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Medical Forum / Diseases and Disorders / Diabetes / September 2007

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A1C chart

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Carole - 24 Sep 2007 18:21 GMT
My doctor was telling me that he used to have a chart that said what the
average blood sugar was for various A1C ratings. I've found a couple on
the net, but they vary. Is there a source for a good one, where if I've
averaged my blood sugars for a month, I could see what my A1C would be now?

Thanks,
Carole
rk - 24 Sep 2007 19:41 GMT
| My doctor was telling me that he used to have a chart that said what the
| average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 3 lines]
| Thanks,
| Carole

some say an A1C isn't an average, but in some respects it kinda is.
theres a certain formula that's used to calculate out the difference
in your daily glucose to an A1C. if you do a google search, I've
posted several times the conversion chart my old endo gave me.
he was one of the professors at OSU medical school. it's what the
most of the labs use, including LabCorp.

just remember while it takes ones glucose over 3 months time, it's
more heavily weighed over the past 2-3weeks.  it's also somewhat
unreliable because blood recycles every 90-120 days so if you catch
it at that particular time, you might have fresh blood and the results
won't be actual as to having glucose in your system in the past before
the recycle.

my doctor uses my A1C as an indicator, but relys more on the graphs
and journals I bring (or email) to her each visit.
Alan S - 24 Sep 2007 21:15 GMT
>| My doctor was telling me that he used to have a chart that said what the
>| average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 18 lines]
>won't be actual as to having glucose in your system in the past before
>the recycle.

I believe that is a continuous process where the blood is
being constantly renewed such that it is nearly all recycled
over that period, not something that happens at a particular
time with "fresh blood" coming in over a short period. Thus
that process should have no effect on the reliability of the
A1c draw.

>my doctor uses my A1C as an indicator, but relys more on the graphs
>and journals I bring (or email) to her each visit.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
rk - 25 Sep 2007 00:08 GMT
| >| My doctor was telling me that he used to have a chart that said what the
| >| average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 28 lines]
| >my doctor uses my A1C as an indicator, but relys more on the graphs
| >and journals I bring (or email) to her each visit.

not what my doctor told me and since she's had the medical
training and is an associate professor at OSU Medical Center
(ranked in the Top 10 teaching hospitals in the US) and not you...

i'll listen to her first.
Alan S - 25 Sep 2007 00:43 GMT
>| >| My doctor was telling me that he used to have a chart that said what
>the
[quoted text clipped - 38 lines]
>
>i'll listen to her first.

I respectfully suggest that you may be misunderstanding what
she is telling you.

However, I'll await comment from those more learned in this
field than either of us.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
tom&sue - 25 Sep 2007 02:16 GMT
>>| >| My doctor was telling me that he used to have a chart that said what
>>the
[quoted text clipped - 50 lines]
> --
> http://loraldiabetes.blogspot.com

OSU
Ohio State University??
BettyB - 25 Sep 2007 04:52 GMT
>>>| >| My doctor was telling me that he used to have a chart that said what
>>>the
[quoted text clipped - 53 lines]
>OSU
>Ohio State University??

Or Oregon State University??
--
BettyB  --  www.flamingo-code.com
"I have noticed even people who claim everything is
predestined, and that we can do nothing to change it,
look before they cross the road." - Stephen Hawking
Alan S - 25 Sep 2007 11:00 GMT
>>>>not what my doctor told me and since she's had the medical
>>>>training and is an associate professor at OSU Medical Center
[quoted text clipped - 14 lines]
>
>Or Oregon State University??

http://www.osu.com.au/
http://osu.okstate.edu/
http://oregonstate.edu/
http://osubeavers.com/



Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Måck©® - 25 Sep 2007 02:26 GMT
>| >| My doctor was telling me that he used to have a chart that said what
>the
[quoted text clipped - 38 lines]
>
>i'll listen to her first.

you should go back and ask for clarification RK.  Alan is correct
about it being a continuous process.  Meaning the replacement of old
blood cells with new does not happen with a limited time period.  It
is an ongoing constant process.

