carb counting with lenny

Mean plasma glucoseA1C (%) mg/dL mmol/L

6 126 7.07 154 8.68 183 10.29 212 11.8

10 240 13.411 269 14.912 298 16.5

Correlation of A1C with Average GlucoseCorrelation of A1C with Average Glucose

ADA. V. Diabetes Care. Diabetes Care 2014;37(suppl 1):S23; Table 8

These estimates are based on ADAG data of ~2,700 glucose measurements over 3 months per A1C measurement in 507 adults with type 1, type 2, and no diabetes. The correlation between A1C and average glucose was 0.92. A calculator for converting A1C results into estimated average glucose (eAG), in either mg/dL or mmol/L, is available at http://professional.diabetes.org/eAG.

Final thoughts– JOB SECURITY--- Develop a passion for DIABETES : 2050

is coming!!– LOOK for Pre-Diabetes– Treat within the guidelines– Match the patient with the meds– THINK like a pancreas– “Ya Gotta “ have NUMBERS at EVERY visit– NO HYPO!!!!!!– BE a COLUMBO ---- Investigate!!– Change YOUR behavior first!! Try out the carb books,

apps, whatever it takes!!!– Don’t hesitate to contact me for assistance!!!!

References

• 1. Garber AJ, Abrahamson MJ, Barzilay JI, et al. American Association of Clinical Endocrinologists’ comprehensive diabetes management algorithm 2013 consensus statement. Endocr Prac. 2013; 19(supple 2): 1-48

• 2. American Diabetes Association. Standards of medical care in diabetes. Diabetes Care. 2014; 37(suppl 1): S14-S80

• 3. PL Detail-Document, Comparison of GLP-1 Agonists. Pharmacist’s Letter/Prescriber’s Letter. August 2014.

• 4. PL Detail-Document, Drugs for Type 2 Diabetes. Pharmacist’s Letter/Prescriber’s Letter. August 2013.

Karen L. Staples, FNP, ACNP

• Currently practicing in Endocrine focus and Diabetes Management

• McLeod Physician’s Associates- Southern Medical Associates (SMA)

• 3418 Casey Street Loris, SC 29569• (843) 907-5034• kstaples@mcloudhealth.org