, and this is just my opinion, that those high readings you got was

caused by something or someone at the lab. I hope a thorough investigation is

done. I would hate to think people are being diagnosed with diabetes and put

on meds, when they, in fact, do not have diabetes.

Thank you for posting this information. We should always be aware that lab

equipment and people are not perfect. If you think something is wrong, do

something about it.

My A1c is always lower than my average monthly readings. Hmm, I just

realized why this is happening. The person that created this excel file set it

up

using whole blood instead of plasma. Well, I'm not going to change it. At

least, I know if my monthly averages are normal, my A1c will be also.

hugs

Eunice

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Good job on the control, and figuring out what was going on!!!

That has to be such a relief!

I know that it would be for me!

Angelia in OR

Long Overdue Update

>

> Back in April, I had posted about my db circumstance

> and getting a new glucometer. Eunice had asked for a

> follow up with how the new meter worked out and I

> agreed to do so.

>

> Well, it has taken this long to find out how well the

> new meter has worked.

>

> I had an A1C done in May and it resulted in a 7.4.

> The doc attributed this to a lab error, as it was so

> far out of whack with my daily meter readings, which

> averaged 109. So, we went along.

>

> Another A1C was done in August and it resulted in 7.8.

> Two high results could no longer be explained as a

> lab error. But, I was testing 5-6 times a day, often

> in the middle of the night. And, this result was even

> more out of whack with those meter readings. The

> meter, at that time was averaging 103. On the same

> day that the A1C was drawn, I purchased and used a

> home A1C test kit. It resulted in a reading of 5.1,

> which correlated exactly with the meter readings. The

> doc could not explain this conundrum, so she sent me

> to an endocrinologist.

>

> I just received the results from the endo. The latest

> A1C was conducted 6 weeks after the 7.8 A1C. The new

> result is 5.3. This result is supported by the daily

> meter readings. Is it possible to drop the number

> that far in 6 weeks? And, nothing had changed in my

> lifestyle in that time period -- in fact, if anything

> at all changed, I had relaxed a bit, out of sheer

> frustration with getting the poor results for the

> previous two tests.

>

> The endo also did a fructosamine test, the results of

> which supported the A1C result.

>

> I would hate to think that there was a three month

> stretch, minimally, at the doc's office where

> specimens were being mishandled -- that would be a lot

> of people being medically managed based on inaccurate

> lab results.

>

> This latest A1C has so set my mind at ease. My mother

> always whines and complains to her medical team,

> always coming off in a bad light as if she knows more

> than they, or as if there is some grand conspiracy out

> there to ignore her medical concerns. Her approach

> and manner is combative. So, of course, there was a

> backwash of fear that I was becoming my mother by not

> just blythly accepting the A1C results without an

> explanation that made sense to me.

>

> Each time the doc, and even the endo at first glance,

> explained that the A1C is an average of the blood

> glucose over a three month period and the glucometer

> is just what the bg is at the time of the test. I

> could understand this concept. What I did not, and

> truthfully still do not understand, is how, when one

> is testing 5-6 times a day, minimum, with not one

> reading in the three month period equalling or greater

> than the bg equivalent of the A1C result, how one or

> the other could not be wrong? The 7.8 A1C indicates

> an average of about 180. I have not had a reading of

> 180 since I was first diagnosed. I guess I'll just

> have to live with a mental block on that one.

>

> I am thrilled with the 5.3 -- I have been a known

> diabetic for just over one year and have worked rather

> hard to adjust my life to fit this new wrinkle. And,

> I admit, I am having a hard time trusting the new

> result, but I keep reminding myself that the

> fructosamine result and the meter readings did support

> the latest result.

>

> Anyway, I wanted to give a bit of an update and let

> you know that the new meter seems to be working fine

> -- in fact, it seems that the first meter was working

> fine. But, better safe than sorry, I suppose.

>

> Having faith in oneself, the medical staff, and their

> glucometer is crucial.

>

> For what it's worth, there's a bit of an update.

>

> patb.

>

> __________________________________________________

>

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