The A1c is a snapshot for the past 2-3 months, the average lifespan of RBCs. The ADA came up with a formula to convert A1c to eAG [estimated daily Average Glucose]. Your 5.5% equates to an eAG of 111 mg/dl, prediabetes. Basically it is saying for each day over the past 2-3 months your glucose averaged 111 mg/dl. The lab has high range of 6.07% which equates to 128 mg/dl, diabetes.
Botulinum toxin therapy. The ideal treatment for spasmodic dysphonia (SD) has not been identified. Currently, the American Academy of Otolaryngology- Head and Neck Surgery endorses the injection of minute quantities of botulinum toxin into laryngeal muscles as the primary treatment modality.
Many patients with adductor type spasmodic dysphonia complain of physical fatigue, tightness of the neck, back, and shoulder muscles and shortness of breath due to their efforts to phonate through the closed glottis. The severity of the symptoms of adductor spasmodic dysphonia varies within and among individuals.