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Is HbA1c a reliable indicator of diabetes control?
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<blockquote data-quote="Bluetit1802" data-source="post: 1801355" data-attributes="member: 94045"><p>In some people it can be reliable. The problem is, which people? </p><p></p><p>There are many factors that affect the HbA1c test itself, such as an red blood cell abnormalities, how long our red blood cells live longer than the standard 120 days or die well before that period, other medical issues such as thyroid problems. </p><p></p><p>Then there are the swings and roller coaster issues of our blood sugar levels. It is possible for a person to have huge and dangerous swings up and down but have the same HbA1c as someone that has no swings and virtually flat lines. This is known as the fallacy of average.</p><p></p><p>A quick Google brings up all these anomalies. There has been a lot of research. The advent of CGMs and Flash Monitors has brought this about.</p></blockquote><p></p>
[QUOTE="Bluetit1802, post: 1801355, member: 94045"] In some people it can be reliable. The problem is, which people? There are many factors that affect the HbA1c test itself, such as an red blood cell abnormalities, how long our red blood cells live longer than the standard 120 days or die well before that period, other medical issues such as thyroid problems. Then there are the swings and roller coaster issues of our blood sugar levels. It is possible for a person to have huge and dangerous swings up and down but have the same HbA1c as someone that has no swings and virtually flat lines. This is known as the fallacy of average. A quick Google brings up all these anomalies. There has been a lot of research. The advent of CGMs and Flash Monitors has brought this about. [/QUOTE]
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