如果你沒有補充B12，建議服用複合維生素B。

來源: 吃與活 於 2017-05-09 12:31:05 [] [博客] [舊帖] [給我悄悄話] 閱讀數 : (4627 bytes)
回答: 請大家幫忙看看年檢結果 由 huamu 於 2017-05-09 09:38:36
我個人認為您的指標很好。A1C與空腹血糖不相符，我認為是其它因素影響了A1C，而不是糖尿病。比如下麵的文章提到B12缺乏可以增加A1C。

白細胞低是素食的一個常見的現象，可能與素食者的IGF-1低有關。紅白細胞數低也可能與B12低有關，所以建議補充。白細胞低不一定壞，我個人認為 這是身體炎症低的表現，也使血液流動通暢。如果您想提高，可適量吃些肉類，這也可能改善紅細胞和alkaline phosphorus的值。

參考： 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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