Spikes vs. HgA1c



P

Preston Rich

Guest
If one had to choose which measurement should be more important to a T2 diabetic, reduction of
spikes in BG or the level of HgA1c?

-Preston
 
K

K'Neh'A'Iw

Guest
Preston Rich wrote:

> If one had to choose which measurement should be more important to a T2 diabetic, reduction of
> spikes in BG or the level of HgA1c?
>
> -Preston

Its pretty well documented that if you maintain near normal BG level the HbA1c will follow. The
detrimental effects of spikes have not been conclusively proved so it seem prudent to keep them to a
minimum. I you do that I'm pretty sure your HbA1c will be just fine.

--
K'neH'a'Iw

Uncloaking, Shields up.
 
J

Julie Bove

Guest
"Preston Rich" <[email protected]> wrote in message
news:[email protected]...
> If one had to choose which measurement should be more important to a T2 diabetic, reduction of
> spikes in BG or the level of HgA1c?

If your A1c is too high, then do what you can to lower it. A high A1c means your numbers throughout
the day are too high. If your A1c is fine, but you are still getting spikes, then work on lowering
the spikes.

--
Type 2 http://users.bestweb.net/~jbove/
 
A

Alan

Guest
On 3 Feb 2004 13:48:56 -0800, [email protected] (Preston Rich)
wrote:

>If one had to choose which measurement should be more important to a T2 diabetic, reduction of
>spikes in BG or the level of HgA1c?
>
>-Preston

Why choose? Both are indicators of control, or lack of it. However, if I had to choose, reduction of
spikes gives real-time information to act on. HbA1c is important, but if you've been doing something
which spiked you for the past three months, that's three months of avoidable damage.

Cheers Alan, T2, Oz dx May 2002 , A1C 5.8, no meds, diet and not enough exercise.

--
Everything in Moderation - Except Laughter.
 
H

Hemyd

Guest
"Preston Rich" <[email protected]> wrote in message
news:[email protected]...
> If one had to choose which measurement should be more important to a T2 diabetic, reduction of
> spikes in BG or the level of HgA1c?
>
> -Preston

I wouldn't like either to be high. I don't know if you can deliberately set out to have one or the
other anyway. If I kept on getting maximum post prandial bg of, let's say, 8, but a HbA1c of 7.5 -
I wouldn't like it - I would consider something strange is going on to increase my HbA1c. Nor
would I want to get spikes of 11 or 12, no matter what my HbA1c was. That's my opinion, not base
on research.

Henry
 
P

Preston Rich

Guest
All--

My HbA1c runs about 5.5, my daily average BG runs around 120, but after a rather non-descript meal I
can spike from a pre-meal level of 115 to 190-210 and back to 100-110 one hour later. I'm on 1 g
Metformin bid. This to me is confounding. Any ideas?

-Preston

P.S. I just had a full VAP panel taken at Hopkins and my lipids are in very good shape.
However, size and density pattern is mixed A,B rather that A, but my LDL is only 50, TC
125, TG 150, HDL 45.

Alan <[email protected]> wrote in message
news:<[email protected]>...
> On 3 Feb 2004 13:48:56 -0800, [email protected] (Preston Rich) wrote:
>
> >If one had to choose which measurement should be more important to a T2 diabetic, reduction of
> >spikes in BG or the level of HgA1c?
> >
> >-Preston
>
> Why choose? Both are indicators of control, or lack of it. However, if I had to choose, reduction
> of spikes gives real-time information to act on. HbA1c is important, but if you've been doing
> something which spiked you for the past three months, that's three months of avoidable damage.
>
> Cheers Alan, T2, Oz dx May 2002 , A1C 5.8, no meds, diet and not enough exercise.
 
J

Jennifer

Guest
Insulin resistance isn't constant.

Different things can affect it. Activity, hormone levels, etc.

You've learned that you are likely less IR in the middle of the day, and more so at night.

That's why it's all YMMV.

Jennifer

Preston Rich wrote:

> All--
>
> My HbA1c runs about 5.5, my daily average BG runs around 120, but after a rather non-descript meal
> I can spike from a pre-meal level of 115 to 190-210 and back to 100-110 one hour later. I'm on 1 g
> Metformin bid. This to me is confounding. Any ideas?
>
> -Preston
>
> P.S. I just had a full VAP panel taken at Hopkins and my lipids are in very good shape. However,
> size and density pattern is mixed A,B rather that A, but my LDL is only 50, TC 125, TG 150,
> HDL 45.
>
>
>
>
>
> Alan <[email protected]> wrote in message
> news:<[email protected]>...
>
>>On 3 Feb 2004 13:48:56 -0800, [email protected] (Preston Rich) wrote:
>>
>>
>>>If one had to choose which measurement should be more important to a T2 diabetic, reduction of
>>>spikes in BG or the level of HgA1c?
>>>
>>>-Preston
>>
>>Why choose? Both are indicators of control, or lack of it. However, if I had to choose, reduction
>>of spikes gives real-time information to act on. HbA1c is important, but if you've been doing
>>something which spiked you for the past three months, that's three months of avoidable damage.
>>
>>Cheers Alan, T2, Oz dx May 2002 , A1C 5.8, no meds, diet and not enough exercise.
 
