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Can anyone help me understand HbA1c results please!
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<blockquote data-quote="ChrisSamsDad" data-source="post: 1256675" data-attributes="member: 13978"><p>I think, from what studies are showing, that there is an association with low HbA1C and higher mortality (<a href="http://care.diabetesjournals.org/content/diacare/35/10/2055.full.pdf" target="_blank">http://care.diabetesjournals.org/content/diacare/35/10/2055.full.pdf</a>) and possibly some connection with liver disease, but that's not saying that one causes the other, just that they're associated - i..e it could be that the low sugar causes liver disease or liver disease causes low blood sugar, or they're both a system of a third thing. </p><p></p><p>In the study about they mention a figure of 5%, which is 31 in the UK, or about 5.4mmol/L. Given that your body has a number of mechanisms to keep your blood sugar up to a certain amount, up to and including dissolving your own muscles - and you pass out and die if it's too low, for me, I'd be pretty happy if mine got down to 32, but worried if it got much lower, I've not seen any evidence that maintaiing it at very low values improves your life expectancy or quality of life. It would be very difficult to do a long term study of that and a short term study isn't really going to tell you the whole picture. </p><p></p><p>However, I would imagine that the right value for YOU is different for everyone, depending on your weight, level of exercise and state of your diabetes, it's not the only indicator - you need to consider your blood pressure, resting heart rate and cholesterol levels for instance. For each of those too, there's a 'too low' value and if you've got all those in the 'good' range and you don't have any problems as a result of getting them there, I'd say you're doing fine.</p></blockquote><p></p>
[QUOTE="ChrisSamsDad, post: 1256675, member: 13978"] I think, from what studies are showing, that there is an association with low HbA1C and higher mortality ([URL]http://care.diabetesjournals.org/content/diacare/35/10/2055.full.pdf[/URL]) and possibly some connection with liver disease, but that's not saying that one causes the other, just that they're associated - i..e it could be that the low sugar causes liver disease or liver disease causes low blood sugar, or they're both a system of a third thing. In the study about they mention a figure of 5%, which is 31 in the UK, or about 5.4mmol/L. Given that your body has a number of mechanisms to keep your blood sugar up to a certain amount, up to and including dissolving your own muscles - and you pass out and die if it's too low, for me, I'd be pretty happy if mine got down to 32, but worried if it got much lower, I've not seen any evidence that maintaiing it at very low values improves your life expectancy or quality of life. It would be very difficult to do a long term study of that and a short term study isn't really going to tell you the whole picture. However, I would imagine that the right value for YOU is different for everyone, depending on your weight, level of exercise and state of your diabetes, it's not the only indicator - you need to consider your blood pressure, resting heart rate and cholesterol levels for instance. For each of those too, there's a 'too low' value and if you've got all those in the 'good' range and you don't have any problems as a result of getting them there, I'd say you're doing fine. [/QUOTE]
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