I thought all strips would be "rouge" once used!
But I'd always question an odd blood pressure reading if it was too high or too low, and I usually test 3 times to rule out a rogue reading.
Now to go and find out what sort of numbers I need to be looking for... am I right in saying that if I want to get my HBA1C down to 6% / 48 and below, my target BG should be in the order of 7mmol/L and that I don't want it spiking above that level? ( EDIT found the info 4-7 before meals, no more then 8.5 2h after)
What is the damage from Diabetes caused by? Is it BG being too high (and the HBA1C "just" being a measerable indicator), or is it a high HBA1C itself? I am assuming the former.
Obviously the high BG will push up the HBA1C over time.
It doesn't work quite that way.
Your testing is NOT to see how high you go. Everyone's blood glucose goes up and down all the time in response to various stimuli, of which food is probably the biggest. Testing will show you how well your system deals/dealt with what you just ate. Because there are other things that affect your BG - stress/adrenaline, illness, your liver, heat/cold, time of day, etc, you can get inexplicable results that interfere with working out the food impact - and you may need to check and repeat. Incidentally, the +2hr reading is also supposed to be within 2mmol/l of your original reading as well as being under 7.8.
If you want to get a sub 48 HbA1c, you'll need around two-three months of lower BG (although the A1c is heavily skewed towards the most recent month). The problem is that there isn't a direct read=across from fingerprick BG tests (or CGM) to the A1c. partly this is because they measure different things - the fingerprick test measures your blood glucose at that instant. The A1c doesn't measure blood glucose at all but instead measures the numbers of glycated red blood cells - the ones that have had a glucose molecule attached. This is a proxy for your glucose levels over the last few months but you can't average fingerprick glucose readings and expect them to forecast your A1c - they might, but they might not.
CGMs don't measure blood glucose either - instead they measure glucose in interstitial fluid, and then there's an algorithm that estimates blood glucose from that. Some people find them to be dependably accurate, some not. Your results may vary.
So you can expect (if you eat anything with carbs) to see your BG rise. What causes the damage to capillaries and nerves is high blood glucose levels
over time. Because of the increased glucose levels, you might also see poor wound healing, kidney problems, oedema, random infections, neuropathy - and there are a range of increasingly serious symptoms further down the road if the condition isn't managed.
Personally I'm not too concerned about a very short term rise and fall - from low fives to over nine and back to low fives inside an hour, for example. This is partly why I think using the term "spike" for normal and expected BG rises and falls is often unhelpful. The 5-9-5 inside an hour would look very "spiky" on a CGM graph, but actually it shows an insulin system dealing well and quickly with a carb load.
It's also hard to predict what impact higher BGs will have. In my case, I got a range of nasty diabetic symptoms at A1c levels around 43/44 and possibly lower. Other people can run for years with much higher levels without symptoms.