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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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<blockquote data-quote="Art Of Flowers" data-source="post: 1610471" data-attributes="member: 375067"><p>I saw an article the other day where it said that high glucose levels don’t raise HbA1C levels if the glucose spike is short. So you can have the same HbA1C where glucose is always in range and where there are short term glucose spikes with hypers and hypos. HbA1C does give a good idea of where you average sugar levels are, but life expectancy is intimately connected with the number of spikes and hypos which causes arteriosclerosis.</p><p></p><p>If diabetes life expectancy for a given A1C is inversely proportional to the amount of medication needed to achieve this, then perhaps people should take more notice of “the law of small numbers” as advocated by Dr Bernstein. You don’t hear this mentioned much on the forums.</p></blockquote><p></p>
[QUOTE="Art Of Flowers, post: 1610471, member: 375067"] I saw an article the other day where it said that high glucose levels don’t raise HbA1C levels if the glucose spike is short. So you can have the same HbA1C where glucose is always in range and where there are short term glucose spikes with hypers and hypos. HbA1C does give a good idea of where you average sugar levels are, but life expectancy is intimately connected with the number of spikes and hypos which causes arteriosclerosis. If diabetes life expectancy for a given A1C is inversely proportional to the amount of medication needed to achieve this, then perhaps people should take more notice of “the law of small numbers” as advocated by Dr Bernstein. You don’t hear this mentioned much on the forums. [/QUOTE]
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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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