I am wondering if there are any statistics or educated guesses as to the
percentages of Type 2 diabetics who succeed in gaining control of their blood
sugar. Anyone?
06
Sep
Controlling blood sugar?
posted by admin in Uncategorized and have Comments (24)
24 Responses to “Controlling blood sugar?”
verna…@aol.comnojunk (Verna Jan) wrote in
news:20041128091128.08318.00001425@mb-m04.aol.com:
> I am wondering if there are any statistics or educated guesses as to
> the
> percentages of Type 2 diabetics who succeed in gaining control of
> their blood sugar. Anyone?
I would guess it’s an unknown. The problem is that many patients will
listen to their doctor’s and diabetes educator’s advice and not test for
what works for them. Plus there will be doctors who go "it’s okay to be
high since you are a diabetic". Of course the doc doesn’t have to live
with the complications.
The people who come to this group are in the minority and want to
improve their odds for a healthy life.
Cindy Wells
(whose grandfather thought he was doing great before his heart bypass
and later stroke – since his fasting numbers were great. Even after the
stroke I couldn’t get him to test before dinner; after lunch testing was
less likely. At that point he got insulin when hospitalized but not
at home. I suspect the bg testing at the hospital was also minimal.)
Verna,
The best data that could answer your question comes from NHANES III which is
a national health survey conducted in the U.S.
It found that blood sugar control for diabetics in the US is currently much
worse than it was a decade ago, and that they typical diabetic has an hba1c
near 10.0%.
The explanation for this appears to be that years ago doctors were more
likely to prescribe insulin for diabetics whose blood sugar control
deteriorated, but the current blizzard of drug company hype has convinced
many patients that oral drugs are all they need and as a result doctors are
reluctant to suggest insulin.
If you read the prescribing information for the oral diabetic drugs, you’ll
see that in the trials used to get approval for the drugs, the drugs
decreased patient’s blood sugar from unacceptable levels like an hba1c 9% to
a still unacceptable level like 8%. This is enough to get them approved by
the FDA and to allow the drug company to claim that their drugs improve
diabetic blood sugar, but not enough to avoid the patient developing serious
diabetic complications.
There is not a single oral drug on the market that can bring diabetic blood
sugars down to a truly normal level unless the patient cuts their carb
intake way down too.
Sad.
– Jenny - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes,
hba1c 5.7 .
Cut the carbs to respond to my email address!
Jenny’s new site: What they Don’t Tell You About Diabetes
http://www.geocities.com/lottadata4u/
Jenny’s Low Carb Diet Facts & Figures
http://www.geocities.com/jenny_the_bean/
Looking for help controlling your blood sugar?
Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
"Verna Jan" <verna…@aol.comnojunk> wrote in message
news:20041128091128.08318.00001425@mb-m04.aol.com…
- Hide quoted text — Show quoted text -
> I am wondering if there are any statistics or educated guesses as to the
> percentages of Type 2 diabetics who succeed in gaining control of their
blood
> sugar. Anyone?
In article <jd-dnT2yBo_dmTfcRVn…@rcn.net>,
"Jenny" <lottadataca…@hotmail.com> wrote:
> Verna,
> The best data that could answer your question comes from NHANES III which is
> a national health survey conducted in the U.S.
> It found that blood sugar control for diabetics in the US is currently much
> worse than it was a decade ago, and that they typical diabetic has an hba1c
> near 10.0%.
> The explanation for this appears to be that years ago doctors were more
> likely to prescribe insulin for diabetics whose blood sugar control
> deteriorated, but the current blizzard of drug company hype has convinced
> many patients that oral drugs are all they need and as a result doctors are
> reluctant to suggest insulin.
And they rarely if ever will give them the straight information on what
to do to prevent their BG from spiking (i.e. restrict carbs), or even
that it’s possible for many to maintain normal numbers without medical
intervention.
> If you read the prescribing information for the oral diabetic drugs, you’ll
> see that in the trials used to get approval for the drugs, the drugs
> decreased patient’s blood sugar from unacceptable levels like an hba1c 9% to
> a still unacceptable level like 8%. This is enough to get them approved by
> the FDA and to allow the drug company to claim that their drugs improve
> diabetic blood sugar, but not enough to avoid the patient developing serious
> diabetic complications.
> There is not a single oral drug on the market that can bring diabetic blood
> sugars down to a truly normal level unless the patient cuts their carb
> intake way down too.
And they’re generally not told to do that.
> Sad.
Very.
Priscilla
–
"It is very, very dangerous to treat any human, lowest
of the low even, with contempt and arrogant whatever.
The Lord takes this kind of treatment very, very personal."
– QBaal in newsgroup alt.religion.christian.episcopal
Verna Jan wrote in message <20041128091128.08318.00001…@mb-m04.aol.com>…
> I am wondering if there are any statistics or educated guesses as to the
>percentages of Type 2 diabetics who succeed in gaining control of their
blood
>sugar. Anyone?
