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Daily Blood Test results in relation to HbA1c

drippihippy

Member
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12
I was diagnosed T2 in early January this year, my HbA1c was 8.8
On diagnosis my G.P perscribed 3 x 500ml Metformin daily however, I wanted to try and control my T2 with diet and exercise alone as being in my mid 40's I realised I have still got a reasonably long time to live with the condition and was concerned about the long term use of Metformin, it's possible effects on greater dependancy and ultimately Insulin dependance.
To this end I reduced the dosage to 1 x 500ml daily. My last HbA1c result in April was 5.6 achieved with a lo carb diet, no sugar or junk food, daily exercise and testing 2/3 times a day. Since being diagnosed I have tested daily in order to monitor my blood sugar levels, to find out what does and doesn't spike me and record my general progress, over the last 6 months my test results have come down from 8-10 to typically, mid 5's/low 6's [and 4's after an hour on the bike]
As the test strip figures came down I assumed that this may have a bearing on my forthcoming 3 month HbA1c result, by the end of February my daily readings were in the 6,s and by March/April in the 5's/low 6's where they have remained since.
A recent visit to my G.P however, has confused me somewhat, I told her I had stopped taking 1 x 500ml Metformin since April and that my daily test results were 5/6 & 4's after exercise but she did not think that this had any relevance to my next HbA1c test in 2 months time and said that I may still need to take Metformin depending on the results.
My diet and exercise regime are the same now as when I implented the changes after diagnosis and my daily blood test results seem pretty constant, I don't plan on changing my diet or stopping daily exercise and if my daily test results stay in the ranges they are now surely they have some relevance to how well I am managing the condition and ultimately my next HbA1c result?
I tried to explain to my G.P that I felt the test strips and regular testing had allowed me to understand and manage my T2 resulting in the drop from 8.8 at diagnosis to 5.6 3 months later but she did not advocate the use of regular testing and only advised once a week at most, she did not seem to think it had any bearing to the HbA1c either and whether I would be able to continue to manage it with diet and exercise alone.
After this recent consultation with the G.P I am a little confused, I thought the changes I had made to my diet and lifestyle had been effective in controlling my T2 and reducing my HbA1c. I had a Shortcrust pastry Fruit Tart from M&S a few days ago as the first pastry/sugary type treat since diagnosis and after 2 hours I was only 6.6!
Are test strip results relevant in trying to control Diabetes and do they have any bearing on your HbA1c?
 
Yes they do, I agree with TP above. However bare in mind they are only a snapshot of your BG at the time of testing. I do occasional 'odd' tests to give me an idea of other times when I wouldn't usually test.

Sadly, your GP is just one of many who won't prescribe strips, it's down to cost and nothing else. I did have unlimited strips until I got my last HbA1c and I am now rationed to 50 a month, but I still think I am very lucky that I get those.

You have done amazingly well to get your figures down the way you have, keep doing what ever you're doing, it's obviously working! :D
 
A BIG well done to get your levels down the way you have! :thumbup: :D

P.S If you wish,you could click on the link in my signature,it will redirect you to the E-Petition for test strips to be prescribed to all type 2's who wish to use them to manage their condition that you may wish to sign. :wink:
 
drippihippy said:
Hi Defren, I see your last HbA1c is 4.9! well done you! have you done the Newcastle Diet & did it work for you? are you still on meds?

Thank you. Yes, I did the ND, I did a diary it's on the weight loss forum, it is my story and how I coped my weight loss through the 8 weeks. It did work for me, although I am very, very carb intolerant, so still ultra low carb. I am still taking Metformin, but that is my choice. My Cholesterol is now well within normal limits as well. I do bang on about the ND but only because it is a very good tool to help get good control.
 
We done drippy hippy. Your doctor and nurse are WRONG on all counts, you're right. They are losers. Stick with it. Your HbA1c us a reflection of your average BGs over a month or do, so of COURSE every peak adds to that average. Your health team are either stupid (unlikely) or lie to save costs on testing (likely)
Sad isn't it?
 
seemly it is sad, it seems the advice given by the NHS is working against us! If you only test once a week how can you keep tight control of you BG?
 
I think that the doctors are not advising testing because of the spending of money on strips etc. I totally agree that testing is the only way to keep one's sugar level on an even keel. I was told by a pharmacist that it was not necessary as the blood sugar level came down anyway!!!!!!!!!! I have never heard such an inane remark in my life! As long as I have money to buy strips I shall do so. By the way I was told by my doctor that after 7 years of being diagnosed I had done very well, to which I replied 'Yes because I have been testing'
 
I'm Type 2, no meds. My doctor also refused test strips, saying that I don't need to test AT ALL, and that the results wouldn't influence the HbA1c anyway. That just defies logic. He said to just eat a normal, healthy diet with slow-release carbs, low in fat, high in fruit, vegetables, nuts and seeds and get regular exercise. I wish I knew what their hidden agenda is. Just cost, or something else? It seems to me they're just tying one hand behind our backs in our efforts to look after ourselves.
 
Hi. As everyone else has said you are right and the health team need a bit more understanding of T2 diabetes (so what's new). Test a few times a week and keep up the diet. I think most of us would guarantee you will have a better HBa1C next time. Many on this forum control their blood sugar with diet and exercise alone; once you are normal weight with low insulin resistance then the sugars will normally go down. BTW don't worry about having Metformin as it's a good safe drug and helps a bit.
 
mazzy said:
I wish I knew what their hidden agenda is.

Stealing my thunder there. I was just going to post to say that this strange attitude is so widespread across the NHS that it must be co-ordinated but for what reason. My nurse is an honest person and when I asked her what was going on she said that there had been £60,000 cut from the budget. I don't know which budget exactly but she seemed to think it was money led.

I don't accept that money is the only reason. Why do they keep telling me to eat carbs with every meal and why shouldn't I test when I buy the equipment myself.

I also think that OP's GP is raving mad. Getting control of your blood sugars does improve your Hba1c although there does not seem to be a direct correlation. Using diet only I got mine down to 42 from 51. Using wine and chocolate I got it back up to 46. Hey ho. There is definitely a connection.
 
Totally with you there Squire. At the risk of sounding paranoid, I believe there are some in the HC profession and pharmaceutical industry who only have money on their minds. They don't care enough to think that just maybe, allowing people the resources to better self-manage might alleviate suffering AND ultimately cost the NHS less money

OP, you shouldn't be punished for being so proactive. The 'don't bother with strips- take these pills' approach should be reserved for those who downright refuse to do the diet and exercise or are physically incapable of making the necessary changes.

Beside that, HbA1c does not always match up with what your blood sugar is actually doing. My HbA1c came up 'normal' (the exact number no one will tell me) but I swing up and down by 10 mmol every day, so of course it averages out. Someone with normal HbA1cs even could be sitting there deteriorating unawares. Also it can show falsely low or high depending on how long your haemoglobin hangs around as far as I know.


Sent from the Diabetes Forum App
 
Well they're right that the self testing results don't affect the HbA1c but it should indicate what it will be.
Unless they are trying to say that the HbA1c isn't affected by BG level, in which case what's the point of it.

I don't want to wait 3 months to find out I'm doing something wrong.
Also not keen on high BG at times being considered OK because the average is OK.
 
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