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Diabetes Discussion
Newly Diagnosed
Prescribed Metformin but wondering I can do this on diet alone
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<blockquote data-quote="Nicole T" data-source="post: 2372681" data-attributes="member: 527609"><p>The healthcare system only really seems interested in your A1c these days. Keep it to 48 or below for T2 or 51 or below for T1 and they consider your condition 'well managed' and in no need of further action.</p><p></p><p>We tend to see diabetes as black and white: either you have it or you don't. But it's a huge spectrum, and some people out there have A1c results more than double the 'managed' maximum. While short term very high sugar can be life threatening, for most of us, it's the cumulative effects of lower, but still excessive levels that are of concern. The A1c test is probably the best indicator of those levels. </p><p></p><p>Reading around these forums, you'll always see 'lower is better' (provided you don't drop below 4mmol/L on medication or about 3.5 without) and so you're inclined to worry about fasting levels of 7 or so. I got a non-diabetic score of 39 on my last A1c test, typically getting mid 6's on a morning fasting blood. Higher if I used my Tee2+ rather than GlucoRx-Q. You ideally shouldn't be passing 10mmol/L at any time (US recommendation) or 8.5 excluding 2 hours after food (UK one.) But bear in mind that, on a completely random blood test, it takes a score of 11.1 or above to confirm diabetes.</p></blockquote><p></p>
[QUOTE="Nicole T, post: 2372681, member: 527609"] The healthcare system only really seems interested in your A1c these days. Keep it to 48 or below for T2 or 51 or below for T1 and they consider your condition 'well managed' and in no need of further action. We tend to see diabetes as black and white: either you have it or you don't. But it's a huge spectrum, and some people out there have A1c results more than double the 'managed' maximum. While short term very high sugar can be life threatening, for most of us, it's the cumulative effects of lower, but still excessive levels that are of concern. The A1c test is probably the best indicator of those levels. Reading around these forums, you'll always see 'lower is better' (provided you don't drop below 4mmol/L on medication or about 3.5 without) and so you're inclined to worry about fasting levels of 7 or so. I got a non-diabetic score of 39 on my last A1c test, typically getting mid 6's on a morning fasting blood. Higher if I used my Tee2+ rather than GlucoRx-Q. You ideally shouldn't be passing 10mmol/L at any time (US recommendation) or 8.5 excluding 2 hours after food (UK one.) But bear in mind that, on a completely random blood test, it takes a score of 11.1 or above to confirm diabetes. [/QUOTE]
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