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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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<blockquote data-quote="ringi" data-source="post: 1580287" data-attributes="member: 410240"><p>Also <strong>most </strong>people who get "improved TIR/reduced standard deviation" will also reduce their A1C and/or get the same AC1 using less insulin, hence when looking at <strong>groups </strong>of people A1C remains a very good predictor.</p><p></p><p>One large US study found that (in both Type1 and Type2) level of insulin usage was a better predictor of "length of life" than "<strong>great</strong>" AC1, e.g. people who used less insulin lived longer, however, AC1 is a very good predictor of complications (like going blind) that mostly don't kill people. <strong>Very bad</strong> AC1 is also a predictor of short life.</p><p></p><p>No one thinks a AC1 of 100 is OK, but is a AC1 of 45 any better than 50 on the <strong>individual </strong>level?</p></blockquote><p></p>
[QUOTE="ringi, post: 1580287, member: 410240"] Also [B]most [/B]people who get "improved TIR/reduced standard deviation" will also reduce their A1C and/or get the same AC1 using less insulin, hence when looking at [B]groups [/B]of people A1C remains a very good predictor. One large US study found that (in both Type1 and Type2) level of insulin usage was a better predictor of "length of life" than "[B]great[/B]" AC1, e.g. people who used less insulin lived longer, however, AC1 is a very good predictor of complications (like going blind) that mostly don't kill people. [B]Very bad[/B] AC1 is also a predictor of short life. No one thinks a AC1 of 100 is OK, but is a AC1 of 45 any better than 50 on the [B]individual [/B]level? [/QUOTE]
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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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