Bran Oatmeal with Carbs and Bread Substitute Advice

[Member496333]

In my opinion HbA1c by itself is an overrated metric. It is clearly important but it does not give any information regarding highs and lows. Glucostability is more important than average, and this data can only be gathered from a regular glucometer or CGM. Of even more importance is the requisite insulin profile, but for some reason that appears to be black magic mumbo jumbo among the mainstream. Very few doctors even care about it

Answering the question, there can be many reasons why HbA1c wouldn’t reflect finger pricks. For the most part, the two should be reasonably well correlated, but the accuracy of expectations will depend on the frequency of finger testing, and the glucose variablity in between them.

 

[Klpville]

In my opinion HbA1c by itself is an overrated metric. It is clearly important but it does not give any information regarding highs and lows. Glucostability is more important than average, and this data can only be gathered from a regular glucometer or CGM. Of even more importance is the requisite insulin profile, but for some reason that appears to be black magic mumbo jumbo among the mainstream. Very few doctors even care about it

Answering the question, there can be many reasons why HbA1c wouldn’t reflect finger pricks. For the most part, the two should be reasonably well correlated, but the accuracy of expectations will depend on the frequency of finger testing, and the glucose variablity in between them.

Right, thank you for your comment, Jim.

In fact, what my eyes and feelings tell me is that there is no accuracy at all, it's totally not correlated in between these two, and the readings completely mismatch. The reason is that 8 regular finger tests per day (2 hours before and after each meal) say that there is no problem, but I do not feel so good and the symptoms say quite the opposite. However, let's wait and see what my HbA1c will show. The issue might be elsewhere as well of course and this is how the matters stand at the moment.

 

[Klpville]

HbA1c and finger prick tests show that our BG levels are all right but... How do they measure insulin? Could anybody fill me in a little, please? If all the tests' readings show that there are no problems, but there is not enough insulin produced by a person's pancreas then... there actually IS a problem and the person in question is suffering... despite the fact that all the graphs, and charts, and tests are saying that it is all good and healthy..

 

[Bluetit1802]

HbA1c and finger prick tests show that our BG levels are all right but... How do they measure insulin? Could anybody fill me in a little, please? If all the tests' readings show that there are no problems, but there is not enough insulin produced by a person's pancreas then... there actually IS a problem and the person in question is suffering... despite the fact that all the graphs, and charts, and tests are saying that it is all good and healthy..

Insulin measurement tests are available but very rarely done on the NHS. They are available at a relatively small cost privately. There is a c-peptide test that is done on the NHS which can give reasonable indications of how much or how little insulin is produced. This is one of the tests given when Type 1 is suspected.

 

[Klpville]

Insulin measurement tests are available but very rarely done on the NHS. They are available at a relatively small cost privately. There is a c-peptide test that is done on the NHS which can give reasonable indications of how much or how little insulin is produced. This is one of the tests given when Type 1 is suspected.

Thank you. I think I might as well do this test after I am done with at least stabilizing my pancreatitis... I have a killer combination when I cannot eat both: sugar / carbs (pre-diabetic) and mostly all the meat (at the moment) and a lot of vegetables and fruit (pancreatitis)... Insulin is not produced almost at all when one has pancreatitis...