As per Jenny’s post, the NHANES surveys do the best job of reporting those
numbers.
http://www.medscape.com/viewarticle/403327_3
My interpretation of the data in Figure 1 of the above:
Decile Range of HbA1c
0 – 10% of T2: 2.8 – 5.4
10 – 20% of T2 5.5 – 5.8
20 – 30% of T2: 5.9 – 6.2
30 – 40% of T2: 6.3 – 6.6
40 – 50% of T2: 6.7 – 7.2
50 – 60% of T2: 7.3 – 7.8
60 – 70% of T2: 7.9 – 8.5
70 – 80% of T2: 8.5 – 9.2
80 – 90% of T2: 9.3 – 10.6
90 – 100% of T2: 10.7 – 16.2
Which means less than 30% meet the stringent ADA target of < 6.0%
About 40% meet the AACE target of < 6.5%
For T2 aged 20 to 54, mean HbA1c was 7.78
For T2 aged 55 – 64, mean HbA1c was 7.64.
I once read a blurb in Diabetes Forecast which asserted that the average
HbA1c measured in U.S. Hospital labs in 1998 was 9.3. I don’t know how to
relate that bit of information to the NHANES data.
The NHANES data suggest that the mean HbA1c of non-diabetics was 5.27
Regards
Old Al
On 28 Nov 2004 14:11:28 GMT, verna…@aol.comnojunk (Verna Jan) wrote:
> I am wondering if there are any statistics or educated guesses as to the
>percentages of Type 2 diabetics who succeed in gaining control of their blood
>sugar. Anyone?
The answer to the first question is easy – no statistics on real
control. There are various statistics in different countries and the
WHO, but they are general and usually based on HbA1c at much higher
levels than I would consider "control".
The second question – educated guesses – comes into the "how long is a
piece of string" category. First, you must define "control".
But, based on these experiences:
1. Newsgroups. There are maybe 300 people in total who regularly post on
the four diabetes ngs and various Yahoo groups I "inhabit". If we
presume optimistically that ALL of them are in control, and that there
are five times as many lurkers in control, and then add a bit for
comfort, that gives around 2000 people in the world for that sample. As
the WHO stats indicate that well in excess of 5% of the population of
over 6.5 billion has diabetes, that represents .0006%.
2. When I attended some recent diabetes support group meetings in this
educated affluent Western country, a quick show of hands showed that:
a. 30% didn’t own a glucometer – despite our health system subsidising
them and their use heavily.
b. less than 10% tested more than twice daily.
c. the same number (three) used those tests to change their diet. I
found out later the doc had passed on my advice to the other two
d. Half had heard of HbA1c, a quarter knew that it was "your three month
average". 20% knew their latest one.
e. Half thought that they didn’t eat enough carbs, because everything
they read from the authorities said they should eat more of them.
Based on those exhaustive "scientific" studies, I’ll revert to an
optimistic upgrade of the newsgroups number, and say that there are 1000
times as many people in control as there are on the newsgroups.
That brings us up to .6% of the world’s diabetics. So, let’s round it up
to 1%.
Of course, I have been optimistic
Cheers, Alan, T2 d&e, Australia.
Remove weight and carbs to email.
—
Everything in Moderation – Except Laughter.
On Sun, 28 Nov 2004 13:28:04 -0500, "oldal4865" <oldal4…@yahoo.com>
wrote:
- Hide quoted text — Show quoted text -
>As per Jenny’s post, the NHANES surveys do the best job of reporting those
>numbers.
>http://www.medscape.com/viewarticle/403327_3
>My interpretation of the data in Figure 1 of the above:
> Decile Range of HbA1c
>0 – 10% of T2: 2.8 – 5.4
>10 – 20% of T2 5.5 – 5.8
>20 – 30% of T2: 5.9 – 6.2
>30 – 40% of T2: 6.3 – 6.6
>40 – 50% of T2: 6.7 – 7.2
>50 – 60% of T2: 7.3 – 7.8
>60 – 70% of T2: 7.9 – 8.5
>70 – 80% of T2: 8.5 – 9.2
>80 – 90% of T2: 9.3 – 10.6
>90 – 100% of T2: 10.7 – 16.2
>Which means less than 30% meet the stringent ADA target of < 6.0%
>About 40% meet the AACE target of < 6.5%
>For T2 aged 20 to 54, mean HbA1c was 7.78
>For T2 aged 55 – 64, mean HbA1c was 7.64.
>I once read a blurb in Diabetes Forecast which asserted that the average
>HbA1c measured in U.S. Hospital labs in 1998 was 9.3. I don’t know how to
>relate that bit of information to the NHANES data.
>The NHANES data suggest that the mean HbA1c of non-diabetics was 5.27
>Regards
> Old Al
Thanks for that reference Al. Interesting.
