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Re: [IP] Measures of "control"-- from Dr. Joe



Does this really mean we should all be shooting for Hba1c below 5?

Terry

rbubar wrote:

> From: E-News, email @ redacted, 1/21/00
>
> The Diabetes Control and Complications Trial (DCCT)
> predicted mortality over the nine years of the study
> based on the HbA1c level.  In the past seven years, we
> have handed out graphs that indicate your likelihood of
> death based on your level of HbA1c.  This was all
> causes of death not just vascular disease.
>
> Now the British Medical Journal 2001; 322:15-8,5-6,
> has published data that there is an association between
> glucose and all causes of atherosclerotic heart and
> vascular disease.  Since these are the most common
> causes of death in people with diabetes, these results are
> not too surprising.
>
> What was striking was the fact that those with a
> HbA1c in the range of 5% to 6.9% contributed 82%
> of the excess mortality.  These are very low values for
> HbA1c.  These are values for which we would
> congratulate almost everybody on his or her good job.
>
> This once again, confirms what we have said for years
> that "glucose control matters, but metabolic control is
> everything".
>
> Dr. Joe, the Diabetes Doctor
> ________________________
>
> Interesting as we all focus so much attention on our HbA1c levels. Of course
> we all know it's  not just the ol' glucose level marching through our
> bodies, but the statistics say something.....ALL the chemical and physical
> processes matter, we just don't have easy ways to measure them all at
> home(smile).....just think how busy we could all be!
>
> Barbara (BBB)
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