Re: A1c not a reliable measure of mean blood glucose
- From: Tecknomage <tecknode@xxxxxxxxxx>
- Date: Mon, 26 Apr 2010 04:30:13 -0700
On Mon, 26 Apr 2010 09:52:41 +1000, "Ozgirl"
<are_we_there_yet@xxxxxxxxxx> wrote:
Susan wrote:
x-no-archive: yes
agreed wrote:
I don't know why they even do HgA1c. It does not really tell you if
you're diabetic or the extent of any metabolism problem. They should
routinely do the OGTT instead.
I disagree.
The OGTT can be torturous and post prandial glucose testing far easier
and more indicative of what's happening metabolically in real world
conditions.
Susan
Torturous? Hardly. A regular type PP testing wouldn't show much except a
random number at a certain point in time. In the real world there are many
variations of diabetes/metabolic disorders. A one off random bg testing is
not going to prove a thing. If a random bg reading is inclonclusive for what
the doctor thinks might be happening or showing a high number (that is
*possibly* indicative of diabetes - remember the late Charles Evans' wife
being dx'ed diabetic when in fact she had another disorder, thyroid problem
IIRC), it still needs something more to help with a diagnosis. IMO the OGTT
has a lot of value and a definite place as a diagnostic tool.
The implication of the above statement (as I read it) HgA1c testing is
being confused as a diagnostic test. It isn't, HgA1c test is a
*monitoring* test for those already diagnosed with diabetes. Gives
appx 3mth average of blood sugar levels. Also, it is not a substitute
for daily monitoring.
--
==== Tecknomage ====
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possessions, power, or prestige, but on
relationships with people we love and respect.
Remember that while money talks, CHOCOLATE SINGS!
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