Diabetes A1C


What is Diabetes?

Diabetes simply means the body has problem metabolizing the sugar or glucose. The pancreas produces a hormone known as insulin that helps getting the glucose into cells as fuels. People with diabetes either have malfunctioned pancreatic cells that does not produce sufficient insulin or the cells are not reacting to insulin properly. This then results in glucose accumulating in blood or excreted through urine. We will talk more on diabetes management or diabetes a1c below.

Types of diabetes

The diabetes is generally classified into three types, namely type 1 diabetes, type 2 diabetes and gestational diabetes.

Type 1 diabetes is also known as juvenile diabetes as often found in children or young adults. It is generally thought that the beta cells in the pancreas do not produce insulin in this group of patients. Hence, most will need supplemental insulin.

Type 2 diabetes is the more commonly seen type. There are many risk factors associated with this condition including genetics, old age, diet, inactivity, obesity and ethnicity. Careful monitoring is essential for prevention of diabetes complications.

Gestational diabetes as the name suggests, usually occurs in late pregnancy. It pays to know that many who had this may develop type 2 diabetes later on in life.

What is HbA1c?

One commonly used term in diabetes management is HbA1c or the correct medical term, glycosylated (glycated) hemoglobin. Some even call it Diabetes A1C for simplicity sake. It is a measurement of average control of blood sugar level for the past 2 to 3 months.

The hemoglobin (a type of red blood cell) transform into glycosylated state when exposed to glucose in blood. And the glycosylated hemoglobin remains so until its life span of 120days. Therefore, by measuring the amount of glycosylated hemoglobin in blood will give a picture of how well diabetes has been managed for the past 3 months.

What Is Normal HbA1c Value?

There maybe some slight variants between institutions’ recommendations. But generally, normal hba1c value is recommended to be below either 7.0% or 6.5%. Sometimes the target for individual patient may differ due to other risk factors.

How often to do the Diabetes A1c test?

The American Diabetes Association has recommendation for at least 2 times of diabetes a1c test a year. Due to the nature of the test, which is measuring hemoglobin, it is not a surrogate for daily blood sugar level that is needed to adjust insulin doses. Therefore, it is crucial that people with diabetes check daily blood sugar level with a glucometer. Every 3 monthly HbA1c may be needed for some patients.

Does Diabetes Diet help?

There are many information out there that advocates tight sugar control with diet can help with diabetes. That is a fact. However, there is still ongoing debate on how to achieve that, either by starting low sugar diet or low glycemic index diet. Always do diabetes a1c once every 2-3 months to monitor your sugar level.

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Diabetes Reversal

Diabetes reversal is a controversial concept. Diabetes is commonly known as a type of metabolic disease, a disorder that often leads to multiple complications. It is also been portrayed as progressive, irreversible due to the nature of the underlying cause of this disorder where the beta cells in pancreas became dysfunction.

The sedentary lifestyle of modern days with abundant food and limited physical activities predisposes us to diabetes. Food has since evolved from simply providing enough fuel for the body to function, to a form of social activity where friends enjoy dinner and wine together. The choice of food and its way of preparation also had great impact on the extra workload the body has to overcome in digesting and storing the calories.

There have been more studies now than before postulating diabetes may be related to genetic defects. It may be true for those with type 1 diabetes. But those with late onset diabetes or type 2, diet and lifestyle still plays a role in putting a person in pre diabetes state. The next scientific interest then became can we halt progression to diabetes from pre diabetes?

Research on diabetes reversal is more essential and important. Diagnosis of diabetes essentially subject the person to lifelong medications, possible insulin injections later when the disease progress to insulin-resistant stage, and not to mention higher risk of heart attack, poor wound healing, kidney failure and many more complications. If there’s a way to reverse diabetes, it will definitely worth a Nobel.

Diabetes Reversal – How Does It Work?

One of the exciting possible solutions to reverse diabetes is stem cell therapy. The idea is to use stem cells to regenerate new beta cells in pancreas to continue producing insulin. Nonetheless, it is still in the very infant days of this treatment. More studies need to be conducted before it is deem safe and effective.

