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| weight loss to lower a1c |
weight loss to lower a1c
Diabetes and obesity are important problems in today’s society. According to the Centers for Disease Control and Prevention, approximately 23.1 million individuals have been diagnosed with diabetes and 17.0 million with diabetes in 2010. The prevalence of obesity (defined as 30 kilograms or more above a normal weight) in the United States is nearly 39 percent with overweight or obese Hispanic and non-Hispanic African-American men, and non-Hispanic African-American and Hispanic women being more likely than White men and women of comparable age to be obese. In addition, the prevalence of obesity is increasing among children and adolescents.
A1c tests are commonly used to identify people who have had diabetes for several years and thus to assess their risk of developing diabetes complications. The test also reveals how well a patient is controlling his/her blood sugar, which is referred to as blood sugar control. A1c values are expressed as percentages. A1c is an effective way to identify people who have had diabetes for a long and are at risk of developing diabetes complications.
the American Diabetes Association (ADA) recommends that adults with diabetes and a1c of at least 7.0% should consider bariatric surgery. Bariatric surgery can improve diabetes and other risk factors for diabetes in people with a BMI of 40 or greater. It can also reduce a1c to less than 6.5% and control blood pressure and blood cholesterol levels. However, bariatric surgery is major surgery and patients must be prepared to undergo extensive dietary and lifestyle changes and make substantial lifestyle adjustments in their life.
A1c, HbA1c, and Fasting Glucose are the most important diagnostic criteria used in the management of diabetes. Although glucose is the major contributor to the rise in insulin resistance, the effect of fat increases as the body becomes insulin resistant and Fasting Glucose (F.G.) has shown to be a better predictor of glycemic control than HbA1c. The American Diabetes Association has stated that any A1c level higher than 7% is considered clinically significant. A1c levels lower than 7.0% are considered normal.
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