A1c vs. BG spikes over 140? - Page 3

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A1c vs. BG spikes over 140? - Page 3


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Old 06-09-2014, 08:30   #21
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Quote:
Originally Posted by Shalynne View Post
Well ... hate to say this, but that 142 is a diabetic number. Most of us try to keep well below 140. As for what you are ... You may be in the very early stage that some call "pre-diabetes" ... or ... you may actually be a Type 1 or 1.5 on a "honeymoon." A honeymoon is a period where the pancreas seems to be working perfectly ... but is actually on its way out. This period may last anywhere from a few weeks to a year, after which, high numbers will return, and insulin will be a must. If you have not been tested for Type -- this is the time. In your shoes, in fact, I would get a full set of blood tests to make sure any diagnosis is both accurate and comprehensive. Open-mindedness is an attitude we all must cultivate, albeit one best balanced with a healthy dose of skepticism. Diabetic Reversal/Cure is an extraordinary phenomenon for one to claim. Extraordinary claims require extraordinary evidence, of which, so far, I (sorry to say) have seen none.
Thanks, what are you referring to when you say full blood work. I've had blood work to check A1C, and I know they've mentioned my insulin production on the blood work.

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Old 06-09-2014, 09:02   #22
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To confirm diagnosis:
-- A1c repeat (only if it's been 3 months or more since your last test)
-- FBG (fasting glucose)
-- OGTT (maybe -- this is a direct glucose-reaction test)

To determine Type:
-- GAD (to check for antibodies consistent with Type 1)
-- C-Peptide (to determine level of pancreas function)

Type testing should be mandatory and immediate for any diabetes diagnosis. All too often, however, we must ask for it (and to do that, we need to know what to ask for)!

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Old 06-09-2014, 09:55   #23
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A Dr. Mayer Davidson MD, published a paper in 2001 on existing confusion in a proper diagnosis of diabetes and differing standards being followed and applied by the medical community. His suggestion in the paper is outlined in the image that is attached.

ULN = Upper Limit Normal A1c (then considered as 6.0%)

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Old 06-09-2014, 16:59   #24
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What is the difference between fasting BG and C-peptide tests and how are results interpreted and useful?

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Old 06-09-2014, 17:08   #25
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The c-Peptide test looks for antibodies that attack the pancreas beta cells. Their presence shows that the individual is Type 1 (or LADA) and that they will need insulin therapy.

Blood glucose tests of various levels of sophistication reflect how the individual is managing blood sugar. Fasting values show how close to normal values an individual goes without the complication of recently ingested food. Other tests, at various times after the meal reflect how the body is coping with the digestion of food from a blood sugar point of view.

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Old 06-09-2014, 17:20   #26
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Sorry, I meant the difference between fasting insulin, not fasting BG, and C-peptide.

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Old 06-09-2014, 17:22   #27
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Quote:
Originally Posted by Shalynne View Post
Well ... hate to say this, but that 142 is a diabetic number. Most of us try to keep well below 140. As for what you are ... You may be in the very early stage that some call "pre-diabetes" ... or ... you may actually be a Type 1 or 1.5 on a "honeymoon." A honeymoon is a period where the pancreas seems to be working perfectly ... but is actually on its way out. This period may last anywhere from a few weeks to a year, after which, high numbers will return, and insulin will be a must. If you have not been tested for Type -- this is the time. In your shoes, in fact, I would get a full set of blood tests to make sure any diagnosis is both accurate and comprehensive. Open-mindedness is an attitude we all must cultivate, albeit one best balanced with a healthy dose of skepticism. Diabetic Reversal/Cure is an extraordinary phenomenon for one to claim. Extraordinary claims require extraordinary evidence, of which, so far, I (sorry to say) have seen none.
Would a honeymoon phase be the case if my pancreas function is improving from one blood test to the next test?

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Old 06-09-2014, 17:25   #28
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Quote:
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Sorry, I meant the difference between fasting insulin, not fasting BG, and C-peptide.
The body has a usual level for fasting blood sugar and also insulin. If the insulin level is high without the presence of a recent meal, the assumption is that the individual is insulin resistant and the product of choice in that case would usually be metformin.

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Old 06-09-2014, 17:29   #29
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John.in.France, Given your posted numbers how is it you are type 2 diabetic? You take no medicine and your numbers, including your weight, look ideal.

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Old 06-09-2014, 18:08   #30
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How do I add my statistics to the bottom of my posts as are in John.in.France's posts?

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