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How reliable are HbA1c tests?
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<blockquote data-quote="VashtiB" data-source="post: 2224866" data-attributes="member: 511345"><p>Hi,</p><p></p><p>I'm a type 2. My last 2 HbA1c results were in the low 30s so my doctor considers my blood sugar levels to be well controlled. I still test myself at least 3 times a day. I'm still on metformin as I have a lot of weight to lose and I want to reduce the liver dumps while I do that.</p><p></p><p>I have a science degree but am not a scientist. My understanding is that the HbA1c is an average of your levels for the previous 3 months- if you don't test during the day you don't know how high or low you are going. The theory seems to be that to avoid complications you should keep your spikes below 7.8. I rarely get into the 7s now and am mostly in the low 5s with some 4s and the occasional 6. I think this is because I test regularly. I have gone very low carb and intend to stay there for the forseeable future. Initially I did have the idea that one day maybe I could have more carbs but I'm not sure that is the case. I'm also not sure what that amount would look like. If I can go up to say 50 grams of carbs that would still not have oats and fruit. </p><p></p><p>I think what struck me was that you have one HbA1c within the normal range and the next one was up. I would really suggest that you test regularly until you have at least two or more within the normal range and then keep eating the foods which got you in the normal range. I also don't like the regular testing but they keep me focussed on my readings which I consider to be really important. The HbA1c is really for me a confirmation- I rely on my daily testing.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="VashtiB, post: 2224866, member: 511345"] Hi, I'm a type 2. My last 2 HbA1c results were in the low 30s so my doctor considers my blood sugar levels to be well controlled. I still test myself at least 3 times a day. I'm still on metformin as I have a lot of weight to lose and I want to reduce the liver dumps while I do that. I have a science degree but am not a scientist. My understanding is that the HbA1c is an average of your levels for the previous 3 months- if you don't test during the day you don't know how high or low you are going. The theory seems to be that to avoid complications you should keep your spikes below 7.8. I rarely get into the 7s now and am mostly in the low 5s with some 4s and the occasional 6. I think this is because I test regularly. I have gone very low carb and intend to stay there for the forseeable future. Initially I did have the idea that one day maybe I could have more carbs but I'm not sure that is the case. I'm also not sure what that amount would look like. If I can go up to say 50 grams of carbs that would still not have oats and fruit. I think what struck me was that you have one HbA1c within the normal range and the next one was up. I would really suggest that you test regularly until you have at least two or more within the normal range and then keep eating the foods which got you in the normal range. I also don't like the regular testing but they keep me focussed on my readings which I consider to be really important. The HbA1c is really for me a confirmation- I rely on my daily testing. Good luck. [/QUOTE]
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