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c/t2dglp1·submitted 1 year ago by u/rasmus_kimani

[Discussion] the A1c advice in here is 2 years out of date

Discussionbranch of 8 comments

the A1c advice in here is 2 years out of date. Making the case below, and I expect to lose some of it in the comments. To save the first four comments: 2 years. Continuous monitoring shows the shape: postprandial excursions, overnight behaviour and time in range. Two people with identical A1c can have very different…

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8 comments, started 1 year ago
u/gentle_correctionMOD9 points·1 year ago

Retitled — the original quoted an obesity endpoint as a glycaemic one.

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u/rasmus_kimaniOP5 points·1 year ago·edited

Have you taken this to whoever manages your diabetes?

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u/osman_ferrari2 points·1 year ago·edited

I would not compare your numbers to that population. Different baseline, different regimen, different trial.

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u/arne_nyberg1 point·1 year ago

Yes — the person managing your diabetes is the one to talk to, and this board is explicit about that.

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[removed]1 point·1 year ago

[removed by moderator]

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u/teodor_duarte-30 points·1 year ago

Certain conditions affect A1c independently of glycaemia. If a result looks inconsistent with the sensor data, that is a question for whoever manages your care rather than for this board.

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u/marta_weiss1 point·1 year ago

Agreed. A1c is an integrated average over roughly three months and treating it as a current reading causes a lot of unnecessary alarm.

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u/nadia_norgaard3 points·1 year ago

a single high reading is not a trend

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Type 2 diabetes as the original indication: A1c trajectories, CGM traces, hypoglycaemia risk when stacked with sulfonylureas or insulin, metformin combinations, and why the weight-loss conversation sometimes drowns out the glycaemic one.

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