What affects the A1c in that last 60 days is NOT the rate of
replacement of the blood cells but the rate of glycation based on the
level of control of one's BG. example if you start the with an A1c of
7 and have poor control for the next 30 days but over the follow 60
days you maintain tight control, you can easily lower that A1c to 6 or
less.

Remember the A1c is normally taken once every 90 days (4 times a
year).  Some poorly educated doctors recommend less frequent testing
and end up with patients who continuously struggle for control because
they never have enough info to make correct changes in management.

Some will recommend less frequent testing of A1c because the
individual tests their own BG at home enough to give them the
information they need to make corrections as needed between doctor's
visits.  And these individuals maintain tight control hence good A1c
readings.

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Chris Malcolm - 25 Sep 2007 12:10 GMT
M????? <trolls@renotworthsaving.net> wrote:

>>| >| My doctor was telling me that he used to have a chart that said what
>>the
[quoted text clipped - 38 lines]
>>
>>i'll listen to her first.

> you should go back and ask for clarification RK.  Alan is correct
> about it being a continuous process.  Meaning the replacement of old
> blood cells with new does not happen with a limited time period.  It
> is an ongoing constant process.

> What affects the A1c in that last 60 days is NOT the rate of
> replacement of the blood cells but the rate of glycation based on the
> level of control of one's BG.
> less.

It's more complicated than that, because blood is glycated in a way
which is at first "soft", i.e. reversible if BG drops enough soon
enough, but over time of exposure to a high BG hardens into
irreversibility. If it was instantly hard, then blood glycation could
be calculated accurately from the area between the BG curve and the
glycation threshold (often referred to loosely as "the area under the
curve"). Unfortunately the initial "softness" and gradual "hardening"
makes the relationship more complex.

It's also only a good guide to one's complication risk when the
complication in question happens as a result of the same kind of
glycation as blood suffers. Unfortunately again different
complications are due to different processes not all of which behave
like blood glycation. That's why we get different thresholds in A1C
terms for things like retinopathy, neuropathy, and cardiac problems.

Fortunately A1C isn't a simple average of BG, otherwise we wouldn't be
able to finger some risks from BG readings which A1C wouldn't tell us
about.

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Chris Malcolm - 25 Sep 2007 11:57 GMT
> | >| My doctor was telling me that he used to have a chart that said what
> the
[quoted text clipped - 32 lines]
> | >my doctor uses my A1C as an indicator, but relys more on the graphs
> | >and journals I bring (or email) to her each visit.

> not what my doctor told me and since she's had the medical
> training and is an associate professor at OSU Medical Center
> (ranked in the Top 10 teaching hospitals in the US) and not you...

You're misunderstanding your doc's technical language, as she will
explain if you ask. The refresh period is a reference to the time the
continuous renewal process will probably take to completely renew all
the blood. The exchange period is the usual convenient way of
summarising the relationship between volume and exchange rate in
continuous exchange systems. It's the same idea as saying an air
conditioning system must change the air in a room every two
hours. They're not asking for the system to produce a huge blast every
two hours :-)

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

johnniemccoy@ - 25 Sep 2007 23:11 GMT
> | >| My doctor was telling me that he used to have a chart that said what
> the
[quoted text clipped - 38 lines]
>
> i'll listen to her first.

Mine usually recycles on the 2nd Wednesday of every 3rd month (except for
holidays) -:)

John

John
Uncle Enrico - 25 Sep 2007 14:54 GMT
>  it's also somewhat
> unreliable because blood recycles every 90-120 days so if you catch
> it at that particular time, you might have fresh blood and the results
> won't be actual as to having glucose in your system in the past before
> the recycle.

