Posted on 03/06/2018 10:41:01 AM PST by upchuck
The American College of Physicians (ACP) has issued new guidance on managing type 2 diabetes -- including relaxing the long-term blood sugar target called hemoglobin A1C.
The A1C is a blood test that gives doctors an estimate of your blood sugar level average over the past few months. For most adults, the American Diabetes Association recommends a target A1C of below 7 percent. This goal may be altered based on individual circumstances.
However, the new ACP guidance suggests that A1C should be between 7 and 8 percent for most adults with type 2 diabetes. For adults who achieve an A1C below 6.5 percent, the group suggests stepping down diabetes treatment to keep that level from going even lower.
The American College of Physicians, which is a national organization of internal medicine doctors, also says that management goals should be personalized based on the benefits and risks of medications, patient preference, general health status and life expectancy.
And, though the doctors' group has relaxed the suggested A1C targets, that doesn't mean type 2 diabetes isn't a serious problem.
"These changes should in no way be interpreted as diabetes is unimportant," said Dr. Jack Ende, ACP's president.
More than 29 million Americans have diabetes. Over time, high blood sugar levels can lead to vision loss, nerve problems, heart attacks, strokes and kidney failure.
"Diabetes is such a prevalent problem, and there are so many guidelines and conflicting information out there, we wanted to do an assessment that would give our members the best possible advice," Ende said. "Also, A1C targets are being used now as a performance measure."
(Excerpt) Read more at cbsnews.com ...
If I just must have sweetner to cook or for herb tea, I use natural Stevia.
Thanks so much for posting those links-maybe I can finally get my guy away from his now-and-then high-carb goodies by trying some of those recipes...
My hubby is hooked on the english muffins (the recipe that uses almond flour and peanut butter). It’s a lower carb version of his favorite breakfast meal. I make a quadruple batch about once a week for the whole family. Just put them in a ziploc in the fridge.
We like this brownie recipe:
https://www.wholesomeyum.com/recipes/low-carb-brownies-with-almond-butter-paleo-gluten-free/
Use peanut butter & they taste like reeses.
These are good too. I make them w/o the berries sometimes & just use lemon extract.
https://lowcarbyum.com/low-carb-blueberry-muffins-gluten-free/
I’m still perusing all those websites and a few more for recipes. So many more options for meals/snacks/treats than 15 years ago when it was meat, cheese, green veg and that was pretty much it other than the premade snack bars (atkins, etc) that were OK every once in a while but not great all the time.
https://www.sugarfreemom.com/recipes/low-carb-candied-bacon-pecan-pie-bars/
I’m going to try these next payday. They use some sweeteners I don’t have or use on a regular basis. I’m going to take them for Easter luncheon.
Please look for FReep mail.
Diabetes — the most insidious desease known to mankind. It is the springboard for many nasty illnesses like strokes and heart attacks, blindness and amputations.
Related comments here https://www.freerepublic.com/focus/news/3653130/posts
Thanks for the ping.
I’m blessed in that my Medicare Advantage Plan from Humana has a deal with Humana Pharmacy: Generic drugs cost $0.00. In my case, all my drugs are generic. I have to pay the premium, sure, but the Rx portion is just $17/mo.
recently my Aic went up and now on Metformin and trying to cut carbs.....there are 30,000,000 type 2 diabetics in America....
Great! Cut the carbs. Hope you do well, FRiend.
Our American diet is so saturated with carbs, it’s terrible. Greased and salted carbs (snacks, frozen & fast food) and fructose/sugar carbs (breakfasts, drinks & treats).
And the corn component (breakfast cereals, ______tos snacks, fructose, corn syrup, high fructose corn syrup, corn syrup solids, corn starch) - also saturating American foods - brings other bad health issues like allergies that cause ADHD traits.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.