Sometimes learning about a medical condition is like taking a sip of water from a fire hydrant. Diabetes is one of those topics that is so wide-reaching, some physicians limit their practice to JUST taking care of diabetic patients and its complications. The training both Drs. Peffley and Lucas received in Bremerton was strong in diabetic management.
All efforts are made to avoid medication, encouraging the patient to make significant lifestyle changes to control sugar. When necessary, both oral medications and insulin have their place in diabetic control. Our goal, of course, is to prevent premature heart attack and stroke, preserve eyesight and kidney function, and prevent hand/foot numbess which can lead to wounds/infections/amputations. We will provide a few resources from which patients can launch their educational efforts.
HbA1c is code for "Hemoglobin A1c" or just A1c. This measures your body's average blood glucose (sugar) in a 24 hour period over a total of 3 months. Whereas patients can "cheat" to get great finger stick blood sugar numbers, a patient would have to be "good" with their sugars for three months in a row to get a good A1c. "Normal" is under 6.0 (glucose average of 113). The American Diabetes Association set a goal fo patient to get under 7 (glucose average of 147). The higher the A1c, the higher the risk of the complications mentioned above.