Re: [IP] A1c refetence diferentiation question...
I was at times, very disheartening when I went to a CDE/Endo a few
years back, they would say, Hey, your HbA's at 6%! Way to go!!"
Yet, as I was paying when I left (They stopped taking medicaid a few
months before) it would say on the form: 'Control; Fair to poor'. I
was almost in tears but they said it was the way their formas were for
Anyway, it was enough to make me go somewhere else after 3 times of
paying for them. Laws changed and now I can't go out of network
without a pre-auth and junk.
I figure if I'm not in the throes of hypoglycemia all the while and
feel well without massive rises, I am doing OK. My HbA can fluctuate
a lot, last was 8.4, down from post holiday 9.6 and it was good in
this offices' eyes as the trend is going down instead of up or staying
where it was.
I was comfortable with a usual 7-7.2%
On May 9, 2008, at 12:36 PM, Betsy wrote:
> <<I think that your CDE has the right idea, that goals should be
> based on
> the individual and it should be based on more than just an A1c. Day
> to day
> fluctuations are just as important, so I would trust the opinion
> more of
> someone who had carefully studied your blood glucose records, rather
> making a blanket judgement based on a single number.>>
> I thank God that my endo feels the same. She doesn't even order the
> anymore. My PCM does, but that is her problem (yes, both of them are
> female). I get my pump care from the endo and see the PCM for
> else. The PCM is great, but sees more non-pump/non-insulin dependent
> diabetics and finds the A1c to be a useful tool for them to grasp. Of
> course, as we are a retired military family using a military
> facility for
> care, that will change when my endo get orders to go somewhere else.
> But I
> am enjoying fantastic care while I have her.
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