I was diagnosed in March this year 1st type 1 then changed to type 2 the last 6 weeks. Just had my 1st Hba1c back it's gone from 8 mmol to 6.2mmol I think this is good but not 100% sure still trying to work everything out
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Mmol
- Thread starter Dee1960
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if it's an HbA1c it will either be given in mmol/mol under the IFCC system (normal range being 35-41) or if the older DCCT system is used, in percentage. It sounds to me - assuming those are the figures you were given - that those figures are percentages.
If that the case you've gone from around 64/65 mmol/mol (8%) to 44mmol/mol (6.2%) which is a substantial drop - congratulations!
If that the case you've gone from around 64/65 mmol/mol (8%) to 44mmol/mol (6.2%) which is a substantial drop - congratulations!
That's what he was looking at
Your graph looks like your hba1c went from 80 to 62 mmol/l.
Which is an amazing improvement, well done!
It is also still in the diabetic range and you'll likely want to see how you can lower it a bit more.
Apart from metformin, what changes have you made so far to see such a significant improvement?
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So that's 80mmol/mol to 62 mmol/mol - still a substantial drop! I'd guess if you keep doing what you're doing you should see a further fall next time.
Diet and trying to move more.
Dave with T2
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Try this web page:
HbA1c Calculator
www.hba1cnet.com
Put your 6.2 mmol/L in the bottom right hand box and your HbA1c in mmol/mol will appear in top left box.
42-47 pre-diabetic
>47 diabetic
6.2 will indicate 37 normal
However, once diabetic it is easy for it to creep up again. Take care.
An hba1c of 6.2% equates to 44 mmol/mol according to your calculator and other sources, so on the low end of prediabetes.
An average blood glucose of 6.2 mmol/l would align with an hba1c of 37 mmol/mol.
But the graph in post #3 shows that @Dee1960 's hba1c went from 80 mmol/mol to 62, not 6.2%, a great improvement but still in the diabetic range.
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First thing - there are still two measuring systems for blood glucose. The older is the DCCT, which shows current blood glucose in mg/dl and HbA1c in percentages. The newer IFCC system used in the UK gives HbA1c in mmol/mol, and current blood glucose in mmol/litre.
Blood glucose of 100mg/dl equals 5.6 mmol/litre. HbA1c of 38mmol/mol equals 5.6%.
5.6mmol/litre does not equal 5.6% HbA1c, or any other HbA1c for that matter.
Because the figures in the different systems overlap (particularly percentages and mmol/l) it's really important that you check what system of units is being used. It's made worse because the USA (and therefore large parts of the internet) still uses percentages, and many people do not even know that there are different units in use elsewhere.
Beware of trying to predict a precise Hba1c result from aggregated fingerprick tests. They measure different things in different ways. HbA1c counts the numbers of a particular type of red blood cell that have had a glucose molecule attached. Because red blood cells live about three months, the test can give an idea (not an average) of what blood glucose levels have been like in recent weeks, but heavily skewed towards the most recent month.
Fingerprick testing measures the amount of glucose in the blood at the point of test - which might be rising or falling or standing still, and which might be typical or not of blood glucose levels the rest of the day.
CGMs measure the amount ofblood glucose in interstitial fluid, and then estimates what the blood glucose is.
All are useful, and have inbuilt inaccuracies. So if you're fingerprick testing extensively, including after food, and not seeing higher numbers, it should, in many cases, be possible to get a ballpark idea of what your HbA1c might be like next time - "under 50" or "under 40" for example. But the risk is that you'll think that what is a good HbA1c result for you is actually a disappointment, because it's not what the "prediction" was.
[edited to add sentence in italics and delete the word "blood" from the line on interstitial fluid]
Blood glucose of 100mg/dl equals 5.6 mmol/litre. HbA1c of 38mmol/mol equals 5.6%.
5.6mmol/litre does not equal 5.6% HbA1c, or any other HbA1c for that matter.
Because the figures in the different systems overlap (particularly percentages and mmol/l) it's really important that you check what system of units is being used. It's made worse because the USA (and therefore large parts of the internet) still uses percentages, and many people do not even know that there are different units in use elsewhere.
Beware of trying to predict a precise Hba1c result from aggregated fingerprick tests. They measure different things in different ways. HbA1c counts the numbers of a particular type of red blood cell that have had a glucose molecule attached. Because red blood cells live about three months, the test can give an idea (not an average) of what blood glucose levels have been like in recent weeks, but heavily skewed towards the most recent month.
Fingerprick testing measures the amount of glucose in the blood at the point of test - which might be rising or falling or standing still, and which might be typical or not of blood glucose levels the rest of the day.
CGMs measure the amount of
All are useful, and have inbuilt inaccuracies. So if you're fingerprick testing extensively, including after food, and not seeing higher numbers, it should, in many cases, be possible to get a ballpark idea of what your HbA1c might be like next time - "under 50" or "under 40" for example. But the risk is that you'll think that what is a good HbA1c result for you is actually a disappointment, because it's not what the "prediction" was.
[edited to add sentence in italics and delete the word "blood" from the line on interstitial fluid]
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