Well twiddle winks the whole A1C thing has changed ...

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Zurich
Regular Member


Date Joined Jul 2007
Total Posts : 49
   Posted 5/4/2010 2:01 PM (GMT -7)   
The last one I had done was around 5 years ago.  It was 5.2.  I had one done just a couple of weeks ago.  It was 5.6.  So, I kinda freaked at the increase.  But then I looked at the lab report ranges and they were bizarre.  It said anything under 5.7 is non diabetic.  Anything between 5.7 and 6.4 is labelled as "has a high chance of becoming diabetic".  Anything over 6.4 is diabetic.  Now in my days five years ago anything over 6.0 was diabetic.  My fasting was 89.  Don't know how much I should freak about the increase from 5.2 five years ago to 5.6 now cause it looks like their ranges have changed.  Also, went for a Peripherial Artery Disease test and flunked it.  Had normal blood flow down to ankles and was listed as severe PAD from ankles to toe.  Well, where the @#ll is the blood going after it reaches the ankles is it turning around and swimming up stream?  Seen a cardiologist today and he seems to think that I don't have PAD (mind you a power walk for 40 minutes everyday).  But I do have to go in for further tests on that.  To freak out or not to freak out ... that is the question turn
Lord calm me down Judy2 cause I'm a mess over here ...
Zurich

LanieG
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Date Joined Nov 2006
Total Posts : 5404
   Posted 5/4/2010 2:43 PM (GMT -7)   
Hi Zurich, yes, some labs have changed their parameters for both the A1c and blood sugar results and redefined where "prediabetes" or "diabetes" starts.  I believe this is because doctors have seen so many diabetic complications in patients whose blood sugar was supposedly borderline.  Some labs and some doctors still have higher guidelines.   Your fasting is fine.  There are probably logical reasons why your A1c is higher:  are you heavier than 5 years ago?  Are you less active than that time?  (How long have you been power walking?)  Have you changed your diet?  Were you having problems with circulation before?  I'm wondering why you had the test for peripheral artery disease?
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


jujub
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Date Joined Mar 2003
Total Posts : 10392
   Posted 5/4/2010 6:58 PM (GMT -7)   
I've had my A1C monitored for about 6 years now. My internist always said 6.5 and above was diabetic, normal was below 6. Nevertheless, when mine showed up at 6.2, she started me on the diet and exercise regimen. That kept everything under control until about four months ago, when it went to 7.5 suddenly. That's when I had to start medication. It's now down around 6 again.

They have adjusted the "normals", I suspect because they found that people who get in that prediabetic range usually proceed to full blown type II if no treatment is started.

As Lanie said, look at what has changed. The A1C looks at a three month period. Even if you took a vacation to, say, Switzerland and ate chocolate with whipped cream every day for a week it could affect your average. It's a great test because it helps keep us honest. Used to be, when they just tested BGL, people would be very good the day before their blood test - then fall completely off the wagon the rest of the time.

Also remember, it's good to know where you are. Even though it's unpleasant to have prediabetes or diabetes, it's much worse to not know you have it. And every doctor I've had has been delighted with an A1C of 5.6.

Zurich
Regular Member


Date Joined Jul 2007
Total Posts : 49
   Posted 5/5/2010 8:22 AM (GMT -7)   

