Q: What’s the correlation between A1C and Blood Sugar numbers?

A: A1C represents and average of a person’s blood glucose levels over 2-3 months.

Q: Is it true that taking metformin causes dementia?

A: No. One study in Taiwan got a lot of attention that showed an increase in dementia among people taking metformin, but many more studies, including a large one in U.S. veterans, have shown that metformin lowers risk for dementia.

Q: What A1C level is pre-diabetic?

A: 5.7 to 6.4%

Q: Are spicy foods good for diabetes?

A: There is no direct relationship between spicy foods and diabetes. Healthy eating is important, and some people may find it appealing that foods that get their flavor from spiciness instead of lots of fats and salt.

Q: Is cinnamon good for diabetics?

A: It’s neither good or bad. Studies showing an impact of cinnamon on blood glucose were using massive doses with very modest effects. Normal amounts of cinnamon in the diet don’t have an effect.

Q: If a woman becomes diabetic while being pregnant does it stay with her the rest of our life?

A: Not necessarily, but having gestational diabetes does increase the risk for type 2 diabetes later in life.

Q: What is border line diabetics?

A: There is no such thing as “borderline diabetes.” Once diabetes is diagnosed, it’s important to treat it. Prediabetes is a condition that precedes type 2 diabetes, but it is not “borderline diabetes.”

Q: How can I manage non- diabetes hypoglycemia?

A: Hypoglycemia that’s not caused by certain diabetes medications is unrelated to diabetes (and is relatively rare). Some conditions that can cause hypoglycemia such as pancreatic tumors are very serious and should be diagnosed and treated by a doctor.

Q: Are natural sugars like in fruits and vegetables better for managing diabetes?

A: All sugars have the same effect on blood glucose levels. The sugars are not better, but consuming sugars in fruits that also come with the fiber and nutrients of fruit are healthier than refined sugar foods.

Q: Doctor why they don’t tell diabetics that the key to getting rid of it is animal products?

A: There’s no relationship between animal-derived foods (meat and dairy) and diabetes. There is a relationship between being overweight and developing type 2 diabetes, and foods that are high in calories, which includes high-fat meats and some dairy products (but not lean meats and low-fat dairy) can contribute to high-calorie meals and a greater risk of obesity.

Q: Doctor what about women who have diabetes going through menopause will it affect the diabetes?

A: Any changes in the body’s hormones, e.g. puberty and menopause, can affect the action of insulin in the body and the body’s metabolism. A menopausal woman with diabetes should work with her doctor to see whether any changes need to be made in her management of diabetes.

Dr. LaShawn McIver is Senior Vice President of Government Affairs, Advocacy & Community Integrated Health at the American Diabetes Association (ADA), the nation’s largest voluntary health organization leading the fight to end the diabetes epidemic.





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