0 Glycemic Variability

How much do your blood sugars vary in a day?The answer to this question might have more of a bearing on your risk for complications than your HbA1c alone. Dr. Irl Hirsh (shown) reviewed data on fluctuations in blood glucose. In his 2005 paper he reported: 1"New data, however, show that glucose variability, independent of A1C, may also play a significant role in the risk for complications."He cited an example from the landmark 1993 Diabetes Complications and Control Trial:"For example, the risk of retinopathy in control patients with an A1C of 9% was approximately 2.5 times greater than the risk of experimental patients with a 9% A1C. The only...