Hba1c - how do you find out

Hibby65

Well-Known Member
Messages
60
Type of diabetes
Type 2
Treatment type
Other
Hi I see a lot of people stating that apart from your blood sugar levels you should know / find out you Hba1c

Apart from going to a hospital / diabetic clinic / doctors - how do you find this out?
Can you work it out yourself?

I've had 1 diabetes clinic since covid and I have more chance of guessing the lottery number than getting an appointment with my GP, especially something seen as non urgent.
 

OB87

Well-Known Member
Messages
334
Type of diabetes
Treatment type
Tablets (oral)
Your GP will arrange them for you but if you want them more regularly you can get them done privately. Sometimes they only check yearly or every 6 months.

I was only diagnosed in September but as it is well controlled now my GP doesn't see the need to have them regularly but I want to keep on top of things and they keep me on track so I had one privately as I want one every 3 months. I used Thriva but there are plenty around.
 

danziger

Well-Known Member
Messages
166
Type of diabetes
Type 2
Treatment type
Diet only
Did they tell you the number when you were diagnosed? If not, they should tell you your HbA1C if you ring and say you need to speak to a doctor/DN.

They’ll probably only test it once or twice a year but you can use a meter to keep an eye on blood sugar levels (esp on waking and 2hr after eating) which doesn’t 100% correlate to HbA1C but gives a good idea which direction things are going.
 

Hibby65

Well-Known Member
Messages
60
Type of diabetes
Type 2
Treatment type
Other
Cheers - No I've been diabetic for over 20 years and to be honest have never got to grips or understood it fully. Im a doctors says this is wrong with you take this pill and thats it. From time to time I go on quests like this and read all these posts and I see people taking about this but honestly have never understood it and been scared to care. Its just a number to me. I get up take the meds - eat - sleep and repeat. I know its a path to failure but it is all so overwhelming I cant cope or bear with the every hour / every day ./ every week / etc being on top of this or that or you cant eat this or that or it clashes with this train of thought or medication.
 

KennyA

Moderator
Staff Member
Messages
2,940
Type of diabetes
Treatment type
Diet only
Cheers - No I've been diabetic for over 20 years and to be honest have never got to grips or understood it fully. Im a doctors says this is wrong with you take this pill and thats it. From time to time I go on quests like this and read all these posts and I see people taking about this but honestly have never understood it and been scared to care. Its just a number to me. I get up take the meds - eat - sleep and repeat. I know its a path to failure but it is all so overwhelming I cant cope or bear with the every hour / every day ./ every week / etc being on top of this or that or you cant eat this or that or it clashes with this train of thought or medication.
Hi, I think the first step is understanding what you're dealing with. This should have been explained years ago but the medics, in too many cases, just chuck metformin or something else at the problem and don't bother any more.

Your HbA1c is a sort of average of what your blood glucose has been doing over the last three months. It's a bit more weighted towards recent weeks so not an exact average. The fingerprick test is a snapshot of what your blood glucose is at that moment - could be on the way up, the way down, or stable - lots of things affect it. In my case it's not only food (although that's the main driver) but illness (up) high outside temperature (up) alcohol (down) etc. If you test you blood glucose before and after eating you can work out what raises your BG unacceptably and then cut that thing out. It will be some sort of carbohydrate, but not all carbohydrates have the same impact on everyone. I have a huge reaction to pastry or cereal, for example, and hardly anything to kidney beans and chickpeas.

High blood glucose is important because higher than normal levels start to do real physical damage to your nerves, kidneys, eyes, etc. These days they won't diagnose T2 diabetes until you hit the level (48 on an HbA1c reading) where eye damage starts to become less unlikely. Many people have already had symptoms for years at that point.

When I was diagnosed I'd been having diabetic symptoms for about ten years and there was a choice between all that getting worse and stopping eating carbs. It really wasn't an option to go on the way I was, and I cut almost all carbs (I take in about 20g/day now). No medication. I also ditched all the "healthy eating" advice the NHS and media push at you - that stuff is all about eating carbs and fruit, which is what made us ill in the first place..

It will be two years in December, and in that time I have put my T2 into remission, lost +20kg, six inches off my waist, and got rid of almost all the symptoms. The foot tingling is still there but is about 5% of what it used to be. Others on this forum have made much bigger reductions more quickly.

The choice is up to you. There is a way of making your diabetes much less of a problem for you, and it does require some willpower and giving up things we like (if we didn't like them, we wouldn't have the problem in the first place). This forum is a good source of advice and support, and I'd recommend reading some of the "success stories" . Best of luck.
 
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