Disappointed...

hh1 said:

Hi @Carbon, like @Juicyj I have an under-active thyroid which was diagnosed at the same time as T1. Apparently it's not uncommon. I've been taking thyroxine for over 30 years and it seems to work for me.

Losing weight's a good thing by the sounds of it, and I agree with @Diakat that a 2 point shift in hbA1c is nothing to worry about. The test is quite a blunt instrument. And if your medical team have discovered thyroid issues and iron deficiency, much better to know about it and get it seen to than live with the results (before my thyroid medication I was permanently tired). Good luck!

Click to expand...

kitedoc said:

Hi @Carbon, our lives seem like one battle after another!
As @Diakat mentioned being liw in iron does not help. Getting your doctor sort this problem out sounds
Important as it currently might be preventing you losing or maintaining weight and make you more prone to infection, according to sources like mayo.org - iron deficiency, plus in addition to causes like cycles and diet, less common things like coelisc disease may show up this way, see coeliacUK.org.
And thyoid troubles there to boot !
Please make sure your doctor does no give you short shrift, even uf yiu hpneed several ppointments to sort itvall.
Best Wishes

Click to expand...

Bluetit1802 said:

All I know is that if there are abnormalities in the red blood cells, which includes anaemia, the HbA1c can be inaccurate. This is also the case with thyroid issues. Depending on various factors, the HbA1c can be falsely high, or falsely low.

However, your rise of only 2 is not of any concern, as long as it doesn't keep on trending upwards on future tests. That is what you need to watch out for. One off-piste result as small as yours is quite meaningless, although I do understand your disappointment. My advice is to get your anaemia (iron deficiency) and thyroid issues sorted.

Click to expand...

DCUKMod said:

@Carbon - When I was initially diagnosed I managed a big drop in my A1c at the first test, then gave myself a bit of a talking to, before the next one. Frankly, I realised that to think I could keep replicating large drops just wasn't credible. I'd have to find my level sometime.

On that basis, I allowed myself a range within which I will find my A1c acceptable. I won't say what that range is, because that's only relevant to me. We all have our own running ranges.

In terms of the thyroid issues, there's a lot of that. Lots of folks have it, although more women than men.

Bearing in mind the thyroid gland is at the centre of our metabolism, it's not surprising that if it starts to go a bit off-piste, other things might too. A wonky thyroid can lead to slightly elevated blood sugars, as well as the potential for anaemia being in the mix.

Various forms of anaemia are also common with thyroid problems, as well as some vitamins going off. In particular, I hope you are having your thyroid (TSH, T$ and T3 checked), along with your Vit D, Ferritin, folate and Vitamin B12.

It can take a while to get the thyroid back with the programme again, but the good news is your Doctor is showing soe interest.

When it became clear I probably had thyroid issues, I joined another forum - a bit like this, but for thyroid: https://healthunlocked.com/thyroiduk/posts

There are loads of extremely knowledgeable people over there who have helped me understand things a whole lot better, so please don't feel alone with any of this.

So, to reiterate, Carbon; please cut yourself a bit of slack. There's a fair bit going on in your body at the moment and a score of +/- 2 is very much holding your own.

Click to expand...

Juicyj said:

Hello @Carbon I also have an under active thyroid along with type 1. Personally I don't get worried about variations with the HbA1c, I celebrate successes and ignore failures, seems to work for me

Click to expand...

kitedoc said:

Hi, treating the iron deficiency with tablets is only half the answer. My doctor points out that finding the underlying cause is the other half. He says some causes are straight-forward but others are potentially quite seroius. Treating the symptoms, blood test results withiut considering the underlying cause may allow a serious condition to continue. He investigates all patients with iron deficiency, and he says the appearsnce of the blood cells can disguise low folate or B 12 conditions as well.
So please, if my GPis anyone to go by, do not let your GP ' patronise' you into just taking the tablets with no other investigation.
Having said that a relative of mine with ( properly investigated iron deficiency) was advised to take her iron tablets on alternate days as the absorption of iron over time was shown in research to be absorbed better.
Best Wishes

Click to expand...

Carbon said:

Thanks so much I appreciate your feedback & will ask gp tomorrow

Click to expand...