High hba1c levels,

[lily1974]

Can anyone tell me what I can do to improve my levels and how it can be done quickly?

 

[lily1974]

I take it no one knows!!!!

 

[ally1]

sorry for the delay. firstly do cut out bread, potatoes asc these make them higher
do you test?

 

[lily1974]

Thank you, I'll give it a go

 

[AnnieC]

Does not seem to be many members around at the moment they must all be out enjoying the nice weather. I see you are T1 so I can't really help you but I am sure some other T1's will be along soon with some advice

 

[lily1974]

Ok thank you.

 

[noblehead]

Can anyone tell me what I can do to improve my levels and how it can be done quickly?

Not sure about quickly, but if you've not already been on a carb counting course (assuming your on basal/bolus) then I would suggest you get your name down for the next available course, the following is an on-line version of the DAFNE course:

http://www.bdec-e-learning.com/

Also get your hands on the book Think Like a Pancreas by Gary Scheiner.

 

[lily1974]

I have the calories/carbs book that they gave me recently,I will look into the course.
My level was 10.2 which I so need to get down, i thought it would take a few months if not more.
Thank you

 

[donnellysdogs]

@lily1974

Have you had advice on how to carb count and adjust your doses of insulin to match the readings you get and the food you eat.

What insulin are you taking?

Are you swinging from low levels to high levels when you test, or are they mainly above 5.0?

 

[Heathenlass]

Hi Lily, your HbA1c shows your average over a three month period, so even if you had it taken every week it would be a while before you saw an improvement.

The good news is your blood glucose levels can come down and stay down quite quickly, from the moment you start to address it. But it does take some work on your part to make it a long term situation. But this would show up on the next HbA1c that you have .

There are Type 1's that are happy to advise and share what worked (and didn't ! ) but it needs a bit more information to be able to do that. How long have you been diagnosed, and what is your typical diet ?

Signy

 

[lily1974]

Hi, my levels are up and down all the time, tonight's readings were 20.5 then 2.5hours later 3.3 machine told me to take 12g carbs which I have just taken!!

 

[lily1974]

Insulin I take is Lantus solostar in morning along side Novo rapid, then novo rapid another 2 times.

 

[Ambersilva]

Hi, my levels are up and down all the time, tonight's readings were 20.5 then 2.5hours later 3.3 machine told me to take 12g carbs which I have just taken!!

Hi,

Back from a lovely day away from home yesterday.

What did you eat to reach 20.5 and how did you time your bolus to cover the meal?

 

[Engineer88]

@lily1974 How long have you been diabetic and how often do you test?

 

[donnellysdogs]

To be low 21/2 hrs after eating hou are either overdosing on your correction factor or your bolus is incorrect or both...

How often are you testing? Are there reasons for going up to 20? I.e was guestimating food, always happens this time of day, didn't have. Previous jab.

The swings in your readings can be sorted but you need to post some answers..

We all want you to eliminate the seings and enjoy better health and long term prospects without complications.

 

[jack412]

as well as the online course there are carb counting and bolus workbooks, put this past your nurse first before change anything
This set of workbooks are worth reading and practising working examples only of carbs and doses
Don't change dose without nurse approvalhttp://www.diabetesinscotland.org.uk/Publications/9224 Overview

Workbook 1http://www.diabetesinscotland.org.uk/Publications/9225 Carbohydrate Counting.pdf
Workbook 2http://www.diabetesinscotland.org.uk/Publications/9226 Carbohydrate Counting the Next Steps.pdf

Carb listhttp://www.diabetesinscotland.org.uk/Publications/9227 Carbohydrate Tables A6.pdf

Diaryhttp://www.diabetesinscotland.org.uk/Publications/9228 Free Diary Portrait A4.pdf

Miss a meal, Basal testinghttp://www.diabetes-support.org.uk/info/?page_id=120

Sick day ruleshttp://www.diabetes-healthnet.ac.uk...flet_-_Sick_Day_Rules_for_Type_1_-_Nov_13.pdf
Sick day rules flowcharthttp://www.leicestershirediabetes.org.uk/uploads//documents/Type1 Sick_day_rules_InsulinV3.pdf

A workbook with USA numbers, but has a good troubleshooting sectionhttp://www.bd.com/us/diabetes/download/insulin_adjustment_workbook_complete.pdf

 

[lily1974]

Hi,
I have been type 1 for 27 years and never really accepted it, I was the only one etc at school and all the time I felt fine I carried on with it....

I have the carbs and calorie book and what I was eating last night I think may have been wrong so I do think I took to much insulin... Today my readings have been good, this morning it was 10.5 which I took 4 units of novo rapid along with Lantus then lunch time it was 7.0 which I took another 4units as per what my machine told me to take with the food/carbs I was eating. I have seen a dietitian and they say what I eat is ok nothing to worry about.. I do go to the gym/Zumba once a week.

Maybe I have just let it go for so many years that I will never get it to what it should be and sometimes feel like giving up on it!!!

I have a meeting with the diabetic nurse on the 16th October as she only visits once a month.

Thank you for all help that everyone has replied to

 

[AlexMBrennan]

It's a bit hard to make out a patterns so it would be really great if you could be a bit more precise - e.g. was the 10.5 "this morning" when you woke up/before eating or after eating? Same applies for lunch, etc. I'd also suggest testing before AND 2h after each meal (at least until we can sort this out).

If I had to make a guess, I'd say that I suspect that your basal dose is too low which leads to you having to have a correction dose with every meal.

On an unrelated note, I think that telling a T1 diabetic with poorly controlled blood sugar to eat low carb without ever mentioning that they might have to fix their insulin doses grossly irresponsible.

 

[donnellysdogs]

On an unrelated note, I think that telling a T1 diabetic with poorly controlled blood sugar to eat low carb without ever mentioning that they might have to fix their insulin doses grossly irresponsible.

I can't see that anybody on this posting that mentioned low carbing? We have all been talking about being able to change bolus or basal or reasons for having such swings...

 

[lily1974]

At dinner time tonight my blood reading was 5.5 with the carbs/calories book it said 2units of novo rapid, I had 40g of egg pasta with chargrilled chicken, I have also been told by the nurse that I should cut out milk with my tea as the milk puts my levels up!!! Is this true as sometimes I feel they have no idea,I've been trying to get the levels down for 6 months now and they seem to go up more than down, feeling sleepy all the time, most days when I finish work I have to come home to sleep for a hour, I know it's not good and that's why I'm trying to get it sorted but don't feel I'm getting the support from the clinic,makes me feel that because I've not looked after it In the fast there attitude is get on with it!

My reading this morning and lunch time are always before I have something to eat.

I'm so grateful for the help that is being received from everyone Thank You