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Medical Forum / Diseases and Disorders / Diabetes / May 2008

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Went to the Dr today...

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Nate - 30 Apr 2008 22:02 GMT
So hello again everyone. I have been learing a lot reading some of the
posts on here. So I went to the Dr today. He is new so he had me take
new labs. On the 6th of march I took my very first lab and my A1C was
6.9 and the labs from today I took on the 12th (so about 4 to 5 weeks
later)  and my A1C was 6.3, thats pretty good don't you think? I
do!  :)

-nate
Julie Bove - 30 Apr 2008 22:21 GMT
> So hello again everyone. I have been learing a lot reading some of the
> posts on here. So I went to the Dr today. He is new so he had me take
> new labs. On the 6th of march I took my very first lab and my A1C was
> 6.9 and the labs from today I took on the 12th (so about 4 to 5 weeks
> later)  and my A1C was 6.3, thats pretty good don't you think? I
> do!  :)

Keep up the good work!
Cheri - 30 Apr 2008 22:48 GMT
Nate wrote in message ...
>So hello again everyone. I have been learing a lot reading some of the
>posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 4 lines]
>
>-nate

Yes, I think so too. Keep up with what you're doing. :-)

Cheri
Alan S - 01 May 2008 00:00 GMT
>So hello again everyone. I have been learing a lot reading some of the
>posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 4 lines]
>
>-nate

Yep! Heading in the right direction.

What other numbers did he give you? Lipids, BP etc.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:Is Testing Worthwhile?
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
ted rosenberg - 01 May 2008 04:11 GMT
> So hello again everyone. I have been learing a lot reading some of the
> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 5 lines]
> -nate
>  
three weeks??

sounds unlikely, unless you have gone on a radical diet.

More likely, one of the sets of labs is wrong
Alan S - 01 May 2008 04:38 GMT
>> So hello again everyone. I have been learing a lot reading some of the
>> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 10 lines]
>
>More likely, one of the sets of labs is wrong

Ted, it has become increasingly clear that A1c is heavily
weighted to the past few weeks, not months. At least, for
type 2. I say that based not just on reading but on my own
experience.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:Is Testing Worthwhile?
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Julie Bove - 01 May 2008 04:56 GMT
>>> So hello again everyone. I have been learing a lot reading some of the
>>> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 15 lines]
> type 2. I say that based not just on reading but on my own
> experience.

The first Endo. I went to (granted, not a good one) did a fructosamine test
on me after 3 weeks.  He said it was too soon to do the A1c.
Oleg Lego - 01 May 2008 06:32 GMT
>>> So hello again everyone. I have been learing a lot reading some of the
>>> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 15 lines]
>type 2. I say that based not just on reading but on my own
>experience.

I was chatting with a friend today, and he mentioned that he has an
A1C done once per month, as a requirement of his company. He's a
long-haul trucker, and apparently they are quite adamant that anyone
with diabetes gets monitored closely.

The other thing is that even if the A1C were a true 3-month average,
monthly testing would still show a trend.

Signature

Larry, T2, Saskatchewan, Canada.
DX 24 Aug 07. D&E
Metformin 2000mg, Ramipril, Simvastatin
Dx A1c 8.1 : Latest 5.1 (4 Mar 08)

krom - 01 May 2008 07:01 GMT
Agreed i was running 8o's near a month and week before my test i was sick
and my aic was 6..clearly my results dont match the testing i was doing
often at home.

KROM

>>> So hello again everyone. I have been learing a lot reading some of the
>>> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 24 lines]
> and Cambodia
> http://loraltravel.blogspot.com/2008/03/cambodia.html
Chris Malcolm - 02 May 2008 09:50 GMT
>>> So hello again everyone. I have been learing a lot reading some of the
>>> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 10 lines]
>>
>>More likely, one of the sets of labs is wrong

> Ted, it has become increasingly clear that A1c is heavily
> weighted to the past few weeks, not months. At least, for
> type 2. I say that based not just on reading but on my own
> experience.

Not to mention that the interval in question is nearly twice three
weeks, and even if it was only three weeks, and even if A1C really was
a pure three month average, the figures supplied still wouldn't be
surprising.

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/]

Andrew B. Chung, MD/PhD - 02 May 2008 10:17 GMT
http://HeartMDPhD.com/Convicts

> >>> So hello again everyone. I have been learing a lot reading some of the
> >>> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 20 lines]
> a pure three month average, the figures supplied still wouldn't be
> surprising.

In our collective clinical experience, this is relatively commonplace
for folks who smartly eat less, down to the right amount:

http://HeartMDPhD.com/BeSmart

Here is a simple parable provided in hopes of promoting greater
understanding:

http://HeartMDPhD.com/Parable

Life in industrialized nations is life in blessed feedlots.

<><

http://HeartMDPhD.com/HolySpirit/Counsels
Nate - 02 May 2008 16:46 GMT
So I went back today to get the rest of my lab report...

Chol = 142
Trig  =   62
HDL =  38  -- a Little Low
LDL  = 92
Chol/HDL Ratio  = 3.7

I did have a bit of a high fasting Glucose at 105, but it was taken
from plasma and I think I have read that plasma tends to be higher.
Any thoughts?

I know that when I check it myself it’s normally in the 80 - 90 range
in the mornings.  79 yesterday ;)

Oh and they checked my kidneys too. My Microalbumin was 2.5 and the
ratio to Creatinine  (77.2) was 3.2

Is there anything else I should be watching out for in my labs?

While I was in today I took another lab to check my C-pep and my
insulin. hehe I hope I am not going overboard on this.

Thanks again everyone for your encouragement and advice.

-nate
Trinkwasser - 02 May 2008 21:21 GMT
CROSSPOSTS REMOVED

>So I went back today to get the rest of my lab report...
>
[quoted text clipped - 3 lines]
>LDL  = 92
>Chol/HDL Ratio  = 3.7

Looks pretty good so far and likely to improve, trigs/HDL is good

>I did have a bit of a high fasting Glucose at 105, but it was taken
>from plasma and I think I have read that plasma tends to be higher.
[quoted text clipped - 12 lines]
>
>Thanks again everyone for your encouragement and advice.

Thanks for proving that it works!
Tiger_Lily - 03 May 2008 05:18 GMT
> So I went back today to get the rest of my lab report...
>
[quoted text clipped - 22 lines]
>
> -nate

Nate, most meters today are 'plasma calibrated', that means the readings
are your whole blood readings plus an adjustment of ? 15% to
'approximate' a plasma reading

what meter do you use? what does the manual say about it's calibration?

Signature

kate
type 1 since 1987
www.diabetic-talk.org

Andrew B. Chung, MD/PhD - 03 May 2008 10:54 GMT
> So I went back today to get the rest of my lab report...
>
> Chol = 142
> Trig  =   62
> HDL =  38  -- a Little Low

Needs to be optimally more than 50 mg/dL

> LDL  = 92
> Chol/HDL Ratio  = 3.7
>
> I did have a bit of a high fasting Glucose at 105, but it was taken
> from plasma and I think I have read that plasma tends to be higher.
> Any thoughts?

It is the serum reading that is the reference.

> I know that when I check it myself it�s normally in the 80 - 90 range
> in the mornings.  79 yesterday ;)

That is optimal but it would be wise to check your meter with the
reference solutions from the manufacturer or against another meter
because yours may be consistently off by 20-30 mg/dL.

> Oh and they checked my kidneys too. My Microalbumin was 2.5 and the
> ratio to Creatinine  (77.2) was 3.2

This is an indicator of endothelial dysfunction.

> Is there anything else I should be watching out for in my labs?

AST and ALT can be elevated by NAFLD, which commonly is associated
with type-2 diabetic folks.

> While I was in today I took another lab to check my C-pep and my
> insulin. hehe I hope I am not going overboard on this.
>
> Thanks again everyone for your encouragement and advice.

Laus Deo

http://HeartMDPhD.com/LausDeo

<><

http://HeartMDPhD.com/HolySpirit/Counsels
Robert Miles - 04 May 2008 02:16 GMT
So I went back today to get the rest of my lab report...

Chol = 142
Trig  =   62
HDL =  38  -- a Little Low
LDL  = 92
Chol/HDL Ratio  = 3.7

I did have a bit of a high fasting Glucose at 105, but it was taken
from plasma and I think I have read that plasma tends to be higher.
Any thoughts?