So the body makes a big batch of blood and throws out the old blood by
the bucketful every 90 to 120 days? Wow!
Diana - 24 Sep 2007 20:07 GMT
> My doctor was telling me that he used to have a chart that said what the
> average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 4 lines]
> Thanks,
> Carole

Here is one I found recently. I think the variations you are finding is
because it depends on what lab does the results.

http://www.dlife.com/dLife/do/ShowContent/blood_sugar_management/testing/a1c_con
version.html

Ozgirl - 24 Sep 2007 22:58 GMT
> My doctor was telling me that he used to have a chart that said what the
> average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 4 lines]
> Thanks,
> Carole

Carole, most, if not all, meters these days are plasma blood calibrated, to
better suit the method the labs use. Try to find and A1c chart that
co-relates to the calculations of plasma blood from home testing. The ones
calculated from whole blood are obsolete.
Carole - 25 Sep 2007 05:11 GMT
>>My doctor was telling me that he used to have a chart that said what the
>>average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 9 lines]
> co-relates to the calculations of plasma blood from home testing. The ones
> calculated from whole blood are obsolete.

Thanks, I'll have to do more googling I can see :)))

Carole
Chris Malcolm - 25 Sep 2007 11:40 GMT
>> My doctor was telling me that he used to have a chart that said what the
>> average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 4 lines]
>> Thanks,
>> Carole

> Carole, most, if not all, meters these days are plasma blood calibrated, to
> better suit the method the labs use. Try to find and A1c chart that
> co-relates to the calculations of plasma blood from home testing. The ones
> calculated from whole blood are obsolete.

Unless you live in the UK, or possibly Canada, where some
manufacturers (e.g. Accucheck) remain firmly convinced that what the
rather vague approximation to national standards demands is whole
blood figures, and deliberately supply that kind of meter (or test
strip). In fact what all home BG meters measure is a whole blood
figure, whereas labs measure a plasma figure by centrifuging it out
first. The home meters which give plasma figures simply add a fudge
factor to their whole blood measurement, a fudge factor which is bound
to be correct if you're average in the relationship between your
plasma and whole blood. For example, you cease to be average in that
respect if you become either dehydrated or over-hydrated.

That's the essence of the argument in favour of supplying whole blood
readings rather than getting the meter to jump to conclusions for you
:-)

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Gantlet - 25 Sep 2007 00:19 GMT
> My doctor was telling me that he used to have a chart that said what the
> average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 4 lines]
> Thanks,
> Carole

I know this has nothing to do with your post but I like you wanted to learn
it all.
read the rest if you want.

in 5 years with all that I have read and learned about diabetes it all comes
down
to become healthier and for me the biggest part of that was to become more
active.

I didn't need to learn more than my doctors, the ADA and everyone else.
I sure as H, E double LL didn't sit around counting the minutes till the
next time to test.
I got out of the house and walked around as much as possible not only when
needed.
started to do real exercise lost 11 inches on my belt and got off all
medications.
lots of people here say lots of things about how badly I am doing.
I also let drunks on a train babble all they want with out reply.

become more active and eat less.  if I was to give any advice it would be to
get yourself a personal trainer.
I also understand that isn't always do able.

opps.  I said it in my last post and now it is time.
the best thing I can do for my diabetes is get
Up Up and Away from the computer.

Signature

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Carole - 25 Sep 2007 05:13 GMT
> I know this has nothing to do with your post but I like you wanted to learn
> it all.
[quoted text clipped - 4 lines]
> to become healthier and for me the biggest part of that was to become more
> active.

I've already done that :)  I've dropped 22 pounds since August 12th and
I either work out in the cardio room or I swim every day. And that's in
addition to just going for a nice walk and enjoying the fall air :)

Carole
Gantlet - 25 Sep 2007 17:00 GMT
>> I know this has nothing to do with your post but I like you wanted to
>> learn it all.
[quoted text clipped - 10 lines]
>
> Carole

I love the cardio machines that also have a computer that makes if feel
almost like a video game.
you will find you keep getting stronger.. but you also have or had problems
with your heart so please
be very careful.
if you are totally out of shape and turn it all around you will soon love
life so much more than someone who is
unhealthy and unable to be very active.  You will find you have to much
energy to sit around and would rather go out
and do something.   keep it up.

