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A1c standards are wrong, IMO

 
Patrick Krupka, DC, CFMP:

I want to talk for a minute about hemoglobin A1c. It's a kind of three month average test for, or how frequently and how high you would spike your blood sugar. We'll talk more about that in a minute. So I was dealing with a patient recently who brought lab work in from her other practitioner and said, "Oh, doc, I think it's really good news. Doctor, my other doctor said my hemoglobin A1c," or she just called it, "My A1C, came back great, he said. So I think what we're doing is working. I'm doing better." Or her hemoglobin A1c had come down from, I think it was eight something, down to 7.2, 7.1, something like that, still abnormal.

And her other doctor said, "We're doing great. We're right on target. This is where we want you to be. Don't change anything. This is perfect." Well, I had to kind of explain to her that it's not perfect at all. It's what's considered good management of a type 2 diabetic to be kind of in the upper sixes. Some doctors are okay...

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Testing Blood Sugar And Insulin Resistance

 
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Blood Sugar And Insulin Resistance, Is This You?

 

Hi everyone. I Want to take a minute and talk to you today about insulin resistance. This is a blood sugar issue. If you're not familiar with what insulin is, first of all, I'm going to go over basics of blood sugar. When we eat something, especially something that has a significant carbohydrate content, or a significant refined carbohydrate content, or we just have something with sugar in it, like we drink a soft drink or something, then our blood sugar goes up. We digest that, it gets absorbed into our bloodstream and then our blood sugar starts to come up. Normal fasting blood sugar's probably going to be, about 75 to 90 maybe, somewhere in that range. Depending on who you talk to, it's 70 to 90, or 70 to 85, or 75 to 95. It varies a little bit, but it's in that range; below 90 and above 70, probably.

But when we eat something or drink something that has sugar in it, that blood sugar number's going to go up dramatically. When it does, our pancreas creates insulin to take some of...

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Are you diabetic or hypothyroid? Interaction between thyroid hormone and HbA1c

 

All right. Today, happy Tuesday, by the way. By this time next week, Christmas will be done. I have a hard time believing that we're actually that close to Christmas. It's 70-something degrees and dreary here in Houston and just doesn't feel at all like Christmas, but Merry almost Christmas.

       Today, I'm going to talk a little bit, as you can tell from the title, about blood sugar and hypothyroidism. Article came out in the January/February issue of the Indian Journal of Endocrinology and Metabolism. The code for it, if you want to look it up on PubMed, the PMC code is 5240076. In this article, they do a good job explaining it. It's a long article, but the actual takeaway from it is fairly short. They took a bunch of people, random, through some testing and basically found that people with a lower thyroid hormone level, people that qualified has hypothyroid, had higher hemoglobin A1cs.

       Let me talk to you a minute about what a...

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