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Re: [IP] Re: A1c

There is little information that supports this kind of thinking.  If 
you are going to make such statements you should back them up with 
some evidence.
   Formation of glycated hemoglobin is a chemical reaction that has a 
specific reaction rate.  I don't know of any evidence that would 
suggest the pulses of high BG would not elevate the A1C.  You are 
right that it is likely more complex than a simple average of the 
BGs, but at last years ADA meeting there was poster presented that 
showed a surprisingly good correlation in diabetics between the 
average of individuals' BG meter readings and the A1C.  Not sure if 
that study has been published in an article yet.

<<<<<<<Some information about the A1c.  To achieve a low A1c does NOT mean
that most of your test would need to be lower...only that your blood
sugar would have to be in that range most of the time.  Before an
elevated blood sugar would affect an A1c, you would have to be elevated
for more than a couple of hours.

So, I could, technically, be 100 pre-meal, and then test 1 hour post-
meal and have a 200, and then test again 1 hour later and be at 100
again.  As far as the A1c is "concerned", the BG was never above 100,
because it was not above that long enough to "register". Ryan >>>>>>>>>>
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