Posted by: Pablo | 2009-05-28



My recent HBA1c measurement of 5,1 was interpreted as a bad thing, being told that a recent survey of 10 000 patients in USA indicated a higher mortailty rate among Diabetics with lower HBA1c readings. This is contrary to what I had been originally taught &  stivied to acheive. How much is good and how much is bad? I am a 52 years old Type 2 without complications (other than burny feet). I' m confused - please help.

Expert's Reply


Diabetes expert

There were some recent studies where patients whom were uncontrolled and then enrolled onto a strict treatment regimen with very strict control, did develop more complications than the not so extremely well controlled group. It is important to look at this in context - these patients were elderly and as mentioned not well controlled at onset - it seems as if you have been taking good care of yourself and your situation may be totally different to the population in the studies referred to. The risks may be in the development of hypoglycaemic episodes and if you are not inclined to that, this may not be a problem to you. Please discuss it with your doctor -as he/she is in the best situation to advise you on the best care for your specific situation. We know also from several studies that better control can prevent complications - there is thus a fine balance in the management of diabetic patients.

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