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<blockquote data-quote="hanadr" data-source="post: 254073" data-attributes="member: 8110"><p>chocoholicnomore</p><p> Diabetes is sneaky. it causes damage without causing symptoms. It's only after most of the damage is done that most people notice. That's why there's an NHS policy to monitor everyone at least annually. Unfortunately not all PCTS are on target for this and the blood glucose targets HbA1cs they set as desirable are nowhere near tight enough to ensure patient health. So often the targets are modified to make things "Easy" for the patients, so they don't have to change their lifestyle too much. That attitude accepts the price of amputationsand blindness. A few years back, I was at a meeting where a representative of the PCT reported that fewer than 50% of diabetics in its care reached HbA1cs of 7.5% or lower. I don't know current figures. However that was apparenly better than a lot of places. Bernstein now argues the NORMAL HbA1c is between 4.2% and 4.6% and that even non-diabetics with numbers in the 5.5% range exhibit diabetic-like complications.</p><p> How many of us get into that range? My volunteer colleague, the Diabetes Specialist Nurse [Sister] at the local clinic says she sees few patients in single fiures.</p><p> That's a scary as my sums!</p><p> Hana</p></blockquote><p></p>
[QUOTE="hanadr, post: 254073, member: 8110"] chocoholicnomore Diabetes is sneaky. it causes damage without causing symptoms. It's only after most of the damage is done that most people notice. That's why there's an NHS policy to monitor everyone at least annually. Unfortunately not all PCTS are on target for this and the blood glucose targets HbA1cs they set as desirable are nowhere near tight enough to ensure patient health. So often the targets are modified to make things "Easy" for the patients, so they don't have to change their lifestyle too much. That attitude accepts the price of amputationsand blindness. A few years back, I was at a meeting where a representative of the PCT reported that fewer than 50% of diabetics in its care reached HbA1cs of 7.5% or lower. I don't know current figures. However that was apparenly better than a lot of places. Bernstein now argues the NORMAL HbA1c is between 4.2% and 4.6% and that even non-diabetics with numbers in the 5.5% range exhibit diabetic-like complications. How many of us get into that range? My volunteer colleague, the Diabetes Specialist Nurse [Sister] at the local clinic says she sees few patients in single fiures. That's a scary as my sums! Hana [/QUOTE]
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