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NICE guidelines & HbA1c testing
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<blockquote data-quote="Oldvatr" data-source="post: 2061184" data-attributes="member: 196898"><p>If you read the Success Stories section of the Forum, you will find many examples of people achieving remission from the condiion. I am one of those, and boy was I surprised when the doctor pulled my diabetic meds saying I did not need them, It turned out he was right, and I had a spell of being able to eat normally, including celebratory pecan croissants, without spiking anymore. No meds, HbA1c below 48 twice, and I was a happy bunny. However, I underwent a major operation that triggered severe trauma, and my diabetes was not able to cope with very poor hospital food. I have since repaired much of that damage, and am hopeful of being back in remission in a month or so.</p><p></p><p>There are instances when the pancreas stops producing insulin and yes, the HbA1c can increase suddenly as a result. However, I believe that the first sign of trouble is not an HbA1c but via hospital A&E with DKA symptoms, There may be periods of raised HbA1c before this event that can be a warning, but the frequency of the tests will not nomally pick up a sudden failure of the pancreas. I was feeling fine and 'healthy' when my HbA1c was over 100, but my pancreas is happily giving me oodles of insulin as my recent remission has demonstrated. My recent hospital visit where my pancreas actually did stop producing insulin, and I needed infusions for a while, was detected by fingerprick tests, and not by any blood test such as HbA1c. In fact my HbA1c on discharge after was only 51 so not diagnostic at all.</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 2061184, member: 196898"] If you read the Success Stories section of the Forum, you will find many examples of people achieving remission from the condiion. I am one of those, and boy was I surprised when the doctor pulled my diabetic meds saying I did not need them, It turned out he was right, and I had a spell of being able to eat normally, including celebratory pecan croissants, without spiking anymore. No meds, HbA1c below 48 twice, and I was a happy bunny. However, I underwent a major operation that triggered severe trauma, and my diabetes was not able to cope with very poor hospital food. I have since repaired much of that damage, and am hopeful of being back in remission in a month or so. There are instances when the pancreas stops producing insulin and yes, the HbA1c can increase suddenly as a result. However, I believe that the first sign of trouble is not an HbA1c but via hospital A&E with DKA symptoms, There may be periods of raised HbA1c before this event that can be a warning, but the frequency of the tests will not nomally pick up a sudden failure of the pancreas. I was feeling fine and 'healthy' when my HbA1c was over 100, but my pancreas is happily giving me oodles of insulin as my recent remission has demonstrated. My recent hospital visit where my pancreas actually did stop producing insulin, and I needed infusions for a while, was detected by fingerprick tests, and not by any blood test such as HbA1c. In fact my HbA1c on discharge after was only 51 so not diagnostic at all. [/QUOTE]
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