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Long-term study determines recommended blood sugar levels to avoid diabetes-related damage (HbA1c < 53 mmol/mol (7%))
Medical Xpress / Linköping University / Diabetes Care ^ | Sept. 12, 2022 | Hans J. Arnqvist et al

Posted on 09/13/2022 8:14:39 PM PDT by ConservativeMind

The levels of long-term blood sugar, HbA1c, can be used to accurately determine the risk of a person with type 1 diabetes developing eye- and kidney complications. A study has shown that this level should be lower than 53 mmol/mol (7%). The study has followed individuals for more than 30 years after the onset of type 1 diabetes.

People with diabetes may experience damage to the small blood vessels in various organs. The reasons for this are unclear, but it has been known that good control of blood sugar levels reduces the risk of complications. It has, however, not been clear what level of long-term sugar, HbA1c, people with type 1 diabetes should have in order to avoid serious damage to blood vessels in the eyes and kidneys.

Researchers have followed all children and adults younger than 35 years who developed type 1 diabetes during the period 1983-1987, and who received care in the South-East Healthcare Region of Sweden. The researchers have followed the patients' HbA1c values, which reflect their average blood sugar levels during a longer period.

The blood sugar level in a healthy person is very closely controlled, with a maximum HbA1c level of 42 mmol/mol (6.0%).

"The results of our study show that people with type 1 diabetes for at least 32 years should keep their mean long-term sugar level below 53 mmol/mol (7.0%), if they are to completely avoid serious damage. The risk of eye- and kidney complications increases as the level increases. Our conclusions relate to avoiding complications arising from blood vessel damage," says Hans Arnqvist.

The previous follow-up by the research group was conducted 20 years after the onset of disease. Now after 30 years, the results show that damage has arisen at lower blood sugar levels than was the case after 20 years.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: a1c; bloodsugar; diabetes; hba1c
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One could assume this would be true for more than just Type 1 diabetics.

It’s nice so much data was available with the HbA1c numbers, the whole time.

1 posted on 09/13/2022 8:14:39 PM PDT by ConservativeMind
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To: Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ProtectOurFreedom; matthew fuller; ...

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2 posted on 09/13/2022 8:15:26 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Type 2s are subject to the same damage. As an example, we have a friend right now who is T2D: diabetic retinopathy, seeing a cardiologist, & the latest is a kidney specialist. To translate: going blind, heart issues & kidneys failing.

Type 2 diabetes is reversible (Type 1 is not).


3 posted on 09/13/2022 8:27:53 PM PDT by Qiviut (The unvaccinated, the chosen of the invisible ark .... (author unknown))
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To: ConservativeMind
People with diabetes may experience damage to the small blood vessels in various organs. The reasons for this are unclear...

Riiiiiiiiiiiiiiiiiiiiiiiight. If true, medicine has returned to the Dark Ages (or has chosen to act that way to facilitate control of the population).

All that matters is that some of us know the reasons.

4 posted on 09/13/2022 8:33:53 PM PDT by logi_cal869 (-cynicus the "concern troll" a/o 10/03/2018 /!i!! &@$%&*(@ -)
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To: Qiviut
Type 2 diabetes is reversible

More to the point:

Type 2 diabetes is self-inflicted.

5 posted on 09/13/2022 8:35:39 PM PDT by logi_cal869 (-cynicus the "concern troll" a/o 10/03/2018 /!i!! &@$%&*(@ -)
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To: ConservativeMind

I read in some diabetic article that they recommend 6.5% now.


6 posted on 09/13/2022 8:46:36 PM PDT by NetAddicted (Just looking)
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To: logi_cal869

Yes, it is ... with LOTS of help from doctors, Big Pharma & Big Food.


7 posted on 09/13/2022 8:51:18 PM PDT by Qiviut (The unvaccinated, the chosen of the invisible ark .... (author unknown))
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To: ConservativeMind

What does that equate to on a standard American glucose meter?


8 posted on 09/13/2022 9:47:33 PM PDT by fella ("As it was before Noah so shall it be again,")
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To: fella
It's an average glucose mapping over three months.

% = Ave. Blood Sugar

7 = 152 mg/dL
6 = 126 mg/dL

https://www.webmd.com/diabetes/guide/glycated-hemoglobin-test-hba1c

9 posted on 09/13/2022 10:16:43 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

So below 152 is good
And
Below 126 is better?


10 posted on 09/14/2022 3:16:53 AM PDT by fella ("As it was before Noah so shall it be again,")
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To: fella

Get your HbA1c tested. It is an estimate of your true, but unknown, blood sugar average, every hour of every day for three months.


11 posted on 09/14/2022 3:29:03 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: Qiviut

“Type 2 diabetes is reversible”

Just dear friend reversed hers in six months through strict dieting. (Six months later she was gone by metastatic breast cancer.)


12 posted on 09/14/2022 3:49:19 AM PDT by MayflowerMadam (Sometimes when you get to where you're supposed to be, it's too soon.)
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To: ConservativeMind

I don’t really understand all of this, but my most recent blood panel showed a 104 regarding blood sugar. One doctor put me in a panic because of it. Another doctor said he doesn’t worry about that number so much, but considers the overall health condition. To panic or not to panic? That is the question.


13 posted on 09/14/2022 3:54:08 AM PDT by MayflowerMadam (Sometimes when you get to where you're supposed to be, it's too soon.)
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To: MayflowerMadam

A1C is a more important number.


14 posted on 09/14/2022 4:01:09 AM PDT by Chickensoup ( Leftists totalitarian fascists are eradicating conservatives. Leftists are genocidal. )
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To: MayflowerMadam

104 is fine. One data point is not a trend.


15 posted on 09/14/2022 4:06:50 AM PDT by Vermont Lt
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To: Chickensoup

Thank you. Is A1C checked in a normal blood panel?


16 posted on 09/14/2022 4:09:38 AM PDT by MayflowerMadam (Sometimes when you get to where you're supposed to be, it's too soon.)
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To: MayflowerMadam

Probably not. Ask to be sure. Medicare is into limiting blood tests now.


17 posted on 09/14/2022 4:11:27 AM PDT by mad_as_he$$ (Don't rush to your death.)
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To: Vermont Lt

“104 is fine. One data point is not a trend.”

Thanks! Isn’t it odd that since Covid we have more trust in our FRiends here than we do in the healthcare industrial complex? My doctor scowled when I mentioned Ivermectin, but I chose to agree with testimonials of fellow FReepers. I’m glad I did.


18 posted on 09/14/2022 4:15:15 AM PDT by MayflowerMadam (Sometimes when you get to where you're supposed to be, it's too soon.)
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To: MayflowerMadam

A1C is the test you want if you are “concerned.”

A blood glucose test is impacted by just about everything. I test my BG about 5 times a day. If you eat a single cookie it will spike up. If you expertise it will spike up. If you eat something late the night before, it could pop up in the morning.

An A1c looks at the glucose that has attached itself to your red blood cells. A red blood cell will last about three months. So, if you have a lot of glucose in your system all the time your A1c will be high. If you spike from ice cream once a week, your A1c will be fine.

A random reading of 104 without a lot of context isn’t worthy of a comment.


19 posted on 09/14/2022 4:44:50 AM PDT by Vermont Lt
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To: MayflowerMadam

Nope. But it’s common and shouldn’t be that expensive.


20 posted on 09/14/2022 4:45:55 AM PDT by Vermont Lt
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