High HBA1c but sugar normal

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High HBA1c but sugar normal


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Old 01-23-2012, 11:00   #1
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Default High HBA1c but sugar normal

Hi,

First of all I would like to thank you for taking time to answer my question.

I am a diabetic since 2 years. I am 33 yrs old. My sugar appears to be in perfect control as I do a b-monthly test for fasting and PP sugar. Fasting is always below 100 mg/dl and PP is below 125 mg/dl.

But recently, I did an HBA1c test which was much higher than normal at 12.3%. The average Blood sugar for three months was calculated at: 323.59 mg/dl.

Can you please let me know how the average values were this high even though fasting and PP was normal during this period.

What all measures I can do to keep this parameter under control?

I am doing regular Cardio and weight training in the gym for 1 hour.

I searched the Internet but could not find any specific for HBA1c.

I am using Janumet 50/1000. Once daily after dinner.

Regards,

Faith

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Old 01-23-2012, 11:08   #2
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Quote:
Originally Posted by faithhealer View Post
Hi,

First of all I would like to thank you for taking time to answer my question.

I am a diabetic since 2 years. I am 33 yrs old. My sugar appears to be in perfect control as I do a b-monthly test for fasting and PP sugar. Fasting is always below 100 mg/dl and PP is below 125 mg/dl.

But recently, I did an HBA1c test which was much higher than normal at 12.3%. The average Blood sugar for three months was calculated at: 323.59 mg/dl.

Can you please let me know how the average values were this high even though fasting and PP was normal during this period.

What all measures I can do to keep this parameter under control?

I am doing regular Cardio and weight training in the gym for 1 hour.

I searched the Internet but could not find any specific for HBA1c.

I am using Janumet 50/1000. Once daily after dinner.

Regards,

Faith
Welcome to the Forum.

A difference like that is strange. I would suggest you to repeat the test at a different lab at a different time.

Are you sure you sugar does not run over 300s at other times ? How often do you test your sugar. How many times a day.

You can test for a few days. Test Bedtime, fasting and before and after ALL meals to check if you are ever that high.

But again, try to get the test again.

~ Tony !

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Old 01-23-2012, 11:10   #3
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There are medical cases (varying life span of Red blood cells) where the HBA1C can be higher or lower than actual mean sugars but the difference should not be so much !

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Old 01-23-2012, 11:19   #4
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Originally Posted by tony0611 View Post
Welcome to the Forum.

A difference like that is strange. I would suggest you to repeat the test at a different lab at a different time.

Are you sure you sugar does not run over 300s at other times ? How often do you test your sugar. How many times a day.

You can test for a few days. Test Bedtime, fasting and before and after ALL meals to check if you are ever that high.

But again, try to get the test again.

~ Tony !
Hi,

Thanks for the reply.

My sugar never went above 300.

I was doing lab tests every 2 months and at home every two weeks or so. Sugar was always on the normal side. The maximum PP sugar I got is 180, that was during the early day, when I was starting with the medicine.

I will probably wait for a week or two and then repeat the test in another lab. I will post the result back here.

Faith

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Old 01-23-2012, 11:42   #5
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Quote:
Originally Posted by faithhealer View Post
Hi,

Thanks for the reply.

My sugar never went above 300.

I was doing lab tests every 2 months and at home every two weeks or so. Sugar was always on the normal side. The maximum PP sugar I got is 180, that was during the early day, when I was starting with the medicine.

I will probably wait for a week or two and then repeat the test in another lab. I will post the result back here.

Faith
And how much was your HbA1c two months back ?

If you'd like to share you can tell us more about how you manage your diabetes ?

On another thing, personally I feel testing only once is two weeks is too less. For example how will would you ever know what effect a simple meal like rice and chick peas last Sunday afternoon had on your blood sugars.

My mom is diabetic for last 25 years. I recently found out that the two/three biscuits at her tea time were sending her sugar by over 60-80 points. I have now removed those "diabetic friendly multi-grain" biscuits from her diet..

Regular and aggressive testing works well for me in keeping my blood sugars strictly between 80-100 at all times, before and after meals. (for the last 30 days now)

This is my approach. Yours may vary.

Since you are here I would recommend going to the website Blood Sugar 101 for learning more about target values for blood sugars. Apparently anytime we are over 140 is causing harm to our body.

We are in our 30's and have along way to go !

Anyways as for your original question.... I feel the reading is faulty. HbA1C readings do not change significantly in a week or so. Its more like an average of your sugars for three months. I personally would get this test done immediately to relax my mind !

Hey where are you from, by the way ? I'm in Delhi


~ Tony

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Last edited by tony0611; 01-23-2012 at 11:45.
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Old 01-23-2012, 11:55   #6
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Quote:
Originally Posted by tony0611 View Post
Regular and aggressive testing works well for me in keeping my blood sugars strictly between 80-100 at all times, before and after meals. (for the last 30 days now)
~ Tony
Your positive approach has been an inspiration to me

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Old 01-23-2012, 11:57   #7
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I recently found out that the two/three biscuits at her tea time were sending her sugar by over 60-80 points. I have now removed those "diabetic friendly multi-grain" biscuits from her diet..
Nothing to say apart from

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Old 01-23-2012, 12:30   #8
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As Tony said testing once every 2 weeks is not enough. BG's change throughout the day. For example when I exercise my bg spikes. The best diabetic managment is to buy your own bg meter and use it everyday to track your bgs. When I first started to test at home I realised my highest bgs were when I went 5-6 hours without food. So I started to have more snacks and it helped me control my bg better. Can you tell us what foods you are eating for meals?

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Old 01-23-2012, 12:55   #9
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The formula I use [eAG(mg/dl) = (28.7 X HbA1c) – 46.7] to convert A1c percentages to average blood glucose shows your average slightly lower at 306.31, but unfortunately, still in the ballpark. Am I understanding you correctly that this 12.3 A1c is so much higher than a previous A1c test? What was the previous A1c? Or are you just going by the conversion to average blood sugar numbers?

I'm inclined to think the A1c test is closer to being right, whether the average computes to 323 or 306. If you're testing only every two weeks, there's no way you can know with assurance that you've never been over 300. You may have dawn phenomenon, or something you include in all your meals is spiking you. When you DO test your postprandial, do you test at one hour? That will tell you the spike.

Keep us posted on this, and let us know what the new A1c shows. Meanwhile, follow Tony's & jwags' admonition to test regularly. Record the numbers, and also record what you eat, when you eat it, and what your test reading is at one and two-hour intervals after you eat.

Welcome to DF!




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Old 01-23-2012, 14:19   #10
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You actually don't have a very good idea of what your blood sugar actually is during the day since you're only testing once every 2 weeks. It is very possible to have two or four great numbers a month whilst the rest of the month is a rollercoaster of blood sugar. You need to start testing every day. Your blood sugar is in a critical area right now in terms of complications. This is very dangerous. Is there any way you can test more often?

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