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Type 1: What are your HbA1c test results?

@rubypops I will take some insulin if I have had a high fat, or even high protein meal after I eat it. I have since taken a pump break, but a pump is designed to help that immensely. You can do an extended bolus which means if you take 5 units you can have it slowly dispensed over any period of time. 1-2-3 plus hours. Commonly I would do that for 1-2 hours. With shots if I eat something high protein or high fat, I will prebolus for the carbs, take some of my dose when I eat and some after for the fat and protein amount. People commonly do this for pizza which is high carb and high fat and can take many hours to fully hit the system.
 
I just got my lowest a1c result in 10 years! It is 6.7%. I can barely believe it. All due to my Medtronic 780. I still have work to do. I believe that I can do much better….my goal is below 6. I think it’s doable.
 
My Abc1c was at january 2025 7.5. Last time before 3 months it was 7. I am dealind with a difficult psychologically situation at the time and my blood sugar is like a roller coaster. One high one too low. I am waiting to get out of tis situation in order to fix my blood sugar. I think at a week or two i will be better and i will get it to the right point. Waitiiiiiiing!
 
My latest taken this week was 5%. My TIR was 90% but my team are unhappy with 10% below 4 mmol/l even though I pointed out that anything above 3.5 mmol/l is not a hypo based on the DAFNE course. I was 3.9 mmol/l this morning which does not help my TIR percentage even though it is a normal reading. It did not fall below this level based on my Dexcom One data either.
 
Yearly results are in and I hardly dare to mention them: 29 mmol/mol, 3% below 3.9.
Yearly appointments (diabetes nurse first, followed by endo) on wednesday.
Let's hope the diabetes nurse won't throw a fit, I skipped the appointment last year and only saw her once before that so I have no idea how she'll feel about my hba1c. Not worried about the endo, she was happy with last year's 30 so I guess 29 is ok too.
I'd prefer mid 30's, I did have more hypos than I like, but hey, we can only try!

And yes, very happy with my results!
 
That's great @Antje77 !!! I think more docs are figuring out with CGM's lower numbers can work. My Endo has said she will never question anything I do with a 96% TIR. I would suppose that means having a low percent of lows too as that is what they seem to care about a lot. But my regular doctors don't question my numbers and have actually said to me I am well controlled. I am beginning to wonder if she made a note in my chart ... Mine was just 34, I prefer 32 but I just switched to MDI a few months ago as I was having too many site issues with my pods so I expected it. It's an adjustment and MDI guarantees I wake up with a higher number than I prefer because of DP.
 
Marie 2 said:
MDI guarantees I wake up with a higher number than I prefer because of DP.
Click to expand...
At the moment I don't see any DP thankfully, but when I did I often set my alarm at a relatively low number to alert me when I started to rise, pen already dialled up next to my bed. When the alarm went off I only had to take off the needle cover and jam it in, and silence the alarm of course. Twenty seconds max and back to sleep.
Right now it's only a very mild FOTF, and not even every day, much easier to deal with.
 
My recent one is 46. the same as the last 3 times so quite stable which is nice. The time in range also stays around 80%. But this time I noticed my BS fluctuates less and I am happy about that. All in all it was a good appointment with my DSN who is happy with my results and and is ok with me experimenting on what works best for me. That is quite refreshing comparwd to my previous DSN and endo who would scold me for not following their „textbook“ advice although my results were the same they are now
 
A good DSN or endo are worth their weight in gold, especially if they recognise the importance of positive feedback!
Wonderful results too.

My DSN is an idiot but my endo is brilliant, which works for me and allows me to ignore my DSN.
 
Last one was 49 considering I have stage 5 kidney disease I was told it was excellent . Also historically my Hb1ac was always in the 80s and90s but since the age of the Libre my readings have decreased dramatically
 
I had the same issue, follow Bernstein approach like yourself, which they already don't like for the usual reasons i.e thinking nutritional ketosis is the same as DKA.

Please do DM me, would like to connect with UK based T1's who manage it with Bernsteins approach!
 
Hi, Just spotted it. I'm managing T1 with low car diet + excercise. I think that it would be great to connect and exchange experience.
 
My latest HbA1c is 44 (6.2%) and about 75% TIR with Low 2% and Very Low <1%. My best was in 2023 @ 43, but my endo was unhappy about Lows > 5% (hypos are the reason I was given a pump).

Interestingly my Dexcom 7 (and previously Dexcom 6) almost always overestimates my level by 3-4 points. Exercise and low carb are critical for me to be able to keep in the low 40's. I'd like to get below 40 with very few hypos, but that will almost certainly require giving up my occasional treats of peanut butter on wholegrain toast!
 
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