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Type 1 Diabetes
HbA1c disappointing!
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<blockquote data-quote="Bluetit1802" data-source="post: 1712848" data-attributes="member: 94045"><p>An HbA1c of 59 is equal to an average meter reading of 9.3. If your HbA1c is accurate, this means you have not been catching all your peaks after eating, so testing more often after eating is a good idea. That means testing an hour after first bite, 90 minutes, 2 hours, and half hourly thereafter until you are back down again. Even this may not be enough. I appreciate it requires a lot of test strips, but we are stuck with self funding if our surgery doesn't supply enough.</p><p></p><p>For the HbA1c test it is not necessary to fast. It is an average over the previous 2 to 3 months, so what you ate for breakfast will make zero difference. </p><p></p><p>If your red blood cells are standard, the HbA1c is most likely accurate enough. If, however, you have irregular red blood cells such as with certain types of anaemia or if you have thyroid issues, it may be falsely elevated, or indeed falsely lowered.</p></blockquote><p></p>
[QUOTE="Bluetit1802, post: 1712848, member: 94045"] An HbA1c of 59 is equal to an average meter reading of 9.3. If your HbA1c is accurate, this means you have not been catching all your peaks after eating, so testing more often after eating is a good idea. That means testing an hour after first bite, 90 minutes, 2 hours, and half hourly thereafter until you are back down again. Even this may not be enough. I appreciate it requires a lot of test strips, but we are stuck with self funding if our surgery doesn't supply enough. For the HbA1c test it is not necessary to fast. It is an average over the previous 2 to 3 months, so what you ate for breakfast will make zero difference. If your red blood cells are standard, the HbA1c is most likely accurate enough. If, however, you have irregular red blood cells such as with certain types of anaemia or if you have thyroid issues, it may be falsely elevated, or indeed falsely lowered. [/QUOTE]
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