A recent patient was concerned that despite watching her diet and taking her diabetes medication, her hemoglobin A1C (HbA1c) keeps increasing.
Remember, HbA1c is a lab test showing the average blood sugar (glucose) level over the previous three months. It shows how well you are controlling your diabetes.
An elevated HbA1c greater than 5.7% indicates that diabetes is not well regulated and is accelerating aging, increasing your chances of getting painful neuropathies, kidney failure needing dialysis, cataracts, amputations, and retinopathy blindness.
What could be missed by her primary doctor?
One major cause of unregulated glycosylated hemoglobin is an unrecognized B6 deficiency.
An excellent “functional” test to check for a pyridoxine (B-6) deficiency is the xanthurenic organic acid test. An elevated xanthurenate test is a sensitive marker for a B-6 lack
Because of a zinc deficiency.
But there is more to the story.
Elevated stored phthalates (plastics) in the body interfere with zinc metabolism.
This is the power of functional medicine. It is seeking to find the cause of the cause.
HbA1c —> B-6 deficiency —> Zinc deficiency —> Stored Phthalates
I have never yet met a diabetologist who even orders the above, much less knows how to interpret it.
To ignore fixing the chemistry in overtly metabolic disease is outright wrong.
Unfortunately, I have seen from reading thousands of medical records that most doctors merely resort to the one size fits all approach and medicate the disease. Rarely if ever have I read where a doctor investigated why the HA1C was elevated.
This results in a tragic waste of life and incurring an enormous and unnecessary expense and suffering.
You may be interested to know that because of the phthalate load, many folks (even without diabetes) unnecessarily get multiple diseases. These can range from Nonalcoholic steatohepatitis or NASH (a common, often “silent” liver disease), heart disease, or cancers to Parkinson’s disease, arthritis, or Alzheimer’s.
They all lead to accelerated aging because of the shared causes.
For a doctor to check your glycosylated hemoglobin A1C every three months yet, never know your zinc, and B6 levels (among many others) is plain wrong in this sophisticated era.
Your life depends on the decisions you make. Therefore, this information significantly affects whether your diabetes blinds you in future years.
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