• 3 months ago

    My A1c

    I have been type 2 diabetic since 1998. My glucose levels are fine but my A1c is going up. It is now at 9. I do not feel bad or have any problems with my meds or daily sugar levels. My doctor is also having trouble dealing with this. He is considering adding an insulin ( I already take Victoza 1.2 units morning and Toujeo 28 units at night), but has not done so yet. Any suggestions?

Responses

  • 3 months ago

    RE: My A1c

    When do you test and what do you consider 'fine'? An a1c of 9 translates roughly to an average glucose of about 210 (11.2 mmol). And typically your post meal numbers will more accurately reflect your a1c.

    There are glycation issues that can affect the a1c, but if you are not testing a lot, you aren't getting a good picture. And you can't go by whether or not you are feeling bad. Your body gets used to high numbers.
      • 2 months ago
        My daily glucose levels range from 76 to 138 (fasting and bedtime); my 2 hours after meals between 139 and 168; I have sent 1 and 2 wks readings to my endocrinologist for fasting, 2 hrs after each meal and bedtime and have yet to reach 200 unless I go "hog wild" which is maybe once in a 3 month period. All lab work is "A+" every three months except A1c; it keeps going up; in the last year 8-8.2-8.4-8.6-9; I am almost 70 and do have HBP and mild R. arthritis
  • 3 months ago

    RE: My A1c

    Hello.

    mrscora01 has give her usual excellent advice. I will just share that for 30+ years my MIL has TD2 and was seeing her primary doctor who never ordered an HBA1C. She just reported her home glucose readings and the doctor adjusted her insulin levels using those numbers only. When that doctor retired a few years ago, my wife got her mom in with our primary doctor. Our doctor ordered an HBA1C and that came back as 10.2. There was already irreversible kidney damage and she had to start dialysis. She passed away this past April.

    So, as mrscora01 said the HBA1C or the fasting glucose numbers are not the whole picture. Both are usually used to determine diagnosis and proper treatment. Continue to take your glucose readings at home, but more frequently - a fasting each morning and at least one other during the day 2 hours after eating. Continue to eat a healthy, lower carb diet and get as much exercise as possible.

    In May 2014 my HBA1C was 9.5. I had not been consistently eating or exercising properly, even though I knew what to do since I was diagnosed in 2001. My doctor added glyburide and insulin to my metformin. That was a wake-up call, so I started working and am still working at being more consistent with healthy eating and activity. By December 2014 my HBA1C was 5.9, so I was able to wean off the glyburide and insulin. I still take metformin and my last HBA1C in May 2017 was 6.2.

    Managing Type 2 Diabetes takes work but it is very worth the effort.

    Blessings,
    -Dave
      • 2 months ago
        Thank you so much for responding and for your excellent advice. I will work harder at what I do to try to manage my diabetes and increase my activities and healthy eating habits.
  • 3 months ago

    RE: My A1c

    If I were you, I would consider changing my diet, eating fewer carbs. Also, exercise. Take a walk after a meal that contains carbs. I would not want to continue taking more and more meds.
  • 3 months ago

    RE: My A1c

    Your diabetes is getting worse...Regardless, how you "feel" (that's why doc is "concerned"). Your best course?

    Eat better. You know what I'm talking about. Choose, wisely, please.
      • 3 months ago
        Note: you may have another condition that's "raging" (internal inflammation). Chronic inflammation will make blood sugars rise. It could be food...or a new drug...or loss of employment...sleep apnea. Anything that "upsets" your immune system, blood sugars go up. Stay calm. Think.