Cheers, Alan, T2 d&e, Australia.
Remove weight and carbs to email.
—
Everything in Moderation – Except Laughter.
"Alan" <loralweightandca…@optusnet.com.au> wrote in message
news:s1jkq0dblhkj9k677qlrehllh3v6isvc79@4ax.com…
> First, you must define "control".
Since some people define it pretty strictly, there are probably some here
who aren’t in control either, and I’m likely among them.
bj
From http://vanderbiltowc.wellsource.com/dh/content.asp?ID=1507 (Vanderbilt
University health site):
Summarizing an NIDDK press release discussing NHANES III data:
"Only 37 percent (compared to 44 percent in the earlier NHANES) were
achieving the American Diabetes Association’s (ADA) goal for blood glucose
control–a hemoglobin A1c (HbA1c) blood test result of less than 7 percent.
About 37 percent of participants in the later survey had HbA1c levels above
8 percent, ADA’s recommended "take action" level."
Almost 40% had hba1cs above 8%!
The study Old Al cites is particularly depressing because the authors give
the impression that their data shows that testing doesn’t affect hba1c
level, when in fact all it shows for most people in a population of people
with depressingly poorly controlled diabetes only people on insulin test at
all and they don’t test enough to learn how to control their blood sugar.
Even more depressing is the complete lack of advice to patients to test
anywhere in the health establishment. I have friends on insulin who think
they are doing great because they test ONCE A WEEK. Fasting, I might add.
They also think they’re doing great because their hba1c is 7%. They have no
idea what their post meal numbers look like because no one has ever
suggested they look unless they feel low and with all the carbs they eat (at
the doctors’ orders) they never go low.
–Jenny - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes,
hba1c 5.7 .
Cut the carbs to respond to my email address!
Jenny’s new site: What they Don’t Tell You About Diabetes
http://www.geocities.com/lottadata4u/
Jenny’s Low Carb Diet Facts & Figures
http://www.geocities.com/jenny_the_bean/
Looking for help controlling your blood sugar?
Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
"oldal4865" <oldal4…@yahoo.com> wrote in message
news:30ujl1F34f05jU1@uni-berlin.de…
> Verna Jan wrote in message
<20041128091128.08318.00001…@mb-m04.aol.com>…
- Hide quoted text — Show quoted text -
> > I am wondering if there are any statistics or educated guesses as to
the
> >percentages of Type 2 diabetics who succeed in gaining control of their
> blood
> >sugar. Anyone?
> As per Jenny’s post, the NHANES surveys do the best job of reporting
those
> numbers.
> http://www.medscape.com/viewarticle/403327_3
> My interpretation of the data in Figure 1 of the above:
> Decile Range of HbA1c
> 0 – 10% of T2: 2.8 – 5.4
> 10 – 20% of T2 5.5 – 5.8
> 20 – 30% of T2: 5.9 – 6.2
> 30 – 40% of T2: 6.3 – 6.6
> 40 – 50% of T2: 6.7 – 7.2
> 50 – 60% of T2: 7.3 – 7.8
> 60 – 70% of T2: 7.9 – 8.5
> 70 – 80% of T2: 8.5 – 9.2
> 80 – 90% of T2: 9.3 – 10.6
> 90 – 100% of T2: 10.7 – 16.2
> Which means less than 30% meet the stringent ADA target of < 6.0%
> About 40% meet the AACE target of < 6.5%
> For T2 aged 20 to 54, mean HbA1c was 7.78
> For T2 aged 55 – 64, mean HbA1c was 7.64.
> I once read a blurb in Diabetes Forecast which asserted that the average
> HbA1c measured in U.S. Hospital labs in 1998 was 9.3. I don’t know how
to
> relate that bit of information to the NHANES data.
> The NHANES data suggest that the mean HbA1c of non-diabetics was 5.27
> Regards
> Old Al
A1C now although an at home test is also very complicated to use. You have
to be able to syphin the blood through a small tube, then mix it with the
solution and then enter it into the machine. There are many other options
out there for at home testing such as the product that we sell.
A1C-At-Home from FlexSite Diagnostics. Check us out online at
http://www.FlexSite.com And right now we have an introductory offer for only
$13.90 including the shipping and handling. The other great benefit to
using A1c-At-Home is that you don’t have to leave the house. We send you
the kit, you mail it in to us and we send you and at your request you Dr.
the results. It can be done at your leasure. No more expensive trips to
the lab.
- Hide quoted text — Show quoted text -
Jenny wrote:
> From http://vanderbiltowc.wellsource.com/dh/content.asp?ID=1507 (Vanderbilt
> University health site):
> Summarizing an NIDDK press release discussing NHANES III data:
> "Only 37 percent (compared to 44 percent in the earlier NHANES) were
> achieving the American Diabetes Association’s (ADA) goal for blood glucose
> control–a hemoglobin A1c (HbA1c) blood test result of less than 7 percent.
