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Type 1: What are your HbA1c test results?

ConradJ said:
Well done you! What has helped you get and keep low?
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I initially got it down to 36 (from 43) by having a LCHF diet then at the end of April I switched to a pump which has allowed me to keep it low while still indulging in carbs. I love the pump. I seem to be able to eat whatever I want and rarely spike over 8, and I get less hypos too :)
 
My latest result was 45 / 6.3% which has stayed the same as the last time it was done in February.
Previous one before going on the pump was 46 / 6.4%, so just down a little.
 
Now 40 (down from 47 three months ago).

My satisfaction was short lived as my DSN and diabetes-specialist Doctor swiftly told me this was too low for someone on insulin.

I take Levemir once in the morning, so they reduced the dose from 28 to 20 units.

I don't follow LCHF, but I do carb count to stay in range. I did have a week when I was going too low (I'm still learning), but I quickly adjusted my carbs accordingly. However, they warned about the times between tests when I could be having hypos (I've lost sensitivity down to 3 since keeping tighter control).

I have a telephone review with my DSN in a week's time to see how the new regime's going. At present, my BG readings have obviously gone up, but I was told they'll settle down in a few days - we'll see!
 
BeccyB said:
You're right @MrBloominggrumpy - just work on your everyday BG levels. If you're getting those better then the HbA1c should improve. It can be good to show how much you've improved and the hard work is paying off though. Or can make you realise you have more tweaking (or major changes in my case!) to do.

Hopefully when you see your new team they will get things like this sorted for the future and you'll have the support you need
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So my HbA....down to 126....and had to get test done myself....so down a fair bit

they kicked me off Dafne owing to hitting my honeymoon 5th month In. ....last 5 days but now have to wait to get on course again ... Six months ...

An still stuck on fixed rate of 7s-5f-5f-7f-7s.....so will post back here in six months an let you know what the HbA is down to then .....but won't be see DNS again for another two monhs I think


Ps....hello again
 
Alasdair said:
What's the deal with this? Why is it deemed risky to have it in a non diabetic range?

Sent from the Diabetes Forum App
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In my case, they're worried about the hypo risk: deemed greater the lower my my HBA1C gets. As I said, they're argument wasn't the readings I presented (mainly good pre-meal scores of 4-7), but what might be happening in between tests as I don't have a CGM. In theory I could be dipping down to 2 or 3 (or less) without realising.
 
Ledzeptt said:
In my case, they're worried about the hypo risk: deemed greater the lower my my HBA1C gets. As I said, they're argument wasn't the readings I presented (mainly good pre-meal scores of 4-7), but what might be happening in between tests as I don't have a CGM. In theory I could be dipping down to 2 or 3 (or less) without realising.
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Since your pre-meal blood sugars are in range I think better advice would have been to start testing in between meals to see if you are indeed going low at these times rather than drastically reducing your insulin dosage...
 
Glad to see you're still with us @MrBloominggrumpy and really pleased you've managed to get your HbA1c down. Keep up the good work and you'll get to DAFNE eventually. Have they got a priority list if people drop out? Just thinking you could argue you should go to the top because you've missed out through no fault of your own.
 
BeccyB said:
Glad to see you're still with us @MrBloominggrumpy and really pleased you've managed to get your HbA1c down. Keep up the good work and you'll get to DAFNE eventually. Have they got a priority list if people drop out? Just thinking you could argue you should go to the top because you've missed out through no fault of your own.
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Not with a DNS team at mo so will have to wait a while for DAFNE an starting to think don't need it ... Dose adjusting myself for near two months now
Will let u all know in six months if done ok
Plus can tell Jeremy hunt I cost less to nhs lol
 
Hi - new to this community - hello everyone.
I have had type 2 for some 15 years and my readings have always fallen in the 7 to 8 range. No matter what medication I take, diet I follow or exercise that I do. Its heartening to see that this by means unique. The team at my local surgery have been trying to get me take insulin for the last 2 years but to me that would stop my 2 month treks (0r at least seriously curtail their scope) that I do every year and so have steadily refused this....has anyone a similar experience?
 
ConradJ said:
Hi @birchy66

How have you achieved your results?
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I keep to a fairly strict diet and try to choose lower GI foods. My daily carb intake swings between 130g and 180g most of the time so I am not following a LCHF diet as yet. I try to keep as active as possible but that usually only involves walking and keeping busy around the house and garden. I don't go to a gym.

Obviously I carb count for bolus insulin and I also adjust my bolus if my pre-meal BGs are higher than I would like, plus I also allow for planned activity or inactivity. I write everything down and keep records - perhaps a bit OTT but it works for me.
 
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