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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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<blockquote data-quote="Bluetit1802" data-source="post: 1589567" data-attributes="member: 94045"><p>I'm paranoid at times because my HbA1c tests are always higher than expected from copious finger prick readings and my Libre sensors, and I wonder if there is something wrong with my red blood cells. My current HbA1c is 44, which equates to an average of 7.3mmol/l over the same period. Even my very ordinary brain can see this appears impossible when my time out of range (ie above 7) is 1%. For 99% of the time I am between 4 and 7, mostly 5s. Even testing half hourly for 3 hours after a Sunday roast (my most carb heavy meal of the week) very rarely takes me into the 7s, and then only for up to an hour at most. I spend the whole of the night and up to evening meal in the 4s and 5s. So where does this average of 7.3 come from?</p><p></p><p>This is why I started researching matters, and why I take my HbA1c results with a pinch of salt. [USER=216415]@Mr_Pot[/USER] I do agree they can show trends.</p></blockquote><p></p>
[QUOTE="Bluetit1802, post: 1589567, member: 94045"] I'm paranoid at times because my HbA1c tests are always higher than expected from copious finger prick readings and my Libre sensors, and I wonder if there is something wrong with my red blood cells. My current HbA1c is 44, which equates to an average of 7.3mmol/l over the same period. Even my very ordinary brain can see this appears impossible when my time out of range (ie above 7) is 1%. For 99% of the time I am between 4 and 7, mostly 5s. Even testing half hourly for 3 hours after a Sunday roast (my most carb heavy meal of the week) very rarely takes me into the 7s, and then only for up to an hour at most. I spend the whole of the night and up to evening meal in the 4s and 5s. So where does this average of 7.3 come from? This is why I started researching matters, and why I take my HbA1c results with a pinch of salt. [USER=216415]@Mr_Pot[/USER] I do agree they can show trends. [/QUOTE]
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