Archived

This topic is now archived and is closed to further replies.

savvysearch

a1c 5.7 is now pre-diabetes.

34 posts in this topic

Good catch savvy, over 50 million with prediabetes and 1.5 million new Ds a year. Man this is crazy.:eek:

Share this post


Link to post
Share on other sites

Ouch, Just had my blood work done and my A1c was 5.7. I thought that was too high to be 'satisfactory,' like the Doctor checked on the form.

 

No problem, I am on hubby's ultra low-carb lifestyle and feel much better than a month ago.

 

None the less, I will point that out to her when I go back.

 

Thanks for posting,

Janice

Share this post


Link to post
Share on other sites

hmmmm that seems high to me. But if they are going by A1cs in the first place, IMHO they are gonna find people too darn late anyhow.

Share this post


Link to post
Share on other sites
hmmmm that seems high to me. But if they are going by A1cs in the first place, IMHO they are gonna find people too darn late anyhow.

 

agreed.

 

 

yeap. and **** they raised the bar.

Share this post


Link to post
Share on other sites
hmmmm that seems high to me. But if they are going by A1cs in the first place, IMHO they are gonna find people too darn late anyhow.

 

They do say: "A person without diabetes would have an A1C of about 5 percent."

Share this post


Link to post
Share on other sites
They do say: "A person without diabetes would have an A1C of about 5 percent."

 

Yeah, maybe it's just that "junior diabetes," thing that is bugging me again!

Share this post


Link to post
Share on other sites

At least they are saying that 5.7 is bad. My stupid endo refused to listen to me because my a1c was 5.7 therefore nothing was wrong. Thank God I found somebody who was willing to look at the fact that I tend to swing a lot and therefore my a1c is misleading.

Share this post


Link to post
Share on other sites

I like that they lowered one end of the bar, but I can't help thinking that this might be the start of things to come under obamacare. That is, by delaying a diagnosis of diabetes under the new rules, it means they don't have to dispense critical treatment right away.

 

I'm not liking this. It's akin to that asinine study with mammograms that recently came out.

Share this post


Link to post
Share on other sites

I'm a little confused... did they raise or lower the A1c bar for Pre-Diabetes?

 

I agree fully that relying only on A1c as a screening method is flawed logic (as has been pointed out by the CDA and many other diabetes experts worldwide) and will allow many to slip through the cracks but surely a lower A1c threshold even if it catches just a few more would be good thing?

Share this post


Link to post
Share on other sites
I like that they lowered one end of the bar, but I can't help thinking that this might be the start of things to come under obamacare. That is, by delaying a diagnosis of diabetes under the new rules, it means they don't have to dispense critical treatment right away.

 

I'm not liking this. It's akin to that asinine study with mammograms that recently came out.

 

Frank, I think that "they" lowered the bar from somewhere around 6.0-6.5 to that 5.7 for a pre-D dx. So, isn't that a GOOD thing, CALynn??? Or am I mistaken in my interpretation? :confused:

 

It catches more people earlier, so they can address it, I would think. I'm fairly certain that "normal" went up to about 5.9 until this...and many docs ignored the designation of Pre-D until the patient FINALLY hits an A1c of 6.6 or more, and then had a full blown T2 dx.

 

BTW, I agree with you on the mammogram thing, CALynn. I've lost friends in their thirties-forties , to breast cancer. Idiocy...and only to save money.

Share this post


Link to post
Share on other sites

They lowered the threshold so it should catch more people at risk for diabetes. I think they should use a1c as a diagnostic tool. It doesn't mean they should only use a1c to test people. Just like they shouldn't only use fasting glucose to see if people are fine, which is what is currently going on right now. But we all know that for some people, impaired glucose tolerance happens way before there is an increase in fasting glucose. And an a1c will help to catch these people who may be unwilling to sit two hours for a OGTT.

 

So yeah, person #1 with prediabetes with a fasting glucose of 100 can have a normal a1c of 5.5.

But person #2 with a normal fasting glucose of 79 should generally not have an a1c of 5.8 unless he/she is at risk. Using a1c as a diagnostic tool will not catch person #1 but it will catch person #2 which is was the focus should be on. Person #1 was already caught with the fasting glucose which is what doctors in general, always order.

 

Now, a great doctor will order an OGTT. But I imagine patients aren't very compliant with an order of having to sit at a clinic for 2 hours, getting blood drawn thrice. A1c is the next best thing. At least, it'll give the doctor some idea of likelihood.

Share this post


Link to post
Share on other sites

The problem with your response savvy is what the problem that so many of us have with our doctors. Our doctors have got it in their head that most Type 2's are not compliant and will not put the work in. So they lower the bar. They aren't giving people the opportunity to step up to the plate so it becomes a self fulfilling prophecy.

 

With your line of thinking, doctors aren't even going to try for the OGTT. That means that many people are going to miss a diagnosis at a time when they can do the most to fix it. This is the exact kind of thinking so many of us fight when we try to be proactive by testing, eating lower carb, and keeping our levels within a healthy range.

Share this post


Link to post
Share on other sites

Interesting...Wondering what that makes me? I was 6.4% in June 09, retested in September 09 5.1% without any diet changes.

Share this post


Link to post
Share on other sites
Ask your doctor. Or write to the ADA.

 

I dont trust doctors, would trust most of the posters here over an average doctor anyday of the week..

Share this post


Link to post
Share on other sites

My first A1C years ago was a 5.6 I think. Now it is 6.1. When I was first coined prediabetic years ago, I tested religiously and found Very very few highs. I was mostly low, so I have a hard time thinking the A1C could be totally accurate due to people who tend to swing low a lot and that it is ( I think) just an average), but I am not a doctor.

Share this post


Link to post
Share on other sites
I dont trust doctors, would trust most of the posters here over an average doctor anyday of the week..
What a weird and misguided notion. :eek: Sorry... but that's 'very scary'. Not that this isn't a good even GREAT forum. But people here are 'far, far, far from doctors with 'years of experience' in the field and no less than 10 years of formal schooling and internship and residency training.

Share this post


Link to post
Share on other sites
At least they are saying that 5.7 is bad. My stupid endo refused to listen to me because my a1c was 5.7 therefore nothing was wrong. Thank God I found somebody who was willing to look at the fact that I tend to swing a lot and therefore my a1c is misleading.

 

Likewise. Even with my latest HbA1c being 4.8, I'm usually over 100 FBS. I still consider myself pre-diabetic even though I've attained two HbA1c readings under 5 without any strict diet control.

Share this post


Link to post
Share on other sites