![]() ![]() A little heavier and a little higher glucose level is OK. Live the healthiest life you can, but realize that struggling for a strict glucose goal may not be the best way to do that when you’re older. But the point is not to live your life to reach a particular number on a lab test. If you want an A1C of 6 or less, and can work for that without dangerous side effects, and feel good doing it, go for it. Or it could simply be that heavier people have more metabolic reserves, which is important to enable the elderly to weather the ‘slings and arrows’ of aging, falls and fractures, hospitalization,, loss of appetite, etc.” An older 5’8″ person with a BMI of around 27.5 would weigh 180 pounds and would be classed as overweight, but he would have the longest life expectancy.ĭean Pomerleau, a practitioner of the Calorie Restriction diet, which generally advocates staying very thin as the key to long life, wrote “This late-life ‘obesity paradox’ might be a result of latent disease making people thin and more likely to die. If you know those numbers, you can calculate your own BMI here. For people over 65, though, the optimum BMI is about 27.5.īMI is a measure that compares your weight with your height. Researcher Mike Lustgarten, PhD, oultined a meta-analysis that found that a body-mass index (BMI) of 20–25 is associated with the longest life expectancy for younger people. It is possible that lower weight could have increased frailty, and that strict diabetes control might lead to undesirable weight loss. Thinning bones also increase frailty and the risk of disabling fractures. The same is probably true of women, although I haven’t seen those studies. As you get weaker and thinner, you become more fragile. The higher the percentage, the higher your blood glucose levels have been, on average. In men, frailty is strongly associated with loss of muscle mass. Overview Why is Hemoglobin A1c important What is an A1C test An A1C test measures the average amount of glucose (sugar) in your blood over the past three months. The causes of frailty are not well understood. In those with higher frailty scores, HbA1c levels were found to be significantly lower. People who rated 5 or higher were classed as frail. The CFS goes from 1 (very fit) to 9 (terminally ill). The subjects were categorized as frail or not on a 9-point clinical frailty scale (CFS). The subjects had had diabetes for an average of 17 years and their mean A1C was 7.3%. Yanase and colleagues analyzed data from 132 adults aged at least 65 years with Type 2 diabetes Average age was 78. Toshihiko Yanase, MD, PhD of Fukuoka University School of Medicine, Japan, reported, “The risk factors of metabolic syndrome, such as high blood glucose, obesity, high cholesterol, and hypertension, in middle age may shift from an unfavorable risk to favorable factors in old age.” The study was published in the Journal of Diabetes Investigation and reported by the online site. ![]()
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