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confused

mortigger1968

mortigger1968

Well-Known Member
Messages
102
Location
Cheshire
Type of diabetes
Type 2
Treatment type
Insulin
Hi wonder if anyone can help me my diabetic dr sent a letter to my gp and i get a copy
It went like this.

I reviewed amanda in clinic and unfortunately recent attempts to try and improve her glycemic control have proved difficulu,interestingly her hba1c looks very very well controlled but i think it is innappropriate for her blood gloucose readings

As you can see i have tried various options but none seem to work.
Please cud u avoid follwing up her diabetes based on hba1c as i think this is wrong and
 
Hi Mortigger
I understand that the A1C is an average reading for approx 3 months history of your blood and as such will contain all,of the highs, all of the lows and those in between.
I think that the GP is perhaps asking your DNS to base treatment on your "daily" tests as these, for you, are giving a more representative view of your diabetes status.




Sent from the Diabetes Forum App
 
The HbA1C gives a 3 month avg of 6 which is good. This could actually mean lots of individual readings of 3's and 9's which is not so good. My recent result was 41 which is very low. My consultant accused me that I must be having frequent hypo's to achieve this ( which I don't ).


Sent from the Diabetes Forum App
 
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The letter that your Diabetic doctor has sent would seem to be a little confusing to say the least. Reading between what has been outlined it would appear that you have acheived excelent overall control of your 'Average' Blood/Glucose readings but he/she is somewhat concerned that your diet (Glycaemic Loading) may not be showing a true overal picture and your Blood/Glucose might in the HbA1c average reading not show up these 'spikes'
The suggestion is that your own GP keep a closer eye on what are the readings that you, yourself obtain using your home Blood/Glucose test meter (which will possibly show the 'Spikes' better) and that he/she bases future diabetic diagnosis and treatment bearing your home reading in mind.
Hope this helps- others on this site might see what is your diabetic doctor;s orriginal diabetic letter in a different light.
 
this is a surprise to me, i thought they were far more concerned about your average hba1c than the daily tests, which is why they suggest we don't bother to test
 
I think as a rule they do Andy but there must be something in daily readings which maybe causing doc some concern. Who knows ?


Sent from the Diabetes Forum App
 
Your HBA1c can be affected by anaemia and dehydration. When you test with your meter you are recording glucose levels of bloods that are current whereas the HBA1c is testing levels over the last three months.

If your home testing is showing spikes and your HBA1c is a good level then it could be that you are anaemic or were dehydrated when you went for the test.
 
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