Higher A1C for older type 2

[Guest guest]

Give Older Type 2s More Latitude

Diabetes Health Staff

May 3, 2012

It may be better for older people with type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

<http://www.diabeteshealth.com/> to have less stringent A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> goals than

younger type 2s

<http://www.diabeteshealth.com/browse/community/type-2-issues/> , according

to new guidelines from the American Diabetes Association and the European

Association for the Study of Diabetes.

The recommendations, published on April 19, mark a change from previously

accepted thought that everyone with type 2 diabetes should pursue an A1C

below 7%. (The ADA is now recommending an even lower A1C than before: 6% to

6.5%. An A1C below 5.6% is generally accepted as indicating a diabetes-free

state.)

The new thinking is that an A1C of below 7% is a suitable goal for young,

healthy, motivated people who have the energy to make the effort to attain

it. The new recommendations call for type 2s aged 65 years and older to

focus on achieving less stringent A1C targets, ranging from 7.5% to 8%. The

reasoning behind the change is concern about older people's greater

vulnerability to hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> , as well the effect that the numerous drugs they may be taking could

have on their effort to achieve a low A1C.

The ADA and EASD guidelines also call for metformin

<http://www.diabeteshealth.com/browse/medications/metformin/> as the

first-line treatment for newly diagnosed cases of type 2. The only exception

is people whose A1C after diagnosis is close enough to normal to try

lifestyle changes alone to manage the disease. The guidelines call for the

addition of a second drug if three months of metformin alone does not bring

down their A1C sufficiently.

According to both associations, the new guidelines take a more

patient-centered approach, matching blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> sugar goals

to the patient in terms of age and medical history, rather than demanding a

one-size-fits-all percentage.

_____

Categories:A1C

<http://www.diabeteshealth.com/browse/complications-and-care/a1c/> , A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-levels/> Levels, A1c

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> Test, Blood

<http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose-l

evels/> Glucose Levels, Blood Sugar

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> , Diabetes

<http://www.diabeteshealth.com/browse/community/diabetes/> , Hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>

, Metformin <http://www.diabeteshealth.com/browse/medications/metformin/> ,

Monitoring <http://www.diabeteshealth.com/browse/monitoring/>

_____

<https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di

abetes-health/> Donate to Diabetes Health

_____

[Guest guest]

I had an A1C of 7.8 on May 1. My doctor said that was acceptable. It's

quite a bit lower than the previous one. But, of course, I will work to get

even lower.

Higher A1C for older type 2

Give Older Type 2s More Latitude

Diabetes Health Staff

May 3, 2012

It may be better for older people with type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

<http://www.diabeteshealth.com/> to have less stringent A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> goals than

younger type 2s

<http://www.diabeteshealth.com/browse/community/type-2-issues/> , according

to new guidelines from the American Diabetes Association and the European

Association for the Study of Diabetes.

The recommendations, published on April 19, mark a change from previously

accepted thought that everyone with type 2 diabetes should pursue an A1C

below 7%. (The ADA is now recommending an even lower A1C than before: 6% to

6.5%. An A1C below 5.6% is generally accepted as indicating a diabetes-free

state.)

The new thinking is that an A1C of below 7% is a suitable goal for young,

healthy, motivated people who have the energy to make the effort to attain

it. The new recommendations call for type 2s aged 65 years and older to

focus on achieving less stringent A1C targets, ranging from 7.5% to 8%. The

reasoning behind the change is concern about older people's greater

vulnerability to hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> , as well the effect that the numerous drugs they may be taking could

have on their effort to achieve a low A1C.

The ADA and EASD guidelines also call for metformin

<http://www.diabeteshealth.com/browse/medications/metformin/> as the

first-line treatment for newly diagnosed cases of type 2. The only exception

is people whose A1C after diagnosis is close enough to normal to try

lifestyle changes alone to manage the disease. The guidelines call for the

addition of a second drug if three months of metformin alone does not bring

down their A1C sufficiently.

According to both associations, the new guidelines take a more

patient-centered approach, matching blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> sugar goals

to the patient in terms of age and medical history, rather than demanding a

one-size-fits-all percentage.

