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Medical Forum / Diseases and Disorders / Diabetes / January 2004

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Insulin Resistance - Prediabetes info sources

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VBH - 30 Dec 2003 13:14 GMT
I know someone who has an A1c of over 9 - doc says ok till it hits 10.

Most of the references I have checked out go straight into T2.  Got gretchen
becker's prevention book on order, but could do with some references that
separate out T2 and pre-T2 - for the psychological angle.

Any suggestions?
--------------------
VBH
Dx(17-Oct-03)  : A1c 10.2 : 102Kg
15-Dec-2003    : A1c: 7.7 : 94Kg : Met 3x500 : Chol (Pending)
---------------------
Tiger Lily - 30 Dec 2003 14:53 GMT
an A1c OVER LAB NORMALS is NOT ok at all

the cut off before complications increase exponentially is 7.0 on the scale
used by the DCCT

the Dr in question has very very very dated information, or he has his head
in the sand

find an up-to-date Doctor

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> I know someone who has an A1c of over 9 - doc says ok till it hits 10.
>
[quoted text clipped - 8 lines]
> 15-Dec-2003    : A1c: 7.7 : 94Kg : Met 3x500 : Chol (Pending)
> ---------------------
VBHol - 02 Jan 2004 08:45 GMT
My initial post was misleading, partly in order to keep the question simple.

However, after further conversations, the reading over 9 was not A1c - it
was venous.  That mistake was mine, after getting some of the many
diagnostic criteria in my head muddled and making another post about my own
A1c.  After some checks with my meter and checking every source of diagnosis
limits, I am happy that it is IGT and not T2.

The "OK" part was misleading as well.  You'll notice that I did not go into
any detail at all on the post.  The doc did go into D&E and did give some
advice.  Not sure on the detail, but this person is not daft and is getting
info from a variety of sources anyway.

I have had a good look around and found only minimal info on IGT.  The
problem with info sources for IGT is that the problems and treatment for IGT
are pretty much the same as for T2.  However, IGT is not T2 although it will
become T2 unless it is dealt with.

Denial is not going to be a problem in this case, but it would be an
advantage from a psychologial point of view to separate the two.  We all
know the problems that denial can cause with T2 and IGT is effectively a
warning of T2.  It should be possible to reverse IGT or stop/delay the
progression to T2 if it is managed correctly.  However, it would be far to
easy for someone with IGT to just think "I have not got diabetes, so I'm ok
for now".

So the question still remains:  Are there any sources of info specifically
on IGT apart from a single page mention on the usual main sources (mendosa,
DUK, ADA, NEHL)?

--------------------
VBH
Dx(17-Oct-03)  : A1c 10.2 : 102Kg
Latest                 : A1c: 7.7 : 92Kg : Met 3x500
---------------------

> an A1c OVER LAB NORMALS is NOT ok at all
>
[quoted text clipped - 19 lines]
> > 15-Dec-2003    : A1c: 7.7 : 94Kg : Met 3x500 : Chol (Pending)
> > ---------------------
Peter C - 06 Jan 2004 22:18 GMT
"VBHol" <vbhol@NOSPAMhotmail.com> wrote in > So the question still remains:
Are there any sources of info specifically
> on IGT apart from a single page mention on the usual main sources (mendosa,
> DUK, ADA, NEHL)?

Just put Impaired Glucose Tolerance into Google search and it reported
58,900 references to it.
First set of links below ........
Diabetes - Impaired Glucose Tolerance - Methodist Health Care ...
... Impaired Glucose Tolerance (IGT) Impaired glucose tolerance (IGT) refers
to a condition in which blood sugar levels are higher than ...
www.methodisthealth.com/diabetes/igt.htm - 14k - Cached - Similar pages

IDI - aboutdiabetes - IGT
Impaired Glucose Tolerance (IGT). Impaired glucose tolerance is a condition
closely related to Type 2 Diabetes. ... Impaired Glucose Tolerance.
Factsheets. ...
www.diabetes.com.au/about_diabetes/igt.htm - 45k - Cached - Similar pages

Impaired Glucose Tolerance - Joslin Diabetes Center Impaired ...
Impaired Glucose Tolerance - Joslin Diabetes Center, Diabetes Type 1,
Diabetes
Treatment, Diabetes Symptom, Diabetes Research, and Diabetes Education news
...
www.joslin.harvard.edu/education/ library/prevent_itg.shtml - 23k - Cached -
Similar pages

children with DIABETES - Diabetes Dictionary: I
... IDDM (Insulin-dependent diabetes mellitus) See: Type 1 Diabetes
Mellitus.
Idiopathic Of unknown origin. IGT See: Impaired glucose tolerance. ...
www.childrenwithdiabetes.com/dictionary/i.htm - 32k - 4 Jan 2004 - Cached -
Similar pages

Atkins Nutritionals: The Science Behind Atkins: Research ...
Prevalence of Impaired Glucose Tolerance Among
Children and Adolescents with Marked Obesity. ...
atkins.com/Archive/2002/3/21-773740.html - 31k - Cached - Similar pages

Starlix MC - Impaired Glucose Tolerance Backgrounder
What is Impaired Glucose Tolerance (IGT)? ... 3. Alberti KGMM. The clinical
implications
of impaired glucose tolerance. Diabetic Medicine 1996; 13: 927-37. ...
www.starlix.info/media_center/content/ pages/impaired_gluc.php - 35k - 5 Jan
2004 - Cached - Similar pages

NEJM -- Prevalence of Impaired Glucose Tolerance among Children ...
Original Article from The New England Journal of Medicine -- Prevalence of
Impaired
Glucose Tolerance among Children and Adolescents with Marked Obesity. ...
content.nejm.org/cgi/content/abstract/346/11/802 - Similar pages

Impaired Glucose Tolerance
... Printer friendly version. Impaired Glucose Tolerance. ... What is
Impaired
Glucose Tolerance (IGT)? IGT is a pre-diabetic state which ...
www.diabetesuffolk.com/Managing%20Diabetes/
Impaired%20glucose%20tolerance.asp - 29k - Cached - Similar pages

Impaired Glucose Tolerance
Click Here. DIABETES - IMPAIRED GLUCOSE TOLERANCE. Impaired ... Test.
Hyperinsulinism
Hyperosmolar Coma Impaired Glucose Tolerance Insulin Binding. ...
www.paralumun.com/diabetesigt.htm - 9k - Cached - Similar pages

Prediabetes - Impaired Glucose Tolerance a Precursur to Type 2 ...
Excess weight is a major risk factor for pre-diabetes, a condition of
impaired glucose tolerance that is a precursor to type 2 diabetes. ...
diabetes.about.com/cs/type2diabetes/a/prediabetes.htm - 30k - Cached -
Similar pages
 
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