New target levels

[jimmys devoted]

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.

[skatss]

Since the A1C test really gives the better picture of how well a person with diabetes is doing, I tend to tell anyone who asks how I am doing about that test result rather than talk about my everyday numbers.

I no longer have a schedule that has me checking my numbers everyday since my blood sugars have been normal for such a long time. Unfortunately I find that sometimes test my bloodsugars when I am upset about something. It can be that I feel sick or if I ate something that didn't agree with me and I feel woozy, or if I have an emotional problem and am afraid that my numbers are off. Because I do it when I feel it's needed, my numbers might be high normal rather than medium normal and I get worried that I have a problem again.

But with each A1C test I can see that overall I am in great control and that makes me feel a lot better about my control on the whole. If your doctor hasn't been getting the test for you, make sure to ask him to order it.

Thank heavens for the A1C test. Without that I might be taking medication I don't actually need.

[jimmys devoted]

I used to actuallycare when i talked to people.. then I found out that a majority ofpeople here dont know what an A1C is... sooooooo I just bypass it.
Mine is aocnstant 6.5 so I never really worry.
I want teh frutosamine home test back..! when i ahd that through LXN Incharge system I never went above 6.2! and my BGs were between 92 and 120 always even on ill days.

For me I seem to be getting into a pattern of tight care but more normal attitude.........
julie

[faithib]

I'll have to ask my Endo about this at my next appt. and see if this changes anything for me. Lately she has been wanting me to stay closer to 7 because i am gradually losing the ability to feel lows. She thinks it is safer that way.
I wish I could say I didn't have to check blood sugars anymore! I guess that is the difference between a type 1 and a type 2?

[skatss]

That's so true and I realize that a lot, because I know so many people with type 1. When I got the good news and my doc told me to actually stop taking insulin, I was overjoyed and I was stupid enough to tell everyone I knew.

Unfortunately I hurt the feelings of a few friends who have type 1. I really didn't think that my great good news would affect them with some depression. When I found out I felt I had to apologize.

So I guess I really should do that here too. If I have made anyone angry by talking about the fact that I no longer have to take insulin when they will always have to - I apologize. I guess I am still over the moon with happiness about it and can't not talk about it.

I am also well aware that my great good luck can change any time and am still checking my numbers.

[jimmys devoted]

come off of insulin. For those of us who are type 1... its not so bad.
I mean theer are new PODS, meters, pumps( if you go that route).

I agree with keeping at 7.. i prefer 6.5-6.8. Over that and i feel it!
I wam wondering how is it that you are not feeling lows anymore?
no shakes, no wierd feeling in your body? no overall weakness?

I know when i begin to drop it can be: all of the above or just an unquenchable water hunger not thirst. I start to feel my respirations go awry and my heart beat so strong it feels like its coming through my chest, then i cant walk.. just pretty much crawl or grab onto anything i can to steady myself.

these are my symptoms of low blood sugar........ do you recall what yours were..
oh and to you who came off of insulin , keep healthy!

theer is abig diff between even type 2s now...
so its awsome news......
j