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Type 1: What are your HbA1c test results?

It looks awesome to me! Congratulations!
 
My recent HbA1c is 42. I know that it sounds great but slightly worse than my two previous years where I got 39 and 38. For the past 9 months I'm most of the time on very low carbs and virtually no insulin. This perhaps elevated the results. TIR is pretty much 99% except occasional beer drinking, ice creams or cycling .My recent lowest was 2.6 mmol/L after cycling - scary, I know...but stupidly I thought that if I don't take insulin for weeks, I'm safe with hypos (not true, especially on low carbs). Cholesterol is of course higher than normal so need to discuss with my GP ( who will insist on statins and I will politely refuse).
 
HbA1c
Current result: 46 mmol/mol (6.4%) on 01/05/2025
Previous result: 162 mmol/mol (17.0%) on 21/01/2025

using less and less insulin apparently honeymoon stage the libre2plus estimated a1c: 41 mmol/mol so it wasnt that far off.

DSN complained too tightly controlled :O (increased chance of hypo's) apparently honeymoon stage using less and less insulin both long acting adown a few units a day from 18 to 15, alongside fast acting ratio changed from 1:10 told to 1:15 ... tried 1:20 today CGM whining hypo's a fair bit, but fingerprick test all good always +4 lowest 4.2 when the libre thought 2.8 :O short time ago libre 3.2 fingerprick 4.2. side of tip of fingers starting to get a little sore think i'll wait til current cgm reads<3.5 . will reset alarm to 3.9 when next cgm attached
 
Hi. I was just scrolling to see different results out of curiosity, and indeed your results are astonishing. Can you share any advice how you can manage your glucose levels so efficiently? Any particular diet or/and tricks how to use insulin?
 
Mac Dabrowski said:
Hi. I was just scrolling to see different results out of curiosity, and indeed your results are astonishing. Can you share any advice how you can manage your glucose levels so efficiently? Any particular diet or/and tricks how to use insulin?
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I keep a very close eye on my bg, both with a sensor and with some fingerpricks, and I act quickly to what I see. Often just slightly nudging my bg up with a single bite of an apple or such, or down with a small extra dose of insulin.
I usually choose to eat low carb, because I find it very hard to dose for high carb meals without going high, or high first and then low from correcting too early.
I need very little to treat a hypo, half a winegum usually does the trick of raising me to around 5 if I'm in the 3's. Unless it's a hypo after a high carb meal, with of course a lot more active insulin on board, I don't take chances with those and will treat more aggressively.

While I eat LC, I do like my high carb Belgian specialty beers. Which works well as long as I keep an eye on my sensor telling me if I should slow down a little to let the insulin catch up with the beer, or the other way around.

Having found the right basal dose and eating LC means straightish lines on my Libre. Which makes it much safer to stay in the 4's and 5's than if you're rising and dropping all the time.

I also live alone, which makes it much easier to eat what and when I want of course. And I suppose I'm lucky too.
 
Polska_Gurom said:
130, but they didn't tell me in what, and I don't know what it's measured in
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This would be in mmol/mol, the usual way to measure in the UK.

I take it you are very recently diagnosed, and your 130 mmol/mol hba1c was your diagnotic one.
This should come down soon, once your insulin is starting to do its job.
Hba1c tells you something aout your blood glucose during the past 3 months, and things tend to change quickly once you get tehe proper treatment.
 
What do you do for exercise.

My Hba1c is 5.4 but whenever I exercise I go low pretty quickly. Even if I eat carbs just before I go on a walk or a ride, they seem to stop working until I stop the exercise so it's extremely hard to treat a low while still exercising.

I would say exercise quickly after a meal means I can reduce my insulin by 60%, but outside of this we are sitting steady so need to synthetically increase our bg so it contracts the use of sugar by the body.

Your thoughts?
 
There are a couple of threads on exercise with T1, here's a very long one you may find useful: https://www.diabetes.co.uk/forum/threads/managing-exercise-and-insulin.127691/
 
j.d.ice said:
6.3% or 45mmol. After being type 1 for 58 years
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Hi, 45mmol is a lot better than mine, I am a distance runner, running normally 4 times per week, and need some carbs to maintain my weight. Can I ask, do you eat a low carb diet? And what is your normal insulin regime?? Any advice would be most welcome, thanks!!
 
I think it would be worth starting a new thread with your questions, you'd likely get more response. There are some existing threads on running or other exercise on insulin as well.
 
12.7 certainly higher than It has been recently without any obvious reason. Diagnosis 3 years ago whilst In hospital being treated for Sepsis. There was no clear outcome as to whether one was responsible for the other.
 
Paulcollins14 said:
12.7 certainly higher than It has been recently without any obvious reason. Diagnosis 3 years ago whilst In hospital being treated for Sepsis. There was no clear outcome as to whether one was responsible for the other.
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Are you on long acting insulin only while diagnosed with T1?
Are you being seen by an endocrinologist or treated by your GP?
Are you testing throughout the day to see what your blood glucose is doing so you and your team can adjust your insulin doses?
Sorry for all the questions but something seems to not be going right with your treatment.
 
Paulcollins14 said:
12.7 certainly higher than It has been recently without any obvious reason. Diagnosis 3 years ago whilst In hospital being treated for Sepsis. There was no clear outcome as to whether one was responsible for the other.
Click to expand...


If you were just diagnosed 3 years ago with type 1, it's possible you are still in the honeymoon phase. As an adult when you "get" type 1, your insulin production doesn't suddenly stop. We call that the honeymoon phase. You still make insulin, but it can be erratic and declines over time. So if your A1c was higher this last time, it could mean you have stopped enough of your prior insulin production to need some adjustments on dosing.

The best way to know what is going on is by wearing a cgm or testing consistently to see if your BG is consistently higher than you had been. A1c is a 3 month average, although the prior month plays a heavier influence than the prior two months. But you might need some adjustments to your dosing and need to talk to your diabetes team or doctor.
 
5% again. Or 31 mmol/mol. My insulin requirements have really increased with the hot weather to keep it in this range.
 
I've little to complain about, but I found my record for this year on the NHS app, is 42 (6%), up from 35 (5.4%) last year.

The doc was wary of congratulating me last year with a reading as low as 35, but at the time and since, I believed I was maintaining the stable and steady low range by 'micro-dosing' and a very low-carb diet, plus demanding daily exercise...

...so finding it has climbed to 42 despite my perseverance with everything that made best sense, feels a bit of a let-down.

Is there a private health group (favoured by contributors here) that will check my HBA1C every three months, rather than letting me wait for the NHS annual check?
 
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