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Latest A1C Articles
Americans are getting better at managing their type 2 diabetes, according to a new study appearing in the New England Journal of Medicine. But that's not to say we still don't have a long way to go.
1 comment - Posted May 21, 2013
I spent a month in a major insulin pump center and saw several things. Many of the female patients seemed to have wings on their sides where the pump tubing was inserted and they got lipohypertrophy from localized injections, but that was the least of it. None of them actually had remotely normal blood sugars.
23 comments - Posted May 15, 2013
In my experience the most common cause of elevated cholesterol is low thyroid. High blood sugars also have an effect on LDL that can be very dramatic. If someone has elevated cholesterol, diabetic or not, the very first thing you do is check their free and total T3, and free and total T4. When you give them adequate thyroid replacement, the LDL usually normalizes.
0 comments - Posted Apr 12, 2013
Nobody thought for even a second that Crystal Bowersox's second-place finish on "American Idol 2010" meant that the 26-year-old was headed back to her native Elliston, Ohio, to resume a quiet life.
1 comment - Posted Jan 17, 2013
Good news for Eli Lilly & Co., as well as for type 2s who appreciate the addition of new drugs to treat their condition: Lilly says its once-weekly injectible drug, dulaglutide, has outperformed three other widely taken diabetes drugs in three just-concluded Phase III studies.
0 comments - Posted Nov 20, 2012
Recently while I was out shopping with my sister, I tested my blood sugar and found that I had a high reading of 217. Because I had just downed a non-fat pumpkin spice latte and still had active insulin in my bloodstream, I skipped correcting it with an insulin shot and went on trying on clothing and chatting with my sister. When I got to my car afterward, I realized that I felt a little like I was drunk, so I figured that I'd better test my blood sugar again. It was 58.
11 comments - Posted Nov 19, 2012
When people with diabetes are successful and happy, their situation is often viewed as having been achieved despite the obstacle of diabetes. I am advocating for a shift in that perception. What if instead of seeing all the good in our lives as existing despite our disease, we begin to see everything that we are—the challenges and the achievements—as a direct product of all that we are made up of, diabetes included?
2 comments - Posted Oct 14, 2012
Recently, while scrolling through discussions posted on an online diabetes forum, I came across one from a man in his thirties who wrote about how paramedics had found his twin brother face down in a sauna, in an insulin shock coma. How did he end up in such a state? The appalling answer is, he didn't have enough glucose strips to test before he got into the hot tub. A few weeks before the sauna incident, his insurance company had limited his glucose strips to just four per day.
27 comments - Posted Aug 25, 2012
The new Accu-Chek Nano was approved for diabetes patients in January 2012, and distribution of the product began in April. Jennifer Aspy, the director of product marketing and operations, sat down with me at the American Association of Diabetes Educators to talk about the merits of this new medical device.
0 comments - Posted Aug 21, 2012
Endocrinologist Robert Cuddihy, MD, joined Sanofi US over a year ago to be the company’s Vice President and Medical Diabetes Head in the United States. He is responsible for developing and executing the US strategy for Sanofi’s Diabetes Division, including pharmaceuticals, devices, and other technologies. He previously served as the medical director for several organizations, including the International Diabetes Center-Park Nicollet in Minnesota.
0 comments - Posted Aug 13, 2012
As teenagers, most of us did some reckless and irresponsible things. It's part of growing up, right? But if you're a teenager with type 1 diabetes, acting reckless becomes a bit more tricky. I had a reckless summer of my own ten years ago, right after high school graduation, when I traveled down south to spend a month with my mom. I hadn't lived with her since the age of 16, so I wanted to get to know her and my younger brother again. Unfortunately, I also used that time to take a break from my diabetes regimen. It had been only four years since my diagnosis, and I wanted to feel that even though I had a disease, I was still a normal teenager who was capable of an adventure.
