Type 1: What are your HbA1c test results?

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Diabeticdom

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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
 
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Sibaprasad

Sibaprasad

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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
 
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Nuck

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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.
 
Binary

Binary

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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
 
Ledzeptt

Ledzeptt

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@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.
 
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CathP

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5 year old daughter had clinic today, 5.6% or 38. We're delighted, almost exactly a year post dx so rounds off a difficult year in a positive way.
 
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Nuck

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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.
 
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Freema

Freema

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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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robert72

robert72

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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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