I know that when I check it myself it’s normally in the 80 - 90 range
in the mornings.  79 yesterday ;)

Oh and they checked my kidneys too. My Microalbumin was 2.5 and the
ratio to Creatinine  (77.2) was 3.2

Is there anything else I should be watching out for in my labs?

While I was in today I took another lab to check my C-pep and my
insulin. hehe I hope I am not going overboard on this.

Thanks again everyone for your encouragement and advice.

-nate
--
You might want to remove the non-diabetes newsgroups from
the list of newsgroups you are crossposting to, with perhaps
one exception if you are posting through one of the other
newsgroups.  Many of the diabetics here are trying to set up
a killfile that deletes all messages crossposted to at least
one of those newsgroups, especially the cardiology newsgroup,
due to the number of kooks that crosspost to such a list of
newsgroups.
Ozgirl - 01 May 2008 07:56 GMT
My ex had a first A1c of 12. something. One month later he was in normal
range. It was radical diet for him but not radical generally.  I had him on
the little and often meals but carb was never lower than 15gr per meal or
snack. Compared to what he usually ate it was a huge change.

6.9 - 6.3 in 3 weeks isn't very dramatic but certainly going down which is a
good thing for the OP.  Still a good job on their part.

>> So hello again everyone. I have been learing a lot reading some of the
>> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 10 lines]
>
> More likely, one of the sets of labs is wrong
John - 01 May 2008 13:46 GMT
> > So hello again everyone. I have been learing a lot reading some of the
> > posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 10 lines]
>
> More likely, one of the sets of labs is wrong

Even more likely, you don't know what you're talking about. A1c is
most heavily weighted to the last 2-3 weeks, so a drop of .6 in 3
weeks, especially when working to lower it, is entirely feasible. I
dropped mine from 7.2 at Dx to 5.4 in 2 months.

I guess you can spew obscenities at me now as seems to be your style.

John C.
Nicky - 01 May 2008 08:47 GMT
>So hello again everyone. I have been learing a lot reading some of the
>posts on here. So I went to the Dr today. He is new so he had me take
>new labs. On the 6th of march I took my very first lab and my A1C was
>6.9 and the labs from today I took on the 12th (so about 4 to 5 weeks
>later)  and my A1C was 6.3, thats pretty good don't you think? I
>do!  :)

Nice slope, Nate - keep it up!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Nick Cramer - 01 May 2008 11:03 GMT
> So hello again everyone. I have been learing a lot reading some of the
> posts on here. So I went to the Dr today. He is new so he had me take
> new labs. On the 6th of march I took my very first lab and my A1C was
> 6.9 and the labs from today I took on the 12th (so about 4 to 5 weeks
> later)  and my A1C was 6.3, thats pretty good don't you think? I
> do!  :)

Excellent progress, Nate! Keep up the good work. You'll be a 5%er before
you know it! ;-)

Signature

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Michelle C - 01 May 2008 17:27 GMT
You're definitely headed in the right direction, Nate.  :-)  Good job!
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

> So hello again everyone. I have been learing a lot reading some of the
> posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 4 lines]
>
> -nate
Quentin Grady - 13 May 2008 05:25 GMT
>So hello again everyone. I have been learing a lot reading some of the
>posts on here. So I went to the Dr today. He is new so he had me take
[quoted text clipped - 4 lines]
>
>-nate

G'day G'day Nate,

Well done for five weeks.  Keep it up and you'll be in the 5% club in
another month or so.   Your triglyceride to HDL ratio looked good
although your HDL was low.  The low triglycerides suggests that the
carbs in your diet isn't excessive.   The low HDL could be from a
number of reasons.  Smoking will lower HDL.  Lack of exercise will do
it.  Rowers used to find their HDL went down every year in the off
season when they weren't training.   HDL is a temporary sort of thing.
Some T2 diabetics struggle with it.  Some don't.  There is a large
genetic component involved with it apparently.  Omega-6 fats will
lower all cholesterol including unfortunately HDL.  Drinking some red
wine will increase HDL though all in all it has little benefit except
for those over fifty.  

Best wishes,
Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

 
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