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???? For the Medical Experts

armilitearmilite Member Posts: 35,483 ✭✭✭
edited October 2013 in General Discussion
Are you Hemoglobin and A1C numbers more or less telling you the same thing. My wife came home yesterday and told me that her hemoglobin numbers were like 9.1. She said her doctor told her she might be diabetic. I checked her blood sugar with my meter and her blood sugar was 103. That is pretty much a normal reading.
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    dcs shootersdcs shooters Member Posts: 10,969
    edited November -1
    Its the official name of the hemoglobin A1c test that tells you the average blood sugar reading for the last three months. The reading can be high when meter reading at the time can be low.
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    SpartacusSpartacus Member Posts: 14,415
    edited November -1
    quote:Originally posted by dcs shooters
    Its the official name of the hemoglobin A1c test that tells you the average blood sugar reading for the last three months. The reading can be high when meter reading at the time can be low.


    yep, what he said.

    blood sugar fluctuates thru the day/night. the A1c diagnoses and monitors progression/control, while the random glucose readings help adjust treatment on short term basis.

    tom
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    woodhogwoodhog Member Posts: 13,115 ✭✭
    edited November -1
    I'm not a doctor. but I played one in our school play once. I recommend a lot of sex
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    Horse Plains DrifterHorse Plains Drifter Forums Admins, Member, Moderator Posts: 39,408 ***** Forums Admin
    edited November -1
    quote:Originally posted by woodhog
    I'm not a doctor. but I played one in our school play once. I recommend a lot of sex
    Did you recommend that in the school play also?[;)]
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    minitruck83minitruck83 Member Posts: 5,369
    edited November -1
    I visit the doc once every three months, (Advantage provider) They draw blood twice a year. The appointments are as early as I can get usually between 8-9 AM. Of course all 'draw's' are fasting.
    I do a finger stick twice a day before meals, and keep a log which I take with me on visits. My home readings are between 80-135. If I'm lucky enough to see the meter at the doc's it is usually between those numbers, running to the high side. (prolly from stress of the 45 minute/hr+ time in a waiting room full of medicaid patients, and their screaming snot nosed kids) I am aware that different meters can give differing results, even from the same models with a sample taken seconds later. (used to sell supplies)

    The 'diabetes specialist'/PA tells me my A1C is 'slightly high' every visit! (6.9- 7.5)

    How do she/he discern a 3 month A1C avg from one test?

    Allen
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    JorgeJorge Member Posts: 10,656 ✭✭
    edited November -1
    They are measuring glucose induced changes in a RBC (red blood cell), which has a life span of 3 months.

    That's how the average A1C is determined.
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    minitruck83minitruck83 Member Posts: 5,369
    edited November -1
    quote:Originally posted by Jorge
    They are measuring glucose induced changes in a RBC (red blood cell), which has a life span of 3 months.

    That's how the average A1C is determined.




    Yes, but they only draw blood every 6 months.

    (dunno fer sure, but I think thats all medicare will pay for, as they will bill everything 'allowable'. )

    Allen
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