Another more realistic method is to use diet to halt pre diabetes progression to diabetes. Correct diet in terms of food choices and preparation methods is advisable to all in pre diabetes. High fiber and low sugar are two simple key points to remember. In addition, pay attention to carbohydrates both the type and amount in processed food. Healthy ways of food preparation include steam, blanch and pouch. Low glycemic index food may help with diabetes reversal especially at pre diabetes state.

Weight loss is crucial to combat diabetes. Not only does losing weight help with diabetes, it will also help minimize heart attack risk. Many dietary formulas have since been heavily promoted to assist reverse diabetes, including vegetarian diet, Atkins diet, and South Beach diet. Not all of these work the same way, hence it is important to seek medical advice before venturing into one of these diet plans.

Exercise comes hand in hand with diet to losing weight and reversing pre diabetes. Daily exercise of 30 minutes can increase physical strength and get rid of the extra kilos. The quality of physical activities is important to ensure adequate amount of work is done to reduce accumulation of extra calories that will transform to fat. Running or jogging is the easiest way to start but can explore other options. Choosing the right activity can ensure sustainability of the exercise program.

Diabetes reversal may sound anecdotal but the basic principle of correct diet and exercise is never wrong.

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Diabetic Medication Manager

Sample of Alert/Reminder PopUp Alert component of Diabetic Medication Manager Android APP

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What is Hgb A1C

Three minute video explains what is Hgb A1C and how to know if you are pre diabetic and how to prevent diabetes. For more information visit DoctorSeibel.com

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diabetes drugs can be statins that help lower cholesterol

diabetes-drugs.org Some diabetes drugs will help other troubled areas in the body. For example, a diabetes treatment might include lowering cholesterol, which will also lower blood sugar levels and control diabetes. The main thing is to make sure

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Blood sugar dropped from over 600 to 100

Darrell and Melissa were both diagnosed with Type 2 Diabetes. Darrell felt awful, and had low energy levels. Darrell’s blood sugar was at a very dangerous 638, and his A1C was over 13. They are now halfway through the program and Darrell reports that his blood sugar levels are around 100, his A1C is at 8.3, and his energy levels are back. His doctor actually asked what was going on because he was making such great progress. Melissa’s blood sugar levels were consistently 250. Now, her blood sugar levels are 120 to 130 points less! She is confident she will get her blood sugar levels below 100. She has also lost 18 pounds thus far, which is more than she was ever able to do with diet and exercise, even after trying for 3 years. If you or someone you love struggles with Type 2 diabetes, with or without medication, call Shani Clinic at 805-494-9977 or Visit our website at www.shaniclinic.com

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Type 2 diabetes – results within 2 weeks

Fred has been diabetic for 14 years and even when oral diabetes medications, his blood glucose levels were an average of 250 and his A1C was 10. Less than two weeks into the program, his blood glucose was lowered almost 50% with average blood glucose levels between 120 and 130. Fred was on the verge of having to inject insulin when he first came to see Dr. Shani. He now has confidence that he can completely reverse the complications of his Type 2 Diabetes, and his goal is to bring his blood sugar level to less than 100, which is a non-diabetic range. If you or someone you love struggles with Type 2 diabetes, with or without medication, call Shani Clinic at 805-494-9977 or Visit our website at www.shaniclinic.com

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Diabetic Medication Manager

A demo on how to use the Diabetic Medication Manager APP for Android

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Reduced Diabetes Medications and Feels Great

At 83 Mary was concerned about her diabetes and blood sugar levels. After seeing Dr. Shani, she has lost over 15 pounds, feels 15 years younger and has reduced her diabetes medications. If your blood sugar levels are too high, and you want to lower your type 2 diabetes medications and complications, call Shani Clinic at 805-494-9977 or Visit our website at www.shaniclinic.com

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Hemoglobin A1c (Glycosylated Hemoglobin)

Martin D. Fried MD www.HealthyDays.info Fellowships: Hospital For Sick Kids, Toronto – Pediatric Nutrtion and Babies Hospital, Columbia Presbyterian Med Ctr, NY – Pediatric Gastroenterology

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