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Type 1 Diabetes
What is an acceptable HbA1c ?
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<blockquote data-quote="Diamattic" data-source="post: 936722" data-attributes="member: 138639"><p>I would say that the only way to avoid complications is to always have your sugars in the 'non-diabetic' range. Including after meals.</p><p></p><p>HbA1c's are a handy tool, but keeping them low does not exempt you from complications later in life. Post meal, and short duration glucose spikes will damage cells while leaving your HbA1c relatively unchanged. </p><p></p><p>Being a ~3 month 'average', the HbA1c wont be effected by 1 or 2 hours of high sugars every day, but your cells will. So having that number as low as possible is always best, it is no guarantee. </p><p></p><p>My HbA1cs have all been around 5.6% since diagnosis, and i can you I still peak above 8mmol/l for roughly 1-2 hours after any meal with greater then 30g of carbs regardless of when i inject my pre-meal bolus. because of this i have just recently (maybe 3 weeks ago) given up eating more then 30g of carbs in meal, and only now have i be able to keep my readings below 7.8mmol/L around the clock.</p></blockquote><p></p>
[QUOTE="Diamattic, post: 936722, member: 138639"] I would say that the only way to avoid complications is to always have your sugars in the 'non-diabetic' range. Including after meals. HbA1c's are a handy tool, but keeping them low does not exempt you from complications later in life. Post meal, and short duration glucose spikes will damage cells while leaving your HbA1c relatively unchanged. Being a ~3 month 'average', the HbA1c wont be effected by 1 or 2 hours of high sugars every day, but your cells will. So having that number as low as possible is always best, it is no guarantee. My HbA1cs have all been around 5.6% since diagnosis, and i can you I still peak above 8mmol/l for roughly 1-2 hours after any meal with greater then 30g of carbs regardless of when i inject my pre-meal bolus. because of this i have just recently (maybe 3 weeks ago) given up eating more then 30g of carbs in meal, and only now have i be able to keep my readings below 7.8mmol/L around the clock. [/QUOTE]
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