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What is your GP/DN HBA1c target
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<blockquote data-quote="xyzzy" data-source="post: 306643" data-attributes="member: 40343"><p>Yes he's talking about this "Survival as a function of HbA1c in people with type 2 diabetes: a retrospective cohort study"</p><p></p><p><a href="http://www.lancet.com/journals/lancet/article/PIIS0140-6736(09)61969-3/abstract" target="_blank">http://www.lancet.com/journals/lancet/article/PIIS0140-6736(09)61969-3/abstract</a></p><p></p><p>The study was later trashed as it included a bias towards overweight uncontrolled insulin using T2's. When that bias was removed the U shape miraculously disappeared. A mention of its refutation is given in this Swedish Healthcare doc.</p><p></p><p> <a href="http://www.healthcare-bulletin.com/uploads/media/A_Review_of_Risk_Factors_and_Cardiovascular_Disease__in_Diabetes_Care_-_2011_.pdf" target="_blank">http://www.healthcare-bulletin.com/uploads/media/A_Review_of_Risk_Factors_and_Cardiovascular_Disease__in_Diabetes_Care_-_2011_.pdf</a></p><p></p><p></p><p></p><p>I think I have read that newly diagnosed T2's who have no additional risks are now told to aim for 6.5% because the risk of retinopathy begins to increase above around 6.5%. For example look here <a href="http://medweb.bham.ac.uk/easdec/prevention/hba1c_and_retinopathy.htm" target="_blank">http://medweb.bham.ac.uk/easdec/prevention/hba1c_and_retinopathy.htm</a></p><p></p><p></p><p></p><p>As to my own DSN she politely ignored my request to write down my requested target of 4.8% as she says anything under 6.5% is brilliant. I am actually inclined to agree with her as its that 6.5% level that diagnoses you as diabetic so anyone who gets under 6.5% is doing really well.</p></blockquote><p></p>
[QUOTE="xyzzy, post: 306643, member: 40343"] Yes he's talking about this "Survival as a function of HbA1c in people with type 2 diabetes: a retrospective cohort study" [url]http://www.lancet.com/journals/lancet/article/PIIS0140-6736(09)61969-3/abstract[/url] The study was later trashed as it included a bias towards overweight uncontrolled insulin using T2's. When that bias was removed the U shape miraculously disappeared. A mention of its refutation is given in this Swedish Healthcare doc. [url]http://www.healthcare-bulletin.com/uploads/media/A_Review_of_Risk_Factors_and_Cardiovascular_Disease__in_Diabetes_Care_-_2011_.pdf[/url] I think I have read that newly diagnosed T2's who have no additional risks are now told to aim for 6.5% because the risk of retinopathy begins to increase above around 6.5%. For example look here [url]http://medweb.bham.ac.uk/easdec/prevention/hba1c_and_retinopathy.htm[/url] As to my own DSN she politely ignored my request to write down my requested target of 4.8% as she says anything under 6.5% is brilliant. I am actually inclined to agree with her as its that 6.5% level that diagnoses you as diabetic so anyone who gets under 6.5% is doing really well. [/QUOTE]
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