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Message: <blockquote data-quote="smidge" data-source="post: 846755" data-attributes="member: 29301">Exactly the question I've asked many times - because I seem to have the exact opposite 'problem' - even at times when my mean BG and SDfromMean have both been up for several months, my HbA1c has always remained good and, on occasions, even reduced. This was the very reason I raised the issue with my consultant as to whether a good HbA1c in itself is a good indicator of complication risk or whether it needs to be interpreted along with stability 'v' spike and individual glycation rate. His view is that it is the HbA1c in itself that is the indicator - but I cannot understand any logic for that. I questioned him so much about it and whether it was a glycation rate issue giving a falsely low HbA1c (another consultant had indicated to me that that could be an issue) that he agreed to a fructosamine test as an alternative to an HbA1c to check that the HbA1c was geuine - this was at the height of my Levemir problems - and the fructosamine test  still returned a 'normal' BG level - indicating that the HbA1c was in the right ball park in spite of my control issues. So there you have it - my blood does not have lots of glucose milling about in it! I'm not sure why and what it means though! I know that's no help to you, but just thought I'd say that I have asked the same questions for similar reasons. Anyway, really well done on the control Lucy! In spite of our respective HbA1cs, your control is better than mine! (Whatever 'better' is!) Smidge</blockquote>

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