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thomasdavidnatvik posted:
Is it normal for a doctor to diagnose a person with diabetes solely on an a1c test alone
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nutrijoy responded:
Depending upon your point of view, it isn't "normal" in the conventional sense but has been gaining popularity because of its low cost, ease, and speed. The ADA encouraged the practice some years ago. With an increasingly large percentage of the population with overweight and obesity-related problems, it probably is a wise choice to facilitate low cost early detection but followup procedures may be employed to confirm a preliminary diagnosis. Read this 2009 WebMD article for more details on the practice.
 
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glucerna replied to nutrijoy's response:
The 2014 diabetes clinical practice guidelines affirmed for the first time using A1c as a diagnostic test for diabetes. You can read the full article here: http://care.diabetesjournals.org/content/37/Supplement_1/S81.full and there is a chart here: http://care.diabetesjournals.org/content/37/Supplement_1/S81/T3.expansion.html that lists all of the diagnostic criteria for diagnosing Type 2. ~Lynn @Glucerna
 
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nutrijoy replied to glucerna's response:
I didn't know the ADA finally formalized their A1c recommendation originally proposed in 2009. It's probably an indication of economic reality since A1c tests are so easy, quick and inexpensive to use. I completely disagree with the BG levels in the ADA chart that you posted, however, and the one below compares the ADA guidelines with those that LEF champions and that reflect my own personal views:



The LEF article from which I made the above comparison table is entitled What You Don't Know About Blood Sugar . It provides a different viewpoint from the one most patients are likely to get from the average healthcare provider (unless their doctor follows the Bernstein protocols). It is a worthwhile read irrespective of whether you accept or reject the arguments made. The article is well-researched and skeptics can read the original source documents before making a final judgment.
 
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glucerna replied to nutrijoy's response:
Thanks for sharing this information, and it's really helpful to read all different viewpoints. That's one of the values of this type of forum. ~Lynn @Glucerna


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