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High HBA1c but sugar normal

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faithhealer

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Hi,

First of all I would like to thank you for taking time to answer my question.

I am a diabetic since 2 years. I am 33 yrs old. My sugar appears to be in perfect control as I do a bi-monthly test for fasting and PP sugar. Fasting is always below 100 mg/dl and PP is below 125 mg/dl.

But recently, I did an HBA1c test which was much higher than normal at 12.3%. The average Blood sugar for three months was calculated at: 323.59 mg/dl. :oops: :crazy:

Can you please let me know how the average values were this high even though fasting and PP was normal during this period.

What all measures I can do to keep this parameter under control?

I am doing regular Cardio and weight training in the gym for 1 hour.

I searched the Internet but could not find any specific for HBA1c.

I am using Janumet 50/1000. Once daily after dinner.


Regards,

Faith
 
Hi Faithhealer. There are a few things that come to mind.
When are you testing PP? Is it at the 2 hour stage like most of us? If so, do you realise that you are not measuring the peak BG at that stage? At 2 hours, our BG should be back down to reasonable levels, but your peak would have been typically an hour earlier when it could have been much higher according to what you ate. Or, if the food was very low on the Glycemic index, your peak may not have arrived by 2 hours. The peaks could mean that your overall averages are much higher than your PP readings suggest. You could try testing at 1 hour, then 2, then 3 etc to see when your peaks are, and how highthey are, for your typical meals.
Although your fasting BG is good, what heppened during the night? If you had a snack before bed, your BG could have been quite high all night, raising your overall average BG.
What I'm saying is that the meter readings you take don't reflect your true average, they only give an indication. What sort of food do you eat? If there are lots of carbs in it, you may have very high readings outside of your testing times.
Just a few thoughts.
 
Being diagnosed at 31 yrs are you sure you are Type 2 and not actually LADA/MODY or Type 1? You'd need to do some testing before and 2 hours after meals with a blood glucose meter to get a better idea of your levels through the day and even a few night tests would be worthwhile.
 
Faith,

A possible cause for a higher than expected Hba1c result could be Iron deficiency anemia or B12 deficiency, might be worth having a word with your gp and get your bloods checked.
 
noblehead said:
Faith,

A possible cause for a higher than expected Hba1c result could be Iron deficiency anemia or B12 deficiency, might be worth having a word with your gp and get your bloods checked.
Click to expand...

Have you got any links to info about this? I have never heard of it before and was diagnosed with pernicious anaemia late last year.

Sorry to the OP for gatecrashing her post. :oops:
 
faithhealer said:
I am a diabetic since 2 years. I am 33 yrs old. My sugar appears to be in perfect control as I do a bi-monthly test for fasting and PP sugar. Fasting is always below 100 mg/dl and PP is below 125 mg/dl.

But recently, I did an HBA1c test which was much higher than normal at 12.3%. The average Blood sugar for three months was calculated at: 323.59 mg/dl. :oops: :crazy:

Can you please let me know how the average values were this high even though fasting and PP was normal during this period.
Faith
Click to expand...


One very important thing seems to have been overlooked here.

If you are only testing your blood sugar levels twice monthly it is never going to be of any use as an indicator of your overall blood sugar control. Your blood sugar fluctuates from minute to minute over 24 hrs and will never remain the same. You have to test much more often, preferably several times a day over the whole month before you would get anything like the results which tell you if you are well controlled or not.

Hence the reason for an HbA1c test, that is just an indicator of which way your diabetes control is going, nothing more. If you had tested more often then you would have quickly seen just how bad your control actually was several months ago. An important lesson to be learned !
 
Hi. I agree with Jen&Khaleb that being a Type 2 at 31yrs is rather unusual unless you were very much over-weight. Your Hba1C is very high. If it doesn't settle down to a more reasonable level you might want to ask your GP for tests for LADA etc. If you are based in the UK and with that level of Hba1C your GP should really be doing quarterly checks of your Hba1C; perhaps he/she is?
 
ladybird64 said:
Have you got any links to info about this?
Click to expand...


Hello ladybird,

The second link that catherinecherub kindly posted explains this well :)
 
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