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Glucose Target Levels and A1C are not in Synch

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نوشته شده توسط دکتر افشین عشقی

This article from Diabetes Care discussed in Medscape uses data from 231 patients with Diabetes Type I and Diabetes Type 2 to see how fasting sugars and 90 minute post postprandial blood sugars correlate with hemoglobin A1Cs.  These guidelines have been recommended for a long time and are used by physicians as well as patients with Diabetes with the hope of achieving an A1C which is optimal.  Lowering the targets too much may increase the risk of hypoglycemia and raising them may further increase the probability of complications from Diabetes Mellitus.  While a study of only 230 patients may not provide sufficient data to change current recommendations, further study with larger number of patients is certainly indicated.  Perhaps at some point, the target fasting sugar will be adjusted upward and the post postprandial sugar targets will be adjusted as well.  Please read the article below and let us know your thoughts.

Current glycemic targets advised for diabetes patients don’t align with recommended HbA 1c levels, a new analysis of continuous glucose monitoring data suggests.

The findings, from the A 1c-Derived Average Glucose (ADAG) study, were published online February 10 in Diabetes Care by Nancy Wei, MD, from the Diabetes Center at Massachusetts General Hospital, Harvard Medical School, Boston, and colleagues.

          

Diabetes News: Saliva Test and A1C Predict Diabetes Type 2

Diabetes Type 2 is extremely common and about half of the USA population is at risk for developing Diabetes type 2. A simple test of saliva has been found in the study published in the JCEM and described in Medscape. This test may in the future become a screening tool for detection of Diabetes. Hemoglobin A1C has recently been developed as a screening tool to see who has already developed Diabetes or “prediabetes” and may in the future be used to see who is at risk for development of Diabetes Type 2 at an earlier stage. Early recognition will lead to millions of people becoming aware of their tendency to develop Diabetes and encourage earlier treatment which may lead to a lower incidence of complication. Please read the article from Medscape below and let us know if you or someone you know would be willing to change their diet, exercise more, or possibly even take a medication if a test indicated a greater vulnerability to Diabetes.

A new saliva test and earlier use of the HbA 1c blood test could pick up type 2 diabetes in high-risk patients earlier than methods in current use, show data from 2 studies.

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دکتر افشین عشقی

دکتر افشین عشقی کار خود را در زمینه آموزش و درمان بیماران دیابتی در سال1386 در محل فعلی مطب آغاز نمودند ولی همواره تحقیق ومطالعه در مورد تازه های دیابت در کنار درمان بیماران ، اصلی اجتناب ناپذیر در زندگی روزمره ایشان است.

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