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AZUREVEDICA's Photo AZUREVEDICA SparkPoints: (67)
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8/20/12 3:25 P

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My latest A1C was 5.9 as well. Doctor said that all my bloodwork was better than ever! I've been a type 1 since I was 10 years old (now 22). But I have my doubts. I think it balanced out between the highs and the lows, because my blood is definitely not a consistent 123 or even close. It's been 75% within target the past 2 weeks, but I still have the random highs and lows.

"The first step toward success is taken when you refuse to be a captive of the environment in which you first find yourself." -Mark Caine


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WILSON1926's Photo WILSON1926 SparkPoints: (0)
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5/19/12 6:16 P

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5.6 is great. congratulations.
My Endo and CDE to me to keep my A1C between 6-7, no lower or higher than that.They said any lower or higher is not health according to new research. You Doctor might have other ideas.

SONNYMAL's Photo SONNYMAL SparkPoints: (0)
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9/14/11 9:32 A

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Visit to the Dr yesterday and A1C was 5.6

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SONNYMAL's Photo SONNYMAL SparkPoints: (0)
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8/15/11 7:02 P

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My A1C's are usually pretty good, in the 5's, but I have never thought the my daily readings which flucutate wildly supported such low figures. Last year I had a 5.1 which my endocronoligist said was the best she had ever seen. Now I'm not sure that is such a good thing.

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SHORTYGETFIT's Photo SHORTYGETFIT Posts: 477
4/26/11 9:01 A

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I thought I was sitting on top of the world with an A1C of 6.1...wow, great job and I hope that you have fired that Nurse Practioner - that's not good and another reason I believe in being my own advocate/educator. I've seen some great advice in this thread, if you feel great about the reading -please disregard what she said.

" Sometimes God places people in your life who help and encourage you even when they don't know it"


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FEISTYPATCHES's Photo FEISTYPATCHES SparkPoints: (0)
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3/26/11 9:27 A

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I've been trying to read more about this topic the past few days. There is so much information about diabetes out there.

Here's an article from Diabetes Forecast magazine about worrying about blood glucose. It talks about research on advanced glycation end products or AGEs. It explains how high blood glucose damages your blood vessels. The better you understand this process the more sense it makes to reduce those blood glucose spikes after meals.

forecast.diabetes.org/magazine/featu
re
s/high-blood-glucose-and-diabetes-coR>mplications


Edited by: FEISTYPATCHES at: 3/26/2011 (09:28)
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FEISTYPATCHES's Photo FEISTYPATCHES SparkPoints: (0)
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3/21/11 9:58 P

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It just shows that you need to keep informed from reliable sources. Medicine is such a specialized field today and new information/ research comes out every day.

I think the article by Hope Warshaw, in my first post, sums it up best. A1c target needs to be individualized. When I see someone with an A1c of 5.9 with minimal low blood sugars (no more than 1-2 a week) I am impressed--not many people achieve that. The key is you have to minimize the lows.

Your blood sugar will always go up and down--you just don't want to have "Rocky Mountains" but rather "foothills". That's what they mean by variability. This article "Strike the Spike II" by Gary Scheiner MS, CDE, talks about those post meal spikes and how to reduce them. Also talks about the variability issue.

www.diabetesselfmanagement.com/Artic
les/High-Blood-Glucose/strike-the-spik
e-ii/

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CE1966 Posts: 89
3/20/11 6:57 P

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That nurse practitioner was way off base both in her facts, and that she commented on something that she obviously knows very little about. It really bothers me when healthcare professionals try to be "experts" in things that are not their area of expertise...makes me wonder what else are they trying to fake their way through. Congrats on an A1C of 5.9!

As for the variabilty issue, that it plays a big role in outcomes makes intuitive sense to me, but I don't think the data is there to support it yet. I've wondered about it as I'm a pretty avid exerciser, and exercise does introduce some variability for us T1's. I've pretty much decided I don't care and am going to workout because of the other benefits, and do the best I can with the blood sugar, variability or not.

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FEISTYPATCHES's Photo FEISTYPATCHES SparkPoints: (0)
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3/20/11 10:27 A

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My final post on this topic--more reputable resources on A1c goal and glucose variability. Some of these sites are good resources in general: Juvenation.org, childrenwithdiabetes.com and Mendosa.com. To get to these links, I think you will have to copy and paste the individual URL instead of clicking on the link in this post--I didn't know how to save the post as a draft, so copied these links to a word document and pasted them to the "add a link" so I didn't have to do 5 separate posts. Sorry for any inconvenience this causes. Check them out if you are interested--helpful info to understand this issue--especially glycemic variability. First article is a powerpoint by Irl Hirsch, MD, diabetes expert.

www.childrenwithdiabetes.com/presentatio
ns/updownhandout.ppt http://www.mendosa.com/minimal_variability
.pdf http://www.medicinenet.com/script/main/art
.asp?articlekey=52041 http://juvenation.org/forums/p/2269/16109.
aspx http://www.doctorsofusc.com/condition/docu
ment/330430


Edited by: FEISTYPATCHES at: 3/20/2011 (10:32)
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3/20/11 10:01 A

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Follow up from my last post:

Here's an article about glycemic variability that explains why this is a factor to keep in mind besides A1c www.dlife.com/diabetes/blood_sugar_m
an
agement/trecroci_083107


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FEISTYPATCHES's Photo FEISTYPATCHES SparkPoints: (0)
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3/20/11 9:53 A

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I'm a RN CDE without diabetes, on this team to learn from people with type 1. I'm surprised that the NP said 5.9 is too high. The ADA goal is less than 7.0 and ACE (endocrinologist organization) says less than 6.5%. There is current discussion that lower might not be better and even 6.5 might be too low.

