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A1C or blood glucose monitoring: Which one is better? Neither. You need both measurements to ensure you have good diabetes management. First, let's look at the two and their differences.
The A1c test: The A1c test measures the amount of glucose on your red blood cells and gives an average of your blood glucose control over a period of 2-3 months. This test is generally ordered by your healthcare provider every 3-6 months, depending on your blood glucose control and the type of diabetes you have.
The goal standard set by the American Diabetes Association is for you to keep your A1c percentage at 7.0 or below. The American Association of Clinical Endocrinologists prefers the percentage to be 6.5 or below. The American Geriatrics Society recommends A1c levels of 7 percent or lower for healthy adults and less stringent levels for less healthy adults of 8 percent or lower.
Blood glucose metering: Checking your blood glucose with your personal meter gives you immediate information and helps you make decisions for your diabetes management. Metering helps you determine how to dose your insulin, handle exercise and illness, and tell you if you're on track with your diabetes care.
Even if you're not on insulin, blood glucose metering even several times a week tells you how well you're doing, if you need to make lifestyle changes, or if you need to contact your healthcare provider for help.
The two tests together inform your provider of the long range control over the past 2-3 months and the meter reading tells the day to day control. I sometimes use the analogy; the A1c is the motion picture and the blood glucose meter readings are the camera snap shot picture.
Meanwhile, Reuters Health recently reported that frequent blood sugar testing was strongly associated with better diabetes control in a large new study that concludes public and private insurers should not be limiting test strip supplies.
Sara J. Carlson, R.N., C.D.E.
Peggy Moreland, R.N., C.D.E.
Selecting "Submit" signifies that you have read and agree to our posting guidelines.
Another thing to keep in mind that most people don't know, or would never think of.
Latin, Black and Asian American's are more prone to diabetes then their white counterparts.
My doctor has checked my A1C and he tells me that the reading is at 6.5. He suggests that it has shown a gradual increase over the past 14 months. Meanwhile my home testing range is between 80 and 105. Subsequently I have refused to take medication for this difference of testing methods, now I recurve a letter stating that he will no longer see me as a patient. What do I do to convene him that I feel his testing might be wrong and also save having to find another Doctor after 20 years
I did read all the comments...!!!
There is a lot of confusion, differences out there. I am diabetic. The Insurance covers I strip a day. I buy Walmart strips to test more.
CVS charges $ 75 for 50 of my strips.
My last A1C was 6.9.
Yes, I have this disease -- but I am not the disease.MKS
Nancy, what are the current preferred daily glucose testing numbers? My POA is a nurse/paramedic & she says the preferred is less than 100 all day. I don't think this is right; she misunderstood her cardi doc. Thx
I have been diag. with diabetes for almost a year. From the beginning I have not been able to test more than 2 times a day. It is impossible to keep track of it with this amount. Why would they restrict keeping track of your health over a couple of test strips? I am lucky that my brother in law was able to give me his old meter and many test strips to get me over testing more than 2 times a day. I just don't understand ins. companies restricting what you need to be healthy but will pay for you to be sicker than you have to be....
Too bad all medicine wants. to. treat are the symptoms. no cure. medicines available don't work image that. all they want to do is treat the symptoms and the changes.
I am increasingly frustrated by the whole use of medications to control blood sugar,
Hippocrates said " Let Food be your Medicine and Medicine be your Food!"
Not nearly enough emphasis is put on changing diet and lifestyle.
I have been on Metformin and Glipizide for 10 yrs now, yet other medications were introduced in a crisis , like prednisone and lasix and THEY raised my Bl Gl rdgs out of sight , taking my HgbA1cto almost 8, even though my dietary intake had always given eme good rdgs. These medications , like Hydrochlorhiazide, raise blood sugar in Non diabetics and are MAKING people diabetic!
Physicians' Put food in the forefront where it belongs. Stop supporting the drug companies!
Food works...EDUCATE PEOPLE TO EAT CORRECTLY'
I very much agree testing strips should not be so narrowly limited as now. I am 82. I have low blood sugars which can drop precipitously during exercising, showering, gardening, etc. So frequently I need to check three or four times a day, and upon occasion, more times. This means some other days, when not so active, I may test only once--to be certain I have enough supplies to finish the month.
I do work with a diabetic nutritionist, and that has been very helpful overall. But while I still can, I want to enjoy my current activities--without the worry of running out of my month's supply of testing supplies. I
hope we will hear more about these concerns in this area of health care. Thank you for your efforts in this regard.
