A1C at 6.5 in Diabetes II Forum

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A1C at 6.5

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oaktree

A1C at 6.5

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Posts: 64

Feb 13 12 3:44 PM

I took a fasting test three weeks ago. The nurse contacted me and made an appointment with a dietician. Just got back today from that appointment. My A1C is 6.5. They have put me on a diet and exercise. I am 100% p and t for CLL. 10% for arthritis in my shoulder. I was in Nam for 6 months. Is there anything I should do right now to be diagnosed with D-II or should I wait and see what happens?

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richard

DB11

#1

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Posts: 136

Feb 13 12 5:26 PM

Sorry to hear you have diabetes.you are 100% PT.I would not do anything right now. Yes you will get S/C but diet and exercise it will only be 0% so eat right and walk you don't want to take pills and shots 4 times a day. have your eyes checked to many bad things happen when your sugar is high,,

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SirVivor

#2

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Posts: 3338

Feb 13 12 6:21 PM

For detailed info regarding your A1C...

http://www.mayoclinic.com...MY00142/DSECTION=results

Charlie

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steelhead69

#3

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Posts: 407

Feb 13 12 6:39 PM

DMII diabetes is NOT something to screw around on by procrastinating. My A1C was progressively getting higher over 5 yrs. I knew nothing about DMII and my internal med MD said nothing as it climbed above 7 on my tests. Was buried amongst all the other tests they run on me every 6 months so just a number, NOT.

I felt like, as i described it to my cardiologist 2 yrs ago, "shit" during and after a long high altitude vacation, basically just laid on my backside and did little. Though it was the ticker getting worse.
A1C has hit 7.8. Blood sugars were poisoning my system and my cells were starving to death, couldn't think and couldn't walk across the street, eyesight failing. Cardio MD sent me to my internist.
Internist acted like it was nothing. Thought about dumping him but he's been very competent in the past.

Took the diabetes classes thru a local hospital. Glucose monitor. Strict diet, NO simple sugars, limited carbo's, limited caloric intake, lots of exercise walking. Meds, max dose of time release metformin.
Back down under 6 in a year and felt 10 years younger.

DMII must be taken seriously. It can and will take away feet, legs, eyesight, heart, kidneys and will lead to death.

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gmurphy

#4

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Posts: 558

Feb 13 12 7:03 PM

richard wrote:
Sorry to hear you have diabetes.you are 100% PT.I would not do anything right now. Yes you will get S/C but diet and exercise it will only be 0% so eat right and walk you don't want to take pills and shots 4 times a day. have your eyes checked to many bad things happen when your sugar is high,,

I believe it would be 10% without medication 20% if taking medication.

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oaktree

A1C

#5

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Posts: 64

Feb 13 12 7:10 PM

I am not worried about a %. I will try to avoid all the negatives and all that. However, I was talking to a VSO and he informed me that since my A1C previously were high I should watch it closely. He also state that if I became legal diebetic that I shoiuld apply asap. He rationalized it by saying if the CLL took its hold on me and something were to happen it would be easier for my wife to get (DIC -?) if it was in my file that my A1C showed diebetes. Is he right?

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richard

#6

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Posts: 136

Feb 13 12 7:26 PM

Yes your right. Then put in a claim. Your a nam vet A.O. Good Luck..steelhead is right take care of it now..

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al4theroad

#7

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Posts: 453

Feb 13 12 8:08 PM

Get a DX of DMII from your doctor . I got DX from DR. but va missed the lab reports he used in DXing it , so they have denined it so far. the 10% for dmii would not increase my total percent but without the DX for DMii I was also denied PN as secondary. Also after that gets settled I'm starting to have kidney problems which is also secondaryto DM.

Thanks for your service

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brewha44

#8

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Posts: 996

Feb 17 12 12:06 AM

VSO is correct! At your rating the only reason i would file it would be for DIC for your wife since it effects your whole body.

