A1c1

Prredden
By Prredden Latest Reply 2009-12-15 17:09:29 -0600
Started 2009-12-10 07:55:11 -0600

The doc said mine was 7.7. I am new to this. Is that really bad???


15 replies

Deb-G
Deb-G 2009-12-14 20:35:00 -0600 Report

My biggest recommendation to a newly diagnosed diabetic…Get an Endocrinologist…dont waste time diddlin with your internist (If you dont already have one that is!) :) The Endo will keep you in a better place which really should be below 7 and will give you the best information you need to get there…Gotta love our internists but they cant possibly be pro's on every subject…Thus I think the Endocrinologist is a must to treat something that truly effects your entire body and life…It sucks, but with good control, you can live life to its fullest…Best of luck to you :)

kdroberts
kdroberts 2009-12-15 07:31:04 -0600 Report

Endocrinologists are internists as well (endos either start out as doctors of internal medicine or pediatricians) but more to the point, not all endocrinologists specialize in diabetes. Endocrinology covers a huge range of sub specialties (eg diabetes, thyroid conditions, adrenal conditions, some bone diseases, pituitary gland conditions and whole range of sexual hormone disorders), diabetes is just one of them so it is very possible that a family doctor who is interested in diabetes will know far more about it than an endocrinologist who is not. Added to that there are plenty of bad endocrinologists just like there are bad doctors of any specialty.

Deb-G
Deb-G 2009-12-15 07:58:50 -0600 Report

Thats my point..find yourself an Endocrinologist that treats diabetics and offers nutritional counceling…Find one that is on the ball, just as you would chose your internist…Yes, an Endocrinologist starts as an internist…but they have specialized..that means something very specific and you will find their ideals are much different then your internist who is much happier with higher numbers and less consistent control…They also dont have the same knowledge of medications, insulin, etc…Having been a diabetic all my life there is no comparison as to where an internist thinks its "ok to be" to where my specialists wants me to be for overall health…Sure, there is bad in every line but if you had a heart attack would you avoid the cardiologist? Not wise…give yourself your best chance and go to the doctor trained in that area…This is just as important… :)

kdroberts
kdroberts 2009-12-15 08:14:09 -0600 Report

OK, but my point is that most endocrinologists aren't specialists in diabetes. There are less than 5000 endocrinologists in the US (the number is declining, maybe just above 4000 now) and only a portion of those specialize in diabetes, the rest have basic training in it but do not deal with diabetes on a routine basis. Depending on where people live there may not be an endocrinologist who specializes in diabetes anywhere near them or covered by their insurance which would make it almost impossible to get one. ANY doctor can provide top notch diabetes care if they are interested in it, keep up to date on the latest research and are willing to work with a patient individually rather than give out generic advice and goals. That criteria is much more important than a label.

Deb-G
Deb-G 2009-12-15 13:13:52 -0600 Report

An endocrinologist is a doctor who specializes in the endocrine system. (which also includes the thyroid gland, which also includes the neuroendocrine glands of the pancreas, the parathyroids, pituitary gland, ovaries, and the adrenal glands.) A typical M.D. will spend some time — but not much — during medical school studying common disorders of the Endocrine System…Endocrinologists, by virtue of their continuing specialized education, are required to spend more time studying and focusing on thyroid issues, but that is not typically the main focus for most.

The main concentration of most endocrinologists,continues to be the diagnosis and treatment of diabetes, and research into diabetes treatments and drugs. Many endocrinologists specialize in the treatment of diabetes, and only a small number of them consider themselves specialists in thyroid disease.

I think you have that backwards…but…maybe its the area where you live?…Either way while I appreciate your disagreement with my recommendation..I still recommend it :oP lol…never has my diabetes been as well controlled…or have I been as knowledgable in how things work and why I do what I do in order to control it…as when I began with a good endocrinologist…

I'm sorry but I totally disagree with you that any doctor can give you top notch care when its not their specialty…or maybe your diabetes is borderline etc…

Would you go to your regular doctor to have a baby? sure they could deliver it lol

Would you go to your regular doctor to treat cardiac desease?

There are reasons there are specialties…and insurance covers that need if you are diagnosed…

kdroberts
kdroberts 2009-12-15 14:43:18 -0600 Report

It's not really about what a doctor leans at school, it's what they learn after they graduate since medicine is continually changing and what they learned at school may not apply anymore.

