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<blockquote data-quote="Trinkwasser" data-source="post: 78390" data-attributes="member: 11875"><p>AFAICR there was a CME paper on Medscape, if you give me a while I'll see if I can track it down</p><p></p><p><a href="http://cme.medscape.com/viewprogram/17327" target="_blank">http://cme.medscape.com/viewprogram/17327</a></p><p></p><p>this was one</p><p></p><p>In order to get A1Cs to less than 7%, you need to control fasting, premeal, and postmeal glucose. Therefore, you need to be monitoring these parameters as you go forward. Remember one clinical caveat: when the A1C is very high, above 10%, most of the glucose is coming from the fasting state, meaning the liver is the culprit. As your A1C drops towards the normal range, or the desirable range for your treatment, with an A1C of 8% or 7%, most of the glucose is postprandial. When you select your treatment modalities, that information is important.</p><p></p><p>You need to register with Medscape but they don't spam you, and there are a whole bunch of useful papers there.</p></blockquote><p></p>
[QUOTE="Trinkwasser, post: 78390, member: 11875"] AFAICR there was a CME paper on Medscape, if you give me a while I'll see if I can track it down [url=http://cme.medscape.com/viewprogram/17327]http://cme.medscape.com/viewprogram/17327[/url] this was one In order to get A1Cs to less than 7%, you need to control fasting, premeal, and postmeal glucose. Therefore, you need to be monitoring these parameters as you go forward. Remember one clinical caveat: when the A1C is very high, above 10%, most of the glucose is coming from the fasting state, meaning the liver is the culprit. As your A1C drops towards the normal range, or the desirable range for your treatment, with an A1C of 8% or 7%, most of the glucose is postprandial. When you select your treatment modalities, that information is important. You need to register with Medscape but they don't spam you, and there are a whole bunch of useful papers there. [/QUOTE]
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