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Question: From Amsterdam, the Netherlands: Last year, 2004, my A1c was around 8.1. In March 2005, it was 8.1 and is now 7.6. I have been on Glucovance and Actos for about a year now. My microalbumin is okay and I have no trace of retinopathy. Also, my cholesterol is excellent (I use Lipitor, too). According to my doctor, because of the above and my age, which is 73, I need not take insulin injections as long as my A1c stays around 7.5. I hope he is right! Who wants to inject himself daily? Is my doctor right? Of course I trust him, but a second opinion is very welcome! Answer: My recommendation to you is that you need to be cautious of free advice from someone who does not know you. There are no safe levels of high blood sugars. The American Diabetes Association Clinical Practice Recommendations suggest that the goal for therapy should result in A1c levels less than 7%. You are above this level, so, additional therapy should be recommended. You are already on three oral drugs (Glucovance is a trade name for a combination of two drugs). Therefore, insulin is not an unreasonable next step. JTL DTQ-20050704023849 Original posting 24 Jul 2005 Posted to A1c, Glycohemoglobin, HgbA1c and Insulin

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 13:10:17 2006
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