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Old 01-27-2013, 11:14 AM   #31
Sadie22
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I have Type 2. I use a meter which can be used to test on alternate sites other than the fingers. I test on my forearm. My lancet device is adjustable for different depths, and also there is a different tip to put on the end of it for fingertip testing versus alternative-site testing. My fingertips are more sensitive than my forearms, so lancing my fingertips would always hurt, but forearm-testing is something I usually do not even feel. Plus I type for a living, so I don't want to have to deal with sore fingers.

The forearm reading tends to be about 15 points higher for me than a fingertip reading. I don't need to track rapid changes or to titrate insulin dosages, so alternative-site testing is fine for me.

The current state of the research seems to be that we want to keep our A1c under 7, and even better if it is under 6, if we want to avoid complications. The disease can progress despite our best efforts, but this is what we can do to try to live the healthiest lives possible.
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Old 01-27-2013, 05:30 PM   #32
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As a parent of a Type 1 who battles and battles to keep numbers good that is comment is a not totally true. There are Type 1's who's BS numbers during the 1940's, 50's, 60's, 70's and into the 80's who don't have organ damage and I guarantee their A1Cs averaged in the 9s or higher....They didn't have the ability to test and correct like we do today. So to say a mear 7 can causes organ damage is wrong.

You and your doctor will decide what your target A1C should be. For most people with diabetes, the American Diabetes Association recommends an A1C of less than 7%. Another group of experts, the American Association of Clinical Endocrinologists, recommends an even lower A1C of 6.5% or less.

I think I will go with the experts.
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Old 01-27-2013, 06:23 PM   #33
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Originally Posted by manning View Post
You and your doctor will decide what your target A1C should be. For most people with diabetes, the American Diabetes Association recommends an A1C of less than 7%. Another group of experts, the American Association of Clinical Endocrinologists, recommends an even lower A1C of 6.5% or less.

I think I will go with the experts.
A target A1C and saying that if you are over 7 it can cause organ damage are two different things. Just because you are over 7, 8 or even 9 doesn't automatically me you will suffer organ damage. I agree that any target A1C should be between patient and doctor but to scare a person that is trying to figure out what is going on with over 7 can cause organ damage is a bit overwhelming.
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Old 01-27-2013, 06:30 PM   #34
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Originally Posted by zurgswife View Post
A target A1C and saying that if you are over 7 it can cause organ damage are two different things. Just because you are over 7, 8 or even 9 doesn't automatically me you will suffer organ damage. I agree that any target A1C should be between patient and doctor but to scare a person that is trying to figure out what is going on with over 7 can cause organ damage is a bit overwhelming.
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Old 01-27-2013, 11:21 PM   #35
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Sometimes scaring can save a life or......limbs.

Something I heard once. What you don't know can, not necessarily will, kill you. I should know, being scared to go to a doctor almost dropped me in my tracks. Had I gone when I suspected something would have saved me a lot of grief.

OP, do yourself a favor and have a long talk with your doctor. He/she knows you the best. And you will find out one of two things. Something is or is not wrong with you.
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Old 01-27-2013, 11:23 PM   #36
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The term we could use is complications, rather than organ damage. New research is showing that some of the complications may be reversed if the blood glucose fluctuations are brought under control, and that the disease may not be inevitably progressive as was once assumed. We can only do the best we can to each manage our own diet and exercise, take medicine as prescribed, and stay as well-educated on the disease as we possibly can.
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Old 01-28-2013, 07:54 AM   #37
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OP - you have got some great advice here! The only thing I have to add is to make sure to test at different times of day. My morning blood sugars always stink. Doesn't matter what I do - snack before bed, no snack before bed. My endo and I were going to try some long acting insulin at bedtime to see if that would help but now things are on hold because I am getting ready to start chemo. The "dawn phenomenon" is pretty well known. If your morning numbers are high and the rest of the day better, try tracking what you eat in the evening. If you don't have enough long lasting carbs to carry you through the night, your body will make glucose to get you through.

I have tried alternate site testing and have to agree with what some others have said - to me it hurts more than stabbing a finger tip. I just make sure to alternate fingers and sides of fingers. That seems to help me a lot.
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Old 01-28-2013, 08:02 AM   #38
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OP, do yourself a favor and have a long talk with your doctor. He/she knows you the best. And you will find out one of two things. Something is or is not wrong with you.
I actually have. We did the A1C last summer and it was normal. I am just a little paranoid and want to know what to watch for. I already have the classic signs due to other things. So I test my sugar just not as regularly as I should. My goal is to never become diabetic if I can help it. I am hoping that with diet and exercise I won't ever be.
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Old 01-28-2013, 10:27 AM   #39
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I actually have. We did the A1C last summer and it was normal. I am just a little paranoid and want to know what to watch for. I already have the classic signs due to other things. So I test my sugar just not as regularly as I should. My goal is to never become diabetic if I can help it. I am hoping that with diet and exercise I won't ever be.
Good plan. And knowing what your BS is will help you try to attain these non medical interventions if possible. Good Luck as you continue.
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Old 01-28-2013, 11:18 AM   #40
manning
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Originally Posted by worm761 View Post
I actually have. We did the A1C last summer and it was normal. I am just a little paranoid and want to know what to watch for. I already have the classic signs due to other things. So I test my sugar just not as regularly as I should. My goal is to never become diabetic if I can help it. I am hoping that with diet and exercise I won't ever be.
Good direction.

Just be aware it may be possible to get it. All you can do is minimize your chances. In one of my orientations it was mentioned that what triggers it is not really known. People of all shapes and sizes get it. My dad was normal weight and got it. One of his sisters was known as the good year blimp and never got it. Go figure. History of it in the family increases you're chance.
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