Originally Posted by smarquez
Originally Posted by Paul39
About BP in a doctor's office, not 1 in 10 of the staff who take BPs does it correctly. Plus, if you see the doc infrequently all he has is a snapshot, when an average would give a better picture, due to the inherent variability of BP. I'm not trained in medicine but I do understand data analysis. The info doctors work from is scary, as is their cavalier attitude toward much of it.

By coincidence, I have an appointment with my retinal specialist today. Awhile ago one of his "techs" said, "Oh, I see your A1C is 8.6". Now I'm borderline diabetic, under good control, and my A1C has never been anywhere near 8.6, hovers around 6.0. Moreover, they are not connected to a data source that would show such a record, would only know what I told them. Then, they routinely ask me "what was your blood glucose this morning?" Damned if I know, I don't have a sticker routine. For some reason they treat me as a full blown diabetic. Like I said, scary.

Where did that A1C number come from?
The 6.0 from routine lab tests. Pretty consistent. The 8.6? Who knows? Saw the retinal doc today and still had trouble convincing them I'm not full blown diabetic. Did quote my primary care doc to that effect. From what I understand, there is disagreement as to the validity of the prediabetic concept. It is an agreed upon diagnostic standard or convention, based on the normal curve and probabilities. It certainly isn't binary, although it's treated as such, e.g. by the insurance companies. As for me, I don't care. I take care of myself, and have my blood glucose under good control. Given my age, I'll probably outlive the worst effects of diabetes.


Stupidity has its way, while its cousin, evil, runs rampant.