如果你没有补充B12，建议服用复合维生素B。

来源: 吃与活 于 2017-05-09 12:31:05 [] [博客] [旧帖] [给我悄悄话] 阅读数 : (4627 bytes)
回答: 请大家帮忙看看年检结果 由 huamu 于 2017-05-09 09:38:36
我个人认为您的指标很好。A1C与空腹血糖不相符，我认为是其它因素影响了A1C，而不是糖尿病。比如下面的文章提到B12缺乏可以增加A1C。

白细胞低是素食的一个常见的现象，可能与素食者的IGF-1低有关。红白细胞数低也可能与B12低有关，所以建议补充。白细胞低不一定坏，我个人认为 这是身体炎症低的表现，也使血液流动通畅。如果您想提高，可适量吃些肉类，这也可能改善红细胞和alkaline phosphorus的值。

参考： 2014 Feb 25;134(4):417-21. doi: 10.4045/tidsskr.13.0938.

[Sources of error when using haemoglobin A1c].

[Article in Norwegian]
Vikøren TB, Berg JP, Berg TJ.

Abstract

BACKGROUND:

Measurement of glycated haemoglobin A1 in whole blood (b-HbA1c) can be used in both diagnosing and following up patients with diabetes. Correct interpretation of analytical results is contingent on agreement between average plasma glucose (p-glucose) and b-HbA1c. This article provides an overview of factors that may result in a discrepancy between average glucose concentration and b-HbA1c.

METHOD:

Literature search in PubMed to identify scientific articles that describe strengths and weaknesses of b-HbA1c.

RESULTS:

The b-HbA1c reading usually provides a good picture of average p-glucose for the preceding two to three months. Patients who are being treated with iron/vitamin B12 supplements, have liver failure, haemolytic anaemia or bleeding usually have a lower b-HbA1c than their p-glucose level would suggest. With increasing patient age, B12 deficiency or iron deficiency anaemia, higher values of b-HbA1c are seen for the same p-glucose level. Some ethnic groups have a higher b-HbA1c than their average p-glucose would suggest, but the risk of long-term complications appears generally to be more closely associated with b-HbA1c than with the glucose level. Pregnancy, renal failure or haemoglobinopathies may make the b-HbA1c value unreliable as an expression of average p-glucose.

INTERPRETATION:

Correct interpretation of b-HbA1c is conditional on the requisitioner being aware of possible sources of error. If the patient is suspected to have a condition that leads to lack of consistency between b-HbA1c and average p-glucose, glucose-based criteria must be used in diagnosing diabetes.

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