My dad's doctor says to test before eating and if necessary 1 hour after eating.
Also, there is a typo:
It should be "the gold standard"
Not the 'goal' standard
I laughed at the last line of this article. My insurer does not pay for any testing supplies until my high deductible is met for the year. In essence, they don't pay at all. Why was this requirement not included in the ACA? Why does my insurer not see the cost/benefit ratio of testing as a matter of economics?
My last A1c was
6.5 however since then my glucose readings have been from107dbl to 139 dbl,my readings were lower before that,avg about 108 over a month,however I have had an eye infection,a root canal,and I have a ruptured disc,can these factors affect my readings,? I cant really exercise,and weight is a problem,any ideas?
While I appreciate the info, I do wish the A1C info was more specific for Type I and Type II diabetics. Over 90% of diabetics now are Type II, and most all diabetes info is naturally directed towards this group. I have been Type I (juvenile) for over 30 years now, and an A1C below 7.0 is almost unattainable for me without having dangerous lows in the mix. I am able to achieve between 7.1 to 7.4 normally, and I still have no complications at age 51!
I have been on insulin since 1988-doing well all these years bby testing daily-following diet-A1c 6/6.3 range. Trying to be more active since aTIA in December. I believe in taking care oof family/self health.
I buy name brand test strips through a local chain drug store for 12cents a strip. I do not go through the insurance company.
About $12 for 100. Test strips sold through insurance are either "premium" strips or heavily marked up by the strip maker. I have compared readings with more expensive meters and strips and have seen no difference.
Why is it that doctors are reluctant to prescribe glucose meters to pre diabetics. It seams they want you to become a diabetic so they keep treating you. I would think if a person monitored their glucose levels sooner they would be better off
Strips areheap at Walmart..If oh are on Medicare, you may get them or free!
I've had Type 2 for over 18 years and I've done a lot of testing. Fasting am, 2 hours after eating again 2 hours if I think I overloaded on carbs. I go b the way I feel as well. Usually only when it is low do I feel strange.
The A1c is good overall report. The individual testings just test how you are at that minute. You could have been high, didn't test then tested normal later. The reason the wait til 2 hours post prandial is because everyone's b/s goes up some right after eating.
I was diagnosed with T2 diabetes one year ago age 69 male. My initial shock was superceded by determination to care for myself in every respect. Having been a marathon and ultra distance marathon runner for many years, I was always under the wrongful impression that I was immune to all illnesses including diabetes.
I immediately changed my eating habits to exclude all "junk food" reduced my intake of white bread, pasta, cakes biscuits etc, substituting with vegetables, fruit, healthy snacks. Within a few months my weight had reduced by 25 pounds, I was running efficiently, and my 3 monthly A1c had decreased from an initial 7.8% at initial discovery of T2 to 5.9% on 14 April 2016.My daily average bg levels are at 5.5 (100mg/dl). I monitor daily bg readings spread over pre and post prandial twice daily.
I will attempt to decrease my A1c further if possible subject to approval from the doctor.
In conclusion I have never felt better both physically and mentally.
I hope my comments are an inspiration for others
I have been reading comments. I was taught to test before and then 1 hour after.. this should give you a fairly good readings. Also, the question about rising sugars in tha AM. This is called "sunrise syndrome" this just means that your body is waking up and you sugar jumps in relation to that. Remember, your liver puts out sugar too! :)
I am a type 2 diabetic after having gestational diabetes.. never went away! Well, I had to BEG every single provider to prescribe strips.. they only want to do A1c and for me that is not enough. I have had very poor control because of this. I finally got a dr. to allow me to have 50 strips a month. When I am ill or having a stressful time, this is not enough. When will GPs and Internal Medicine docs. get it.. I have had for 25 years and "get it"... Not rocket science. :)
My endocrinologist says to wash your hands prior to testing. If you've handled something sweet, that could affect your reading. I agree with the comment about the strips--when you are working to maintain healthy BS levels, you do test a lot.
I am always running out of strips because I am on insulin and need to keep a close check. Also many times my "strips" reports error, very expensive, overall, faulty strips which are very expensive in the 1st place. Diabetes is a very expensive upkeep disease.
You indicate testing should be post meal. I have been told by my doctor to test pre-meal.
I appreciate the information given. Very helpful. I added to my home screen to handy reference
Incorrect blood sugar readings can also result from outdated test strips. Be sure to check the expiration date on the canister they come in. I suddenly started getting consistent readings about 30-40 pst higher than normal. When I used fresh strips it went back to normal levels.
