In part 2 this Exclusive Interview, Dr. Stuart Weiss talks with Diabetes in Control Publisher Steve Freed during the AACE meeting in Austin, Texas. He shares his thought about the preferred A1C and how he encourages patients to strive for the best they can achieve.
Dr. Stuart Weiss, is currently an Assistant Clinical Professor of Endocrinology at NYU Langone Medical Center. He has a long history of clinical practice in the management of patients in the field of diabetes, endocrinology and metabolism.
Transcript of this video segment:
Steve: One of my favorite questions I love to ask, endos especially…if you could have any number A1c, any number that you wanted, what would that number be?
Dr. Weiss: Well, the number would be as close to normal as possible. And normal is 4.5 – 5.7 and for anyone with diabetes, I tell them over and over again that this is where they need to be. Not that I expect them to get there because it’s very hard for people to change, it’s hard for people to modify their lifestyle, it’s hard for them to be compliant with their diet and it’s hard for them to always be taking their medications like they are supposed to. So, I don’t necessarily expect everybody to succeed, but I encourage everybody to succeed in getting as normal an A1c as possible – given a couple caveats of course. It’s very important to pay attention to the lipid profile, especially triglycerides in the type 2 diabetic. It’s very important to pay attention to blood pressure and it’s also very important to pay attention to whether or not there is any protein or microalbuminuria. Those things may ride more importantly than A1C alone. We saw from DCCT and many many other trials that blood pressure control is the single most important part of diabetes care.