A1C levels high but meter readings are ok

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Start Here > New Member Introductions

New Member Introductions Please start by introducing yourself to the rest of our community. We would be grateful if you could tell us a little bit about yourself and your experiences with Diabetes. The main aim of our community is to share experiences, knowledge and help increase the understanding and awareness of Diabetes. The introductions forum is a great place to start with the community. ■ RulesGetting Started With DiabetesForum.com


A1C levels high but meter readings are ok


Closed Thread
 
Shared Thread Thread Tools
Old 10-21-2010, 09:24   #1
Active Member
 
Join Date: May 2010
Location: Ahmedabad, India
Posts: 9


Default A1C levels high but meter readings are ok

Hi!! Can any body explain this. My A1C was 8.43. But my meter readings are between 65 to 180. I check 3-4 times in a week. So, ideally it should be fine with A1C, why so high??

I am on lantus, actrapid and Pioglitazone, Gliclazide.

neeraj is offline  
Old 10-21-2010, 11:23   #2
Active Member
 
onaughmae's Avatar
 
Join Date: Mar 2010
Location: Texas, USA
Posts: 1,590

Member Type
Type 2
Diagnosed in 1981

45 likes received
1 likes given
Default

Quote:
Originally Posted by neeraj View Post
Hi!! Can any body explain this. My A1C was 8.43. But my meter readings are between 65 to 180. I check 3-4 times in a week. So, ideally it should be fine with A1C, why so high??

I am on lantus, actrapid and Pioglitazone, Gliclazide.
What time of the day are you checking? If you are only testing 3 or 4 times a week then you are probably missing the higher readings. I would test more often...especially before meals and at least 2 hours after meals to find out how high you are actually going after meals. I am curious why you test so infrequently, especially since you are taking insulin?

__________________
Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
onaughmae is offline  
Old 10-21-2010, 12:55   #3
Active Member
 
Join Date: May 2010
Location: Ahmedabad, India
Posts: 9


Default Thanks for reply, onaughmae...

Thanks for your reply. I always test my FBS and PPBS levels, twice in a week. My doctor (Endocrinologist) said it's good enough if you check twice in a week. I also check when I feel Hypoglycemic.

I also want to state that my weight is 63 kgs, which was earlier 78 (4 years back when I was not a diabetec), I really want to increase, that has happened in last 6 months, since I started insulin. An increase of 5 kgs, which is now stable.


Quote:
Originally Posted by onaughmae View Post
What time of the day are you checking? If you are only testing 3 or 4 times a week then you are probably missing the higher readings. I would test more often...especially before meals and at least 2 hours after meals to find out how high you are actually going after meals. I am curious why you test so infrequently, especially since you are taking insulin?

neeraj is offline  
 
Old 10-21-2010, 15:00   #4
Senior Member
 
Join Date: Dec 2009
Location: Kansas City, MO USA
Posts: 5,911

Member Type
Type 1
Diagnosed in 2009 as Type 1.5

5212 likes received
9205 likes given
Default

I would test like 10 times in one day, to identify when you are spiking. If you still do not see it, try setting your alarm and testing at night and early pre-dawn hours.

Either the A1c is wrong or there are spikes in there, somewhere.

foxl is offline  
Old 10-21-2010, 15:23   #5
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

Welcome to Diabetes Forum, neeraj.

I strongly disagree with your endocrinologist. You are using insulin and still your numbers are far too high to be healthy. You need to know where your daily levels are to properly administer your insulin doses, and your doctor is giving very bad advice. Take responsibility in your own hands and get this under control. We can help if you are willing.

Thank you for joining us, and keep us posted.




Shanny is offline  
Old 10-21-2010, 15:35   #6
Senior Member
 
Joshua Shorter's Avatar
 
Join Date: Jul 2010
Location: Wichita, KS USA
Posts: 1,090

Member Type
Type 1
Diagnosed in 2010

220 likes received
173 likes given
Default

I agree with everyone else. Your endocrinologist is not helping you out. You need to be testing 4-8 times a day, especially since you are on insulin. You should be testing your FBS everyday and I would test before meals and 1 and/or 2 hours after meals to see what my spikes were.
Also, 180 is too high. There is ample research to confirm that any number over 140 is doing damage to your body. Your body is being damaged at 180 and there is no possible way for you to know when you are going high if you aren't testing.
Please consider what everyone has said. We hope you come back often.

