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Uncontrolled diabetics are more likely to cost your insurance carrier more over time than a single patient with Crohn's disease. I think the idea is a good one, but unfortunately, like the weight, there should be some phase in. If you have an A1C of 10, a decrease of 1 point each time you come demonstrating progress is helpful. Patient's don't do well with all or nothing. Saying they must be Less than and A1C of 8 to get the benefits is tough, especially if you are giving the obese a way to keep their lower rates by decreasing their weight over time. The whole point is to encourage improved health over time. For those who can't control it, there are medications that when taken (like for cholesterol) will bring them into those ranges.
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