Test For Blood Sugar Not Accurate In Diabetic Dialysis Patients

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Diabetes Symptoms

Diabetes Symptoms Are you worried you are a diabetic? Are you diabetic and concerned about any new or different symptoms? Are you looking for a diabetes test? Please feel free to post your questions, concerns or related information in our Diabetes Symptoms section. See if any other members are going through the same issues or have already been through them and can offer you some valuable experience and advice.


Test For Blood Sugar Not Accurate In Diabetic Dialysis Patients


Closed Thread
 
Shared Thread Thread Tools
Old 02-22-2008, 12:53   #1
 
Join Date: Feb 2008
Posts: 34


Default Test For Blood Sugar Not Accurate In Diabetic Dialysis Patients

The standard test for measuring blood sugar control in people with diabetes is not accurate in those on kidney hemodialysis, according to new research at Wake Forest University Baptist Medical Center.

Wake Forest investigators reported in Kidney International that the hemoglobin A1c test (HbA1c) underestimates true glucose control in hemodialysis patients and could give false comfort to patients and physicians. Hemodialysis, in which blood is passed through an artificial kidney machine for cleansing, is used in cases of kidney failure.

"These results suggest that the nearly 200,000 diabetic hemodialysis patients in the United States who use this test may not be receiving optimal care for their blood sugar," said Barry I. Freedman, M.D., senior author and a professor of internal medicine and nephrology.

Diabetic dialysis patients who believe their blood sugars are in the ideal range may still have unacceptably high blood sugars. "This was a surprise to the nephrology community," said Freedman. "The test we've all come to accept as 'the gold standard' has proven to be inaccurate in this patient population."

HbA1c measures the percentage of hemoglobin (a protein in red blood cells) that has reacted with glucose. This measure, also known as glycosylated hemoglobin, reflects blood sugar control over the previous 30-120 days.

george jacob is offline  
Old 03-25-2008, 23:03   #2
 
Join Date: Jan 2008
Posts: 5


Arrow How Do I Get My Blood Sugar Down?

How do I get my blood sugar down? Even when I have not eatten in several hours and have take my blood sugar medication, it still stays too high; usually in the 300's. Any suggestions would be appreciated.

CALLMEMSTRACY is offline  
Old 03-26-2008, 19:17   #3
Senior Member
 
Join Date: Sep 2007
Location: Ontario Canada
Posts: 1,077

Diagnosed in 1961-now 50+ years with Diabetes

23 likes received
Default

Hello Tracy:

If your diet isn’t working to keep your sugars in decent control
you may have to change it to low carb, if it isn’t already.

Foods that are often stored as fat and raise blood sugars the
highest are high in carbohydrates.
This is definitely not good for Type 2 Diabetics especially if they
are over-weight.

High carb foods such as pasta, potatoes, corn, white rice, pastries,
ice cream, rice cakes, pancakes, regular sodas, alcoholic beverages,
should be avoided or eat smaller portions.

Depending on gendre, height, etc., each meal should consist of 45 carbs
or less. With 2-15 carb snacks in between.

--Lower-carb cereals(read the labels on the package)
--Bacon, sausage or ham with scrambled, poached eggs and a slice of whole
wheat toast
--Meat, fish or egg sandwiches made with one slice of bread
--Any kind of meats, beef, turkey, pork, chicken, etc., with fat removed
--Use 2 small tortillas and just fill them up with veggies and beef or chicken.
--Make homemade clear soups and stews with lots of veggies and meat.
--Have caesar salad with sunflower seeds, chicken and bacon bits
--A small amount of steak with green beans and a sweet potato
--A half cup of cottage cheese with a slice of light rye bread
--Have low carb- popsicles, energy bars, fudgesicles, yogurts
--Crystal Light, Water, Iced Tea without sugar, Carbonated Water, Diet sodas, Flavored water,

-Exercise is important. Even some is better than none. Walking, stationary bike, push-ups, weight-bearing exercises, pilates, elliptical training, swimming, step aerobics, handball, dance, leg thrusts, treadmill or some other type of exercise at least three times a week.

If the medications that you are using are not sufficient in keeping your sugars in a decent range perhaps you need a higher dosage or meds. Or a switch to another drug that suits you better. You haven’t said much about yourself so I’m not sure if you need to lose weight.


Byetta is used by Type 2 Diabetics to get better blood sugar levels and to help them lose weight. This is not an Insulin.

Insulin Lantus or Levemir(long-acting)may also help to control your sugar levels. It Is Injected by syringe or pen once or twice a day.

Humalog, Novalog and Apidra are fast-acting Insulins usually used before meals. Injected by syringe, pen or pump.

You can discuss any of this information with your Dr., Dietician or CDE.

Terrie is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Waiting for my blood test results SPW New Member Introductions 4 06-27-2008 03:56
Blood Sugar Control & Weather Changes Richard157 Diabetes 0 04-27-2008 22:21
Test For Blood Sugar Not Accurate In Diabetic Dialysis Patients george jacob Diabetes News 0 02-21-2008 11:46
*Normal Blood Sugar Levels* Terrie Diabetes 0 09-27-2007 13:51

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 18:26.




Powered by vBulletin®
Copyright ©2000 - 2019, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.