Re: Personal Care Approach moves T2s from Horrible control to Lousy control

Alice Faber wrote:
In article <1147187664.852141.247120@xxxxxxxxxxxxxxxxxxxxxxxxxxxx>,
shoppa@xxxxxxxxxxxxxxxxx wrote:
At the same time at the ADA website there's a press release that says
that in the past year for one diagnostic lab (Quest) doing A1C's, 36%
were below 7.0% in 2001 and 52% were below 7.0% in 2005. There's a lot
of ways to interpret that but it seems that progress is being made.


How much of this can be related to stricter diagnostic standards? In
recent years, more folks are diagnosed diabetic (primarily T2) with
numbers that would not have led to such diagnosis a generation ago. It
stands to reason that these folks would have lower A1cs, even at the
start of their diabetic journeys, than those of us who were diagnosed
with whopping big numbers.

I think the only criteria was that Quest Diagnostics saw "regular" (I
assume at least twice a year) A1C's from the people.

Who knows, maybe some doctors (especially if they're trying to be
aggressive about diagnosing and treating currently undiagnosed T2's)
send all their patients above a certain age/weight to get an A1C at
every six-month checkup, so you end up with those numbers in the mix
too.

20 years ago A1C's were relatively new lab tests for me. In the first 3
or 4 years as a type 1 I don't remember A1C's being discussed at all
(although maybe they did run the numbers through and just never
discussed what they mean. I see lots of numbers on my recent lab tests
that I certainly lack deep insight into, not much reason for me to
learn about them unless either they're abnormal or pointed out to me.)
It was circa '86-'87 that they first introduced me to the A1C numbers
as a "new" test and I still remember a lot of what they told me at the
time (normal range is wide, different labs measure in different ways,
reference range is different for different labs, etc.) even though they
might not be true anymore :-). I guess that would've been a year or two
after the DCCT had started up.

Tim.

.

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