Jeannie, Thanks for this wonderful info. I have bookmarked it and plan to really delve into it this weekend. I'm a newbie here, just joined this morning.
Post Edited (Sherrine) : 2/4/2008 4:24:00 PM (GMT-7)
The standards set by the ADA and the ACE are moving targets at best- an A1c of 7.0 means that your average blood sugar level is around 150. It used to be higher. A person who does not have diabetes has an average blood sugar level of between 70 and 90, and an A1c around 4.6.
The human body works best when you maintain your blood sugar level as close to physiologically normal as possible. It functions under poor conditions- but eventually, it will fail to thrive. Think of it like a plant- you can neglect it - sometimes for a long time- and it will continue to exist- but eventually, it dies, so will you -if you fail to manage your sugar levels.
I have asked medical professionals why they don't advocate lower A1c levels, low carb eating, and as much exercise as possible as strongly as they advocate taking multiple drugs. I have been told that most medical professionals believe that a patient will NOT do those things, and that it takes a long time for complications to develop at those levels- by the time the complications start up- you're either too old to care- or dead. Nice, huh? But wrong- we all know people who already have complications at diagnosis- and nobody knows how much of that damage can be fixed- or slowed down. We are living a lot longer than any other generation of diabetics- NOBODY REALLY knows what our futures will hold.
My eye doctor has told me that she routinely sees retinopathy in people who are prediabetic- with average blood sugars in the 110-120 range. That tells me the results of the DCCT and other studies are not really accurate.
One thing I know for sure- people who have blood sugar levels in the normal range DO NOT get retinopathy or any other complication of diabetes- therefore I find (for myself) that the only acceptable blood sugar level is as close to the normal range as I can achieve and maintain. It gives me the best chance for a comfortable life.
My doctor is now trying to move all of her diabetic patients to A1c levels of 5.5 or less if they can do it without lows, or large swings in their daily readings.
Did I confuse you even more? I hope not.
Sandy has saved me valuable posting time by hitting the nail right on the head.
An as-near-to-normal-as-possible blood sugar is the best long term health insurance policy going. The reason the ADA, CDA and DUK don't recommend it is because they recommend a high carbohydrate diet which makes normal blood sugar levels virtually impossible. Rather than recognise that their dietary advice is misguided, they take the other option and promote harmful blood sugar levels instead. Genius!
All the best,