Understanding Hemoglobin A1C levels plays an important part in monitoring the development of diabetes. “I said to myself—what is this? We compared pre-diabetes, dysglycemia (diabetes or pre-diabetes), and diabetes identified by the proposed criteria (A1C ≥6.5% for diabetes and 6.0–6.4% [IEC] or 5.7–6.4% [ADA] for high risk/pre-diabetes) with standard OGTT diagnoses in three datasets. In the early stages of type 2, small changes in lifestyle can make a big difference. Patients were classified with diabetes or prediabetes using established cutoffs for FPG, 2HPG, and A1C. The waist circumference, FPG, uric acid, and homeostasis assessment model of insulin resistance were correlated with HbA1c (all P < 0.05). 2, pp.
I've heard some people explain that the A1C is not truly an average, but it's really an estimate of how much glucose is permanently attached to your red blood cells, which indicates how much glucose is floating around in your blood stream. If that's the case – fine, but let's stop calling it an average. Although results were once again lower for the African American subset. I've also heard people say that meter testing only gives you a "snapshot" in time. You'd have to monitor your blood sugar every minute of every day to get a result that matches your A1C score. You are at great risk with those numbers, especially if they have been repeated more than once. My blood sugar would have to skyrocket to 250 while I'm asleep at night to make up for the normal range scores I got during the day.
I've tested many times randomly overnight, and I just don't see how my roughly 95 intermittently becomes 250 when I'm not testing. Then, it would magically go back down to 70 by 8am. Highly unlikely. The main reason I'm not a fan of the A1C test is because I fear that my doctor will use it to diagnose me as a diabetic someday, even if I never see diabetic range numbers on my meter. Since the A1C test is more practical than other testing modalities, it may help physicians perform testing on a much larger scale than ever before. The invitation to participate was extended to employees of the Grady Health System, Emory HealthCare, and Emory University and Morehouse Schools of Medicine as well as to members of the community. I think the A1C should be used in conjunction with other tests to diagnose people.
I am encouraged to keep doing what I've been doing (I always assumed that once you started having glucose trouble the march to diabetes was inevitable)! Keep it simple and realistic. Why do I have 3 meters you ask? Individuals with no known history of elevated glucose and/or diabetes, who had plasma glucose drawn in the emergency department as part of the routine medical work-up and who were willing to return to the general clinical research center after their acute illness was resolved, were eligible. So I bought a ReliOn meter from Walmart, where you can get a box of 100 strips for it for only $17. But If you look at the reviews of the ReliOn Prime on Amazon, you'll see many people complaining about how inaccurate it is because it always tests significantly HIGHER than other meters. Each one is used to improve the experience that works for people.
So, I searched for yet another meter that was more accurate according to reviews and had reasonably priced test strips. The risk is not worth it. I'm totally frustrated with meters now – and that's a good thing! I stopped testing yesterday for at least the next month or so. As Rahbar scanned the scientific literature in search of answers, he decided to try chromatography on his blood samples. It's as if you're being graded on a school paper constantly. And you keep asking yourself, "Will this next test finally show me that I really am prediabetic?" THAT causes stress, and it just keeps reminding me all day that I have a health issue.
After you learn which meals you can eat and which ones you can't, why keep testing? Besides, no matter what the meter says, you know you have to eat right, exercise, and errrrr...REDUCE STRESS to keep your glucose level in check. I'm new to this forum. Excuse me for being long winded (or worded – since I'm writing, not speaking). If you must, scroll back up and review everything, then try to answer all my questions.