> About 37 percent of participants in the later survey had HbA1c levels above
> 8 percent, ADA’s recommended "take action" level."
> Almost 40% had hba1cs above 8%!
> The study Old Al cites is particularly depressing because the authors give
> the impression that their data shows that testing doesn’t affect hba1c
> level, when in fact all it shows for most people in a population of people
> with depressingly poorly controlled diabetes only people on insulin test at
> all and they don’t test enough to learn how to control their blood sugar.
> Even more depressing is the complete lack of advice to patients to test
> anywhere in the health establishment. I have friends on insulin who think
> they are doing great because they test ONCE A WEEK. Fasting, I might add.
> They also think they’re doing great because their hba1c is 7%. They have no
> idea what their post meal numbers look like because no one has ever
> suggested they look unless they feel low and with all the carbs they eat (at
> the doctors’ orders) they never go low.
> –Jenny - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes,
> hba1c 5.7 .
> Cut the carbs to respond to my email address!
> Jenny’s new site: What they Don’t Tell You About Diabetes
> http://www.geocities.com/lottadata4u/
> Jenny’s Low Carb Diet Facts & Figures
> http://www.geocities.com/jenny_the_bean/
> Looking for help controlling your blood sugar?
> Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
> "oldal4865" <oldal4…@yahoo.com> wrote in message
> news:30ujl1F34f05jU1@uni-berlin.de…
>>Verna Jan wrote in message
> <20041128091128.08318.00001…@mb-m04.aol.com>…
>>> I am wondering if there are any statistics or educated guesses as to
> the
>>>percentages of Type 2 diabetics who succeed in gaining control of their
>>blood
>>>sugar. Anyone?
>>As per Jenny’s post, the NHANES surveys do the best job of reporting
> those
>>numbers.
>>http://www.medscape.com/viewarticle/403327_3
>>My interpretation of the data in Figure 1 of the above:
>> Decile Range of HbA1c
>>0 – 10% of T2: 2.8 – 5.4
>>10 – 20% of T2 5.5 – 5.8
>>20 – 30% of T2: 5.9 – 6.2
>>30 – 40% of T2: 6.3 – 6.6
>>40 – 50% of T2: 6.7 – 7.2
>>50 – 60% of T2: 7.3 – 7.8
>>60 – 70% of T2: 7.9 – 8.5
>>70 – 80% of T2: 8.5 – 9.2
>>80 – 90% of T2: 9.3 – 10.6
>>90 – 100% of T2: 10.7 – 16.2
>>Which means less than 30% meet the stringent ADA target of < 6.0%
>>About 40% meet the AACE target of < 6.5%
>>For T2 aged 20 to 54, mean HbA1c was 7.78
>>For T2 aged 55 – 64, mean HbA1c was 7.64.
>>I once read a blurb in Diabetes Forecast which asserted that the average
>>HbA1c measured in U.S. Hospital labs in 1998 was 9.3. I don’t know how
> to
>>relate that bit of information to the NHANES data.
>>The NHANES data suggest that the mean HbA1c of non-diabetics was 5.27
>>Regards
>> Old Al
You seem to be a regular here, so hopefully you can answer a couple of
questions for me. In July my H1Ac was 6.8%. In September it was 5.7%.
Mainly by cutting out all sodas. Is there anything as a perfect H1Ac
which ALL people should attain?
I once saw a chart at Joselin, but can’t find it online and wonder if
you can post it, which shows the equivalency between the H1Ac
percentages and blood glucose levels.
Thanks,
Tony
Oral didn’t do the trick for me – I am now on insulin, and (shocked to be
saying this), am much happier now that my levels are near normal…..I feel
like I have control over it for the first time since being diagnosed 3.5 years
ago – in fact, I was so discouraged with the oral meds, that I stopped taking
them and went into denial – a ketoacidosis episode a month ago put me out of
denial and onto insulin, where I feel much better seeing my numbers actually in
the 100′s almost all of the time.
plonk
"A1CSELLER" <asm…@flexsite.com> schrieb im Newsbeitrag
news:a2ed599dc452d2339cb504c60993e83f@localhost.talkabouthealthnetwork.com…
- Hide quoted text — Show quoted text -
> A1C now although an at home test is also very complicated to use. You have
> to be able to syphin the blood through a small tube, then mix it with the
> solution and then enter it into the machine. There are many other options
> out there for at home testing such as the product that we sell.
> A1C-At-Home from FlexSite Diagnostics. Check us out online at
> http://www.FlexSite.com And right now we have an introductory offer for only
> $13.90 including the shipping and handling. The other great benefit to
> using A1c-At-Home is that you don’t have to leave the house. We send you
> the kit, you mail it in to us and we send you and at your request you Dr.
