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Re: [IP] Re: target bg levels

In a message dated 11/12/03 8:18:49 PM US Eastern Standard Time, 
email @ redacted writes:

> I've noticed on this site that a lot of
> people keep their A1C's very low - in the 5's or really low 6's. That's 
> great
> for avoiding any complications caused by high blood sugars, but is contrary 
> to
> what I've been told over the last 14 years by both of my endos (both of whom 
> are
> tops in their field - heads of diabetes departments at top university 
> teaching
> hospitals, etc.). Both said that having an A1C that low runs too many risks 
> of
> hypoglycemic incidents and longterm hypo unawareness, which, as others have
> posted, can be more serious than running a bit on the higher side. For this
> reason, they both recommended A1C's about half a point to one point over the
> lab's normal range. For instance, my current lab says that an A1C of up to 
> 6.1
> is normal, so my endo says that someone with diabetes aiming for tight 
> control
> should run between 6.5 and 7.1. 

The American Association of Clinical Endocrinologists recommends an A1C of no 
higher than 6.5 percent. They say nothing about any points above lab 

Jan and ElvisToo
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