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Diagnosed with high HBA1C
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<blockquote data-quote="Grateful" data-source="post: 1617480" data-attributes="member: 438800"><p>It is great that you are working hard to avoid crossing that HbA1c threshold that officially indicates "diabetes" but personally I think that "marker" is overblown. I mean, what is the difference between 47 and 48 (it is within the margin of error for the test)?</p><p></p><p>I think of it as a continuous spectrum ranging from 39 to ... some astronomical number. Each slight increase along that spectrum indicates a slight increase in concern. A small increase, or even a moderate increase, between three- or six-monthly readings is not something that (personally) would worry me as long as the A1c stays below the level advocated by my doctor -- which is a relatively lenient 53 (or 7.0%) as set by ADA guidelines here in America. I would worry only about the long-term trends, taking into account several successive A1c tests.</p><p></p><p>Having said all of that: I am trying to keep the A1c really low if possible, even if it is already well within the healthy range. That's because eventually I will almost certainly get ill with something other than diabetes, as I get into old age or extreme old age. I would like to have "reserves" of health, and a range of leniency for deterioration of BG levels that would be likely in a hospital setting, because of sickness and even the food they might serve there!</p><p></p><p>I assume that in the UK, like here in America, medical records are confidential. So the fact that my online record lists AODM (adult onset diabetes mellitus), states that I was an immoderate beer drinker at diagnosis, and contains reams of diabetes tests doesn't worry me at all. Quite the contrary, it shows that they are looking after me!</p><p></p><p>(I do worry a little bit that organizations like the NHS, or the private hospital chain that I use, do not protect our data adequately. But that is a subject for another thread!)</p></blockquote><p></p>
[QUOTE="Grateful, post: 1617480, member: 438800"] It is great that you are working hard to avoid crossing that HbA1c threshold that officially indicates "diabetes" but personally I think that "marker" is overblown. I mean, what is the difference between 47 and 48 (it is within the margin of error for the test)? I think of it as a continuous spectrum ranging from 39 to ... some astronomical number. Each slight increase along that spectrum indicates a slight increase in concern. A small increase, or even a moderate increase, between three- or six-monthly readings is not something that (personally) would worry me as long as the A1c stays below the level advocated by my doctor -- which is a relatively lenient 53 (or 7.0%) as set by ADA guidelines here in America. I would worry only about the long-term trends, taking into account several successive A1c tests. Having said all of that: I am trying to keep the A1c really low if possible, even if it is already well within the healthy range. That's because eventually I will almost certainly get ill with something other than diabetes, as I get into old age or extreme old age. I would like to have "reserves" of health, and a range of leniency for deterioration of BG levels that would be likely in a hospital setting, because of sickness and even the food they might serve there! I assume that in the UK, like here in America, medical records are confidential. So the fact that my online record lists AODM (adult onset diabetes mellitus), states that I was an immoderate beer drinker at diagnosis, and contains reams of diabetes tests doesn't worry me at all. Quite the contrary, it shows that they are looking after me! (I do worry a little bit that organizations like the NHS, or the private hospital chain that I use, do not protect our data adequately. But that is a subject for another thread!) [/QUOTE]
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