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HB1AC on the rise

Wurst

Wurst

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1,128
Location
Germany
Type of diabetes
Type 1
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Insulin
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Had a rather disappointing HB1AC result today 5.9 % :-( The last one , 5 months ago, was 5 %. I haven't changed my diet or exercise regime so am a bit puzzled. Could this be the end of the honeymoon period or my meter on the blink. From my 5 tests a day I have rarely been over 5.6 Mmol.

To add to my misery I was diagnosed with trochanteric bursitis in my hip on Friday and told I should not run again. Running has become my 'drug' so no more 'runners highs' for me!
 
That isn't anything to be disappointed about. It's an excellent HbA1c that most of us dream about getting. At that HbA1c you will be in the same risk group as non-diabetics for all diabetic complications.

To answer your question: yes, when you leave the honeymoon period your HbA1c will increase because your body is no longer regulating (at least in part) your glucose levels.

Well done on getting an excellent HbA1c, but you are crazy if you're worrying or are disappointed about an HbA1c in the 5s.
 
HBA1c test results are usually higher than meter averages. The process by which glucose binds to the haemaglobin is not uniform throughout the day and so, even if you did by some miracle, get a perfect average on your meter, it will not have the same distribution in time as the binding process. Furthermore, the binding process depends on several other factors which have nothing to do with blood glucose levels.

Also, HBA1c measurements themselves are variable so I wouldn't worry unless there is a trend over time. One reading does not make a trend. It doesn't mean that you are losing control. People tend to think of HBA1c as stable because it doesn't change every 5 mins like blood plasma glucose levels, but it does nonetheless oscillate over time. As long as these fluctuations are within range, there is not a problem. Even if one is out of range, it is not necessarily a problem. It's only when it is constantly above the upper end of the range that you have to think about what may be causing it.
 
Don't beat yourself up Cblake843, 5.9 is an excellent Hba1c and no cause for concern :)
 
Hey Cblake,
I wish I could get back to 5.9 - maybe I can as I did it once so I reckon I could get near it again - maybe you could get yours down too, don't give up.
And as for the trachonetric bursitis, I had that after a bad fall at the start of last November. I couldn't lie on my side for 3 months but I kept up the ice and ibuprofen gel and I'm back running as much as ever. Don't accept a 'you'll never..' diagnosis, there's no such thing.
chin up!
 
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