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Type 1: What are your HbA1c test results?

petepontiac said:
Told me the same 5.7 agree you cant win
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It does depend how you are doing it. The main block of time that our blood sugars are persistently at one level is overnight. A lot of people who have good HbA1c are sleeping low without knowing it and therefor risk becoming unaware of hypos. If you do it with a CGM that is warning you, then you can run safely at around 5 overnight without fear of prolonged hypo. You also dont wake up with that slightly knackered, brain which you can get from being hypo for hours
 
My HBA1C was 5.9 in May 2016 but shot up to 7.3 on 27 September 2016. I was scared and ran to the doctor. The FPG figure being 149 and PPPG figure being 285, my doctor started insulin Novomix 30 - 15 units before breakfast and 10 units before dinner. He has gradually titrated the dose to 24 units before breakfast and 18 units before dinner. Additionally, I take Metformin 1g before lunch and the same dose before dinner along with Voglibose 0.3 with lunch and dinner. Now the BS level seems to be ideal. S. P. Dutta
 
6.5% although I'm now told that too low. The doctor may ask me to go to 9 to 16 for 6 weeks to reset my hypo awareness. I have the libre free style type 1 for 18 years. Not sure how much damage 6 weeks at that level will do.
 
Nuck said:
6.5% although I'm now told that too low. The doctor may ask me to go to 9 to 16 for 6 weeks to reset my hypo awareness. I have the libre free style type 1 for 18 years. Not sure how much damage 6 weeks at that level will do.
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Who's told you that is to low? Unless you are having issues/concerns with hypos that seems odd advise to me. My six year old son's last two results have been 6.3% and the consultant has been very happy.

The NHS guidlines advise for type 1 to aim for 6.5% or lower:

Blood glucose management
  • Support adults with type 1 diabetes to aim for a target HbA1c level of 48 mmol/mol (6.5%) or lower, to minimise the risk of long‑term vascular complications. [new 2015]
Taken from www.nice.org.uk/guidance/ng17/chapter/Key-priorities-for-implementation
 
@Nuck

My hba1c was 42 and I was told off by DSN and a diabetes specialist GP for the same reason! Apparently I could be going hypo without realising (between my own BG tests or overnight).

I tend to get false hypo symptoms around 4.5 so don't see what the problem is.

Technically I'm T3c, but I'm treated as a T1. I expect my next hba1c will be higher due to illness, not due to change in diet or insulin dose.
 
Binary said:
Who's told you that is to low? Unless you are having issues/concerns with hypos that seems odd advise to me. My six year old son's last two results have been 6.3% and the consultant has been very happy.

The NHS guidlines advise for type 1 to aim for 6.5% or lower:

Blood glucose management
  • Support adults with type 1 diabetes to aim for a target HbA1c level of 48 mmol/mol (6.5%) or lower, to minimise the risk of long‑term vascular complications. [new 2015]
Taken from www.nice.org.uk/guidance/ng17/chapter/Key-priorities-for-implementation
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I agree I have the Libre meter and I use that to help me normalise my sugars if I start to rise once my long term dose fails I take a corrrection to keep it down. I take my Lantus at 6am if I fast by 3pm it rises. I don't fast so take the corrections to keep it in check. It was suggested I don't check until my next meal 4 hours later. If I did that it would by 12-14 and a large correct dose + dose for the meal = hypo later if I get it wrong. I would rather do small tweaks and just bonus for the meal.
 
Mine was 34 But as I eat half of what I would usually eat .This is probably a number I'll have a hard time keeping that low when I have lost all I need to loose .... if I am not going to almost no-carb diet then. Maybe I'll have to do that hope not used to love a lot of carb foods and the 80 grams I eat on a daily basis now is already low I think
 
Freema said:
Mine was 34 But as I eat half of what I would usually eat .This is probably a number I'll have a hard time keeping that low when I have lost all I need to loose .... if I am not going to almost no-carb diet then. Maybe I'll have to do that hope not used to love a lot of carb foods and the 80 grams I eat on a daily basis now is already low I think
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Hi @Freema - It's not really about how many carbs you eat, but what you blood glucose levels have been. As long as you keep BG in range then it should not be difficult.
 
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