The panel has lowered the target for diabetes control to 6.5%, thereby bringing United States standards in concert with world-wide guidelines. A1C levels under 6% are normal for people without the disease""



American Board of endocrinologisst white papers 2006 symposium.

Whiel many doctors rer reading this many are reading the last sentence about belwo 6.5 for non diabetic pateints. MAnyd iabetics rea getting frustrated,as was discussed at the sysmposium as being frustrated not being able to get that low.
It was here that we talked abotu diabetic pateints versus those who are not " real" and can be controleld by diet changes as seing the lowering abck to normal when their diet is changed.
It was a consensus of opinions that there has to be a new callf or differentiations and traetment and Dxing options for those who are tried and true diabetic versus lumping all diabetiscs as we are seing into pseudo diabetes.

For real diabetics, those who have failed a GTT, and failed insulin level tests versus those who are in metabolic syndrom and poor diet causative to maintain a 6.5 to 7 level for best outcome, prevention of complications.
Another factor we discussed was the use of lab work in aocntrolled setting to get absolute confirmation of diabetes and begin treatmenmts.
MAny dopctors were concerned over the idea that diabetics coming in were being told they are insulin restsnat and stll not maintaining normal blood sugar levels but the doctors refusal to do more tests were also a ocncern.

What some of us proposed was that we go back to 24 hour hospital stay for confiemation beyond blodo fingerstick to make sure we are getting the really severe diabetics off of just control your diet and onto medication where its needed.

We who attended are nto sure what wil ahppen but we made our voices heard.

so currently here is the new guidelines: fasting stays the same between 75 and 110 , post prandial should not be above 145-150.

women shoud check more often around ovulation to see changes in spikes and change or add a shot to maintain control, Pre exercise guides should follow exercise when between 95 and 160. But not at 180 as to ketone elevations.

Another that we wanted was teh ability for diabetics to monitor ketones and proteins and make it part o fthe routine t prevent Kidney complicatiosn and geta hold on it as son as possible.