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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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<blockquote data-quote="Brunneria" data-source="post: 1589594" data-attributes="member: 41816"><p>My experience is very similar to [USER=71953]@bluetit[/USER] 's</p><p>Like her, my finger prick testing using two different meters, is rarely in the 7s, and like her, my HbA1cs place my <strong><em>average </em></strong>readings at 7mmol/l or a little below. I usually run between 4 and 6.5 in my prick tests.</p><p></p><p>Since I have a part time Libre, I can see that my Libre graphs perfectly track my prick testing, but run lower.</p><p></p><p>My conclusion is that the Libre reads low (but is very useful for trends and showing sharp rises, falls and timing peaks). </p><p>The prick testing is reasonably accurate but only shows snapshots, so is of limited use.</p><p>and my HbA1c reads high for whatever weird reason and is pretty useless for anything except making me scratch my head and worry.</p><p></p><p>Having said that, I would be much more wary if my HbA1c result ran lower than my prick testing. That could have an impact on diagnosis, treatment and future complications, with health care professionals not recognising that there was a problem.</p><p>- so I completely understand your concerns [USER=317494]@phdiabetic[/USER]</p></blockquote><p></p>
[QUOTE="Brunneria, post: 1589594, member: 41816"] My experience is very similar to [USER=71953]@bluetit[/USER] 's Like her, my finger prick testing using two different meters, is rarely in the 7s, and like her, my HbA1cs place my [B][I]average [/I][/B]readings at 7mmol/l or a little below. I usually run between 4 and 6.5 in my prick tests. Since I have a part time Libre, I can see that my Libre graphs perfectly track my prick testing, but run lower. My conclusion is that the Libre reads low (but is very useful for trends and showing sharp rises, falls and timing peaks). The prick testing is reasonably accurate but only shows snapshots, so is of limited use. and my HbA1c reads high for whatever weird reason and is pretty useless for anything except making me scratch my head and worry. Having said that, I would be much more wary if my HbA1c result ran lower than my prick testing. That could have an impact on diagnosis, treatment and future complications, with health care professionals not recognising that there was a problem. - so I completely understand your concerns [USER=317494]@phdiabetic[/USER] [/QUOTE]
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