I was told to test before meals at the mayo clinic.I am on diet and exercise only. What should I do?
This was very helpful.
I test my blood sugar once per day in the morning before I eat. I guess that you could consider this a "fasting" reading. This helps me to "set the tone" of how I handle my day for food intake, medicine adjustments and so forth. I also maintain an excel spreadsheet log of my daily readings that gives me a rolling 60 day average of my daily reading. I do my best to maintain a daily reading range of 85 to 110 and a 60 day average of 95 to 100. Using this method I consistently maintain my A1c readings of 6.6 to 6.8. My doctor knows that I work hard at taking care of myself so he always expresses his gratitude with the results of every A1c test with a "Good job, keep up the good work. See you the next time around." That sure makes my day.
Excellent! Can you post an article about when to take blood sugar readings and what ranges those two groups look for in those? First thing in the morning is easy, but I'd like to have more detail on what it should look like 2 hours after a meal, 5 hours after a meal. Thanks again for the good info!
Helps us remember to be diligent*
Thanks. Your response is very helpful.
My A1c has been 6.1 for a few years. Most of last year I had repeated steroid shots for a torn meniscus, tear in shoulder, drug rash, and oral steroids for sinus infections. Not one Doctor asked if I was a diabetic. I have controlled my type 2 diabetes with medication and diet. My A1c shot to 7.1 and next to 7.9. It is gradually starting to go down. Was 7.6 this last test. I know that is still very high, but I hate to switch medication since I believe it was all due to too many steroids fairly close together.
Thanks for listening,
Does food affect your A1C?
I was diagnosed with Type 2 diabetes about 2 years agao. Because I did frequent testing using the strips and lancelets, I was able to reduce my blood sugar levels from a 7 to a 6.3 without medication. I increased my exercise and modified my diet, and the results were amazing. It has been my opinion since then that insurance companies spend much more for the outcomes of poorly controlled diabetes than they would if they allowd for more frequent testing for blood sugar levels. It's the old penny wise, pound foolish syndrome!
Limiting test strips supplies is silly and it just makes it more difficult for the person with diabetes. Test strip should be made available and cheap so to encourage using them.
I forgot I am 90 and down to testing 2 times a day am pm I ham type 2 for 40 yrs my optomologist says he is amazed nno eye damage, but I do have neuropathy in hands and ft affecting bal I wear diabetic shoes never ft infection. My family 7 diabetics but 4 bro 500 and were on insulin not me I stay on diet write down every meal if holiday I cut lunch down before I have sliver of pie remove crusts just 2 yrs ago I had to use Walker and 1 heart valve not workin :but I just keep going exercise 3 times a day sit or stand next to sofa in case I lose my balance I eat 1150 calories a day
I just tweeted my diet and now down in 120-30 all I did is change bedtime snack of peanut butter and neutteo and switched to 1/3rd bowl of Cheerios and dash of cinnamon just a small amount of almond milk and has dropped over 33 points before breakfast virginia on pills only.
Variations in blood sugar happen all day as we go through our lives. Testing consistently seems to me to be the key - whatever pattern your health care professional recommends. Mornings can be good, but our bodies tend to 'spike' our blood sugar with a daily 'wake-up call', so your 110 reading at 10 PM can become a 132 the next morning, with no food intake overnight. The blood glucose reading is a snapshot; the A1C is an approximate long-term average (IMO, somewhat weighted toward recent behavior). As for strip costs, I looked around (I'm self-pay) and went with the ReliOn Prime strips (Walmart) at about $20 per hundred - the meter costs are trivial, while the strip costs go on forever.
Feet and balance problems. I do not see neuropathy mentioned. I think I have this symptom, but my doctor doesn't seem to think this is a serious problem
My A1C has been between 6.0 and 6.1 without meds. I have a low BMI,low weight and eat no carbs except vegetables and one serving of fruit with eggs in the am. I exercise regularly and test my blood sugar upon waking. I rarley have over 100 and if I do its never over 110. My 30 day average is around 95. My doctor wants me on meds. She says there is nothing more I can change in my control. Is 6.1 really that bad?
CVS Caremark needs to change their name to "Don't caremark". My test strips, which are the only ones they will cover, are $40/50 strips which doesn't even cover one month at 2 tests per day.
