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A Paradox???

H

hanadr

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I'm always reading around and have come across 2 bits of information which I think form a paradox and wonder what can be done about it.
1) One group of researchers think that there should be a minimum Hba1c target, becaue "You can go too low". The figure implied by their article suggesests 6.5% should be that minimum.
2) The American Diabetes Association has revised its diagnostic methods for diabetes and one of them is:..................an Hba1c of 6.5% :shock:

How can this be resoloved?
 
That's part of the trouble caused when all types of diabetes are grouped together and assigned a single target. In general terms (now I'm doing it!), HbA1c targets are going to be quite different for a T1 when compared to T2, which for a T2 probably boils down to whether or not you are taking any medication to assist control of blood sugar.

For HbA1c numbers, the lower the better I would say, but not for a T1 where it's always going to be a compromise. There's nothing as accurate as a fully functioning endocrine system for correct insulin production, and trying to mimic this just doesn't work well enough. At the moment that is...
 
Kegstore,
I'm not sure you're right on targets being different.( only Non-diabetic numbers are a true and valid target) I am sure that they can be MUCH harder to achieve for people using different methods of control.
Many Bernstein followers keep to Normal BGs even if T1
and it's not easy getting a low HbA1c without medication as a T2
 
Hana, I certainly respect you have a differing viewpoint. I don't think it's easy for ANY diabetic - of whatever type - to achieve a low HbA1c. But I maintain the challenge is successfully approached in a different manner according to that type, as well as a large number of other factors. And I definitely don't agree with the statement:
only Non-diabetic numbers are a true and valid target
Click to expand...
Insulin therapy is very hit and miss when compared with the precise control afforded by the presence of beta cells in a normal pancreas, even with a pump! I don't know enough about T2 to comment specifically on it or it's treatment options. Bernstein's approach and methods certainly work for some diabetics - and all power to them - but not for all.
 
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