1 comment - Posted Aug 2, 2012
Swedish researchers report that a drop in A1C of less than one percentage point can lower the risk of death from cardiovascular disease among people with diabetes by nearly half. Specifically, they found that patients who reduced their A1C from 7.8% to 7.0% decreased their risk of dying from cardiovascular disease by 45 percent.
0 comments - Posted Jul 29, 2012
Immediately starting intense therapy for newly diagnosed type 2s preserved their beta cell functioning for 3.5 years, according to a University of Texas Southwestern Medical Center study.
0 comments - Posted Jul 18, 2012
New York researchers have reported that obese patients with type 1 diabetes who do not respond well to insulin may be able to improve their blood sugar control by adding liraglutide to their therapy. Liraglutide (brand name Victoza) is an injectible GLP-1 analog* that was introduced to the US market in 2010 to treat people with type 2 diabetes.
0 comments - Posted Jul 14, 2012
Bariatric surgery, which alters or blocks portions of the digestive system, has produced long-term remission of diabetes symptoms in many type 2 patients. However, a small study of obese type 2 patients who underwent bariatric surgery shows that the longer they had diabetes, the greater the chances that their disease recurred after surgery. The retrospective study, conducted by Yessica Ramos, MD, at the Mayo Clinic Arizona, found that patients who had had diabetes for five years or longer were nearly four times as likely to experience a recurrence of the disease after the remission brought on by the surgery.
1 comment - Posted Jul 9, 2012
My insulin pump has changed my life. My A1C has improved, I've felt more energetic, and I've controlled my diabetes more effectively overall. It has been the biggest and best change in my diabetes treatment since I started on insulin a quarter-century ago.
3 comments - Posted Jun 25, 2012
What a year I've had. From the spring of 2011 to the spring of 2012, my life changed utterly. There have been few years in my life more eventful, and few years that mixed joy and pain in such bracing amounts. With the year now done, I'm hesitant to draw any lessons--I just look back in amazement.
5 comments - Posted Jun 24, 2012
I've had type 1 diabetes for nearly 14 years. I have fallen off the wagon a few times, battled diabulimia, survived numerous insulin shock comas and ketoacidosis episodes, and struggled with acceptance: I have my scars. Despite these mistakes, I've picked myself up countless times and have prevailed. I've persevered with a disease that doesn't take vacations for even a minute, and I've come out on top. I'm alive and healthy, with a full life and a child of my own.
7 comments - Posted Jun 21, 2012
A Florida-based endocrinologist and his team have reported that an intensive 16-week wellness program aimed at type 2 patients yielded some dramatic results: Patients were able to decrease their insulin by 46 percent and their oral medication by 12 percent. They saw their 30-day prescription costs drop by an average of more than $140 per month, reduced their BMI by 3.07, and experienced a drop of 0.7% in their A1C.
3 comments - Posted Jun 14, 2012
How would you like an online interactive resource for type 2 diabetes that teaches you blood sugar basics? The American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE) have come together to develop "the Game Plan" diabetes management program. By going to the website at bloodsugarbasics.com/the-game-plan, you can get everyday tips, watch a video, take a quiz that tests your understanding of high and low blood sugar, and find advice on how to approach your healthcare team.
0 comments - Posted Jun 12, 2012
The following article documents a very personal way of approaching diabetes. Always check with a healthcare professional before changing your diet or your diabetes care regimen.
2 comments - Posted Jun 6, 2012
A short animated video narrated in a woman's reassuring tone provides a basic look at diabetes. The presentation touches on the science behind the condition and explains important terms, including "pancreas," "glucose," and "insulin." It stresses the importance of regular A1C checks and taking medication if needed, while pointing out the dangers associated with not staying on top of blood sugar levels.
0 comments - Posted Jun 5, 2012
A university study has concluded that a combination of metformin and rosiglitazone (Avandia) is the best drug therapy for controlling blood sugar levels in type 2 children and adolescents. Metformin alone is the drug most often prescribed for young or recently diagnosed type 2 patients.
