1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Poor 6 Monthly Results & Very Worried

Discussion in 'Type 2 Diabetes' started by johnoo, Feb 14, 2017.

  1. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    Two points:-
    1 BOO1979, great link thanks. Shows 48/58 are desired levels
    2 Bluetit1802, Thanks again, I realize I've "gone backwards", what's caused it, possible relaxation of diet/eating too much chocolate. This said only a few squares of dark chocolate 3 times a week.But now I must cease!
    Now off on holiday to a "Rum Producing" country, which will now help, but after that I'll see my great nurse & discuss
     
  2. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

    Messages:
    25,060
    Likes Received:
    30,555
    Trophy Points:
    298
    I think you have misread the link. This is the important bit:
    NICE note that for type 2 diabetes (1):
    • for adults with type 2 diabetes managed either by lifestyle and diet, or by lifestyle and diet combined with a single drug not associated with hypoglycaemia, support the person to aim for an HbA1c level of 48 mmol/mol (6.5%)
      • for adults on a drug associated with hypoglycaemia, support the person to aim for an HbA1c level of 53mmol/mol (7.0%)
    • in adults with type 2 diabetes, if HbA1c levels are not adequately controlled by a single drug and rise to 58 mmol/mol (7.5%) or higher:
      • reinforce advice about diet, lifestyle and adherence to drug treatment and
      • support the person to aim for an HbA1c level of 53mmol/mol (7.0%)
      • and intensify drug treatment
    In other words, 48 is acceptable for those not on particular drugs. 53 is acceptable for those on certain strong drugs that can cause hypos. 58 is not acceptable and requires additional medication.
     
    • Informative Informative x 1
  3. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    OK, understood but as I recorded 55 & admit I've slacked off I think I can get back to the previous 48 after me holiday!
     
    • Optimistic Optimistic x 1
  4. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

    Messages:
    25,060
    Likes Received:
    30,555
    Trophy Points:
    298
    Good luck. You can do it, but you need to keep a food diary and test regularly for the best results.
     
    • Agree Agree x 1
  5. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    Yes, agree I do test regular & monitor results/food
     
    • Like Like x 1
  6. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

    Messages:
    25,060
    Likes Received:
    30,555
    Trophy Points:
    298
    Good. If you are doing this regularly it should have thrown up a warning that your HbA1c might have increased. Not to worry, keep going and really analyse your self testing results to see how they can be improved. An HbA1c of 55 means your average daily levels has been 8.9mmol/l so you are spending a lot of time too high.
     
    • Agree Agree x 1
  7. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    I thought a Hba1c of 55 equated to about 7.2 not 8.9?
    If I take a total average of all of my last 3 months tests, Morning/Afternoon/night the average has been 7.13
     
  8. Brunneria

    Brunneria Other · Moderator
    Staff Member

    Messages:
    21,511
    Likes Received:
    34,918
    Trophy Points:
    298
    Have a look at this chart

    [​IMG]

    Your 55 (the blue numbers at the top of the arc) equates to 8.9 in mmol/l (prick tests) the white numbers at the bottom of the arc.

    I would suggest that your prick tests are not catching your real highs.
    Do you test before each meal and snack, then 2 hours after each one? And if your numbers are high, are you doing additional tests to work out why, and how long it takes to get back to your starting level?

    Unfortunately it takes intensive testing like this to provide enough info to predict where your HbA1c is going to be - and even then the predictions are often inaccurate.
     
    • Agree Agree x 1
    • Useful Useful x 1
  9. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    OK, I was referring to my Hba1c of 55 being equivalent to 7.2% & this agrees with my overall percentage figure over 3 months of 7.13%
    I tend to test every 3 days AM fasting then 2 hours after B/Fast, before Supper & then 2 hours after.
     
  10. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

    Messages:
    25,060
    Likes Received:
    30,555
    Trophy Points:
    298
    That is nowhere near enough testing to estimate an HbA1c I'm afraid.

    Have a look at this - type in your 55 in the IFCC box.
    https://www.diabetes.co.uk/hba1c-to-blood-sugar-level-converter.html

    The box on the left is where you get the 7.2 from. This is not the same measurement units as our meters. It is the old way of measuring the HbA1c and is expressed as a percentage. The box on the right is in mmol/l (the same as our meters) and says 8.9. As this is an AVERAGE it is high and means you are missing a lot of peaks, and not accounting for how long you are high after a meal. Depending on what we have eaten, we can peak at any time from an hour after first bite to 4 hours later, and sometimes we can spike to 8 and still be at 8 an hour or two later. I think you need more intensive testing (and acting on it when necessary) if you are to get back under 48.
     
    • Agree Agree x 1
    • Useful Useful x 1
  11. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    Points taken & I will investigate.
     
    • Like Like x 2
  12. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    Your help please!!
    My regular Blood Sugar tests are showing an average of 7.75mmol/l what would this translate to when as a HbA1c reading when I go for blood test?
     
  13. bulkbiker

    bulkbiker Type 2 · Oracle

    Messages:
    17,668
    Likes Received:
    11,897
    Trophy Points:
    298
    Probably something like 48 mmol/m but if you are still only testing every 3 days than I'm afraid the figures may not be representative of much..

    https://www.diabetes.co.uk/hba1c-units-converter.html

    If you put 48 into the IFCC mmol/m box it gives an average of 7.8 mmol/l
     
    • Useful Useful x 1
  14. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    Many thanks.
    I've tried to download the "Free Hba1C to mmol/l chart that is stated on thisd page of the web site, but nothing arrives.
    Is there a problem or is it me?
     
  15. Brunneria

    Brunneria Other · Moderator
    Staff Member

    Messages:
    21,511
    Likes Received:
    34,918
    Trophy Points:
    298
    hi @johnoo

    If you scroll up this page to my post above, you will find an easy conversion chart that you can copy and paste if you want.
     
    • Useful Useful x 1
  16. bulkbiker

    bulkbiker Type 2 · Oracle

    Messages:
    17,668
    Likes Received:
    11,897
    Trophy Points:
    298
    It doesn't give you the info you are looking for anyway. It is just a DCCT to IFCC conversion table nothing about average blood glucose levels.
     
  17. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    Many thanks, done it!
     
  18. Prem51

    Prem51 Type 2 · Expert

    Messages:
    6,808
    Likes Received:
    20,682
    Trophy Points:
    198
    If you have a smartphone you can download the MySugr app which gives you an estimated HBa1c if you input bg readings.
     
    • Like Like x 1
  19. johnoo

    johnoo · Well-Known Member

    Messages:
    117
    Likes Received:
    47
    Trophy Points:
    48
    Many thanks, I'll take a look, but pity it can't be added to Tower Computer
     
  20. Prem51

    Prem51 Type 2 · Expert

    Messages:
    6,808
    Likes Received:
    20,682
    Trophy Points:
    198
    I can't add it to my android phone or chromebook pc unfortunately.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook