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Type 2 Diabetes
How low is too low for an HbA1c?
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<blockquote data-quote="xyzzy" data-source="post: 257448" data-attributes="member: 40343"><p>Hi Claire</p><p></p><p>Yes there was a 2009 study done by researchers in the UK that concluded that risks began to rise again below 7%. It was conclusively trashed by a later Swedish study published mid 2011. They pointed out the UK study misinterpreted the results effectively because the sample of diabetics they choose had loads of insulin using obese diabetics who died prematurely of CVD (what a surprise given the NHS drug escalator approach!). If you adjusted the UK survey so that the sample wasn't weighted in that way but included a wider range of healthier diabetics the less than 7% finding completely vanished. Based on that later research the Swedish health service now encourages its diabetics to aim for an HbA1c as low as they can get and also for its diabetics to adopt a low to moderate carb diet i.e what most of us on the forum would promote.</p><p></p><p>What of course continues to be proved by the UK study is that insulin using obese diabetics have a far higher risk of dying young from CVD which is pretty obvious really when you think about it and is what the Swedes pointed out by saying the link to CVD is because of being obese and overweight and has little or nothing to do with HbA1c</p></blockquote><p></p>
[QUOTE="xyzzy, post: 257448, member: 40343"] Hi Claire Yes there was a 2009 study done by researchers in the UK that concluded that risks began to rise again below 7%. It was conclusively trashed by a later Swedish study published mid 2011. They pointed out the UK study misinterpreted the results effectively because the sample of diabetics they choose had loads of insulin using obese diabetics who died prematurely of CVD (what a surprise given the NHS drug escalator approach!). If you adjusted the UK survey so that the sample wasn't weighted in that way but included a wider range of healthier diabetics the less than 7% finding completely vanished. Based on that later research the Swedish health service now encourages its diabetics to aim for an HbA1c as low as they can get and also for its diabetics to adopt a low to moderate carb diet i.e what most of us on the forum would promote. What of course continues to be proved by the UK study is that insulin using obese diabetics have a far higher risk of dying young from CVD which is pretty obvious really when you think about it and is what the Swedes pointed out by saying the link to CVD is because of being obese and overweight and has little or nothing to do with HbA1c [/QUOTE]
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How low is too low for an HbA1c?
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