0 comments - Posted May 24, 2012
Researchers in Taipei, Taiwan, report that they have identified the top three drugs for reducing A1C levels in type 2 diabetes: biphasic insulin, GLP-1 analogs, and basal insulin. They hedged a little on their endorsement of GLP-1 analogs, however, by saying that although they are not decisively better at controlling A1Cs than other oral diabetes drugs, they have the advantage of helping to reduce weight without adding to the danger of hypoglycemia.
2 comments - Posted May 16, 2012
Novo Nordisk's new variety of long-lasting insulin, insulin degludec, reduces low blood sugars while improving overall control, according to a pair of studies published in the prestigious journal The Lancet on April 27.
0 comments - Posted May 8, 2012
It may be better for older people with type 2 diabetes to have less stringent A1C goals than younger type 2s, according to new guidelines from the American Diabetes Association and the European Association for the Study of Diabetes.
5 comments - Posted May 3, 2012
The challenges of pregnancy are daunting on their own, but when you're diabetic, they can seem insurmountable. That's one of the reasons Cheryl Alkon wrote a book on the subject. Having type 1 diabetes herself, Alkon knew firsthand the challenges of controlling her disease during pregnancy, and of raising the kids who followed.
3 comments - Posted Apr 13, 2012
An Ohio-based study of overweight and obese type 2 patients shows that weight loss surgery works much better at controlling blood sugar levels than any known drug treatment.
4 comments - Posted Apr 2, 2012
Two years ago, I was a different woman. I was just beginning to come out of my diabetes shell, assessing my confidence with strangers by testing in public and telling friends about my disease. I can still feel the panic rising in my throat as I told people that I have diabetes and need to take injections multiple times per day. I was afraid of rejection, afraid that they would treat me like a sick person. But after eleven years of fighting for my life with type 1 diabetes, I was tired of being afraid. The more people I told, the easier it got.
7 comments - Posted Feb 1, 2012
Until now, drawing blood has been an unavoidable component of being tested for prediabetes and diabetes. Nobody enjoys the process, and it probably makes many people shy away from undergoing diagnosis at all.
1 comment - Posted Jan 28, 2012
North Carolina-based Marc S. Stevens, MD, FACS, is one of the top orthopedic surgeons in the country. Previously, while practicing in Little Rock, he was named Arkansas Physician of the Year. In addition to his orthopedic expertise, Dr. Stevens has developed a reputation as an expert in nutrition, especially as it relates to wound healing, bone and joint health, and healthy weight. To learn more about Dr. Marc S. Stevens go to www.DRSHealthInc.com
2 comments - Posted Jan 11, 2012
A new year means new beginnings. Traditionally, it's a time to resolve to make changes for the better in our lives. This year, I decided to write a resolution list dedicated specifically to diabetes. I hope that some of you will want to try these ideas with me.
4 comments - Posted Jan 8, 2012
I thought I had seen it all as a person with diabetes. Going to college, marriage, moves, career changes, you name it. I had soldiered on through them all, my control shifting from tight to loose to somewhere in the middle as the situation changed. I had adapted pretty well, I told myself.
2 comments - Posted Nov 12, 2011
Final weeks of pregnancy! The third trimester brings about many more ultrasound scans and measurements taken to judge the growth and health of your child. You'll likely be visiting your OB/GYN or maternal fetal medicine office twice per week for non-stress tests to ensure that your baby is healthy and active.
4 comments - Posted Nov 9, 2011
If you've had diabetes for a number of years, chances are that you remember when there was no Internet access and no diabetes online community. You had no way to look up information online and no instant connection to millions of others around the world living with diabetes. Unless you had a friend nearby with diabetes, there was no one to understand how you felt when your blood sugar numbers were less than stellar, and no one to sympathize with how hard it can be to get your A1C down.
3 comments - Posted Nov 1, 2011
Trying to lose weight as an insulin-injecting person with type 1 diabetes couldn't be more frustrating. It gets on my last nerve that exercise can trigger mind-numbing lows, lows that cause me to inhale a portion of those recently burned calories. That said, I don't skip exercise to avoid lows. I just check my blood sugars more often, use caution with my insulin dosing, and follow the advice of my doctors.