Nice Post. Get Online Blood Test Done with an affordable cost at mediangels.com
I want to underline the importance of frequent testing. Fortunately, my health care insurer has not been limiting my test strips. They merely ask how many times a day I am testing and then allow me to purchase the appropriate number in 4 month increments. Since I currently test about 5 times a day, my last order covered was for 600 test strips.
Before I engaged in my testing 5-7 times a day, my A1c had risen to 8.0. Since beginning frequent testing my highest A1c has been 7.1. In one lab test, my A1c was 6.0, which my doctor scolded me for. He said that a score this low--with the meds I am taking--indicate that I was getting too close to danger too often.
(Metformin & Repaglinide)
My Glucose level is 105 mg/dl, Cholesterol 136 mg/dl, HDL Cholesterol 38 mg/dl, Triglycerides 103 mg/dl LDL Cholesterol 77 mg/dl. Radio 3.6
Is there something I should be worry?
James Crowder: Continue to work with your diabetes team. They can help you adjust your insulin doses.
Nejar: Thanks for asking. I believe that is an error. Follow your provider's recommendation for testing your blood glucose.
You indicated in the newsletter that a new study indicates that concludes public and private insurers should not be limiting test strip supplies. That is all well and good.
However,I would like people to know that Medicare has denied two claims for two RXs requiring 6 (six) strips each day when I was put on insulin. My Rx has been reduced to 4 strips each day.
This article says, to test the blood sugar post-meal. My doctor always told me to test before eating my meals. Who is right?
I do so agree with the Reuters study saying more strip testing is linked to better diabetes control. Thank you so much for the article. Now that I recently started testing 2x per day, I am much more in control of my A1C.
Definitely blood sugar testing several times a day is important to controlling your blood sugar. Often I am surprised when I see a high BS reading.
I monitor my blood glucose every day, but my fasting levels are always above 6.1, which my doctor thinks is high. They range usually from 6.3 to 7.0. If I then eat breakfast, even with some carbs, and take a 2-hour post meal reading, it's fine, usually around 6.3 or 6.4.
I worry about my fasting level, but other diabetics tell me not to. What do you think?
I HAVE TYPE 2 DIABETES AND WHILE I HAVE ENOUGH TEST STRIPS FOR TWO TEST PER DAY, I SOMETIMES DO THREE AS I SEEM TO HAVE
TESTS UNDER 70 AND A RARE OVER 200. I HAVE WEST NILE DISEASE; WHEN IT ACTS UP FROM A VERY MINOR INFECTION MY TESTS GO UP A LOT. THOSE DAYS I MAY USE THREE STRIPS. SURE WISH I DID NOT NEED TO WATCH SO CAREFULLY.
Whey are test strips so expensive I live in Thailand and the cost are $60 for 50 strips , So maybe you can under stand why only test once a Day Gavin Pretty.
I have been a diabetic type 2 since 2009. I have been on insulin since I was diagnosed with acute pancreatitis. I was taking Novolin 70/30 twice a day 20cc in morning/22cc before dinner and 16cc levemir before bed plus two metformin. Am now taking Victoza once a day 1.8cc. Blood sugar use to stay around 100 or less during the day but at night, blood sugar is high in the morning, sometimes being 180. Now blood sugar is around 110 during the day. My A1C is anywhere from 48 to 51. So what is going on so I can keep the night time sugar in limits. My doctor wants me to stay in the 80-100 range but can't get it down to that level. Help.
I too was told mainly to test pre-meal with occasional post-meal just to see how I'm doing. Testing before meals allows you to adjust what you eat (ie less carbs, etc) thus having an impact on the outcome.
I also notice the immediate effect of light exercise, even a walk after meals will lower the "spike" in my blood sugar, and the effect lasts much longer than a few hours. Exercising after every meal has allowed me (type 2 diabetic) to eat only 2 meals per day with low-carb snacks inbetween, thus helping me to lose weight.
All efforts to lower my wifes BS by increasing medication result in severe hypo. She in on insulin and medicaton her A1c is 8.6 but her blood pressure and cholesterol tests are normal. She has had diabtes 10 years and is 70. She exercises and follows strict diet. No complications yet
I went to refill strips for meter at CVS. They again tried to charge me 165. dollars. I carried on and after 2 visits and they ran my insurance and medicare properly, they were less than 5 dollars. I know I have paid the higher prices from them at another time. this needs to be addressed!!! What does medicare cover? i have been pre-diabetic and just started a once daily pill to help control sugar and am trying to test more often.