> the results. It can be done at your leasure. No more expensive trips to
> the lab.
nimzoindian…@aol.com (Nimzo Indian CCC) wrote in
news:20041129233818.06251.00000634@mb-m27.aol.com:
> Oral didn’t do the trick for me – I am now on insulin, and (shocked
> to be saying this), am much happier now that my levels are near
> normal…..I feel like I have control over it for the first time
> since being diagnosed 3.5 years ago – in fact, I was so discouraged
> with the oral meds, that I stopped taking them and went into denial
> – a ketoacidosis episode a month ago put me out of denial and onto
> insulin, where I feel much better seeing my numbers actually in the
> 100′s almost all of the time.
This is not an uncommon reaction to the switch from oral medications only
to insulin or insulin and orals(s).
–
——-
Charly Coughran
ccough…@DELETE-TO-RESPOND-UCSD.EDU
Tony,
Congrats on improving your blood sugar profile.
The single most important bit of data about Hba1c levels and health came
from the EPIC-Norfolk study and is this.
The risk of a cardiovascular event doubles as soon as hba1c goes over 5.0%.
It goes way up again when it hits 7%.
Dr. Richard Bernstein the diabetes doctor says that truly normal people have
hba1cs of 4.7%.
However, it is also very important to know that people can have different
genetic variations in the type of hemoglobin their body produces. In some
cases this means that a person with damagingly high blood sugar can get a
low hba1c test result. If that is the case, there’s another test,
Fructosamine, which will be more accurate but which reflects control over a
shorter time period.
The hba1c is useful, but it is not as good an index into your true health as
post-meal numbers. Even the ADA says that the Hba1c test should not be used
to diagnose diabetes.
It is very easy to have hba1cs in the 5% range and still develop
complications if you are spiking after meals over 140 mg/dl. I just read
some research somewhere that said that 1 out of 10 people with pre-diabetic
blood sugars (i.e. spiking between 140 and 199 mg/dl) have microalbumin
(early sign of diabetic kidney damage.)
Watch those post-meal numbers and the hba1c should take care of itself. If
the only change you made to your diet is to cut out sodas, it is very likely
you are still spiking post-meal. It would be worth checking to see how high
and doing what it takes to stay under 140 mg/dl at all times.
–
Jenny - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes,
hba1c 5.7 .
Cut the carbs to respond to my email address!
Jenny’s new site: What they Don’t Tell You About Diabetes
http://www.geocities.com/lottadata4u/
Jenny’s Low Carb Diet Facts & Figures
http://www.geocities.com/jenny_the_bean/
Looking for help controlling your blood sugar?
Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
"Anthony Marsh" <ama…@quik.com> wrote in message
news:10qmuakbcp7hnf0@corp.supernews.com…
- Hide quoted text — Show quoted text -
> Jenny wrote:
> > From http://vanderbiltowc.wellsource.com/dh/content.asp?ID=1507
(Vanderbilt
> > University health site):
> > Summarizing an NIDDK press release discussing NHANES III data:
> > "Only 37 percent (compared to 44 percent in the earlier NHANES) were
> > achieving the American Diabetes Association’s (ADA) goal for blood
glucose
> > control–a hemoglobin A1c (HbA1c) blood test result of less than 7
percent.
> > About 37 percent of participants in the later survey had HbA1c levels
above
> > 8 percent, ADA’s recommended "take action" level."
> > Almost 40% had hba1cs above 8%!
> > The study Old Al cites is particularly depressing because the authors
give
> > the impression that their data shows that testing doesn’t affect hba1c
> > level, when in fact all it shows for most people in a population of
people
> > with depressingly poorly controlled diabetes only people on insulin test
at
> > all and they don’t test enough to learn how to control their blood
sugar.
> > Even more depressing is the complete lack of advice to patients to test
> > anywhere in the health establishment. I have friends on insulin who
think
> > they are doing great because they test ONCE A WEEK. Fasting, I might
add.
> > They also think they’re doing great because their hba1c is 7%. They have
no
> > idea what their post meal numbers look like because no one has ever
> > suggested they look unless they feel low and with all the carbs they eat
(at
> > the doctors’ orders) they never go low.
> > –Jenny - Low Carbing for 5 years. Below goal for weight. Type 2
diabetes,
> > hba1c 5.7 .
> > Cut the carbs to respond to my email address!
> > Jenny’s new site: What they Don’t Tell You About Diabetes
> > http://www.geocities.com/lottadata4u/
> > Jenny’s Low Carb Diet Facts & Figures
> > http://www.geocities.com/jenny_the_bean/
> > Looking for help controlling your blood sugar?
> > Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
> > "oldal4865" <oldal4…@yahoo.com> wrote in message
> > news:30ujl1F34f05jU1@uni-berlin.de…
> >>Verna Jan wrote in message
> > <20041128091128.08318.00001…@mb-m04.aol.com>…
> >>> I am wondering if there are any statistics or educated guesses as to
> > the
> >>>percentages of Type 2 diabetics who succeed in gaining control of their
> >>blood
> >>>sugar. Anyone?
> >>As per Jenny’s post, the NHANES surveys do the best job of reporting
> > those
> >>numbers.
> >>http://www.medscape.com/viewarticle/403327_3
> >>My interpretation of the data in Figure 1 of the above:
> >> Decile Range of HbA1c
> >>0 – 10% of T2: 2.8 – 5.4
> >>10 – 20% of T2 5.5 – 5.8
> >>20 – 30% of T2: 5.9 – 6.2
> >>30 – 40% of T2: 6.3 – 6.6
> >>40 – 50% of T2: 6.7 – 7.2
> >>50 – 60% of T2: 7.3 – 7.8
> >>60 – 70% of T2: 7.9 – 8.5
> >>70 – 80% of T2: 8.5 – 9.2
> >>80 – 90% of T2: 9.3 – 10.6
> >>90 – 100% of T2: 10.7 – 16.2
> >>Which means less than 30% meet the stringent ADA target of < 6.0%
> >>About 40% meet the AACE target of < 6.5%
> >>For T2 aged 20 to 54, mean HbA1c was 7.78
> >>For T2 aged 55 – 64, mean HbA1c was 7.64.
> >>I once read a blurb in Diabetes Forecast which asserted that the average
> >>HbA1c measured in U.S. Hospital labs in 1998 was 9.3. I don’t know
how
> > to
> >>relate that bit of information to the NHANES data.
> >>The NHANES data suggest that the mean HbA1c of non-diabetics was 5.27
> >>Regards
> >> Old Al
> You seem to be a regular here, so hopefully you can answer a couple of
> questions for me. In July my H1Ac was 6.8%. In September it was 5.7%.
> Mainly by cutting out all sodas. Is there anything as a perfect H1Ac
> which ALL people should attain?
> I once saw a chart at Joselin, but can’t find it online and wonder if
> you can post it, which shows the equivalency between the H1Ac
> percentages and blood glucose levels.
> Thanks,
> Tony
Nimzo Indian CCC wrote in message
<20041129233818.06251.00000…@mb-m27.aol.com>…
>Oral didn’t do the trick for me – I am now on insulin, and (shocked to be
>saying this), am much happier now that my levels are near normal…..I feel
>like I have control over it for the first time since being diagnosed 3.5
years
>ago – in fact, I was so discouraged with the oral meds, that I stopped
taking
>them and went into denial – a ketoacidosis episode a month ago put me out
of
>denial and onto insulin, where I feel much better seeing my numbers
actually in
>the 100′s almost all of the time.
Sounds a lot like LADA. . .Latent Autoimmune Diabetes in Adults.
http://www.zoomph.net/diabetes.world/lada.htm
If so, I hope you are on a modern insulin regime, i.e.
a.. Basal and bolus injected seperately.
b. An ultra-rapid insulin like Humalog or Novolog
c. A good Basal like Lantus, Levemir or Ultralente
and not using one of the obsolete T1 insulin regimes like:
d. Godawful NPH, or
e. Godawful pre-mix (70/30, 75/25)
Regards
Old Al
I believe what would benefit many with type 2 is first figure out how
many grams of carbs they can safely eat with no medications, by
testing before and after the meal. The next step would then be to
determine what additional carbs can be eaten with medications, be it
insulin, or oral meds. If they are not willing to go low-carb, or at
least not willing to do so all the time, they should find a doctor who
will prescribe them insulin, even if only for the occasions when they
exceed their allowable carb intakes or get high blood sugars for other
reasons. I think that over the long term, such a strategy would yield
better A1c’s than doctors simply demanding that type 2 patients "not
eat too much", exercise, think clean thoughts, whatever. The problem
for many with type 2, but not prescribed insulin is that they can do
nothing but wait or exercise when they get high blood sugars. Sadly,
most end up eating badly anyway.
On Sun, 28 Nov 2004 11:58:17 -0500, "Jenny"
- Hide quoted text — Show quoted text -
<lottadataca…@hotmail.com> wrote:
>Verna,
>The best data that could answer your question comes from NHANES III which is
>a national health survey conducted in the U.S.
>It found that blood sugar control for diabetics in the US is currently much
>worse than it was a decade ago, and that they typical diabetic has an hba1c
>near 10.0%.
>The explanation for this appears to be that years ago doctors were more
>likely to prescribe insulin for diabetics whose blood sugar control
>deteriorated, but the current blizzard of drug company hype has convinced
>many patients that oral drugs are all they need and as a result doctors are
>reluctant to suggest insulin.