I see an endocrinologist, I have no issues with them but it's not as cut and dry as you make it sound. I also live in an are with several of the top hospital systems in the country that are rated extremely high for diabetes and most of the diabetes specialists are not endocrinologists. Being an endocrinologist doesn't make you a diabetes specialist and being a diabetes specialist doesn't mean you have to be an endocrinologist.

Deb-G
Deb-G 2009-12-15 16:42:54 -0600 Report

Again…I will state…it was my recommendation…and still is…

Honestly any doctor can suck…we all know this…its a journey always to find the right "fit"…My opinion is based on my statement above that an internist is a jack of all illness/desease and a master of none…(and that is fine, its the point of what they do!)…but when you need fine tuned help you seek out the master of the desease…I "get" that not all endocrinologists are worth it…Get a different one…Like you would if your internist was not thorough…

Infact my journey is taking me to the Mayo Clinic in January…and I will be seeing their "Endocrinology" department not the internal medicine…We are seeking a solution to a diabetic issue…thats where you go…Its been a long journey of doctors unable to help me and ultimately it has led me to the top of the line in Endocrinology…

All i'm saying is be your own advocate…find the right fit with a doctor and most likely that doctor will be an endocrinologist that see's hundreds of people just like you…not an internist that see's a few like you and hundreds of teens, adults, and geriatric patients with other needs…

I really didn't want a debate…it was a simple reply to something and something I thought was worth considering…We can surely agree to disagree and this thread and all are perfect for people to realize options and make the smartest decisions for themselves…

Thats what its all about..its all good…

Peace

Deb

Deb-G
Deb-G 2009-12-15 17:09:29 -0600 Report

Ps…also the original question about A1c acceptable reading…

For people without diabetes, the normal range for the hemoglobin A1c test is between 4% and 6%. Because studies have repeatedly shown that out-of-control diabetes results in complications from the disease, the goal for people with diabetes is an hemoglobin A1c less than 6.8%. Sometimes under 7% is considered acceptable but most like stricter control for best overall health :)

You can do it! :)

MarineMomX2
MarineMomX2 2009-12-12 07:59:51 -0600 Report

Look at it as a starting place. You don't want to go higher and you can bring it down too. I started out at 10.2 and my last one was 6.3. It's work, but something you have to do for yourself. Welcome to DC!
Nelda

Father Fred
Father Fred 2009-12-11 22:02:36 -0600 Report

Read my discussion titled "You Have To Be Your Own Analyst" it may help you gain control and reduce your A1C1.

Harlen
Harlen 2009-12-10 11:16:09 -0600 Report

It takes time to get the #s down .
I was unable to do it in a year
but got it down to where it needs to be now thank god
Its a lot of work but the pay off is grate
Best wishes
Herlen

kdroberts
kdroberts 2009-12-10 11:13:04 -0600 Report

If you are new, it's not bad. The tightest professional recommendation is to have your A1c under 6.5, the most lenient is under 7 so you are above both of those. Personally I think it's best to have it as close to normal as you can get it without having a lot of low blood sugar episodes, under 6 is a very good goal. Normal is roughly in the mid 4's to low 5's. Of course, your situation may be different and you should discuss it with your doctor who knows you and your health.

ptsparkle
ptsparkle 2009-12-10 09:48:53 -0600 Report

You are in a good place to bring down that number( which isn't terrible). As stated above, diet, exercise, and anymmeds the Dr. puts you on will help.
Jim

alanbossman
alanbossman 2009-12-10 09:09:15 -0600 Report

Hi sorry almost missed this post on your a1c. 7.7 is not ideal but with the right foods and carb intake and execrise ,portion size you can get lower numbers below 7.0 I have done this my last 3 a1c were 5.4. If you need advice stay on dc and lots of people will help you.
Alan

Crashnot
Crashnot 2009-12-10 08:57:44 -0600 Report

If you're type 2, the docs up here would say you're doing OK. If you're type 1, they want you lower. Go figure. 5-6 is ideal. If you are type 2, you should be able to bring the 7 reading down with diet and exercise pretty quickly. Try reading "Reversing Diabetes" by Julian Whittaker for easy explanations of how it all works. Good luck!