On 02/15/2013 02:06 PM, Julie Bove wrote:
>>> I don't know what a college lectue is.
>> >
>> >A "college lecture" sounds like you are in a college class
>> >and are being bombarded by tons of extremely thought out
>> >scientific research. The guy is a force of nature. Good
>> >sport about a ton of questions too.

> Stuff like that never happened when I was in college!

Most were insufferable, pompous blow hards, but on occasion
I really scored. Loved those classes


>> >Going to ask him to show me how to take my pulse in my foot too.

> Why?

It is an indication of the state of your circulation in your
feet. As in, if its poor, better seek help before something
falls off. A good solid pulse is what I am looking for, not
the pulse rate.

>> >
>> >I go into to see him in a month with my first a1c. Going to give him a
>> >bad time about the legitimacy of the a1c -- seems
>> >my T2 blood cells don't last a long as T0's [1], which throws the a1c
>> >reading into chaos. Chuckle, Chuckle. As I said, he is a good sport.
>> >Hopefully he knows the proper "fudge" factors to throw into
>> >the a1c that compensate for the lower lifespan of T2's. As I
>> >said, he is a good sport.

> What does that mean?

That means if a1c is based on the average lifespan of a healthy
person's (T0) red blood cells (~120 days) and a T2's blood cells
don't live as long (~84 days), some adjustments need to be
made to the reading.

> If you have certain blood disorders,

Such as T2

>your A1c will be
> meaningless and you should have a frutosamine test done instead.
>> >
>> >Thinking of asking him to throw a "Fructosamine" test as it does not
>> >depend on blood cell life and is not affected by anemia [2].

> Yes. That should be done instead.

Agreed. It will validate any adjustments to the A1C. It is
cheaper at my local lab than a1c too ($28 vs $36).

-T