Tom
Carole - 25 Sep 2007 17:51 GMT
> I love the cardio machines that also have a computer that makes if feel
> almost like a video game.

Our treadmills are like that. The screen goes from calories burned to
distance walked to time, etc. And we have a TV in our exercise room, but
I usually listen to music on my iPod when I'm on the treadmill.

> you will find you keep getting stronger.. but you also have or had problems
> with your heart so please be very careful.

I am. I know what I'm allowed to do and I also know when I have to stop.
I do have to say that the shortness of breath I was experiencing has
improved a lot since I started exercising more :)

> if you are totally out of shape and turn it all around you will soon love
> life so much more than someone who is
> unhealthy and unable to be very active.  You will find you have to much
> energy to sit around and would rather go out
> and do something.   keep it up.

I am finding that now :) When I was doing errands, I used to have to do
one store each day. Yesterday I had a doctor's appointment, then went to
the library, the fruit and veggie store, and finally the supermarket. I
was tired, but it was a very good tired :)

Carole
Gantlet - 26 Sep 2007 16:41 GMT
>> I love the cardio machines that also have a computer that makes if feel
>> almost like a video game.
>
> Our treadmills are like that. The screen goes from calories burned to
> distance walked to time, etc. And we have a TV in our exercise room, but I
> usually listen to music on my iPod when I'm on the treadmill.

when i used to work out in Golds gym they had a rowing machine that was
bacially
a video game.  You would see your little row boat along with maybe 6 others
and
when you won that race it was time to go to the next level :).
I am deaf in my leaf ear from wearing a walk man when I used to do 45
minutes on the stepper machine.
are you talking about a gym or did you set something up in your house?

>> you will find you keep getting stronger.. but you also have or had
>> problems with your heart so please be very careful.
>
> I am. I know what I'm allowed to do and I also know when I have to stop. I
> do have to say that the shortness of breath I was experiencing has
> improved a lot since I started exercising more :)

:)

>> if you are totally out of shape and turn it all around you will soon love
>> life so much more than someone who is
[quoted text clipped - 8 lines]
>
> Carole

I walk up 4 floors with 25lbs on my back a few times each day.
that and pushing my 700lb motorcycle a few times each day along with some
weight lifting
is all I am really doing these days.
keep up the great work.

Tom
Carole - 26 Sep 2007 21:02 GMT
> when i used to work out in Golds gym they had a rowing machine that was
> bacially
[quoted text clipped - 4 lines]
> minutes on the stepper machine.
> are you talking about a gym or did you set something up in your house?

We have a cardio fitness room at my apartment complex. It's really great
as they have excellent equipment. We also have an indoor pool :))  I
decided to move in here even before I saw the apartment, LOL!!

> I walk up 4 floors with 25lbs on my back a few times each day.
> that and pushing my 700lb motorcycle a few times each day along with some
> weight lifting
> is all I am really doing these days.
> keep up the great work.

I'm not allowed to do stuff like that. I have to ask the employees at my
supermarket to pack my bags light. When I moved to this apartment, my
friends all came to help and I was only allowed to carry light things
and supervise :)

Carole
Gantlet - 27 Sep 2007 05:35 GMT
> We have a cardio fitness room at my apartment complex. It's really great
> as they have excellent equipment. We also have an indoor pool :))  I
> decided to move in here even before I saw the apartment, LOL!!

that must be great and if other people hang out there its even better.

> I'm not allowed to do stuff like that. I have to ask the employees at my
> supermarket to pack my bags light. When I moved to this apartment, my
> friends all came to help and I was only allowed to carry light things and
> supervise :)
>
> Carole

I have a feeling you are going to do very well on your diabetic journey.
I had a set back of about 2 years and was in my bed for a lot of the time.
would it help motivate you at all to talk about what type of exercise you do
on a daily bases?  I will also talk about what I do.

