confused ,please help

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confused ,please help


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Old 07-17-2009, 09:49   #1
 
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Default confused ,please help

Hi! to all,
I used to get myself tested for blood sugar fasting once a month or once in two months. Sometime i had got myself pricked in evening around6-7 p.m when it is almost 6-7 hours from my meal.
I always got good values like fasting 85-92 and in evening 95-110 .i am not any medication and i do myself checked as a preventive measure.But yesterday i got my HB A1C test done. I got fasting of 88 and HB A1C value of 9. when i went to collect reports i was surprised and shocked so got checked again with the machine it showed values of 109. I am really confused..can HBA1C be so high with the values i have been getting for last year. or is it possiblity that the report might be wrong.
I request alls enior members who have better understanding to it,please help me understand this.
Thanks

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Old 07-17-2009, 15:04   #2
ett
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Hi! to all,
I used to get myself tested for blood sugar fasting once a month or once in two months. Sometime i had got myself pricked in evening around6-7 p.m when it is almost 6-7 hours from my meal.
I always got good values like fasting 85-92 and in evening 95-110 .i am not any medication and i do myself checked as a preventive measure.But yesterday i got my HB A1C test done. I got fasting of 88 and HB A1C value of 9. when i went to collect reports i was surprised and shocked so got checked again with the machine it showed values of 109. I am really confused..can HBA1C be so high with the values i have been getting for last year. or is it possiblity that the report might be wrong.
I request alls enior members who have better understanding to it,please help me understand this.
Thanks
I was instructed by my Diabetes Educators that "fasting" is at least 8 hours after a meal; and 12 hours would be even more accurate.
So if you are testing only 6-7 hours after eating; then you're not getting an accurate "fasting" reading.

--ET

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4/10/11 - A1c = 4.6 (lab)
10/16/10 - A1c = 5.0 (lab)
8/8/10 - A1c = 5.1 (home test kit)
5/18/10 - A1c = 5.2 (lab)
4/15/10 - A1c=4.8 (home test kit)
2/16/10 - A1c=5.6 (lab)
1/18/10 - A1c=5.1 (home test kit)
10/13/09 - A1c=5.3 (home test kit and lab)
6/17/09 - A1c=5.2 (home test kit)
3/20/09 - A1c=6.1 (lab)
1/26/09 - A1c=9.2 (lab)
1/2/09 - DX Type 2, A1c=11.2, BG Above 800 (lab)
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Old 07-17-2009, 19:08   #3
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Originally Posted by beetal View Post
Hi! to all,
I used to get myself tested for blood sugar fasting once a month or once in two months. Sometime i had got myself pricked in evening around6-7 p.m when it is almost 6-7 hours from my meal.
I always got good values like fasting 85-92 and in evening 95-110 .i am not any medication and i do myself checked as a preventive measure.But yesterday i got my HB A1C test done. I got fasting of 88 and HB A1C value of 9. when i went to collect reports i was surprised and shocked so got checked again with the machine it showed values of 109. I am really confused..can HBA1C be so high with the values i have been getting for last year. or is it possiblity that the report might be wrong.
I request alls enior members who have better understanding to it,please help me understand this.
Thanks
This is why some endo's rely more on CGM (Continuous Glucose Monitors) like the dexcom rather than finger sticks, they are more accurate in the long run. If you had an A1c of 9, then that's supposed to to be pretty accurate since it's a 3 month average of your blood glucose. I'd talk to your doctor about it, and see what he/she says.

B-T-W, I'm a broken record about this, but if your doctor is a gp, then I'd try and get into see an endocrinologist, they specialize in diabetes. I'm not saying that your GP isn't good, it's just that an endo is a specialist.

 
 
Old 07-17-2009, 23:27   #4
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An A1c represents your average blood sugar for a three month period and is affected by your levels at all times of the day, both day and night. Your comparison with a 6-7 hour period on only one day should not be expected to be close to the A1c equivalent. I test 12 times per day and after 3 months I could add up all my numbers and get an average that would be close to the A1c equivalent. I don't actually do that though. Some people enter all there test results on the computer in a special program with their test meter. That program can give an average for any week, month or 3 month period.

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Old 07-18-2009, 08:00   #5
 
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An A1c represents your average blood sugar for a three month period and is affected by your levels at all times of the day, both day and night. Your comparison with a 6-7 hour period on only one day should not be expected to be close to the A1c equivalent. I test 12 times per day and after 3 months I could add up all my numbers and get an average that would be close to the A1c equivalent. I don't actually do that though. Some people enter all there test results on the computer in a special program with their test meter. That program can give an average for any week, month or 3 month period.
Dear Richard,
THANKS FOR YOUR REPLY.
I just wanted to know that mostly getting values like i have been getting well in limits can i get value of hba1c of 9.I have somewhere read that these values show 3 months average and value of 9 corresponds to about an average of 180 ...that means at some time i should be getting any value of 180 or so..even my pp checked today is 135.
Please help why my average can be so high.
I know i might be trooubling you but as you are senior member here and have loads of experience,i expect you to reply.and also i want to tell that i almost hav got done my fasting once in a month and never got any absurd value..all well in limit.and also my last hba1c 4 months back was 5.7 . can it be result of throat infection i am having for last 10-12 days?
Thanks

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Old 07-18-2009, 09:14   #6
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Originally Posted by beetal View Post
Dear Richard,
THANKS FOR YOUR REPLY.
I just wanted to know that mostly getting values like i have been getting well in limits can i get value of hba1c of 9.I have somewhere read that these values show 3 months average and value of 9 corresponds to about an average of 180 ...that means at some time i should be getting any value of 180 or so..even my pp checked today is 135.
Please help why my average can be so high.
I know i might be trooubling you but as you are senior member here and have loads of experience,i expect you to reply.and also i want to tell that i almost hav got done my fasting once in a month and never got any absurd value..all well in limit.and also my last hba1c 4 months back was 5.7 . can it be result of throat infection i am having for last 10-12 days?
Thanks
A lot depend on how you do your finger sticking too. Mine can change if I don't wash my hands the same way every time. If I use a different soap it can change. If I do anything differently it can change. Again I emphasize, an A1c is a three month average, so I would believe it, before I believed the finger sticks. Especially if your not doing a lot of finger sticks. I believe that Richard has said that he does 12 a day. I do at least 7 per day, one 20 minutes before I eat, one 2 hours after I eat, and 1 at bedtime. And 7 is the least I do, today I did one every 2 hours, just to see what my blood was doing, and if I had my basal set right on my pump.

Here are the percentage values from another site:

If your A1C is this: eAG (Estimated Average Glucose) is this:
% mg/dl
10.0% 240
9.0% 212
8.0% 183
7.0% 154
6.0% 126

 
Old 07-18-2009, 14:20   #7
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Infections can definitely cause a rise in BG levels. Some healthy nondiabetics have been known to have infecions or infectious diseases (pneumonia for example) that caused damage to their pancreas and made them Type 1 diabetics. When your throat infection clears up your BG's and your A1c should improve.

Here is a conversion calculator for A1c vs BG values.

A1c/Average Blood Glucose Conversion Using the ADAG Formula

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