Re: A1c not a reliable measure of mean blood glucose

On Apr 28, 6:52�pm, Chris Malcolm <c...@xxxxxxxxxxxxxxxxx> wrote:
Susan <su...@xxxxxxxxxxxx> wrote:
Trinkwasser wrote:
It's cheap compared to a GTT or test strips
Not compared to strips, but I was comparing it to the OGTT.

It misses different people from an FBG which may make it more cost
effective in terms of reduced numbers of diagnoses.
Both miss the opportunity to diagnose folks until their diabetes is
terribly well advanced.

It seems to be generally accepted (e.g. by the ADA) that the natural
history of the development of T2 diabetes is preceded by a phase of
prediabetes. It's generally accepted that T2 diabetes is a large and
growing medical problem which can be treated but never cured. It's
generally accepted that prediabetes can with suitable treatment often
be prevented from developing into diabetes, and at least in some cases
cured. It's generally accepted that diagnosing prediabetes isn't any
harder than diagnosing diabetes.

All the above are just opinion, not fact.

So why is prediabetes being ignored? Why do doctors wait until the
condition has become incurable before they start treating it?

Once again, you are presenting your opinion as fact and making
sweeping generalizations. Where is your cite that "doctors wait until
the condition has become incurable before they start treating it"?

The ADA offers a risk test:

http://www.diabetes.org/assets/flash-files/ada-nfpl-diabetes-risk-calculator.swf

If someone does feel they are at risk (history in family, obesity,
sedentary, etc.) they should advise their doctor and request a test.
If prediabetes is the diagnosis, then they can take appropriate steps
to do something about it. There have been several articles about this
posted on the ADA site, as well as a campaign funded by the ADA to get
the word out. Here's an aticle that was posted a few weeks ago:

http://www.diabetes.org/news-research/news/diabetes-in-the-news/reversing-prediabetes.html

Gee, Chris, I'm starting to get the feeling that you are purposely
saying things on here to discredit the ADA and medical profession.
That's not nice.

Kurt

.

Relevant Pages

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    ... It misses different people from an FBG which may make it more cost ... It's generally accepted that T2 diabetes is a large and ... generally accepted that prediabetes can with suitable treatment often ... It's generally accepted that diagnosing prediabetes isn't any ...
    (alt.support.diabetes)
  • Re: A1c not a reliable measure of mean blood glucose
    ... It misses different people from an FBG which may make it more cost ... It's generally accepted that T2 diabetes is a large and ... generally accepted that prediabetes can with suitable treatment often ... It's generally accepted that diagnosing prediabetes isn't any ...
    (alt.support.diabetes)