hba1c at 65 years old - is it possible to lower only with diet & excercise?

[Deleted member 21371]

If He does, I shall demand compensation, or at least a refund.

Give me it over.
To be fair, I'd do all the same again.
It's been good.

 

[Nick Cliff]

One other point is that owing to changes in red cell turnover as one ages and the algorithm used to compute A1c from the raw lab meaurements, the proper A1c range for pre-diabetes should be about 48 to 55 for a 70-year old. So I think you may not actually have become significantly more diabetic, if at all. The standard range was fixed long ago from a very small trial with subjects all under the age of 40. Most GPs are unaware of this. There has been a very large trial establishing that people over 65 are being treated as diabetic when they’re not, owing to this reference range error.

Thanks @childofthesea43 that's very interesting information which I didn't know. Nick

 

[childofthesea43]

Thanks @childofthesea43 that's very interesting information which I didn't know. Nick

The study I mentioned is reported in the journal BMC Endocrine Disorders, 2019, 19:20 by Annette Masuch et al, “Preventing misdiagnosis of diabetes in the elderly” at https://doi.org/10.1186/s12902-019-0338-7

 

[Callista]

Interesting about the slower red blood cell turnover as we age...and that affecting HB1aC results. Thank you for the link to that paper - shall peruse.