CDC Study suggests lowering A1C threshold for T2 dx to 5.7 (from 6.5)

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CDC Study suggests lowering A1C threshold for T2 dx to 5.7 (from 6.5)


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Old 03-13-2012, 19:43   #1
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Default CDC Study suggests lowering A1C threshold for T2 dx to 5.7 (from 6.5)

Optimal Threshold Identified For HbA1c Test For Prediabetes

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"Large-scale implementation of evidence-based type 2 diabetes prevention initiatives depends on a clear and efficient strategy to identify individuals at high risk for type 2 diabetes and refer them for intervention. This is the first study to examine the population-level impact and cost effectiveness of using alternative HbA1c cutoffs to determine eligibility for type 2 diabetes preventive interventions," explains lead investigator Xiaohui Zhuo, PhD, from the Division of Diabetes Translation, Centers for Disease Control and Prevention.
I'd no longer be pre-D, but D, under these guidelines.

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Old 03-13-2012, 20:10   #2
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Originally Posted by synger View Post
Optimal Threshold Identified For HbA1c Test For Prediabetes



I'd no longer be pre-D, but D, under these guidelines.
And what would you change? I suggest "not a lot". The only issue might be (for the US) insurance companies would probably get stressed (shame...)

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Old 03-13-2012, 20:25   #3
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That's why I jumped on mine when I asked for and got a 6.9 and was told 7.0 was the criteria 18 months ago. But when I was rechecked about a month later I was at 5.6 and not eligible for diagnosis then.

I think if it does nothing else but have the public made aware of their situation, it would do a lot of good and be a cost saving device for sure. (And their doctors!)

Thanks for the heads up on this! What is your A1C now?




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Old 03-13-2012, 21:49   #4
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I think it should be even lower. I don't quite understand the cost effectiveness argument. In the US we all pay monthly premiums for our insurance and how much does diabetes treatment cost. At the early levels it is basically diet advice and possibly Metformin which is $4 per month or lower. I have given so much to my Insurance Company in premiums and have never met my deductible. Because of co pays and deductibles most people pay a significant part of their medical costs. Also I always though 6.5 was full blown type 2. I have an HbA1c in the low 5's but I consider myself a full blown type 2.

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Old 03-13-2012, 22:34   #5
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I'm very glad my doc gave me a heads up when my A1C reached 6. I'd much rather know sooner rather than later!

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Old 03-13-2012, 22:44   #6
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Two years ago when I tested, my A1c was 5.7. At the time, my doctor merely asked whether I wanted to be on medication or diet and exercise. Not knowing any better I opted for diet and exercise. I must have done something wrong within those 2 years. I recently changed my doctor who tested me and last Friday with an A1c of 11.6, I am now officially a type 2 diabetic.

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Old 03-13-2012, 22:45   #7
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Quote:
Originally Posted by synger View Post
Optimal Threshold Identified For HbA1c Test For Prediabetes



I'd no longer be pre-D, but D, under these guidelines.
Just so they do not try to accomplish it with MORE STINKIN ORAL MEDS!

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Old 03-14-2012, 01:13   #8
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I think the bigger issue here, is what advice they are going to give people when their HbA1c goes from 5.6 to 5.7. The only advice I got when I was dx'd was to lose weight and exercise more. At the time I weighed 148, not terrible and I exercised 2-3 hours most days. So you know what I did with that advice. He did send me to a CDE, which I had to pay for. She gave me the standard little booklet we all get with exchanges and lists of foods. I think she filled in the chart for me to eat 3-4 exchanges at each meal and 2-3 snacks of 1-2 exchanges. In the book were lists of processed boxed foods. I think I follwed the diet for about a month before I went on the internet and searched for another way. Thank heavens I came upon Dr Bernstein's website. So if they are going to give good advice, I am all for it.

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Old 03-14-2012, 03:19   #9
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Funny how it is all about the cost. They hint that it should be 5.5 but because of cost it should be 5.7! Better to gamble with people's lives instead of insurance money!

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Old 03-14-2012, 03:33   #10
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I feel that the catch is in "refer them for intervention". I think that the pharma companies are instrumental in revision of the standards for their own good. Not that it isn't good for us, but they are just doing this for their own balance sheets.

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