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will314159

#9

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Posts: 1653

Feb 17 12 8:05 PM

A1c of 6.5 is diabetes to me. File b/c it's not the diabetes per se always but the complications.

x

HbA_1c		eAG (estimated average glucose)
(%)	(mmol/mol)	(mmol/L)	(mg/dL)
5	31	5.4 (4.2–6.7)	97 (76–120)
6	42	7.0 (5.5–8.5)	126 (100–152)

x

http://en.wikipedia.org/wiki/Glycated_hemoglobin#Interpretation_of_results

x

Diabetes diagnostic criteria^[20]^[21] edit
Condition	2 hour glucose	Fasting glucose	HbA_1c
	mmol/l(mg/dl)	mmol/l(mg/dl)	%
Normal	<7.8 (<140)	<6.1 (<110)	<6.0
Impaired fasting glycaemia	<7.8 (<140)	≥ 6.1(≥110) & <7.0(<126)	6.0-6.4
Impaired glucose tolerance	≥7.8 (≥140)	<7.0 (<126)	6.0-6.4
Diabetes mellitus	≥11.1 (≥200)	≥7.0 (≥126)	≥6.5

http://en.wikipedia.org/wiki/Diabetes_mellitus_type_2#Diagnosis

note wikipedia is a secondary authority & anyone can edit the results b/ in my experience it is pretty good. and is usually look at the footnotes and evaluate the article after reading the references.

__________

edit to correct typo

Take Care!,

RVN July 70-71, Ist Bde 5 Mech Div on DMZ., C company, then Headquarters security

MOS 11BP (P for five jumps at Ft Benning)

highest rank reached corporal, busted then made Spec 4

Disabilites- DMII + complications, PTSD & other sundry matters, 100% schedular P&T

Edited 1 time by will314159 Feb 17 12 8:08 PM.

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shelley7

#10

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Posts: 707

Feb 18 12 7:20 PM

the VA recognizes a clinical diagnosis of diabetes for service connection if you have an A1C of 6.5 on two or more tests, usually 3 months apart. Also two or more fasting blood glucose tests greater than 126, there are two more criteria but these are the two most common.

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oaktree

VA Doc's Response

#11

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Posts: 64

Feb 25 12 6:47 AM

Following is the letter that I received from the va doctor: "This letter is to confirm a diagnosis of type 2 diabetes mellitus must be made at this time due to your blood sugar being 111 as upper limits of normal is 110. Your glyco is 6.5 with the upper limits of normal being 6.4. I have done both these test in the past bu this is apparently the first time they have crossed the line to being elevated. A good diabetic diet and exercise should take care of it but will be rechecking at each visit. I do not think that medication is needed at this time unless it gets worse"

My question is this: Should I send this to the VA and apply for Type II Diabetic. I realize no compensation is warranted but should I pursue to have it on record or should I wait on another report?

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shelley7

#12

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Posts: 707

Feb 25 12 9:53 AM

Unless you have two readings 3 months apart that are 6.5 or higher, or you have two or more fasting blood glucoses of 126 or higher you do not meet the definition of diabetic for service connection. The VA has strict criteria for service connection, what you have by an endocrine standard is insulin resistance, which you can control with weight loss and exercise at this point.

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roy1945

#13

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Posts: 1563

Mar 1 12 9:37 PM

8 months ago 7.1 this week 6.6 lost some lbs and eating a lot better

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al4theroad

Bottom line

#14

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Posts: 453

Mar 1 12 11:28 PM

If you have dx of DMii ,file and get it service connected, even if it can be controled by diet and the 10% might not change your total rating, It is just the beginning there will problie be other problems secondary to the DMii and you need the SC to get the secondaries rated. neuropathy bilateral all 4 limbs at 30% ea is one of the worse cases I have heard of but you can see where I'm headed,add that to kidney failure and you see how quickly they add up also the diabetes are usually not what gets you but the secondaries.

Thanks for your service

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will314159

#15

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Posts: 1653

Mar 24 12 4:36 PM

u can be paid at a greater rate than 100%. the overage is bundled & is misleadingly called "housebound" even tho u may not really be "housebound." As has been said before, it is not the diabetes b/ the diabetic complications.

Take Care!,

RVN July 70-71, Ist Bde 5 Mech Div on DMZ., C company, then Headquarters security

MOS 11BP (P for five jumps at Ft Benning)

highest rank reached corporal, busted then made Spec 4

Disabilites- DMII + complications, PTSD & other sundry matters, 100% schedular P&T

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