When we recommend patients for HbA1C test, is it not necessary to convince them not to go for fasting and postprandial blood sugar level. It may reduce circumstances and routine hectic tension of patients. we can also council patients that HbA1C is enough to see improvement in their glucose profile.
For type 1 diabetes, daily (multiple) measurement(s) of blood glucose levels is a necessity.
For type 2 diabetics, it is very useful for patients to have a good idea as to how their changes in life-style are helping them, hopefully it serves them well and keeps them motivated. In the absence of a routine test, complacency often works in the negative direction... just a matter of human nature. There are, of course, exceptions, but they tend to be less prevalent.
they are two different parameters. fbs and PPBS tell you about the present state and HbiAc is about general control. its good for assesement using standard deviations.
Dr. Padma and Dr Venkata.
Yes ofcourse these both have its own relevence and importance, I know. But routine tests of FBS and PPBS are additional burden on patients and give more psuchological pressure if get disturb result. This disturb result may be due to activity within 12 hr./ 24 hr, and can be managed by body incoming hour. So becoming so pannic about sugar level is also not right in DM. What is needed a long term effect and control on BS.
"What is needed a long term effect and control on BS."
Given the current methods of achieving (or rather not achieving) a tight control, how do you propose to proceed? Ignoring spikes that are ultimately additive and harm the patient is certainly not a solution.
You need to educate and help your patients to understand the rationale behind the management scheme, remembering that there is no "cure" and the progression and overall outcome is very dependent on management of hyperglycemia.
You can have low and high readings and that will average to a good result but it doesn't mean their blood sugar control is good. Plus anemia can cause false results.
It is a tricky balance - achieving euglycemia and avoiding hypoglycemia, which is far more dangerous than mild hyperglycemia.
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