>If you read the prescribing information for the oral diabetic drugs, you’ll
>see that in the trials used to get approval for the drugs, the drugs
>decreased patient’s blood sugar from unacceptable levels like an hba1c 9% to
>a still unacceptable level like 8%. This is enough to get them approved by
>the FDA and to allow the drug company to claim that their drugs improve
>diabetic blood sugar, but not enough to avoid the patient developing serious
>diabetic complications.
>There is not a single oral drug on the market that can bring diabetic blood
>sugars down to a truly normal level unless the patient cuts their carb
>intake way down too.
>Sad.
>– Jenny - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes,
>hba1c 5.7 .
>Cut the carbs to respond to my email address!
>Jenny’s new site: What they Don’t Tell You About Diabetes
>http://www.geocities.com/lottadata4u/
>Jenny’s Low Carb Diet Facts & Figures
>http://www.geocities.com/jenny_the_bean/
>Looking for help controlling your blood sugar?
>Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
>"Verna Jan" <verna…@aol.comnojunk> wrote in message
>news:20041128091128.08318.00001425@mb-m04.aol.com…
>> I am wondering if there are any statistics or educated guesses as to the
>> percentages of Type 2 diabetics who succeed in gaining control of their
>blood
>> sugar. Anyone?
"Radioactive Man" <1…@2.3> wrote in message
news:pmo1r059ug0iveg33k5c61b5gcumbrfcke@4ax.com…
> I believe what would benefit many with type 2 is first figure out how
> many grams of carbs they can safely eat with no medications, by
> testing before and after the meal. The next step would then be to
> determine what additional carbs can be eaten with medications, be it
> insulin, or oral meds.
Huh? What makes you think meds allow us to eat extra carbs? They don’t.
At least not for the most part. Yes, I’ve heard that some people take
certain meds when they are going to eat extra carbs. I don’t think these
are for use all the time and the two meds I’m on do not allow me the luxury
of eating additional carbs.
>If they are not willing to go low-carb, or at
> least not willing to do so all the time, they should find a doctor who
> will prescribe them insulin, even if only for the occasions when they
> exceed their allowable carb intakes or get high blood sugars for other
> reasons.
Excess insulin in a type 2 is not a good thing either. And I don’t think
insulin is one of those things you can just use when you want to.
>I think that over the long term, such a strategy would yield
> better A1c’s than doctors simply demanding that type 2 patients "not
> eat too much", exercise, think clean thoughts, whatever. The problem
> for many with type 2, but not prescribed insulin is that they can do
> nothing but wait or exercise when they get high blood sugars. Sadly,
> most end up eating badly anyway.
But like I said, excess insulin in a type 2 has its own set of problems. No
Dr. ever told me not to eat too much. All have said that too many carbs is
a bad thing.
–
See my webpage:
http://mysite.verizon.net/juliebove/index.htm
On Sun, 28 Nov 2004 18:20:17 GMT, Priscilla Ballou
- Hide quoted text — Show quoted text -
<vze23…@verizon.net> wrote:
>In article <jd-dnT2yBo_dmTfcRVn…@rcn.net>,
> "Jenny" <lottadataca…@hotmail.com> wrote:
>> Verna,
>> The best data that could answer your question comes from NHANES III which is
>> a national health survey conducted in the U.S.
>> It found that blood sugar control for diabetics in the US is currently much
>> worse than it was a decade ago, and that they typical diabetic has an hba1c
>> near 10.0%.
>> The explanation for this appears to be that years ago doctors were more
>> likely to prescribe insulin for diabetics whose blood sugar control
>> deteriorated, but the current blizzard of drug company hype has convinced
>> many patients that oral drugs are all they need and as a result doctors are
>> reluctant to suggest insulin.
>And they rarely if ever will give them the straight information on what
>to do to prevent their BG from spiking (i.e. restrict carbs), or even
>that it’s possible for many to maintain normal numbers without medical
>intervention.
But most people are not willing to go on such a restrictive diet, at
least not all the time. I think this is where the newer fast-acting
insulins could be very helpful – by giving them a remedy when they
cheat on their diets. Sadly, most doctors are very reluctant to
prescribe these insulins to patients recently diagnosed with type 2.
They typically wait until everything else has failed before even
suggesting insulin injections.
- Hide quoted text — Show quoted text -
>> If you read the prescribing information for the oral diabetic drugs, you’ll
>> see that in the trials used to get approval for the drugs, the drugs
>> decreased patient’s blood sugar from unacceptable levels like an hba1c 9% to
>> a still unacceptable level like 8%. This is enough to get them approved by
>> the FDA and to allow the drug company to claim that their drugs improve
>> diabetic blood sugar, but not enough to avoid the patient developing serious
>> diabetic complications.
>> There is not a single oral drug on the market that can bring diabetic blood
>> sugars down to a truly normal level unless the patient cuts their carb
>> intake way down too.
>And they’re generally not told to do that.
>> Sad.
>Very.