Thanks for replying guys, Lanie ... the PAD Testing.  Do you really want to know how I got involved with that?  Ok, I have high arches and power walk every day.  I begin to get a tingling type sensation in my heels and toes after a couple of miles.  My brother says that I probably need to see a hoof doctor and get some shoe inserts for the high arches.  I go see the hoof doctor and everything went downhill fast from there.  The hoof doctor tells me that in all proability I have neurathpy because I am a diabetic and just don't know it (hence the A1C test came in to play).  He sends me for something called an NST test to check for that in which I pass with flying colors.  So, then he tells me after taking x-rays of my feet that my arches are not only high but abnormal.  So abnormal that these arches are only found in people with Spinal Bifidia and he tells me that I have something called Spinal Bifidia Occulta and I just don't know it and that I need to see a neurologist immediately.  And he tells me that he doesn't feel like the pulses in my ankles are strong and I probably have peripheral artery disease and just don't know it.  So, I need to be tested for it.  They put pressure cuffs on your arms, thighs, calves ankles and toes and measure the pressure.  For some bizarre reason my toe cuff kept flopping off and the technician and to keep putting it back on.  End result was the test read that I had good pressure up to my ankles and then all pressure stopped at my toes.  So, now he tells me that I immediately need to see a cardiologist.  So, I see the cardiologist yesterday who tells me that he doesn't think that I have it and I am not even a good screening candidate for it.  He is sending me in for a specialized test they give at the hospital which can more accurately access the blood flow to the toes.  He gave me an EKG which came back as normal and I still have to go for an echocardiogram tomorrow he said just to be on the safe side of life.  Now I have not made an appointment to see an neurologist and tell him that I have Spinal Bifidia.  This cardiologist was giving me an impression that he thought that I was kinda nutty for even going along with a PAD diagnosis.  If that's a fact than if I go into a neurologist and tell him I have Spinal Bifida he may have me sent off to a funny farm.  So, that is the whole story.  And to put the frosting on this cup cake my feet no longer tingle after the 2nd mile.   My mother thought all doctors were quacks.  Never went to see one and eventually high blood pressure that was undiagnosed killed her kidneys which put her on dialysis for 12 years.  However, she lived to be 80.   The stress from this whole PAD thing and diabetes thing and Spinal Bifida thing has taken about a good 10 years off of my life and in the end if may all amount to nothing but a doctor that was a quack.  Now, at the age of 48 I can understand why my mom thought the way she did and stayed cleared of the docs.  And, I doubt if I will make anywhere near the age of 80 .... 

Zurich


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5404
   Posted 5/5/2010 10:56 AM (GMT -7)   
I'm speechless.  What a crazy experience!  Well, the bottom line is how you are taking care of yourself at this point.  Do you have a meter and do you take your blood sugar yourself at home?  In any case, just know that there are two things that you can do for yourself: diet and exercise.  If a person is really having problems with controlling blood sugar (because it's too high), then eliminating carbs like potatoes and food made from flour will help.  Meats/chicken/fish and vegetables and salads, cheese, eggs, nuts will keep you pretty much even.  Your power-walking is fantastic.  You're doing great. 
 
Here's something from the web I found that might be of interest: 
 
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10392
   Posted 5/5/2010 11:06 AM (GMT -7)   
Yes, I'd say if you need a foot doctor again, you look for a new one. Diagnosing things above the ankle is not in his scope of practice.

wodin
Veteran Member


Date Joined Jul 2009
Total Posts : 523
   Posted 5/5/2010 1:29 PM (GMT -7)   
My God! Your insurance bean counter must be in spasms!
proctosigmoiditis
 

DX Feb 2008

Currently in remission  since Sept 2009

Colazol 6 Grams/day

Nicotine therapy, primarily Electronic cigarettes supplemented with Commit lozenges
Contracted Prednisone induced diabetes during last flare.


Zurich
Regular Member


Date Joined Jul 2007
Total Posts : 49
   Posted 5/6/2010 6:50 AM (GMT -7)   
You know Wodin ... I have seriously thought about that.   Reason being is that I have a primary carrier through my employer and I also have a secondary carrier through my husbands employers that will pick up for what ever my primary doesn't.   Well, the hoof doctor didn't just send me off somewhere to have the PAD test.  It was done in his office by his nurse technician along with the NST Testing.  Then after he told me a flunked the PAD and he thought that I had spinal bifidia he told me that **HE** has already made appointments for me with his cardiologist and his neurologist.  Then he has his nurse give me a card with the time and day on it for appointments she already made with these doctors.  I have canceled those appointments and am seeing my own cardiologist.  I don't know if I will have the nerve to see a neurologist or not.  But, I was wondering if the hoof doctor notices things like primary and secondary carriers and starts seeing dollar signs.  I still have another appointment with him cause he never did make inserts for my shoes for my high arches.  If at this next appointment he doesn't start the insert process than I'm not going back.
Zurich

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5404
   Posted 5/6/2010 8:57 AM (GMT -7)   
"I don't know if I will have the nerve to see the neurologist or not."  (That's funny!  Get it?  nerve, neurologist...)  Anyhoo, seems to me the podiatrist (I'm supposing that's the hoof doctor?) is trying to create lots of unnecessary business and I think you're right not to go back.  If you need specially made inserts, find another doctor because this one is a schemer.  Good luck with the cardiologist.  What does your primary physician say? 
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet

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