I checked with another pharmacy and I can buy the meter and strips without a prescription quite reasonably. so what is the story???
There are a number of important steps to good metering.
1. Wash off sunscreen/oils/etc. from finger tips.
2. Be sure to get circulation going, but don't do exercises and then test sugar. You want to try to cpature a 'normal reading'.
3. A1C isn't a perfect average, so if your meter readings are going up in the days before your A1C the result will be a 'high average', and the reverse seems to be that if your most recent meter readings are trending lower, your A1C will be lower.
There is some debate about agressive sugar control in seniors, (< 6.0) or < 120. What I am finding is that the lower the numbers, AF is less frequent. No research on this on so far.
I have trouible with high morning gloucose readings even with a low evening check; Any suggestions on how to lower morning readings.
I test 5-7 times a day. I've had type II for about 10 years and I use anywhere from 75 to 95 units of insulin per day, depending upon my intake and activity, plus I take 2500 mg of metformin. It is important to monitor both your blood glucose and A1C. I use an excel spread sheet to calculate my daily, 14 day and 90 day average. The spread sheet calculates my A1C on my 90 day daily average. I compare it to the the results at the doctor and add a fudge factor to the spread sheet A1C calculations. I have found that my BS spikes pretty high at night and starts falling before I get up. After a while of keeping track of daily results I can predict what foods impact my BS. Even topical ointments with steroids raise my blood sugar and I know how much insulin to adjust for that with my records. I work some shift work and have to adjust for that. Having the daily test records on hand on my desktop and smart phone I can try to out guess where my BS is going. All my computers talk to each other (sync)so I am always looking at the same excel file. I also enter a short symbol for my activity level, keep track of steps I take and note any abnormalities. I have no diabetes side effects.... yet!
Currently my insurance, Blue Cross and Blue Shield Fed. Employee Plan, limits the quantity of blood test strips that I am allowed to purchase. It is vexing to be out of strips and to be told that my insurance will not approve my strip purchase, "but I can pay out of pocket." I told the pharmacist that it made no sense that the insurance will not cover a product that is crucial to good blood sugar control. I am so glad to hear that there is a Reuters Health survey that concludes the same. Now if only the health insurance companies could understand.
High and low swings happen even if I do not eat. Trying the LCHF diet to help lower my high trigriclorides so I plan to stay on this for 6 months. Then have a blood lipid test to see the results. I have also began the app called the diabetes journal which tracks my BG gives me 7, 30, 60, day averages. My dr said look at the average do not focus on the high or low readings. My highs are 230 range my lows are usually in the 100's.
Any suggestions are welcomed.
I currently test twice per day but would test more often if my insurance company would cover the extra test strips.
I test 7 times per day. Because for me it is necessary to do this. Otherwise I will cheat. Testing frequency keeps me on the straight and narrow. I attribute my homeostasis to the frequency in testing. I take only exogenous insulin. In my case, it has shown to be a double edge sword. On one hand it delivers insulin needed. On the other hand, it makes me crave sweets. I now have devised a substitute to bring my cravings under control in most cases. Then again, cravings can become extremely strong. When I give into them and grab something sweet, I check my glucose levels and if they have risen, I immediately will start to exercise to bring it under control. Diabetes is a disease that requires constant monitoring. Truly difficult to deal with. But I must admit, it is very satisfying to know that my effort have not been in vain, when A-1c tests comes out perfect. You feel that you may have Diabetes, but Diabetes doesn't have you.
This was a great article! Very helpful information! Keep up the great work!
I am 72, male, have had diabetes for 10 years, weight 160, height 5'7", BMI 25.5. I check glucose level at least 2 times a day, usually just before meal, and don't eat until it is down to 100. Recent A1c is 6.1. I exercise and take only 500mg Metformin once a day.
Question: when to check post meal? two, three or four hours later?
I also wonder why my pre-diabetic wife age 65 shouldn't regulate her diet by linking intake to glucose level, like I do?
UK in Virginia
The above article states to test blood sugar post meal - my daughter's doctor states to test pre meal. I test her 4x's a day pre meal. Two of those testing times she is given medication then 30 minutes later another pill then she is to eat...so testing must be pre meal. Then again at bedtime before her insulin shot which has no meal. So I think it is based on the diabetic person's needs and the regime prescribed by the physician...right? I know some diabetics are testing before and after meals...My daughter's A1C's have been in the 7-8 range as her weight fluctuates based on the season with less activity & holidays which I know is not healthy: we are working on it. It is tough she is mentally and physically challenged - 2 years diagnosed so we are still learning and working on this new addition to our lives. Knowing it is a progressive disease is heartbreaking to me so I am truly trying to get it stable in numbers but it is really hard!
