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HbA1C versus BG

barrym

Well-Known Member
Messages
829
Location
North Wiltshire
Type of diabetes
LADA
Treatment type
Insulin
Hi all

I've been T2 (probably, or might be 1.5 but that's another story) for 20 months. I've been quite thorough in my BG monitoring and whilst it is very predictable, it is not what I'd call controlled.

Typically I awake with 8, have pre lunch and pre tea of 4-5, and go to bed with 7-9. As with everyone I get odd blips, some explainable others a mystery, but this is the general pattern.

My +2 hours are never brilliant, but +4 or +5 as can be seen are OK.

Over the past 20 months I have strived to get these figures down, well the pre-bed and breakfast. I've tried every combination and dose of Gliclazide and am currently on 2g Metformin as well, half am, half pm. The Metformin have had NO effect whatsoever.

The highs bother me.

However my HbA1C is 55, border line OK, even though it would be nice for it to be lower. The crude conversion puts that at an average BG way to high!

So the question, should I sit back and relax knowing that the HbA1C is OK(ish) or continue to press the DN to get my BGs down.

I do have a meeting with her next week (when my latest GAD result should be in) where we are going to discuss referral to the local consultant specialist.

Oh, and I do have a diet that is carb aware, typically 160-180g per day, loaded in the morning by cereal, and lunch time with bread, but tea is very modest.
 
Hi. Those sugar readings aren't too bad but I can see why you would want to get them lower. I would try to keep the carbs below 150gm/day. Metformin has very little effect on blood sugar and is at it's best helping reduce insulin resistance. I found Gliclazide even at 360mg/day had little effect. Like you I have always suspected T1.5 but my own two tests done privately showed a negative GAD but very low insulin (c-peptide). So, I'm finally, thankfully, on insulin but still labelled a T2. There are many things and anti-bodies that can cause islet cell destruction. I think you have a way to go yet before insulin rears it's head; I was 8.3% Hba1C at that point, but I think reducing carbs further will help delay that point for you.
 
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