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Recent Hba1c test now 44 up from last November

doingmybest

Newbie
Messages
2
Type of diabetes
Prediabetes
Treatment type
Diet only
Hi please can anyone help me.
I had an Hba1c test on Monday and the result was 44 this is up from my last test in November 2023.
After reading prediabeaties on this forum last week I have invested in a blood glucose monitor which is due to be delivered today.
My question is how often should I check my blood glucose and do I check it before meals and after.
 
Hi doingmybest and welcome to the forums

I found a meter to be really helpful. The normal recommendation is to test immediately before eating at then two hours after the meal. The reason for this is that the first reading gives you a baseline: and the second reading then shows you how well your system dealt with the glucose produced by digesting your meal. If the two hour result is within 2 mmol/l of the first one, and not above 7.8 mmol/l, your system coped adequately with the glucose load in the two hours between tests.

The second test is therefore NOT "to see how high you went". Everyone's blood glucose will rise as carbs are digested and glucose is transferred to the blood. The high point is likely to be within the first hour somewhere. It can be worth once or twice testing at 30 minute intervals to see what happens, or to try out a constant glucose monitor which will give you the same sort of information. However, the two hour test is the important one.

Many people also test first thing in the morning. There is however "dawn phenomenon" which is where our livers dump stored glucose (ie glucose not directlt from food) into the blood stream, as fuel to get us going. This can often be the highest reading of the day and is usually the last reading to come down. The liver may have got used to you running with higher blood glucose levels, and it's doing its best to get you back up to those levels. You can't really affect it, until the liver learns that the new "normal" is a lower BG level. Livers are slow learners, and mine took months to adjust.

So the morning reading might not therefore be typical of the rest of your day.

When I was first diagnosed I tested a lot - far too much, actually. These days I test before and after a new food or food combo (eg I tried the SRSLY low carb wraps this week, and tested around those), and occasionally do a random testing day as monitoring. I don't think a single test in isolation tells you all that much.

Finally - all monitors have an acceptable allowable error of 5%, 95% of the time. So (for example) a set of results of 5.7, 6.0, and 6.3 are close enough together to be essentially the same reading. And maybe one in twenty will be way off. I once had a pre-meal reading of 13 or 14 which was a bit of a surprise - immediate follow-ups were low 5s, so maybe it was a bad strip or whatever.

best of luck. This forum is an excellent resource.
 
At first I tested before then 2hrs after every meal or snack.
Once I knew how many carbs I could eat for each meal and over a day I didn't test for every meal but I continued to weigh/measure foods with any carbs until I could judge it.
The last thing to drop for me was the dreaded dawn phenomenon and I dropped my carbs a little more until my morning bloods were in range.

Now I only test for new foods or new food combinations, or just once a month to check there is no carb creep.
 
I am very fortunate in having a prescription for four strips a day that I weedled out of my previous GP when he was impressed by how I had taken control over my diabetes back in 2017. Family tragedies and the pandemic pushed me off the wagon, but in May I had a huge wake-up-call, and started testing rigorously again. In late May, I got a new meter, which I could connect to an app on my phone, so now I use the app for its test reminder patterns. Each week I choose a pattern of reminders; the duration of the pattern, and timing and number of tests vary, but I find that useful. At times, it is not possible to test to the reminder, but using the patterns keep me accountable.
 
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