Top
20
Doctor insights on: Why Do Type 1 Diabetic Patients Have To Increase Their Hemoglobin A1c

Share
1

1
Why do type 1 diabetic patients have to increase their hemoglobin a1c?

Why do type 1 diabetic patients have to increase their hemoglobin a1c?

A1c a control marker: A1c is a long term marker for glucose levels in the body. It will go up to higher levels when the blood sugar levels are above recomended levels and declines when you keep your sugars in a healthy range. Since the sugar level can go up or down dramaticly over less than hour, A1c is a better overall gage of long term control than your test diary (& you can't fudge the value). ...Read more

See 1 more doctor answer
Dr. Ira Katz
518 doctors shared insights

Hemoglobin A1c (Definition)

It helps determine the average blood sugar over a long period of time, about 2 or ...Read more


2

2
Want to know if people with type 1 diabetes are always thirsty. Do type 1 diabetics always have symptoms?

Want to know if people with type 1 diabetes are always thirsty. Do type 1 diabetics always have symptoms?

Depends: Stable type one diabetics are no more thirsty than anyone else.An undiagnosed dm1 may have a build up of blood sugar that sucks moisture out of the tissues into the urine and leaves the person drinking to keep up with rapid fluid loss. ...Read more

3

3
Why do people with diabetes type 1 tend to be fat?

Why do people with diabetes type 1 tend to be fat?

Not true: Most type 1 diabetics are not obese. The underlying problem is that their pancreas cannot make enough insulin. Type 2 diabetics are typically obese. The obesity is associated with Insulin resistance. The pancreas is making insulin, but the Insulin does not work correctly. Ultimately, the pancreas starts to fail and can't make enough Insulin to compensate for the Insulin resistance. ...Read more

5

5
Do people with type 1 diabetes make any insulin at all?

Do people with type 1 diabetes make any insulin at all?

None or very little.: Insulin is the hormone secreted by the pancreas to get glucose inside the cells and out of the bloodstream. In diabetes type i, the beta-islet cell of the pancreas are destroyed, and no Insulin is secreted. This means glucose builds up in the blood and the cells don't get it, therefore they starve, and death results if untreated. So treatment is to give them insulin. ...Read more

6

6
Do you have to be type 1 diabetic to use insulin pump?

No: Type 2 diabetics who are Insulin dependent can be put on the pump as well. Dr kurzweil review: it is true that it may be possible, but unlikely. Type 2 diabetics should be controllable with good persistent medical care--nutritional, weight reduction, medication, exercise, if necessary a long-acting Insulin once daily, perhaps added short acting. A clinical expert endocrinologist could rx c pump. ...Read more

See 1 more doctor answer
7

7
Male diabetic patient for 25 yrs.Age 57 . What to do in case of low BP ?

Male diabetic patient for 25 yrs.Age 57 . What to do in case of low BP ?

Medication : Please discuss with your doctor. Health tap physicians have no access to your medical records. It's important to know your history, medication your on, and medical evaluation. ...Read more

8

8
If someone gets high blood pressure, are they stuck with it for life (like diabetes )? Why does BP tend to increase with age ?

If someone gets high blood pressure, are they stuck with it for life (like diabetes )?  Why does BP tend to increase with age ?

great question: BP does tend to increase with age. If i could answer why, there would be a nobel prize waiting for me! if you're overweight or salt your food, you may be able to reverse it by losing weight and avoiding salt. Otherwise, you'll need medicine. The good news: outcome studies show that when BP is well controlled, you lower your risk of heart failure, heart attack, stroke, kidney failure, and death. ...Read more

9

9
Could you tell me if people with type 1 diabetes don't make insulin how come they get low blood sugar?

Could you tell me if people with type 1 diabetes don't make insulin how come they get low blood sugar?

Overtreatment: All type 1 dms are eventually dependent on externally injected Insulin for survival.It is a complex and fragile protine molecule that binds to glucose and carries it across cell walls so it can be used.The amount given is calculated to match the existing need, but may be in excess.The excess pulls glucose out of the blood into cells causing low blood sugar levels in the circulating blood. ...Read more

10

10
Will I become a type 1 diabetic if both my parents have type 1 diabetes?

Will I become a type 1 diabetic if both my parents have type 1 diabetes?

Risk of getting dm1: Type 1 diabetes risk is 4-8% in offspring of an affected mother and slightly higher when its an affected father. It can be up to 30% if both parents have it. Bottom line is that its more likely that you wont get it. ...Read more

11

11
If not all diabetics develop nephropathy, why did i develop it (i think)(proteinuria only) when all of my a1c's (last one 5.8) and fbs are nl/near nl?

If not all diabetics develop nephropathy, why did i develop it (i think)(proteinuria only) when all of my a1c's (last one 5.8) and fbs are nl/near nl?

