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HbA1c and infection

  • Thread starter Thread starter serenity648
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serenity648

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Hi all. I was a bit down about my latest HbA1c on Thursday still being 49. I had hoped it would be lower than last time.

However, nearly 4 weeks ago I had an abscess and blood poisoning, requiring IV antibiotics, and then a week on 2 different double doses of antibiotics. I am still getting better from the infection, although the abscess has healed up now.

Do you think that may have affected my blood test results?
 
Hi serenity,
I know steroid medication can effect blood sugar tests because it happened to me. Not sure about antibiotics though. You would expect the doctors who treated you to know being as you are diabetic. If your worried, give your practice a ring and ask.
 
It can affect your BG at the time and therefore the HbA1c, but baring in mind the HbA1c is a sort of 8 - 12 week average, it could be difficult to work out how much having the infection affected the overall HbA1c.
I think there is a tendency to dwell on numbers and I personally liken it to losing (trying to lose in my case) weight. Being concerned about the number achieves nothing, especially when there is a possibility that something like an infection and medication has upset the result to a degree that can't be quantified.
Here's to your next HbA1c.
BTW, an amusing story, sort of. We are lucky enough to have a cleaner for a few hours a week and we have no problems if she wants to stop for coffee, have a chat, weigh herself, take her BP etc (sometimes I think she lives here LOL)
The BP meter is 6 weeks old and subtracting the number of times my wife and I have used it, she had used it 48 times in 6 visits. So an average of 8 times every week when she's with us for a couple of hours, 8 times a visit. I don't mind what she does, she does what she has to do so no problem. Except continually taking your BP over a couple of hours isn't a great plan so I just hinted that although I don't mind how often she uses it, maybe just once per visit was enough. She then told me that she has to do it several times in different positions to get the lowest result which evidently is when she's flat on her back on the floor. The instructions do say that you have to be seated with your arm and the cough at chest height. I did ask how much of the day did she lie down to keep her blood pressure down to a number she felt happy with.
 
Hi all. I was a bit down about my latest HbA1c on Thursday still being 49. I had hoped it would be lower than last time.

However, nearly 4 weeks ago I had an abscess and blood poisoning, requiring IV antibiotics, and then a week on 2 different double doses of antibiotics. I am still getting better from the infection, although the abscess has healed up now.

Do you think that may have affected my blood test results?
The 90-120 day coverage of an HbA1c may be true, but it's a weighted number giving far more importance to recent blood glycation. This old forum post explains :
http://www.diabetes.co.uk/forum/threads/hba1c-represents-a-4-week-average.25457/#post-233636
So the answer (depending on the effect of (i) the infection (ii) the medication ) is YES.
Geoff
 
I think you should accept your hba1c was lower but illness does increase your bgs so next hba1c should be more accurate, for you.
Well done on 49 and lower! :)
 
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