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24th November, 2017
Standardized definitions for outcome measures beyond A1c for patients with type 1 diabetes

A new joint consensus statement from the American Association of Clinical Endocrinologists (AACE), American Association of Diabetes Educators (AADE), American Diabetes Association (ADA), Endocrine Society, JDRF International, Leona M and Harry B Helmsley Charitable Trust, Pediatric Endocrine Society and T1D Exchange standardizes definitions for clinically meaningful outcome measures beyond HbA1c for patients with type 1 diabetes.

Glycosylated hemoglobin or HbA1c is a commonly used parameter to evaluate glycemic control as it provides a measurement of the mean blood glucose levels over the past three months. A1c is also a surrogate measure for a person’s risk of developing diabetes-related complications. According to the statement, there are limitations to what the HbA1C can tell patients and physicians about their diabetes such as it does not detect short-term variations in blood glucose, exposure to hypoglycemia and hyperglycemia, or the impact of blood glucose variations on the quality of life of the patient.

Recent advances technologies such as continuous glucose monitoring (CGM) have made it feasible to assess the ef?cacy of therapies and technologies using a set of outcomes beyond HbA1c in type 1 diabetes.

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1. Hb < 13.5 g/dL or hematocrit (HCT) < 41.0% represents anemia in men
2. Hb < 12.0 g/dL or < 36.0%, respectively, represents anemia in women.
3. Differences may also exist between races, in older adults, and in athletes.
4. All of the above
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Eating disorders can lead to other complications later in life
Parents should encourage a healthy and balanced eating pattern in kids
New Delhi, 23 November 2017: As per a recent study, eating disorders could lead to higher body weight, larger waist circumference and lower psychological wellbeing as well as a lower self-evaluation of general health in later life. Disordered eating is detrimental to the physical and mental health of young adults both in the short and long term. As per the IMA, it is imperative for parents must focus on a healthy balanced lifestyle for their children instead of on weight or dieting in order to prevent eating disorders.
Eating disorders are serious and often fatal illnesses that cause severe disturbances to a person’s eating behaviors. Obsessions with food, body weight, and shape may also signal an eating disorder. Common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder.
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