• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

First HbA1c since diagnosis results

Very well done.

For threads like yours, I wish we could have a drum roll play as the page loads!
 
happy days -- see you are already celebrating in your avatar -- LOL ;)
 
Ahh that was the same as me for my first HbA1c after diagnosis after diagnosed at 109. But gone up to 53 now, but started a new job so new routine. Hopefully will go down now I'm in the swing of things!!
 
Very achievable....I went from like 20 something to 7.2....my last hba1c was 4.0...exercise is key, work out your ratios and weigh everything!!!
 
I tend to aim to sit between 3.4-5.2....doctors obviously say that below 4.0 is hypo but I don't have any adverse effects (dizzy,light headedness, blurry eyes, sweating etc) until I'm 2.9 or below.
 
sammyc123 said:
I tend to aim to sit between 3.4-5.2....doctors obviously say that below 4.0 is hypo but I don't have any adverse effects (dizzy,light headedness, blurry eyes, sweating etc) until I'm 2.9 or below.
Click to expand...


Do you have any hypo awareness running that low?

I really hope you dont drive!
 
Re-read my post Sid - I outline my usual hypo symptoms at the threshold mentioned in the post
 
I am having my hba1c in March. On the 1st Dec it was 85. Can I expect to see a change? My levels tend to stay between 5-10mmol most of the time.
 
@asyarlk try and drop the upper end of your range so that most results fall between 5-8mmol...you will definitely see an improved hba1c!
 
Ok great, will try. The upper range is after eating. When would you suggest I test? 1hour or 2 after eating? Do you keep between 5-8 at all times? Thanks
 
asyarlk said:
I am having my hba1c in March. On the 1st Dec it was 85. Can I expect to see a change? My levels tend to stay between 5-10mmol most of the time.
Click to expand...


You almost certainly will see some change if your bg levels stay mainly within this range.

The Nice guidelines say the target postprandial bg level should be no more than 9, but personally I prefer to be below 8.5mmol postprandial and between 5 - 6.5mmol pre-prandial, if you aim for a too low bg levels (say 1-2 hours postprandial) you have to be aware that most fast-acting insulin like Novorapid and Apidra are still active up to 4 hours after injecting, meaning they still have the potential to lower bg levels which can result in hypo's, hence why your better to give yourself some leeway when it comes to setting your own bg targets.
 
noblehead said:
You almost certainly will see some change if your bg levels stay mainly within this range.

The Nice guidelines say the target postprandial bg level should be no more than 9, but personally I prefer to be below 8.5mmol postprandial and between 5 - 6.5mmol pre-prandial, if you aim for a too low bg levels (say 1-2 hours postprandial) you have to be aware that most fast-acting insulin like Novorapid and Apidra are still active up to 4 hours after injecting, meaning they still have the potential to lower bg levels which can result in hypo's, hence why your better to give yourself some leeway when it comes to setting your own bg targets.
Click to expand...
What I do to ensure that you don't have a hypo is to take fast acting insulin approx 30-45mins before meal...this takes a fair bit of practice in getting the right time for your body and you also have to make sure you eat exactly what you planned...but the return is great because it prevents post meal spikes and enables you to keep your levels considerably flatter. Many doctors / specialists do not like this and I'm sure many on this forum will say it's risky but it's up to each individual to find what suits and works for them and this is just a tool I use to keep things tight.
 
Also meant to mention - it is important that you find exactly how long your fast acting insulin stays active in your body...I'm fortunate that I know that after 3 hours I'm clear.
 
sammyc123 said:
What I do to ensure that you don't have a hypo is to take fast acting insulin approx 30-45mins before meal...this takes a fair bit of practice in getting the right time for your body and you also have to make sure you eat exactly what you planned...but the return is great because it prevents post meal spikes and enables you to keep your levels considerably flatter. Many doctors / specialists do not like this and I'm sure many on this forum will say it's risky but it's up to each individual to find what suits and works for them and this is just a tool I use to keep things tight.
Click to expand...

I also inject ahead, but injecting 30-45 mins before food would see me hypo, I inject no more than 20 mins before.

But much depends on the food, if the meal is high in fat then injecting ahead isn't always an option due to the fat slowing down the digestion of the carbs.
 
Back
Top