Tom
Carole - 27 Sep 2007 19:50 GMT
> that must be great and if other people hang out there its even better.

Some do...depends on the day actually.

> I have a feeling you are going to do very well on your diabetic journey.
> I had a set back of about 2 years and was in my bed for a lot of the time.
> would it help motivate you at all to talk about what type of exercise you do
> on a daily bases?  I will also talk about what I do.

Well, since I am probably the worst needle-phobe on the planet, I am
determined to try to control this with diet and exercise. And I know
they have the pens and all that, but it's the thought of having to do it
that makes my stomach go into knots.

I have to be careful with exercise since I also have severe congestive
heart failure. My ejection fraction is only 28. I got it from a virus
2.5 years ago. So I suffer from shortness of breath and fatigue. I am up
to 20 minutes on the treadmill, which gives me a distance of 1/2 mile. I
can't go any faster or I get much too out of breath. I'm also doing the
universal type weight machine and do the bicep, tricep and leg things.
And then I do the cardio glider, which I like. The first time I did it,
I could only do 3. But now I'm up to doing 2 sets of 10! :-)))

In the pool, I swim laps and do water exercises. I also have a kickboard
so I do some laps using just my legs since the majority of my weight is
in the lower half of me.

And I also walk around the apartment complex. I have to ask one of the
maintenance guys what the distance is as my car doesn't have tenths of a
mile on the odometer.

Carole :)
Gantlet - 30 Sep 2007 19:05 GMT
>> that must be great and if other people hang out there its even better.
>
[quoted text clipped - 11 lines]
> have the pens and all that, but it's the thought of having to do it that
> makes my stomach go into knots.

that is sooo wrong.. I am the worst needle phobe :).
when I was first diagnosed I was willing to take the meds but new I wanted
to get off them.   It did take me 6 months but worth the wait.

> I have to be careful with exercise since I also have severe congestive
> heart failure. My ejection fraction is only 28. I got it from a virus 2.5
[quoted text clipped - 4 lines]
> then I do the cardio glider, which I like. The first time I did it, I
> could only do 3. But now I'm up to doing 2 sets of 10! :-)))

there really is only 1 reply to this.
YOU GO GIRL :).
I am also sorry about the CHF but you do seem to be turning it all around.
keep it up.

> In the pool, I swim laps and do water exercises. I also have a kickboard
> so I do some laps using just my legs since the majority of my weight is in
[quoted text clipped - 5 lines]
>
> Carole :)

this was a very pleasant post to read.  It would be hard not to smile while
reading it.

Tom
Barbara H - 25 Sep 2007 14:44 GMT
> My doctor was telling me that he used to have a chart that said what the
> average blood sugar was for various A1C ratings. I've found a couple on
[quoted text clipped - 4 lines]
> Thanks,
> Carole

Here is what I've used for reference.   From what I've found there is either
plasma calibrated equivalent BG or whole blood calibrated equivalent BG.
The lab doing my A1c uses the whole blood equivalancy table.

http://www.geocities.com/diabeteschart/bloodsugarchart.html

http://www.geocities.com/diabeteschart/oldermeterus.html

Hope this helps -

Barbara H -  Type 2 - metformin 1500 - A1c current 5.7
Carole - 25 Sep 2007 16:19 GMT
> Here is what I've used for reference.   From what I've found there is either
> plasma calibrated equivalent BG or whole blood calibrated equivalent BG.
[quoted text clipped - 7 lines]
>
> Barbara H -  Type 2 - metformin 1500 - A1c current 5.7

Thanks, Barbara, that was a big help :-)))

Carole
Loretta Eisenberg - 26 Sep 2007 16:25 GMT
Carole. email me and I will fprward a chart to you.

Loretta
 
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