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Message: <blockquote data-quote="catapillar" data-source="post: 1639311" data-attributes="member: 32394">[USER=286107]@Livvhughes7[/USER] a hba1c of 140 is equivalent to an average blood sugar over the last 3 months of 21.2. Hba1c is a measure of your blood sugar control. You get your hba1c down by controlling your blood sugar. How are you currently managing your diabetes? Which insulins are you taking? What insulin has been changed? If it was your basal you may need to do some basal testing, if it was bolus you may need to check your insulin to carb ratio. Are you carb counting? Are you confident in your carb counting? When you have been unwell have you been applying sick day rules? How often are you testing your blood sugar? What do you usually do when you see blood sugars over 20?The target for type 1s is to aim for hba1c under 48, adjusted for individuals who may have problems with hypos. The higher your hba1c the greater your risk of developing diabetic complications. As to whether you are "going to suffer from it being this high" no one can answer that. You can have a look at the DCCT risk curves that show as hba1c increases the likelihood of retinopathy (blindness) nephropathy (dialysis) and neuropathy (amputation) increase - <a href="http://www.ladalife.com/2013/04/technology-and-a1c/chart-professional-about-a1c-risk/" target="_blank">http://www.ladalife.com/2013/04/technology-and-a1c/chart-professional-about-a1c-risk/</a> . One high hba1c doesn't, by any stretch of the imagination, guarantee complications - it's more about extended periods of time at high levels being best avoided to try to minimise your risk of complications.</blockquote>

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