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<blockquote data-quote="cugila" data-source="post: 147700" data-attributes="member: 15325"><p>Just because you have never had a fasting HbA1c done doesn't mean that they are irrelevant. </p><p></p><p>Fasting tests the Serum and Plasma Glucose levels. A good indicator for an experienced Endo as to what exactly my Pancreas is doing and also an indicator for other things. Important things. </p><p></p><p>The other reading, your HbA1c which is listed separately on blood forms is an average of the levels over around 90 days, how high that figure has been, an indicator as to what the Diabetic control has been like over that period. It just shows a trend, whereas the S & P GL's are accurate figures designed to help the Endo with his diagnosis if there are any problems. If those levels are elevated then something is amiss, needs investigating. That's what a knowledgeable Endo as opposed to a GP does. </p><p></p><p>I posted earlier about the matter and gave the explanation as to why it is done. It is routinely carried out at the excellent Hospital Diabetic Centre I attend. I also get non fasting HbA1c's done. They are specifically asked for by my Endocrinologist. I have not been under the 'care' of a GP for the last few years as my GP really knows not a great deal about Diabetes. His words.....not mine. </p><p></p><p>If you still think it means nothing I suggest you discuss it in depth with an experienced Endocrinologist, not a GP. I am sure they can explain it far more eloquently than anybody on this Forum. Maybe then you will understand why there are the two types of HbA1c tests. I shall continue to have mine done as and when, along with many other Patient's where I am cared for. The staff there are the experts, I think I will stick with them and their experience and knowledge on this one. </p><p></p><p>Ken.</p></blockquote><p></p>
[QUOTE="cugila, post: 147700, member: 15325"] Just because you have never had a fasting HbA1c done doesn't mean that they are irrelevant. Fasting tests the Serum and Plasma Glucose levels. A good indicator for an experienced Endo as to what exactly my Pancreas is doing and also an indicator for other things. Important things. The other reading, your HbA1c which is listed separately on blood forms is an average of the levels over around 90 days, how high that figure has been, an indicator as to what the Diabetic control has been like over that period. It just shows a trend, whereas the S & P GL's are accurate figures designed to help the Endo with his diagnosis if there are any problems. If those levels are elevated then something is amiss, needs investigating. That's what a knowledgeable Endo as opposed to a GP does. I posted earlier about the matter and gave the explanation as to why it is done. It is routinely carried out at the excellent Hospital Diabetic Centre I attend. I also get non fasting HbA1c's done. They are specifically asked for by my Endocrinologist. I have not been under the 'care' of a GP for the last few years as my GP really knows not a great deal about Diabetes. His words.....not mine. If you still think it means nothing I suggest you discuss it in depth with an experienced Endocrinologist, not a GP. I am sure they can explain it far more eloquently than anybody on this Forum. Maybe then you will understand why there are the two types of HbA1c tests. I shall continue to have mine done as and when, along with many other Patient's where I am cared for. The staff there are the experts, I think I will stick with them and their experience and knowledge on this one. Ken. [/QUOTE]
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