Author: Sorting Last Post on Top ↓ Message:
CBEVNOW's Photo CBEVNOW Posts: 6,318
3/17/12 12:55 P

My SparkPage
Send Private Message
Reply
I wonder how many years it has taken them to find this out? Seems it is always something. Lets hope for the better.

C

Im starting to take control of my life today. I will take care of me, love my self., be good to my self, I am strong, i can do this.


 current weight: 20.0  over
 
25
12.5
0
-12.5
-25
WENDYJM4's Photo WENDYJM4 Posts: 18,469
3/15/12 5:58 P

Community Team Member

My SparkPage
Send Private Message
Reply
great info Jean

Wendy
South Australia

wendyjm4, Team leader for Sparkies Down Under.
www.sparkpeople.com/myspark/groups_
individual.asp?gid=4672

(GMT + 10:30)

weight loss progress
lost 23.9 kgs total or 52.58 lbs


 current weight: 291.0 
 
345
313.75
282.5
251.25
220
LIFE-FAITH's Photo LIFE-FAITH Posts: 7,692
3/15/12 10:13 A

Community Team Member

My SparkPage
Send Private Message
Reply
Common diabetes glucose test works poorly for dialysis patients

The gold standard long-term glucose monitoring test for patients with diabetes is of limited value in dialysis patients, according to a new study at Wake Forest Baptist Medical Center. The study appears online in the Clinical Journal of the American Society of Nephrology and is scheduled for the July print issue.

Patients and physicians rely on the hemoglobin A1c (HbA1c) test to measure an individual's average blood sugar level over the prior three months. It is the most commonly used long-term blood sugar test, and is widely trusted in the medical community.

While the American Diabetes Association has deemed the hemoglobin A1c (HbA1c) test an effective tool for diagnosing diabetes, the study recently determined that the HbA1c is not as useful for managing patients with diabetes and advanced kidney failure. Another test, the glycated albumin or GA assay, appears to be more effective in this setting, according to the study.

Blood sugar chemically interacts with the hemoglobin to identify a value for HbA1c. But HbA1c results are only accurate when red cells have a normal lifespan. Dialysis patients have shorter red cell survival, reducing the time that sugar in the bloodstream has to interact with hemoglobin, and causing lower HbA1c values.

Researchers evaluated 444 patients with diabetes undergoing dialysis. Patients continued their normal treatment and HbA1c monitoring, but also agreed to have a GA test every three months for an average of more than 2.3 years.

The GA test, developed by Tokyo-based Asahi Kasei Pharma Corporation, measures blood sugars over the past 17 days, as opposed to the longer time frame for HbA1c. In situations where rapid changes occur in blood sugar, the GA gives a more accurate picture of diabetes control. The GA test used in this study is available in Japan, China and South Korea, but is not yet FDA approved in the United States.

Wake Forest Baptist researchers compared the patients' HbA1c and GA test results, assessing their ability to predict hospitalizations and survival. They found that the HbA1c failed to predict these medical outcomes. In contrast, the GA was a strong predictor of patient survival and hospitalizations.
The researchers suggest physicians not rely on the HbA1c in dialysis patients, instead suggesting that blood glucose levels be directly monitored with multiple daily readings until the GA test is available in the states.

from my contact at the MNKF


Dad: BIBLE: Basic Instructions Before Leaving Earth

Leader:Loving Our Kidneys
Kidney Failure is the 8th leading cause of death in USA


"Seventy years are given to us! Some may even reach eighty.
But even the best of these years are filled with pain and trouble;soon they disappear, and we are gone."(Psalms 90:10)

You cannot change your life until you change something
that you do every day.
~John C. Maxwell~


 September Minutes: 150
 
0
250
500
750
1000
Page: 1 of (1)  

Report Innappropriate Post

Other Loving Our Kidneys Loving Our Kidneys...Please share your views here Posts

Topics: Last Post:
5th Annual Rappel for Kidney Health 1/5/2014 3:41:29 PM
An Update on Legislation for Immunosu pressive Dru 9/24/2013 10:20:52 AM
Chicken noodle soup recipe from NKF 1/20/2014 10:19:42 AM
Traveling while on Dialysis 6/24/2014 3:07:59 PM
Recipe Birthday Popcorn 7/24/2014 8:25:35 PM

Thread URL: http://www.sparkpeople.com/myspark/team_messageboard_thread.asp?board=13217x36692x47090358

Review our Community Guidelines