Re: Effing nutritionist

Lerp wrote:
On Dec 1, 5:21 am, Nick Cramer <n_cramerS...@xxxxxxxxxxx> wrote:
"Helen Back" <SiriusC...@xxxxxxxxxxxxx> wrote: I can pig out every
week, once a week, basically starve myself the rest of the week and
my HbA1c will be great. But the damage from those pig outs will
already be done!

Your A1C would be great and your health would not be damaged.

Ummm... no. The postprandials after the one pigout would be through the
roof.

A1c is not the only barometer of diabetic health.

Have you read the document "AMERICAN ASSOCIATION OF CLINCAL
ENDOCRINOLOGISTS MEDICAL GUIDELINES FOR CLINICAL PRACTICE FOR THE
MANAGEMENT OF DIABETES MELLITUS" yet?

Here ya go: http://www.aace.com/pub/pdf/guidelines/DMGuidelines2007.pdf

These are evidence-based guidelines developed for what is known to be the minimum needed to limit the chances of diabetic complications based on current research.

The AACE says you measure whether treatment is sufficient based on fasting bg, 2 hour postprandials *and* A1c.

Saying you don't need to account for postprandial numbers if the A1c is OK is like saying a kid doesn't need a measles vaccine if he's had the polio vaccine.

--
http://www.ornery-geeks.org/consulting/
.

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