__________________
Quote:
Originally Posted by Adjitater View Post
you didn't do anything wrong. Just remember that getting poked is an unnatural thing for you body and sometimes it just has to say that it didn't like that.
Joshua Shorter is offline  
Old 10-21-2010, 16:30   #7
Senior Member
 
Join Date: Mar 2010
Location: MA, USA
Posts: 1,491

Member Type
Type 2
Diagnosed in 1986

908 likes received
948 likes given
Default

Your A1C is about 190 average BG.
When do you test? test 1 hour after you eat and see what it is.

I am amazed your on insulin and testing only 3 times a week and when you fell low. That is why your BG is so high, you cant make diet insulin and exercise choices with only 3 test a week.

I think your missing the interaction that insulin and food play with your BG.

carbs ALL carbs raise BG some types of food raise BG faster and higher than others. insulin lowers BG you have to match the carbs to the insulin. (that is what your body used to do) now you have to. insulin is not like aspirin, the match is very precise to little insulin and your A1C is high to much insulin and your BG is to low. You cant figure out or adjust the insulin dose testing 3 times a week.

__________________
I am not a doctor this is what works for me
You results may differ
diabetes86 is offline  
Old 10-22-2010, 03:57   #8
Senior Member
 
Richard157's Avatar
 
Join Date: Dec 2007
Location: Kingston, NY
Posts: 3,024

Member Type
Type 1
Diagnosed in 1945

931 likes received
936 likes given
Default

I test 12 times per day. I have found that the more times I test, the more stable my control will be. I use very tight control and frequent testing is an important part of my routine. Tight control has helped me to live 65 years with my diabetes and I am very healthy. I know some diabetics who can test only a few times each day and get alog fine, but I have too many fluctuations in my blood sugar, and 12 times per day works well for me.

Richard

__________________
I have been Type 1 for 73 years. My A1c is 6.2. I pump with the MM 630, and I am using the Dexcom G5.
Richard157 is offline  
Old 10-22-2010, 04:40   #9
Active Member
 
onaughmae's Avatar
 
Join Date: Mar 2010
Location: Texas, USA
Posts: 1,590

Member Type
Type 2
Diagnosed in 1981

45 likes received
1 likes given
Default

I test on average 6-8 times a day

__________________
Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
onaughmae is offline  
Old 10-22-2010, 14:10   #10
Active Member
 
Join Date: May 2010
Location: Ahmedabad, India
Posts: 9


Default such a frequent testing not possible!!

Thanks for reply from you all, Mr Richard and everyone else. Let me explain what kind of cost it takes here in India for me. It's INR 21/- per strip to measure my BG levels each time, so 10 times a day means INR 210/- per day, means monthly cost of INR 6300/-, that is approx one third of my monthly salary!!

Anyway, I would increase my frequency in a systematic way, and YES, I am willing to be my own doctor and follow the forum's members expert advice. Please do help me. Thanks.


Quote:
Originally Posted by Richard157 View Post
I test 12 times per day. I have found that the more times I test, the more stable my control will be. I use very tight control and frequent testing is an important part of my routine. Tight control has helped me to live 65 years with my diabetes and I am very healthy. I know some diabetics who can test only a few times each day and get alog fine, but I have too many fluctuations in my blood sugar, and 12 times per day works well for me.

Richard

neeraj is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
How To Cover High Readings From Prescription Drugs breezeonby Diabetes Treatment 5 09-10-2010 04:02
readings jameshendrix Diabetes 0 08-06-2010 12:43
High Readings All Day-Help! breezeonby Diabetes Forum Lounge 4 05-03-2010 12:54
exercising during high blood sugar levels friendliness Diabetes Complications 10 03-20-2010 06:55
A1C & Meter Readings breezeonby Diabetes 1 03-06-2010 17:35

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 23:26.




Powered by vBulletin®
Copyright ©2000 - 2020, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.