What Do You Think Of This Article?

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MattsPop
Regular Member


Date Joined Jun 2009
Total Posts : 21
   Posted 10/8/2009 7:35 AM (GMT -7)   
I puzzle over the different A1C levels that the experts suggest as normal, fair, etc. Here is an article that makes me feel pretty good about my last A1C (6.2), but are the figures quoted accurate or just one man's opinion?

http://www.endocrineweb.com/diabetes/control.html

Cheers

Warren

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5401
   Posted 10/8/2009 8:47 AM (GMT -7)   
Personally I think this article is absurd.  Most articles I've read say we should strive for under 6.  My doctor wants me to be under 6 (which I am).  The article says that "good" control is between 7.5 and 8.5 and "excellent" control is between 6.5 and 7.5.  According to the Mayo Clinic website (http://www.mayoclinic.com/health/a1c-test/MY00142/DSECTION=results) that "good" control in the article is equivalent to 169 to 197 and the "excellent" control is between 140 and 169.  This is ridiculous.  And, mind you, since the A1c is an average over three months, imagine how high the highs were in order to average these figures!  Warren, you can believe what you want to believe but those averages in that article would probably lead to organ/nerve damage over a period of time.  Most literature says that happens when blood sugar is over 140 or 150 for extended periods of time, varying with the patient.
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


MattsPop
Regular Member


Date Joined Jun 2009
Total Posts : 21
   Posted 10/8/2009 8:22 PM (GMT -7)   
I posted that article because I thought that the numbers were kinda high compared to what I have read.

I have been confused by the numbers because when I went to see a cardiologist for another condition, he asked me what other drugs I was taking and I told him Metformin. He asked me what my A1C was and I said 8.0. He said "That's not bad".

I went on Metformin because my A1C was 9.0 and my regular doctor said I should get it down to 7.0. So, I went on this low carb diet and my next A1C was 6.2. Instead of my doctor being happy with that, he sorta suggested that anything under 7.0 was OK. I got the impression that maybe he thought I might be overdoing this diet although he never inquired what exactly my diet was.

Now, I've been watching what I eat pretty carefully, but am starting to think that maybe the odd potato or piece of pizza isn't going to be the end of the world as long as as they aren't part of my regular diet. IOW, I have been concerned about every postprandial reading, whereas maybe I shouldn't be overly concerned at my age (67) and my A1C is still below 7.0.

So to sum up, I'm thinking that I have a little leeway in this diet that I never thought I had before.

Cheers

Warren

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 10/8/2009 11:15 PM (GMT -7)   
Warren,
I've been falling off the wagon on my low carb lately and I found it was because of the fall, with the lower light levels. I have Seasonal Affected Disorder and crave carbs in the lower light level months to build up my serotonin levels. Have been using my light box and went back on my "veggies to the max" routine. It's that one piece of pizza that is ok... But it's so hard for me to stop at one!

about your numbers, my internist is in a nephrologist's office so she has always been pretty hard core when it comes to A1C numbers. She wants to see it under 6 at all times and even grumbles when I show up with a 5.7. I think because she works with patients who have kidney damage all the time she wants to stop my problems before they start. You have to do what works for you but at the same time, you can't go back and fix this if your doc is wrong. Might want to ask your doc what he would like his dad's A1C to be or even his own. You might just get a different answer.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross


TVEditor
Regular Member


Date Joined Aug 2008
Total Posts : 481
   Posted 10/9/2009 7:51 PM (GMT -7)   
Warren, I agree with L & J, 7's and 8's are silly for an A1C.  Also silly are doctors and others worried about 'overdoing diets' (my nutrionist is always worried about 'nutrition' -- go figure ;-)  The low-carb diet produces the same effects for me as it does you ... lower A1c's so I keep on keeping on.  I also tend to agree with/follow your example of cheating once in a while .  So far, I can tolerate slips here and there and again agree with your outlook on life but as Jeannie says, just one potato or just one slice is hard to do.  As long as we moderate, things should be OK. (?)
 
An analogy; my doc says my blood pressure is good.  I told him that when I check it at the local pharmacy, it seems high ... even when I do 2 or 3 readings spaced over 40 or 50 minutes, they all read different.  "Ahhh, labile (in motion?)...  good!  If they were all the same, I would worry" he said. 
 
So, I infer that sustained or continuous BG spikes are dangerous.  Occasional are probably OK.
 
My .004 worth (Canadian 2 cents ;-)
Chris - Forum Moderator, Diabetes

~ Diagnosed Type 2 in July 2008 ~ Dropped 40 or so pounds after following HealingWell advice ~
~ Diabetes under control / no meds - so far - knock on head

I used to eat 100% wrong -- now I eat 95% right


MattsPop
Regular Member


Date Joined Jun 2009
Total Posts : 21
   Posted 10/9/2009 8:30 PM (GMT -7)   
I don't want to give the wrong impression. I have been very impressed with the low carb diet so far. I have gone from 195 lbs to 163 since May. My blood pressure has gone down 15 points and, surprisingly, my eczema has pretty much cleared up. So I have no intention of changing anything.

With regards to concerns that me 'cheating' once in a while: I have no worries. First of all, at my age my metabolism has slowed way down from my younger days and since I've been on this diet, my appetite has decreased as well. It hasn't been a struggle at all. When I cheat, it is only a small amount. For example, if my wife makes a stew with potatoes in it, I don't go out of my way to pick out every piece of potato. Same with the pizza. If the family has a pizza once a month, I'll have a piece, but no more. In the past, I would probably eat two or even three pieces.

Now, I realize that what I do might not be the way to go for many folks trying to beat this disease. The small cheating incidents could turn into a complete fall off the diet which could lead to a disaster. In fact, I was concerned that me explaining what I do might be a bad example for some. That is not my intention and I would like to re-emphasize that my "once in a while" is indeed very seldom, perhaps once a month and a very small amount.

Cheers

Warren

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5401
   Posted 10/10/2009 6:18 AM (GMT -7)   
Warren, I agree completely.  Example, I took my daughter to lunch yesterday.  I had a salad with grilled chicken and blue cheese dressing.  During the meal I stole, I mean I asked for, an skinny onion ring from her plate.  But I don't do something like that even once a week, maybe once a month.  Because I do keep true to my blood sugar monitor and I don't like to see spikes, I'm very comfortable with my choice of very low carb diet.  So, my "once in a while" is very much like yours. 
  smurf  
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet

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