A1c's 6.0 Or Less Recommended In This Study

By Richard157 Latest Reply 2009-07-30 16:34:36 -0500
Started 2009-07-30 15:08:46 -0500

The following information comes from a study published in the July 27, 2009 issue of the Archives of Internal Medicine.

The percentages of complications in well controlled type 1s were very impressive.

"The demonstration that near-normal glucose control substantially lowers microvascular and cardiovascular complications has heralded a new era of Type 1 diabetes care," says lead author David M. Nathan, M.D., of Massachusetts General Hospital. "The remarkable improvement in long-term outcomes achieved with intensive glucose control should encourage clinicians and patients alike to implement intensive therapy as early in the course of Type 1 diabetes as possible."

The authors compared overall rates of eye, kidney, and cardiovascular complications in three groups of people diagnosed with Type 1 diabetes an average of 30 years earlier.

"After 30 years of diabetes, fewer than 1% of those receiving intensive glucose control in the DCCT had significantly impaired vision, kidney failure, or needed a limb amputation due to diabetes," noted Saul Genuth, M.D., of Case Western University, who co-chairs the EDIC study. "Tight control is difficult to achieve and maintain, but its benefits have changed the course of diabetes." Intensive treatment meant trying to keep hemoglobin A1c readings at 6% or less with at least three insulin injections a day or an insulin pump.


2 replies

apanda 2009-07-30 16:34:36 -0500 Report

I have managed to get my A1C from 13.3 9 months ago down to 6.3. I am hoping that my next bloodwork in just 1 week will give me an even lower number. I have been following all of the tips, tricks and diet that were given to me in my class with the diabetic educator at my hospital. Do I like having to do all of this and follow a strict diet as I do? NO! But I do it because I know in the long run it is something that I need to do. Good luck to everyone that is working so hard to reach these numbers.

Melissa Dawn
Melissa Dawn 2009-07-30 15:50:04 -0500 Report

It makes it sound like a simple matter of will. I work hard at keeping my glucose under control…testing 6 to 8 times a day and using an insulin pump. Despite that, I have never had a A1C below 7.1. On the up side, its never been above an 8 either… that I know of anyway. I think my next A1C will finally hit below a 7. Its been a great 3 months, but it feels almost like luck. I only hope I can duplicate it again.

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