I just got my most recent A1C results, and I was very confused to see that it was 6.1. My last one was 5.6 and even that seemed way too high judging by my meter readings. I test a lot, sometimes 12 times a day, and I also eat a lot of the same things so I know how my BG reacts to my diet. My fasting BG has been a little higher recently, but only about 90, and I rarely go over 120 at an hour. By 2 hours I am back under 100. According to my meter, my average is about 100 at the moment. I read somewhere that the A1C corresponds to your average after meal number because that is when glycosylation takes place. This would make some sense because my highest number after eating is around 125. I know Jenny posted about this on her blog. Anyone else have a similar experience? I am also wondering about the fructose test. Has anybody had this? I do eat a mostly vegetarian diet but not a whole lot of fruit.

Tags: aic, bg, meter, test, testing

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Im not real sure why she was upset about the reading in the first place. I think a A1c of 5 something is great no matter what and we are recommended to stay under 7 to stay healthy so....... wouldnt your reading be fine no matter how your looking at it. :)
does a vegetarian diet really work?i was told by my diabetic specialist,i could try that....but all my life ive eaten meats....
Lily,
If it is not something you could stick with in the long term then it is not worth pursuing. Why would she recommend vegetarian? Low carb is the best thing you can do to control your diabetes and that is meat, eggs, cheese, vegies and fat. The most recent reports show that increased fats do not show increased incidence of heart issues, in fact they show the opposite. I think you need a new diabetes specialist.
I concur. It's difficult to restrict carbs on veggie diets, because so many veggie protein foods, such as pulses are about 50% carb
Dear Libby.

Biochemists please chime in at this, since the chemistry is a bit beyond my brain now thanks to many lows.

From the net I found that the formation of glycosylated hemoglobin is a two stage process. Step a) a fast reaction that is reversible. The glucose attaches to the hemoglobin to form a temporary unstable compound. They did not say but it would be reasonable to assume the reaction rate is first order with glucose, that is the rate at which this compound forms is proportional to the concentration of glucose i.e. the higher the BG the faster and more TEMPORARY HA1c forms. More over this reaction has an equilibrium so that if your glucose falls this temporary compound will decompose back into glucose and hemoglobin. Step b) a slow reaction that rearranges the atoms in the temporary compound and turns it into the permanent glycosylated hemoglobin. This compound is permanent and will only be eliminated as the red blood cells get replaced by new ones.

If the above is approximately true, it would suggest that the HA1c depends the most on your daily highs and the more so if they persist for a few hours. This also suggest that one should try to prevent and also treat meal time highs as soon as they are detected. In other words agressive bolus with prompt post meal correction when necessary.

My HA1c are too low compared to the average blood sugar. Your HA1c and average is something I can only dream about at this moment. How do you achieve theese ?
Dear Libby.

In addition to the heavy theory there are more down to earth reasons why we do not agree. The modern glucometers are no longer very accurate because they have cut the measurement time to 5 seconds. Since the FDA allows 20% +/- error which is like the EPA mandating 10 miles per gallon minimum gas mileadge. This gives the manufactures no incentive to make the meters accurate any more. They peddle there stuff based on fancy software and fast measurement. If you think about it, accuracy is way more important than all the showbiz.

When I first developped diabetes I used a Bayer Ascentia that had a 60 second measurement time and was always 5% lower than the lab results. Yes only 5% error and always lower. If any meter peolpe made a 60 second one I would but that one.
CONSIDER THE HbA1C like a guage to measure how much damage has been done by the figurative "knife" of high bloodsugar numbers. a blunt knife--no damage, but as the edge is sharpened, the amount it can do, so to speak, goes up EXPONENTIALLY. Search out any short time highs with the emphasis mentally on the sharpness or damage inducing ability of the deceptively short term but unpleasanlty effective spike in numbers. Protein at about 1:1 with every gram of carb you ingest should take the edge away dramatically as it cuts the rate of absorbtion of carbs in half. Hang in their, the effort is worth it. "Enter the Zone" by PHd Barry Sears--read it. read it.
That's an interesting way of thinking about things. I haven't read "THe Zone", but I shall . I'll try the library first though, because that's free.
I've read most of the postings here, and see the A1C levels that have been put forth, and I would LOVE to have a low level! I'm on a pump, and sure, it has improved, but it's not consistently where the endo wants it.
I know that iron can affect the results of an A1C test, have you added a different multi-vitamin to your regimen? Or started eating huge amounts of spinach. Have you decreased your exercise? Sometimes the simplest things, can mess up the readings.

I have a question for the group as well. My last A1c was 5.4 and I know I should be happy, but I am not. I was told that 4.7 is normal, and that is what I am aiming for. My MD told me as a diabetic (type 2) It is highly unlikely that I could ever achieve a reading under 5. Has anyone here done so? How?
A CGM would give you a much more complete picture of your overall blood sugar management. I would suggest setting up a trial with your doctor. I have always tested very frequently, but until I started with a CGM, I was never able to see the blood glucose levels that I was missing between BG checks.

Doretta
Fit4D Fitness Coach
I'm not sure 6.1 is bad is it? Mine is 6 and I was told by my MD that 6 is good. Some of my BG have been higher than yours, but my A1C has remained at 6 for the past year.

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