P

Priscilla H Bal

Guest
Preston Rich <[email protected]> quoth:
>My HbA1c runs about 5.5, my daily average BG runs around 120, but after a rather non-descript meal
>I can spike from a pre-meal level of 115 to 190-210 and back to 100-110 one hour later. I'm on 1 g
>Metformin bid. This to me is confounding. Any ideas?

Increase your metformin -- 1000 mg daily is barely therapeutic -- and cut down on the carbs in your
diet. That should cut down on your spikes and reduce your A1c.

Priscilla
 
J

Jennifer

Guest
SORRY SORRY SORRY.

My response was meant for a different post.

I'm using a new newsgroup reader, and it punked me ; )

Jennifer

Jennifer wrote:

> Insulin resistance isn't constant.
>
> Different things can affect it. Activity, hormone levels, etc.
>
> You've learned that you are likely less IR in the middle of the day, and more so at night.
>
> That's why it's all YMMV.
>
> Jennifer
>
>
>
> Preston Rich wrote:
>
>> All--
>>
>> My HbA1c runs about 5.5, my daily average BG runs around 120, but after a rather non-descript
>> meal I can spike from a pre-meal level of 115 to 190-210 and back to 100-110 one hour later. I'm
>> on 1 g Metformin bid. This to me is confounding. Any ideas?
>>
>> -Preston
>>
>> P.S. I just had a full VAP panel taken at Hopkins and my lipids are in very good shape. However,
>> size and density pattern is mixed A,B rather that A, but my LDL is only 50, TC 125, TG 150,
>> HDL 45.
>>
>>
>>
>>
>>
>> Alan <[email protected]> wrote in message
>> news:<[email protected]>...
>>
>>> On 3 Feb 2004 13:48:56 -0800, [email protected] (Preston Rich) wrote:
>>>
>>>
>>>> If one had to choose which measurement should be more important to a T2 diabetic, reduction of
>>>> spikes in BG or the level of HgA1c?
>>>>
>>>> -Preston
>>>
>>>
>>> Why choose? Both are indicators of control, or lack of it. However, if I had to choose,
>>> reduction of spikes gives real-time information to act on. HbA1c is important, but if you've
>>> been doing something which spiked you for the past three months, that's three months of
>>> avoidable damage.
>>>
>>> Cheers Alan, T2, Oz dx May 2002 , A1C 5.8, no meds, diet and not enough exercise.
 
T

T2_lurking

Guest
> and it punked me ; )
>
Ho-Ho-Ho LOL

Love the phrase, can I use it too?
--

+++++++++++++++++++++++++++++++++++++++++++++++++++++++
How can Sleepyman be so right about so many different things?

First it was Atstein.

Now it's the Super Bowl Champion New England Patriots!

How can I be such a fool?
+++++++++++++++++++++++++++++++++++++++++++++++++++++++
 
J

Jennifer

Guest
If Ashton Kutcher doesn't mind... then neither do I ; )

Jennifer

t2_lurking wrote:

>>and it punked me ; )
>>
>
> Ho-Ho-Ho LOL
>
> Love the phrase, can I use it too?
 
A

Alan

Guest
On 4 Feb 2004 06:18:05 -0800, [email protected] (Preston Rich)
wrote:

>All--
>
>My HbA1c runs about 5.5, my daily average BG runs around 120, but after a rather non-descript meal
>I can spike from a pre-meal level of 115 to 190-210 and back to 100-110 one hour later. I'm on 1 g
>Metformin bid. This to me is confounding. Any ideas?
>
>-Preston
>
>P.S. I just had a full VAP panel taken at Hopkins and my lipids are in very good shape. However,
> size and density pattern is mixed A,B rather that A, but my LDL is only 50, TC 125, TG 150,
> HDL 45.

Hi Preston

The only idea I'd have is that I'd review the content of that "non-descript" meal and try not to
repeat it - or that result. The jury is still out on damage by individual spikes; but I'm prepared
to minimise them in case they find out in ten years that it's caused me problems. That doesn't mean
I'd get obsessed about it, just try to tailor the diet to minimise it. Of course, if you don't
regularly test, you don't know they happen.

Incidentally, based on your A1c and Cholesterol, you seem to be doing something right :)

Cheers Alan, T2, Oz dx May 2002 , A1C 5.8, no meds, diet and not enough exercise.

--
Everything in Moderation - Except Laughter.
 
R

Richard Bollar

Guest
He's taking 2000 mg a day -- 1000 b.i.d. is twice a day. ;)

I'd think that fewer carbs and talking with the medical team re: some sort of additional meds
intervention is in order, if it's determined that the spikes are too high.

--
T2 - HbA1c: 5.2% http://www.bollar.org/diabetes.htm

"Priscilla H Ballou" <[email protected]> wrote in message news:[email protected]...
> Preston Rich <[email protected]> quoth:
>>My HbA1c runs about 5.5, my daily average BG runs around 120, but after a rather non-descript meal
>>I can spike from a pre-meal level of 115 to 190-210 and back to 100-110 one hour later. I'm on 1 g
>>Metformin bid. This to me is confounding. Any ideas?
>
> Increase your metformin -- 1000 mg daily is barely therapeutic -- and cut down on the carbs in
> your diet. That should cut down on your spikes and reduce your A1c.
>
> Priscilla