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Hba1c levels quick increase

A

Azande

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3
Hi,
In oct my hba1c wad 5.6 / 38. Then on 28/5 it was 6.3 / 45.
Last week i was called back to dr with sugar in urine. I am now on metformin and gliczade. My fasting bg is between 7.9 - 9.5.
My hba1c on 1/7 was 8.9 / 74. So it had increased 2.3% in a month. The disbete nurse says that it shows type 2 because its a slow increase.
Does anyone know if that is the normal type of increase seen? I am seeing her again later so any advice would be really appreciated.
Thank you
 
Antje77 said:
The increase doesn't say anything about type. If anything, it looks like a pretty fast rise to me with T2. Do you use your meter to check your blood glucose at home?
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Yes been using a meter. Levels still crazy today was 7.6 then 14.1 after breakfast 9.8 b4 lunch and 15.9 after. Highest i have had is 20.2. I have asked the nurse to considee t1, especially as i have a number of other autoimmune conditions but was told the onset was too slow and the sugar was not high enoigh.
 
Azande said:
was told the onset was too slow and the sugar was not high enoigh.
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Not true. Not saying you have T1, as impossible to tell, but T1 (LADA) is definitely a possibility with those numbers, as your DN should know.
I'd push for a C-peptide test to see how much insulin you are producing. In the mean time, keep an eye on your numbers. If you can't get them below 15 or so and you don't feel well (stomach ache, nausea) it can be an emergency.

Good luck!
 
Azande said:
Hi,
In oct my hba1c wad 5.6 / 38. Then on 28/5 it was 6.3 / 45.
Last week i was called back to dr with sugar in urine. I am now on metformin and gliczade. My fasting bg is between 7.9 - 9.5.
My hba1c on 1/7 was 8.9 / 74. So it had increased 2.3% in a month. The disbete nurse says that it shows type 2 because its a slow increase.
Does anyone know if that is the normal type of increase seen? I am seeing her again later so any advice would be really appreciated.
Thank you
Click to expand...
@Azande have you recently started taking statins?
 
Hi Azande

Sorry to here about your increases in HbA1C.

What is your diet like? Do you limit and/or count carbs? What did you have for breakfast and lunch on the day for which you provided glucose counts?

Have there been any changes in your eating habits in recent months?

I apologise for probably asking a stupid question but when taking glyclazide, do you just take a fixed prescribed amount per day or is it like insuline where the amount taken is adjusted to match carb consumption?

You mention having other autoimmune conditions. What are you prescribed for these? Any steroids? Any changes in medication over recent months/period when your A1C rose?

Best regards

Pavlos
 
Mmm a pointer towards type 1 would be the fact that you have other autoimmune conditions. Insist on a hospital appointment with a diabetes consultant. It may indeed end up to be Type 2, but better to play safe.
 
Azande said:
Hi,
In oct my hba1c wad 5.6 / 38. Then on 28/5 it was 6.3 / 45.
Last week i was called back to dr with sugar in urine. I am now on metformin and gliczade. My fasting bg is between 7.9 - 9.5.
My hba1c on 1/7 was 8.9 / 74. So it had increased 2.3% in a month. The disbete nurse says that it shows type 2 because its a slow increase.
Does anyone know if that is the normal type of increase seen? I am seeing her again later so any advice would be really appreciated.
Thank you
Click to expand...
I’d say it wasnt a normal increase for type 2. Unless you ate masses of extra carbs, had huge amounts of stress and gained weight between that and the previous reading a month earlier I’d say it was pretty quick rise actually.

I’m assuming the metformin and gliclazide were prescribed last week after the 74 hb1ac and that during the rise you were on no meds.
Azande said:
but i keep have nausea, stomach cramps, sweating and shear exhaustion. I will ask for that test when i see her later. Thank you x
Click to expand...
id say this may be a side effect to the metformin. It may settle or maybe slow release would be better.

However I agree you need to push for further testing. Your nurse seems to think it’s a binary choice between type 1 and 2 and seems unaware of LADA which is type 1 but of slow onset. The fast for type 2 rise, along with other autoimmune issues mean you are a good case to be checked further. Keep pushing til they check it properly. If she won’t then try the gp and print the info antje provided to take with you to appointments. If you are LADA the sooner you know the sooner you can be treated appropriately.
 
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