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Hb1ac -how often? pls help

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pillowbelly

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Stanmore
Hi

Can anyone tell me how often the fasting Hb1ac test should be done?
I'm pretty sure when I was first diagnosed, my DSN said it should be every three months but my GP nurse has said today it should only be once a year and the non fasting is every three months?? I've had the fasting tests every three months since diagnosed in January 09.

Please help, as I am thoroughly confused now :?

PS Im a Type2.
 
Pillowbelly - I too was told pretty much the same. For the first year or so after diagnosis, I would be tested every 3 - 4 months to see what was happening. I was tested in october when first diagnosed and was 7.9, then again in February where it was 7.3 and then nothing until quite recently when I was forced to change to a new doctor - last one was 10.2

My practise nurse has said I will be tested every 3 months for 2 0r 3 times then we will review from there. Whenever i've had Hba1C i've fasted anyway. not sure whether I should have or not, just something i've done and was not told any different (apart from 1st one in hospital)
 
pillowbelly said:
Hi

Can anyone tell me how often the fasting Hb1ac test should be done?
I'm pretty sure when I was first diagnosed, my DSN said it should be every three months but my GP nurse has said today it should only be once a year and the non fasting is every three months?? I've had the fasting tests every three months since diagnosed in January 09.

Please help, as I am thoroughly confused now :?

PS Im a Type2.
Click to expand...


Hi Pb.
Here is the May 2009 NICE guidance re HbA1c testing for a Type 2.

1.3.2
Measure the individual’s HbA1c levels at:
• 2–6-monthly intervals (tailored to individual needs) until the blood glucose level is stable on unchanging therapy; use a measurement made at an interval of less than 3 months as a indicator of direction of change, rather than as a new steady state

• 6-monthly intervals once the blood glucose level and blood glucose-lowering therapy are stable.

Perhaps you might quote that to the Nurse ?? :wink:
 
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