How often you doc orders A1C

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How often you doc orders A1C


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Old 08-03-2016, 05:24   #1
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Default How often you doc orders A1C

I have been begging my doc to order one for me, but since the January one was at 5.5, they decided once a year is all I get. Ohhh Kaiser. Is that typical? I would love one every three months, but will take it every six months.

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Old 08-03-2016, 06:20   #2
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My doc at Kaiser has a standing order for me to get tested every month, but that's because my numbers have been so horrible that she's hoping it'll motivate me - or something.

Not sure she could get away with that if I was under 6 though. But I would think I could convince her to do more than just once a year once my numbers come down. I will ask her next time I see her if she catches flak for ordering the tests too often.

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Old 08-03-2016, 06:31   #3
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So far she's been making me do one every 3 months and not just A1c but pretty much a full work up, but my lowest has been 6.2 and most in the mid 6's. She did say eventually I would only do full work ups twice a year and the other two would just be A1c so I don't think she planning on me going over 3 months without the A1c.

Is that all your insurance will pay for or is it that just your doctor? If you not comfortable going that long I would say something, you have to be happy with your treatment or if your like me it will bug you and maybe cause unnecessary stress.

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Old 08-03-2016, 12:10   #4
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I get an A1C once a year. Right after diagnosis it was 6 months. But since my A1C is so low there's really no need to keep a close eye on it.

The first year after my diagnosis I did purchase a couple A1C tests to do in-between when the doctor was doing it.

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Old 08-03-2016, 15:53   #5
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I am now on Medicare (Government Insurance for those over 65 in the USA) I do have a supplement to Medicare, but it does not override limitation set by Medicare on testing and my doctor tests my A1c every three months!

Unfortunately, Medicare does not allow him to test my Cholesterol but 2 per year...!

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Old 08-03-2016, 16:13   #6
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My apologies if I'm repeating myself, but I'd look for another doctor, Taso.

Although I know it's hard - it seems like so many are not taking on new patients...

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Old 08-03-2016, 16:28   #7
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Yeah, as others have said it's mostly up to the doctor and they usually base it on how your control is doing. When I was with Kaiser my doctor there had me tested for A1c every 6 months. Early on after my diagnosis it was every 3 months until the doctor was satisfied. Right now my doctor is having my A1c tested every 6 months and I'm good with that. I have a very good idea of where I stand by my routine daily testing.

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Old 08-03-2016, 17:32   #8
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If you are stuck with this doctor (I understand how awful Kaiser is!), you can do your own A1C at home. You can buy an A1C kit at many pharmacies or online, like the Bayer A1C now.

That said.... if you are testing your blood sugar daily with a blood glucose monitor, that is much more meaningful than the A1C. The A1C doesn't directly measure your blood sugar! Most doctors rely on it because the majority of T2 diabetics aren't prescribed meters to test at home, so they use the A1C as a poor-man's guess at how your blood sugar is doing.

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Old 08-03-2016, 18:09   #9
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What is a good A1C? My last one was 5.8. I am not being treated with my pcp. I had blood tests done through my chiropractor and had to pay out of pocket. I have read that anything above 5 increases risk of heart disease. I am pretty much under 40 grams of carbs a day .....most of the time. I'm trying to do this all without meds. My weight is good. I'm thin. But I'm old.

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Old 08-03-2016, 19:18   #10
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Quote:
Originally Posted by soapluvr View Post
What is a good A1C? My last one was 5.8. I am not being treated with my pcp. I had blood tests done through my chiropractor and had to pay out of pocket. I have read that anything above 5 increases risk of heart disease. I am pretty much under 40 grams of carbs a day .....most of the time. I'm trying to do this all without meds. My weight is good. I'm thin. But I'm old.
Congratulations on being in the 5% club! Everyone has different A1C goals but < 6% is a great number, indicating that you have your blood sugar under control. Most physicians will say < 5.5% is what you'll see in people without diabetes. Though some like Dr. Bernstein (from the book The Diabetes Solution) likes to aim for < 5%. I could be misrembering his target A1C, but I think that's because Bernstein focuses on your real measured blood sugar, instead of a inaccurate surrogate (the A1C).

What is a Normal Blood Sugar? - Blood Sugar 101

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