22 comments - Posted Oct 21, 2011
When first diagnosed with type 2 diabetes two years ago, I was scared into a very rigid regime of diet and exercise. The first thing I did was register for the Tour de Cure - a bike ride sponsored by the American Diabetes Association. Establishing a goal served as an incentive to train and exercise daily.
0 comments - Posted Oct 20, 2011
News from Danish pharmaceutical manufacturer Novo Nordisk reinforces the growing trend toward using a two-drug combination in the early treatment of type 2 diabetes. (See "A Conversation About Janumet and Earlier Combination Therapy for Type 2 Diabetes" for more discussion about this phenomenon.) In a study it released in Lisbon, Portugal, at the recent meeting of the European Association for the Study of Diabetes, Novo said that combining its recently released drug Victoza® (liraglutide) with another drug early in therapy helps recently diagnosed type 2s achieve greater blood glucose control than they can with a single drug.
0 comments - Posted Oct 2, 2011
So, you're pregnant! Many who are in your shoes have worked very hard and diligently to begin this excursion. Others have reached this milestone unintentionally. Either way, you are about to embark on a journey that will completely challenge everything you know about your type 1 diabetes management. These next few months will challenge your motives, your emotions, your determination, and everything that makes up who you are. So sink your heels in. Take each step one at a time.
5 comments - Posted Sep 20, 2011
Combination therapy, in which doctors prescribe more than one drug to treat type 2 diabetes, is a fairly common practice. However, most newly diagnosed type 2 patients start off with metformin or a sulfonylurea and don't go on a two-drug therapy until their first drug begins to lose its effectiveness. But combination therapy could soon become an earlier option for people with type 2.
2 comments - Posted Sep 7, 2011
Carbohydrates can increase blood sugar levels in people with diabetes, as well as contribute to weight gain. A recent study shows that eating two ounces of raw, dry, or roasted nuts daily as a replacement for two ounces of other carbohydrates may control blood sugar levels and cholesterol in type 2 diabetes without packing on the pounds.
0 comments - Posted Sep 5, 2011
As a dad, do you tend to be authoritative and have high expectations of your child's self control? Do you set clear limits and command respect, without bulldozing him or her? If so, you may be helping your child with type 1 diabetes stick to his or her treatment regimen.
0 comments - Posted Aug 16, 2011
I am excited to have this opportunity to write a diabetes-focused blog for Diabetes Health about living and thriving with type 1 diabetes. First of all, I am extremely passionate about racing road and mountain bicycles, running 5K runs and sprint triathlons, and doing other activities that I find to compete in for Team Type 1. But before I start blogging, I would like to tell a little about myself.
3 comments - Posted Jul 26, 2011
Erin lay on a bed in the emergency room, finally serious about getting help. Her second episode of diabetic ketoacidosis in a single year had sent her to the hospital shaking and vomiting. For the past seven years, she had been driven by one desire: to lose forty pounds. She refused to give herself her full dose of insulin, fearing weight gain. She hadn't seen her endocrinologist or checked her blood sugar for a year or two.
5 comments - Posted Jul 18, 2011
Recently, we published an article by Hope Warshaw, MMSc, RD, CDE, titled "From Old Dogmas to New Realities. "In the article, Hope voiced the opinion that a low carb diet is not the only dietary option for people with diabetes, and that, in fact, such thinking is an "old dogma." In response, we received a number of strongly worded comments advocating the low carb diet as the only way to go.
48 comments - Posted Jul 6, 2011
"Good news," my diabetes nurse educator says to me. "Your new insurance covers continuous glucose monitoring supplies!" I give her a half-smile as my brain screams at me, "CGM? Really? Something else to deal with on top of this damn disease, an insulin pump, exercise, and nutrition?" But I comply, and a CGM is added to the rest of my paraphernalia.
28 comments - Posted Jul 1, 2011