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<blockquote data-quote="kokhongw" data-source="post: 1094656" data-attributes="member: 277199"><p>Firstly congratulations on your excellent HbA1c result <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> .</p><p></p><p>As have been pointed out. HbA1c measures only the glucose aspect of diabetes. In reality our condition is one of insulin insensitvity (impaired glucose tolerance) and beta cell dysfunction (incorrect or inadequate insulin response) that eventually results in chronically elevated glucose level.</p><p></p><p>Hence a good, enviable HbA1c, even < 5% is unable to provide a confirmation of that the underlying impairment has been fully corrected and healed. However the risks of diabetic complications resulting from elevated glucose is definitely greatly diminished.</p><p></p><p>It would be therefore have been very interesting to see the results of another OGTT with full insulin measurement at HbA1c 4.6%. But I suppose that would not be practical.</p></blockquote><p></p>
[QUOTE="kokhongw, post: 1094656, member: 277199"] Firstly congratulations on your excellent HbA1c result :) . As have been pointed out. HbA1c measures only the glucose aspect of diabetes. In reality our condition is one of insulin insensitvity (impaired glucose tolerance) and beta cell dysfunction (incorrect or inadequate insulin response) that eventually results in chronically elevated glucose level. Hence a good, enviable HbA1c, even < 5% is unable to provide a confirmation of that the underlying impairment has been fully corrected and healed. However the risks of diabetic complications resulting from elevated glucose is definitely greatly diminished. It would be therefore have been very interesting to see the results of another OGTT with full insulin measurement at HbA1c 4.6%. But I suppose that would not be practical. [/QUOTE]
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