>Priscilla
Radioactive Man wrote:
" Sadly, most doctors are very reluctant to
prescribe these insulins to patients recently diagnosed with type 2.
They typically wait until everything else has failed before even
suggesting insulin injections."
Why is that?
In article <2ep1r05qmgd47pg3jk4hm24b3milfcs…@4ax.com>,
Radioactive Man <1…@2.3> wrote:
- Hide quoted text — Show quoted text -
> On Sun, 28 Nov 2004 18:20:17 GMT, Priscilla Ballou
> <vze23…@verizon.net> wrote:
> >In article <jd-dnT2yBo_dmTfcRVn…@rcn.net>,
> > "Jenny" <lottadataca…@hotmail.com> wrote:
> >> The explanation for this appears to be that years ago doctors were more
> >> likely to prescribe insulin for diabetics whose blood sugar control
> >> deteriorated, but the current blizzard of drug company hype has convinced
> >> many patients that oral drugs are all they need and as a result doctors
> >> are
> >> reluctant to suggest insulin.
> >And they rarely if ever will give them the straight information on what
> >to do to prevent their BG from spiking (i.e. restrict carbs), or even
> >that it’s possible for many to maintain normal numbers without medical
> >intervention.
> But most people are not willing to go on such a restrictive diet, at
> least not all the time.
True, but most doctors apparently don’t give out the information to
*anyone*, so those who might be willing to never hear about the
possibility.
> I think this is where the newer fast-acting
> insulins could be very helpful – by giving them a remedy when they
> cheat on their diets. Sadly, most doctors are very reluctant to
> prescribe these insulins to patients recently diagnosed with type 2.
> They typically wait until everything else has failed before even
> suggesting insulin injections.
Insulin is not a totally benign substance. Injecting insulin is almost
a guarantee that a type 2 will gain weight — exactly the reverse of
what many of us need. Many of us already have plenty of insulin
circulating; we just can’t use it. Putting in more may overcome insulin
resistance for the moment, but it doesn’t *counter* insulin resistance,
and insulin resistance is the prime problem. Losing weight, taking
certain meds, exercizing, those all combat insulin resistance. And
restricting carbs helps to preserve beta cells while we’re getting our
insulin resistance down, plus it helps the weight loss.
Priscilla
–
"It is very, very dangerous to treat any human, lowest
of the low even, with contempt and arrogant whatever.
The Lord takes this kind of treatment very, very personal."
– QBaal in newsgroup alt.religion.christian.episcopal
On 04 Dec 2004 08:30:35 GMT, verna…@aol.comnojunk (Verna Jan)
Screamed something into the void that sounded like:
>Radioactive Man wrote:
>" Sadly, most doctors are very reluctant to
>prescribe these insulins to patients recently diagnosed with type 2.
>They typically wait until everything else has failed before even
>suggesting insulin injections."
>Why is that?
because going on insulin as a type 2 is not the first best thing to
do.
Mâck©®
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
…Theodore Roosevelt
(o o)
–ooO-(_)-Ooo——————–
Priscilla:
How can an insulin user NOT gain weight?
Steve
"Verna Jan" <verna…@aol.comnojunk> wrote in message
news:20041204033035.21734.00001443@mb-m14.aol.com…
> Radioactive Man wrote:
> " Sadly, most doctors are very reluctant to
> prescribe these insulins to patients recently diagnosed with type 2.
> They typically wait until everything else has failed before even
> suggesting insulin injections."
> Why is that?
Because people with type 2 tend to have excess insulin production anyway.
Or at least adequate insulin production, but insulin resistance. Too much
insulin causes its own set of problems.
–
See my webpage:
http://mysite.verizon.net/juliebove/index.htm
Steve,
From what I understand, it is difficult to impossible for a type 2 insulin
user to avoid weight gain. Even stringent low carbing often doesn’t help.
This is probably because insulin facilitates the transformation of glucose
to body fat, so unless you get your nutritional input to match your energy
needs very exactly, once you add insulin to your regimen any excess
circulating glucose is going to be deposited in those fat cells. Since
protein can also be transformed into glucose by the liver, that means that
you have to not only control carbs, but carefully count protein grams. This
requires a level of attention that most of us cannot maintain very long.
– Jenny - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes,
hba1c 5.7 .
Cut the carbs to respond to my email address!
Jenny’s new site: What they Don’t Tell You About Diabetes
http://www.geocities.com/lottadata4u/
Jenny’s Low Carb Diet Facts & Figures
http://www.geocities.com/jenny_the_bean/
Looking for help controlling your blood sugar?
Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
"Nimzo Indian CCC" <nimzoindian…@aol.com> wrote in message
news:20041204114813.07662.00001421@mb-m01.aol.com…
- Hide quoted text — Show quoted text -
> Priscilla:
> How can an insulin user NOT gain weight?
> Steve