As someone who was diagnosed with type 2 diabetes about a year and a half ago, I have never understood why medicare has limited to supply of testing strips and lancets to one per day. It seems that this is a penny wise, pound foolish policy since treating the complications of uncontrolled diabetes is much more expensive than providing adequate testing supplies.
I typically test twice a day on average, and have sometimes supplemented the cost of supplies out of my own pocket. Based on the the daily test results, I was able to lower my A1C from 7.0 to 6.3 without medication, but with exercise and dietary changes. I am now taking metformin because I realized it has other advantages, but I also believe that if I limited myself to once a day testing, it would have been much more difficult for me to have achieved these results.
My doctor asks me to test pre-meal. The article says the opposite.
What are the issues?
Since I started relying on both methods to gain information my control has improved significantly. I test before and after meals and at bed time. That makes 7 times a day. I also test during exercise sessions and if I am experiencing any low sugar symptoms. The total test frequency is between 210 and 250 every month. My prescription is for 7 tests per day. I am hopeful that at my next Dr appt I can get the prescription changed upward to 250/mo.
Testing in my experience ensures better control and the peace of mind that comes with knowing you are doing the things necessary for good control.
My doctor really doesn't care about the meter readings. I have lots of swings for a type 2 diabetic even though my A1C is about 6.1 they don't seem to agree w/ regular lab results.
what can I do about diabete keto.
You stated the A1C goal standards.
Are there standards for glucose meter readings?
Thank you very much.This article has been very helpful to me.Since long I had been searching for a clear explanation about the diffrence between A1C and metering.
It is of little use to test the blood sugar at home if you don't use that information to change what and when you choose to eat and to encourage exercise. If you take it at the same time every day, it has not changed, and you are not willing to make a change in your eating or exercising that day, skip the test for several days and save!
my fasting numbers are high in the morning...then drop all day to about 115 before dinner (starting about 175 at 7 am)....what is that?
This is a great information. I enjoy learning more with every article. As a newly diagnosed diabetic in the last 6 months, I'm very thankful for your weekly updates!
I AGEE WITH YOUR COMMENT.
I AM A SENIOR OF NEARLY 85 YEARS AGE. I HAVE DIAB. TYPE 2. I TESTED SUGAR (FASTING ) EVERYDAY UNTIL TILL MARCH 1954. STRIPS WERE SUPPLIED NO CHARGE BUT NOW OLY LIMITED SUPPLY IS PROVIDED FREE OF CHARGE AND I CANNOT TEST FOR B.S. DAILY. I AM PUZZLED, WHICH IS COSTLY, PROVIDING FREE TREATMENT FOR DIAB. OR TRY TO PREVENT SERIOUS CONQUENCES FROM THE DESEASE ? I LIVE IN ONTARIO, CANADA , I HAVE PRIVETE MED. INSURANCE COVERAGE AS WELL AS IN ONTARIO MEDIALEXPENCES ARE SUPPOSED TO BE COVERED UNDER PROVINIAL INS. PLAN.
On the question'what if A1c and glucose readings don't match" The article does not providr the comparison numbers. What meter reading is equal to a A1c of 6 or 7 or 7.5?
my last AIC test in Feb 2014 was 5.7,the testing lab this was HIGH,my Doctor said they are NUTS,any comments?
Kern: "In future articles could you speak to the issue of using a Sliding Scale in insulin management!" Thank you for the topic suggestion. It is a good one and I will work on it. Always looking for topics of interest!
If you are not taking insulin, Medicare only allows you one test strip a day. I take metformin 2x a day. testing more often would probably prevent Type 2 patients from graduating to insulin. We need to push for the price of the strips to go down they have been around long enough that they should be generic. I usually test first thing in the morning.
Your article did not address what if your daily test is good and the A1C is 7.6. Which is an average of 170. Average daily test is only 130.
Mr. King should have the doctor write a Rx for the number of times testing per day. I test mine 4 time a day and have no problem getting the right amount of test strip from medicare.
I am a new subscriber to the news letter and I'm enjoying the information I'm getting! In future articles could you speak to the issue of using a Sliding Scale in insulin management!
Someone should tell Medicare about these finds they only allow for one test per day. I was testing 3times pr day and had to cut back to 1. This caused less accuracy in testing.
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