_____

Categories:A1C

<http://www.diabeteshealth.com/browse/complications-and-care/a1c/> , A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-levels/> Levels, A1c

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> Test, Blood

<http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose-l

evels/> Glucose Levels, Blood Sugar

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> , Diabetes

<http://www.diabeteshealth.com/browse/community/diabetes/> , Hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>

, Metformin <http://www.diabeteshealth.com/browse/medications/metformin/> ,

Monitoring <http://www.diabeteshealth.com/browse/monitoring/>

_____

<https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di

abetes-health/> Donate to Diabetes Health

_____

[Guest guest]

how much was it when it was higher? you told me, but am so much older then I

was 2 months ago.

Higher A1C for older type 2

Give Older Type 2s More Latitude

Diabetes Health Staff

May 3, 2012

It may be better for older people with type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

<http://www.diabeteshealth.com/> to have less stringent A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> goals than

younger type 2s

<http://www.diabeteshealth.com/browse/community/type-2-issues/> , according

to new guidelines from the American Diabetes Association and the European

Association for the Study of Diabetes.

The recommendations, published on April 19, mark a change from previously

accepted thought that everyone with type 2 diabetes should pursue an A1C

below 7%. (The ADA is now recommending an even lower A1C than before: 6% to

6.5%. An A1C below 5.6% is generally accepted as indicating a diabetes-free

state.)

The new thinking is that an A1C of below 7% is a suitable goal for young,

healthy, motivated people who have the energy to make the effort to attain

it. The new recommendations call for type 2s aged 65 years and older to

focus on achieving less stringent A1C targets, ranging from 7.5% to 8%. The

reasoning behind the change is concern about older people's greater

vulnerability to hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> , as well the effect that the numerous drugs they may be taking could

have on their effort to achieve a low A1C.

The ADA and EASD guidelines also call for metformin

<http://www.diabeteshealth.com/browse/medications/metformin/> as the

first-line treatment for newly diagnosed cases of type 2. The only exception

is people whose A1C after diagnosis is close enough to normal to try

lifestyle changes alone to manage the disease. The guidelines call for the

addition of a second drug if three months of metformin alone does not bring

down their A1C sufficiently.

According to both associations, the new guidelines take a more

patient-centered approach, matching blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> sugar goals

to the patient in terms of age and medical history, rather than demanding a

one-size-fits-all percentage.

_____

Categories:A1C

<http://www.diabeteshealth.com/browse/complications-and-care/a1c/> , A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-levels/> Levels, A1c

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> Test, Blood

<http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose-l

evels/> Glucose Levels, Blood Sugar

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> , Diabetes

<http://www.diabeteshealth.com/browse/community/diabetes/> , Hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>

, Metformin <http://www.diabeteshealth.com/browse/medications/metformin/> ,

Monitoring <http://www.diabeteshealth.com/browse/monitoring/>

_____

<https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di

abetes-health/> Donate to Diabetes Health

_____

[Guest guest]

As long as it keeps going down instead of up, that is good.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Don Hansen

Sent: Thursday, May 10, 2012 2:28 PM

To: blind-diabetics

Subject: RE: Higher A1C for older type 2

I had an A1C of 7.8 on May 1. My doctor said that was acceptable. It's

quite a bit lower than the previous one. But, of course, I will work to get

even lower.

Higher A1C for older type 2

Give Older Type 2s More Latitude

Diabetes Health Staff

May 3, 2012

It may be better for older people with type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

<http://www.diabeteshealth.com/> to have less stringent A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> goals than

younger type 2s

<http://www.diabeteshealth.com/browse/community/type-2-issues/> , according

to new guidelines from the American Diabetes Association and the European

Association for the Study of Diabetes.

The recommendations, published on April 19, mark a change from previously

accepted thought that everyone with type 2 diabetes should pursue an A1C

below 7%. (The ADA is now recommending an even lower A1C than before: 6% to

6.5%. An A1C below 5.6% is generally accepted as indicating a diabetes-free

state.)

The new thinking is that an A1C of below 7% is a suitable goal for young,

healthy, motivated people who have the energy to make the effort to attain

it. The new recommendations call for type 2s aged 65 years and older to

focus on achieving less stringent A1C targets, ranging from 7.5% to 8%. The

reasoning behind the change is concern about older people's greater

vulnerability to hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> , as well the effect that the numerous drugs they may be taking could

have on their effort to achieve a low A1C.