You can get an A1c of 5.9 by having frequent lows, which is not good. My cousin had an A1c of 5.9 but was having lows so often that she developed hypoglycemia unawareness and almost passed out at a wedding, needed paramedics at home 2 times due to extremely low blood sugar. She switched from an internal med doc to an endocrinologist who said she was on too much insulin. Now that she's on less insulin and having fewer lows, she's starting to regain awareness of lows.

There is a lot of interest in blood glucose variability--how much your blood sugar fluctuates. The more fluctuation, the more oxidative stress you have, which forms free radicals. A slightly higher blood sugar with less variability might be better than ultra low A1c

Here's an article by Hope Warshaw, CDE well known in the diabetes community.

I'm going to look for more links and post them as additional posts

www.presentdiabetes.com/etalk/A1c-Go
al
-Does-one-fit-all-t2786.html


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KEROLINA Posts: 70
3/17/11 12:17 P

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Wow, 5.9 is great! Keep up the good work! I am still trying to get my A1C below 7.0. I think the newest goal for diabetics is to be below 6.5. Even though the harder we try, the greater chance of more low readings, we just have to test more often. Well, I get more motivation from reading your comments and know that I am not in the boat alone. So, I definitely will hit the treadmill today! Thank you : ) (pumper for 11 years)

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NLATSHAW's Photo NLATSHAW Posts: 31
3/17/11 10:59 A

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HMB621,

I am on a pump. I went through a "slump" last year and didn't seem to care or have any motivation to get my blood sugars in control. Another problem is that I have always worked out really hard and use that as an excuse to keep my blood sugar a little higher than it should be because I know I will be working out later. Now with children in my future, I have NO EXCUSE and my blood sugars, with the help of my pump, are my number 1 priority.
Isn't it funny how sometimes we are perfectly motivated then other times we have no motivation. Your motivation will come back!

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ALLSTONX Posts: 30
3/16/11 10:58 P

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This was my ob visit and she knows that I am a type 1 on a pump. I told my endo today and he just laughed and told me to keep doing what I am doing!

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3/16/11 7:42 P

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NLATSHAW,

Do you use a pump? I went from 3 shots a day to a pump almost a year before getting pregnant, and that's what helped me get my A1C into such a "normal" range. Just wish I had the motivation/willpower to do it now!!

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NLATSHAW's Photo NLATSHAW Posts: 31
3/16/11 5:55 P

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WOW, 5.5! I am trying to lower my A1C so I can get pregnant. I started at a 9.1, then 8.1, then 7.8. I am now getting really aggressive since just getting married in October

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HMB621's Photo HMB621 SparkPoints: (4,136)
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3/16/11 5:17 P

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My A1C was 5.5 when I was pregnant with my first child, and my endo told me that was "non-diabetic" range. He and my OB were ecstatic! You need to let your doctor know about this comment. THAT'S JUST RIDICULOUS!!!

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VALERIE1619's Photo VALERIE1619 Posts: 1,084
3/16/11 4:48 P

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Perhaps the nurse doesn't know you've got diabetes?

And if she does, then she's simply uneducated as to what a good number is.

Valerie


Valerie

Sh*t is hard. Do it anyway.



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VEGFAERY's Photo VEGFAERY Posts: 3,726
3/16/11 3:02 P

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My gf aims for 5.8 I do believe, but has been as high as 6.1, so I think you are doing great!!!!

Vibeke ~ Health nut, green mama, plant eater, raw food enthusiast, reformed wino, environmentalist, compulsive recipe collector and lover of tattoos.

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NLATSHAW's Photo NLATSHAW Posts: 31
3/16/11 3:00 P

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WHAT? ARE YOU SERIOUS?? I am no doctor but that is AMAZING! The nurse is obviously not a diabetic because achieving a 5.9 A1C is difficult and I am sure took a lot of hard work/dedication. Great job!

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ALLSTONX Posts: 30
3/16/11 2:55 P

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I went to have my yearly checkup done this morning and the nurse practitioner asked me what was my last A1C results? I was so excited to tell her that it was 5.9 and she was not happy about it. She just looked at me and said "Wow, that is not good at all and you really need to work on getting it lower" What???? Roz

Edited by: ALLSTONX at: 3/16/2011 (14:56)
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