Proteinuria : You likely developed your nephropathy due to the presence of untreated proteinuria (p). As you can see from the image, coronary heart disease (chd) and stroke (cva) are related to the severity of the p. It is similar in the case of renal disease. Using ace-i, arb's or calcium channel blockers like Diltiazem can reduce both BP and p and their consequences. Stop Ibuprofen and see a nephrologist. ...Read more

12

12
Say you are not obese, and do not have diabetes (type 1 or 2) and take 2000of metformin(at once), what would happen?

Say you are not obese, and do not have diabetes (type 1 or 2) and take 2000of metformin(at once), what would happen?

Stomach ache: We use metformin in patients without diabetes for other conditions like pcos, for example. If someone took 2000 mg of metformin just to try it, a bad stomach ache would likely ensue. ...Read more

13

13
I'm healthy & fit, have Graves D. Sugar levels above normal & may be pre-diabetic. Can adults get type 1 auto-immune diabetes? If so, how quickly? Thx

I'm healthy & fit, have Graves D. Sugar levels above normal & may be pre-diabetic. Can adults get type 1 auto-immune diabetes? If so, how quickly? Thx

Yes...: Type 1 dm is now well estab to occur in adults & is an autoimmune destruction of the pancreatic beta(insulin producing )cells. It is more common in people with other autoimmune dz's. But type 2 DM is still more common in adults, even with other autoimmune dz's & Grave's can ??sugars. Can ??for antibodies. Prog in adults gen slower than child. Can take yrs. May always make some insulin.ca ...Read more

14

14
Why do scientists believe oral insulin may help to prevent or delay type 1 diabetes?

Why do scientists believe oral insulin may help to prevent or delay type 1 diabetes?

We don't know why: The research done in sweden showed a delay in the onset of type 1 diabetes in patients with Insulin autoantibodies given oral Insulin crystals daily for several years, but who weren't diabetic yet. The finding was unexpected, researchers were looking to prevent it altogether which it didn't. See http://www.Sciencedaily.Com/releases/2012/09/120919083412.Htm. ...Read more

See 1 more doctor answer
15

15
I would like to know if raspberry ketones thin affects a person with type 1 diabetes ?

I would like to know if raspberry ketones thin affects a person with type 1 diabetes  ?

Do not waste your $: Do not waste your time with "weight loss supplements". Rasberry ketones are yet another in a long line of "miracle" weight loss supplements that are pure hype. If you want to achieve weight loss, reduce your carbs to a bare minimum, drink only water, eat lots of low starch veggies and increase your activity levels. ...Read more

See 2 more doctor answers
16

16
Hi doc ...may i know how do brain use glucose in diabetic patients ? thank uu :)

Hi doc ...may i know how do brain use glucose in diabetic patients  ? thank uu :)

Brain use: A bit too complicated to answer well in a short space. Please go online and spend time looking up the link(s) between diabetes and the brain. PS: You don't list your age. If you are not overweight and older than 30 it is likely you have type 1 diabetes, and that requires insulin treatment. If you have type 2 diabetes you are not diabetic - you have diabetes and should work hard to get rid of it. ...Read more

17

17
When does the dr decide to give insulin for a type 2 diabetic patient(she have high hba1c from years)?

When does the dr decide to give insulin for a type 2 diabetic patient(she have high hba1c from years)?

See below: If A1c remains elevated despite dietary and lifestyle changes, if it remains elevated despite pills/tablets for diabetes, or if A1c is generally 9% or higher. Insulin can be given in combination with pills for type 2 diabetic. ...Read more

18

18
Can the experts please talk about the normal blood glucose levels for a person with diabetes mellitus type 1 & 2?

Can the experts please talk about the normal blood glucose levels for a person with diabetes mellitus type 1 & 2?

Your glucose should : Be under 100.... If well controlled. But you need to consult your endocrinologist and specialist who is following your disease. Everyone is different and the degree of control is dependent on the patient. Some patients simply can never reach this goal... So it's really individualized treatment we are after here. We want the best control possible for you. ...Read more

19

19
Have symptoms of diabetes, sugar level is 6.2 fasting.Up to 7 .1 after meal (2hrs) Have Graves' disease.Healthy & fit. Can adults get type 1 diabetes?

Have symptoms of diabetes, sugar level is 6.2 fasting.Up to 7 .1 after meal (2hrs) Have Graves' disease.Healthy & fit. Can adults get type 1 diabetes?

Confusing question: The standard reporting of blood sugar results are in mg/dl.Your stated values are obviously in some other system because that level is incompatible with alertness/ life. Type 1 DM is due to loss of insulin production capability.It could happen at any age, but rarely does in older adults.When it does, the patient can lose 10 lb/week while eating almost continuously. ...Read more

20

20
As doc how do u distinguish type 1 diabetes from type 2? Why does type 1 require only insulin?

As doc how do u distinguish type 1 diabetes from type 2? Why does type 1 require only insulin?

Many ways: The presence of antibodies against the cell that produce Insulin and a low Insulin level in a patient with high blood sugar means type 1. If blood sugar is high , Insulin level is high and antibodies are negative in an obese patient it means type2. ...Read more

See 1 more doctor answer