The ADA and EASD guidelines also call for metformin

<http://www.diabeteshealth.com/browse/medications/metformin/> as the

first-line treatment for newly diagnosed cases of type 2. The only exception

is people whose A1C after diagnosis is close enough to normal to try

lifestyle changes alone to manage the disease. The guidelines call for the

addition of a second drug if three months of metformin alone does not bring

down their A1C sufficiently.

According to both associations, the new guidelines take a more

patient-centered approach, matching blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> sugar goals

to the patient in terms of age and medical history, rather than demanding a

one-size-fits-all percentage.

_____

Categories:A1C

<http://www.diabeteshealth.com/browse/complications-and-care/a1c/> , A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-levels/> Levels, A1c

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> Test, Blood

<http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose-l

evels/> Glucose Levels, Blood Sugar

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> , Diabetes

<http://www.diabeteshealth.com/browse/community/diabetes/> , Hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>

, Metformin <http://www.diabeteshealth.com/browse/medications/metformin/> ,

Monitoring <http://www.diabeteshealth.com/browse/monitoring/>

_____

<https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di

abetes-health/> Donate to Diabetes Health

_____

[Guest guest]

Congratulations on getting that good number.

Lora

Higher A1C for older type 2

>

>

>

>

> Give Older Type 2s More Latitude

>

> Diabetes Health Staff

>

> May 3, 2012

>

> It may be better for older people with type 2

> <http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

> <http://www.diabeteshealth.com/> to have less stringent A1C

> <http://www.diabeteshealth.com/browse/monitoring/a1c-test/> goals than

> younger type 2s

> <http://www.diabeteshealth.com/browse/community/type-2-issues/> ,

> according

> to new guidelines from the American Diabetes Association and the European

> Association for the Study of Diabetes.

>

> The recommendations, published on April 19, mark a change from previously

> accepted thought that everyone with type 2 diabetes should pursue an A1C

> below 7%. (The ADA is now recommending an even lower A1C than before: 6%

> to

> 6.5%. An A1C below 5.6% is generally accepted as indicating a

> diabetes-free

> state.)

>

> The new thinking is that an A1C of below 7% is a suitable goal for young,

> healthy, motivated people who have the energy to make the effort to attain

> it. The new recommendations call for type 2s aged 65 years and older to

> focus on achieving less stringent A1C targets, ranging from 7.5% to 8%.

> The

> reasoning behind the change is concern about older people's greater

> vulnerability to hypoglycemia

> <http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

> /> , as well the effect that the numerous drugs they may be taking could

> have on their effort to achieve a low A1C.

>

> The ADA and EASD guidelines also call for metformin

> <http://www.diabeteshealth.com/browse/medications/metformin/> as the

> first-line treatment for newly diagnosed cases of type 2. The only

> exception

> is people whose A1C after diagnosis is close enough to normal to try

> lifestyle changes alone to manage the disease. The guidelines call for the

> addition of a second drug if three months of metformin alone does not

> bring

> down their A1C sufficiently.

>

> According to both associations, the new guidelines take a more

> patient-centered approach, matching blood

> <http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> sugar goals

> to the patient in terms of age and medical history, rather than demanding

> a

> one-size-fits-all percentage.

>

> _____

>

> Categories:A1C

> <http://www.diabeteshealth.com/browse/complications-and-care/a1c/> , A1C

> <http://www.diabeteshealth.com/browse/monitoring/a1c-levels/> Levels, A1c

> <http://www.diabeteshealth.com/browse/monitoring/a1c-test/> Test, Blood

> <http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose-l

> evels/> Glucose Levels, Blood Sugar

> <http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> , Diabetes

> <http://www.diabeteshealth.com/browse/community/diabetes/> , Hypoglycemia

> <http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>

> , Metformin <http://www.diabeteshealth.com/browse/medications/metformin/>

> ,

> Monitoring <http://www.diabeteshealth.com/browse/monitoring/>

>

> _____

>

> <https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di

> abetes-health/> Donate to Diabetes Health

>

> _____

>

>

[Guest guest]

I think it was about 11.

Re: Higher A1C for older type 2

how much was it when it was higher? you told me, but am so much older then I

was 2 months ago.

Higher A1C for older type 2

Give Older Type 2s More Latitude

Diabetes Health Staff

May 3, 2012

It may be better for older people with type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

<http://www.diabeteshealth.com/> to have less stringent A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> goals than

younger type 2s

<http://www.diabeteshealth.com/browse/community/type-2-issues/> , according

to new guidelines from the American Diabetes Association and the European

Association for the Study of Diabetes.

