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HbA1c over the years and what my treatment plan was!

Nicola M

Nicola M

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Staff Member
Moderator
Messages
985
Location
Nottinghamshire
Type of diabetes
Type 1
Treatment type
Pump
Decided to look back to see if I could find some of my old HbA1c's. I'm missing a few years between some of these (Notably missing 2016/2017/2019/2020) although the data I do have probably gives a generally good indication of what the results may possibly have been during that time. Thanks to my many posts here I was able to find all of these. You can see where I fell off the wagon a bit :hilarious: I'll also list the exact numbers below and what my treatment/age was during that time;

Pretty interesting to look back on, I think when I hit November 2021 I just was fed up with everything diabetes by that point, I'd been diagnosed by then for 23 years and burnout was finally coming for me.

Multiple Daily Injections (Lantus/Levemir & Novorapid) - Ages 17-18

September 2014 - 53

December 2014 - 52

March 2015 - 52

June 2015 - 52

These numbers are thanks to constant overnight hypos, mixed in with dawn phenomenon hence getting a pump :hilarious:

Insulin Pump from July 2015 on Novorapid and Freestyle Libre 1/2 in 2017 - Ages 21-24

August 2018 - 47

November 2021 - 78

Hybrid-closed loop started in December 2021 - Ages 25-26

April 2022 - 43

Jan 2023 - 49

April 2023 - 40

August 2023 - 38
 

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Incredible!
Me a 50+ yr t1d mdi.
Since cgm (3years now), my hba1c is around 45-47.
Previously I was 48-52ish.
Should I consider a pump?
I like a lot of flexiblity (eating, exercise etc)
 
Zinadane said:
Incredible!
Me a 50+ yr t1d mdi.
Since cgm (3years now), my hba1c is around 45-47.
Previously I was 48-52ish.
Should I consider a pump?
I like a lot of flexiblity (eating, exercise etc)
Click to expand...
Personally, I love having an insulin pump and it is really good for things like exercise and is just overall more flexible than when using MDI. Although it does seem like MDI is working for you and based on the information above probably wouldn't qualify for a pump on the NHS. Qualifying criteria are said to be that you either have repeated unpredictable hypos that have a significant impact on your life or your HbA1c is above 69mmol/8.5% despite trying to carefully manage your diabetes. Although at the time of getting mine (this was in 2015 though) they said I qualified due to having dawn phenomenon which couldn't be resolved with injecting a split basal as any that I injected at night gave me hypos the entire night.

Your best bet if it is something you want is to enquire about it with your nurse/doctor to see what they say.
 
The stupid situation of the better self control you have, the less chance you have of getting the best kit to really make the difference
Anyway, that's a different debate.
My clinic have been more than helpful, now putting me on libre 3. The consultant basically blagged it on the basis of hypos etc (which I don't really suffer with). Sometimes you have to tell them what you want, with maybe a few white lies.
I need to research the pumps though. Never really fancied something bolted onto me which was not 100% controlled by me.
The world of wearable technology nowadays is so much more advanced.
Any links to the latest available pumps etc?
 
My hospital team has recently referred me to the following options:

MiniMed™ 780G system | Medtronic Diabetes

Our most advanced insulin pump system. Automatically* adjust insulin delivery and corrects glucose levels every 5 mins, 24/7with no fingersticks*†.
www.medtronic-diabetes.com www.medtronic-diabetes.com


Omnipod® 5 Automated Insulin Delivery System

Tubeless, automated insulin delivery - Omnipod® 5 Automated Insulin Delivery System is now here.
www.omnipod.com www.omnipod.com
www.dexcom.com

Dexcom Continuous Glucose Monitoring | Dexcom

Dexcom's goal is to simplify and improve diabetes management by using Continuous Glucose Management (CGM). Designed to keep track of glucose levels.
www.dexcom.com www.dexcom.com


www.mylife-diabetescare.com

mylife YpsoPump insulin pump - mylife Diabetescare – United Kingdom

The diabetes insulin pump that features the essential functions for easy use.
www.mylife-diabetescare.com www.mylife-diabetescare.com
www.dexcom.com

Dexcom Continuous Glucose Monitoring | Dexcom

Dexcom's goal is to simplify and improve diabetes management by using Continuous Glucose Management (CGM). Designed to keep track of glucose levels.
www.dexcom.com www.dexcom.com
www.freestyleprovider.abbott

FreeStyle Libre 3 System (CGM) | Healthcare Providers

Learn how the FreeStyle Libre 3 system for continuous glucose monitoring (CGM), including information about how to prescribe. View product details, features, and accuracy data.
www.freestyleprovider.abbott www.freestyleprovider.abbott


www.tandemdiabetes.com

Insulin Pumps and Diabetes Management | Tandem Diabetes Care

Make diabetes management easier with insulin pumps and other innovative products and services from Tandem Diabetes Care.
www.tandemdiabetes.com www.tandemdiabetes.com
www.dexcom.com

Dexcom Continuous Glucose Monitoring | Dexcom

Dexcom's goal is to simplify and improve diabetes management by using Continuous Glucose Management (CGM). Designed to keep track of glucose levels.
www.dexcom.com www.dexcom.com

I will be continuing with Medtronic.

Should you choose the Medtronic option it would be advisable to check you would have access to the dedicated G4 sensors rather than Libre.
 
We all put our heart and soul into managing ourselves so getting a good HbA1c is the pay off, well done Nicola.
 
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