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Is HbA1c a reliable indicator of diabetes control?
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<blockquote data-quote="IanD" data-source="post: 957584" data-attributes="member: 6186"><p>I have good reason not to trust HbA1c as a guide to my control:</p><p></p><p>7-8 years diabetic T2 I was suffering crippling peripheral neuropathy, & various other problems.</p><p>HbA1c was 6.8 (50.8) which Dr did not consider the cause of the problems - basically diabetes is a progressive condition, & my diabetes was progressing as expected. Sad.</p><p>That HbA1c corresponded to my finger prick tests.</p><p></p><p>Dr suggested hospital tests but first I came on this forum, & took the low carb advice - cutting out all the obvious carbs.</p><p>Immediately my readings improved, & soon my health, so that in 3 months I went from crippled to playing tennis again.</p><p>As an experiment, with high carb food, I found that testing an hour after a meal gave readings in the teens, so that it became apparent that HbA1c - an average of 2-3 months blood sugar gives NO indication of highs & lows during that period. It's the highs that do the damage. [I was never in the hypo region.]</p><p>On the low carb diet I rarely go above 9.</p><p>Now - diabetic for 15 years, at 76 y-o, I am fully fit & without diabetes problems - & still play tennis at club standard.</p><p></p><p>The last HbA1c=49 (6.6).</p><p></p><p>It seems to me that the measure relied on by doctors is not a good guide. </p><p></p><p>One last thought: I suspect that the HbA1c units were changed to make it more difficult for diabetics to relate HbA1c to their finger tests.</p></blockquote><p></p>
[QUOTE="IanD, post: 957584, member: 6186"] I have good reason not to trust HbA1c as a guide to my control: 7-8 years diabetic T2 I was suffering crippling peripheral neuropathy, & various other problems. HbA1c was 6.8 (50.8) which Dr did not consider the cause of the problems - basically diabetes is a progressive condition, & my diabetes was progressing as expected. Sad. That HbA1c corresponded to my finger prick tests. Dr suggested hospital tests but first I came on this forum, & took the low carb advice - cutting out all the obvious carbs. Immediately my readings improved, & soon my health, so that in 3 months I went from crippled to playing tennis again. As an experiment, with high carb food, I found that testing an hour after a meal gave readings in the teens, so that it became apparent that HbA1c - an average of 2-3 months blood sugar gives NO indication of highs & lows during that period. It's the highs that do the damage. [I was never in the hypo region.] On the low carb diet I rarely go above 9. Now - diabetic for 15 years, at 76 y-o, I am fully fit & without diabetes problems - & still play tennis at club standard. The last HbA1c=49 (6.6). It seems to me that the measure relied on by doctors is not a good guide. One last thought: I suspect that the HbA1c units were changed to make it more difficult for diabetics to relate HbA1c to their finger tests. [/QUOTE]
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