The recommendations, published on April 19, mark a change from previously

accepted thought that everyone with type 2 diabetes should pursue an A1C

below 7%. (The ADA is now recommending an even lower A1C than before: 6% to

6.5%. An A1C below 5.6% is generally accepted as indicating a diabetes-free

state.)

The new thinking is that an A1C of below 7% is a suitable goal for young,

healthy, motivated people who have the energy to make the effort to attain

it. The new recommendations call for type 2s aged 65 years and older to

focus on achieving less stringent A1C targets, ranging from 7.5% to 8%. The

reasoning behind the change is concern about older people's greater

vulnerability to hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> , as well the effect that the numerous drugs they may be taking could

have on their effort to achieve a low A1C.

The ADA and EASD guidelines also call for metformin

<http://www.diabeteshealth.com/browse/medications/metformin/> as the

first-line treatment for newly diagnosed cases of type 2. The only exception

is people whose A1C after diagnosis is close enough to normal to try

lifestyle changes alone to manage the disease. The guidelines call for the

addition of a second drug if three months of metformin alone does not bring

down their A1C sufficiently.

According to both associations, the new guidelines take a more

patient-centered approach, matching blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> sugar goals

to the patient in terms of age and medical history, rather than demanding a

one-size-fits-all percentage.

_____

Categories:A1C

<http://www.diabeteshealth.com/browse/complications-and-care/a1c/> , A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-levels/> Levels, A1c

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> Test, Blood

<http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose-l

evels/> Glucose Levels, Blood Sugar

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> , Diabetes

<http://www.diabeteshealth.com/browse/community/diabetes/> , Hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>

, Metformin <http://www.diabeteshealth.com/browse/medications/metformin/> ,

Monitoring <http://www.diabeteshealth.com/browse/monitoring/>

_____

<https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di

abetes-health/> Donate to Diabetes Health

_____

[Guest guest]

well that was very high and you have done very well in bringing it down in

only 3 months or so. this time in 3 more months you should have a A1C in the

five's I would think. if you continue doing what you do.

Higher A1C for older type 2

Give Older Type 2s More Latitude

Diabetes Health Staff

May 3, 2012

It may be better for older people with type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

<http://www.diabeteshealth.com/> to have less stringent A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> goals than

younger type 2s

<http://www.diabeteshealth.com/browse/community/type-2-issues/> , according

to new guidelines from the American Diabetes Association and the European

Association for the Study of Diabetes.

The recommendations, published on April 19, mark a change from previously

accepted thought that everyone with type 2 diabetes should pursue an A1C

below 7%. (The ADA is now recommending an even lower A1C than before: 6% to

6.5%. An A1C below 5.6% is generally accepted as indicating a diabetes-free

state.)

The new thinking is that an A1C of below 7% is a suitable goal for young,

healthy, motivated people who have the energy to make the effort to attain

it. The new recommendations call for type 2s aged 65 years and older to

focus on achieving less stringent A1C targets, ranging from 7.5% to 8%. The

reasoning behind the change is concern about older people's greater

vulnerability to hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> , as well the effect that the numerous drugs they may be taking could

have on their effort to achieve a low A1C.

The ADA and EASD guidelines also call for metformin

<http://www.diabeteshealth.com/browse/medications/metformin/> as the

first-line treatment for newly diagnosed cases of type 2. The only exception

is people whose A1C after diagnosis is close enough to normal to try

lifestyle changes alone to manage the disease. The guidelines call for the

addition of a second drug if three months of metformin alone does not bring

down their A1C sufficiently.

According to both associations, the new guidelines take a more

patient-centered approach, matching blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> sugar goals

to the patient in terms of age and medical history, rather than demanding a

one-size-fits-all percentage.

_____

Categories:A1C

<http://www.diabeteshealth.com/browse/complications-and-care/a1c/> , A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-levels/> Levels, A1c

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> Test, Blood

<http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose-l

evels/> Glucose Levels, Blood Sugar

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> , Diabetes

<http://www.diabeteshealth.com/browse/community/diabetes/> , Hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>

, Metformin <http://www.diabeteshealth.com/browse/medications/metformin/> ,

Monitoring <http://www.diabeteshealth.com/browse/monitoring/>

_____

<https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di

abetes-health/> Donate to Diabetes Health

_____