I'd gotten my A1c back last week and was pretty disappointed in myself when I saw that it had risen to 7.5. It led me to stop using my pump (I know...it takes time, etc., etc...but it was the last straw for me), but when I went to visit my NP, she had said that 7.5 was great and that she recommends type 1's stay above about 6.9. She further explained that going below 6.7 usually requires too many lows, hence the higher recommendation, and as long as I stay below 8, I'd be fine.

I've been under the impression that I should be aiming for 5-7 and above 7 isn't horrific, but isn't good, let alone great. So I'm wondering, what have your doctors told you should be your target range? I know that plenty of people on here get down to the 5's and some even manage getting down to the 4's, but I'm more interested in knowing what other medical teams are recommending, as opposed to your own goals. I'd feel a bit more comfortable having a team that's pushing me to aim the bar high rather than settling for decent, but if 7.5 is considered good by most docs, I'll reconsider.

Thanks in advance!

Views: 3156

Reply to This

Replies to This Discussion

Richard, your posts are always uplifting, thanks ;)

My doctor tells me to aim for 7. My results today were 10.1 ! Out of control. I've had T1 for 50 years. Burned out I guess. But anyway, the answer is 7 from my doctor.
I am type 1 and my endo is reasonably satisfied with an A1C around 7. So are the nurses at the clinic. I read recently somewhere that for older diabetics they start to balance the choice of A1C with the ability to cope with lows. Hence as you age a slightly higher A1C may be the lesser of 2 evils.

It occurred to me that the scale should be sliding and, if someone's is at a 8-9-10 and makes changes to hit a 7, they deserve a round of applause that somebody else would not really deserve for going form 6 to 5.5. Both are still applause-worthy in their own right but the scale and expectations should slide depending on where you are at.

I think the scope of the A1C makes it harder to "beat" as it requires the same tactical approach as just saying "have good BG all the time". To me, it's like a bunch of little projects that you can sort of pick and choose one at a time, fix this number, get that rate, evaluate that activity, etc. Then, by the time you are the 5th or 10th or whatever on your list, the first 3 will have changed again anyway and you'll have to start over.

Geez AR when you put it (your last paragraph) like that it makes me want to cry b/c it is so true :-)

Don't cry, If there were carbs in mushrooms and we ate them, it would be like Mario Kart! ;-)

I had been running 7.5 and above and finally at my Dr's appointment yesterday I got down to 6.4 and my Dr's have always said that when I was in the 7.5 range that it was bad and now at 6.4 she said it was perfect. If she said that my 6.4 was perfect I am just going to try my hardest to keep it at that and not go higher or lower.

I don't ever think I'm *perfect* at a number b/c there's sort of always something to fiddle with to try to improve. If the number is good, that's great but I will still sort of look at stuff and fiddle around with it to make it smoother, the pump *bleep* less or whatever.

I agree with acidRock, there's always room to improve a bit. but take a moment and wrap yourself in that 6.4 and celebrate! Great job!

D'oh, I forgot to say great job on a great achievement too!!

Thanks, it took 10yrs to actually get something right, I was so excited

I think A1C's are very personal and goals should be VERY personalized. I've struggled with my A1C's pretty much my whole life and nothing has made me feel worse than constantly missing the mark, constantly not living up to the goal. And while I think the online community is a great place to find support, sometimes seeing everyone's stellar A1C's just makes the struggle worse. I'm trying everyday ... I wear a pump, I wear a CGM, and I average 6-8 meter tests a day, I play tennis, I mountain bike. And my best A1C ever was an 8.2. And it was hard work to get there.

We all have different life situations and different bodies and therefore, goals are going to vary. If someone lives alone or struggles with nasty lows, then trying to hit a mark that's too low can be fatal. Some people have busy and stressful jobs, family stressors, etc. Some people have limited funds. The list goes on and on.

I don't have a spleen and I believe that affects my tests too -- it affects how long the red blood cells stick around, which affects how much sugar attaches to them. Anyway ... everyone is different. Sorry for the rant ... it's a touchy subject for me.

RSS

Advertisement



REsources

From the Diabetes Hands Foundation blog...

Congratulations Diabetes Advocates Scholarship Recipients!

The Diabetes Hands Foundation and Diabetes Advocates Program is proud to announce and congratulate the members of DA who were granted scholarships to attend diabetes conferences in 2013! Thanks to a generous grant from Novo Nordisk, in 2013 we were …
Continue Reading

La Familia de EsTuDiabetes Sigue Creciendo

El Centro Nacional de Prevención de Enfermedades Crónicas y Promoción de la Salud en el Estados Unidos encontró que a partir de 2002-2009, el 11,8% de los hispanos mayores de 20 años, que viven en los EU, viven con diabetes …
Continue Reading

TuDiabetes Team

DHF STAFF

Manny Hernandez
(Co-Founder, Editor, has LADA)

Emily Coles
(Head of Communities, has type 1)

Emily Walton
(Business Manager)

Mike Lawson
(Head of Experience, has type 1)

Corinna Cornejo
(Development Manager, has type 2)

Heather Gabel
(Administrative and Programs Assistant, has type 1)

DHF VOLUNTEERS


Lead Administrator
Bradford (has type 1)

Administrators
Lorraine (mother of type 1)
Marie B (has type 1)

Teena (has type 2)

Brian (bsc) (has type 2)

jrtpup (has type 1)

 

LIKE us on Facebook

Spread the word

Loading…

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.

© 2013   A community of people touched by diabetes, run by the Diabetes Hands Foundation.

Badges  |  Contact Us  |  Terms of Service