A1C has gone up since using CGM.
I was put on CGM since I was having so many night time lows and thank every one on here who helped me through my first few days of this new system. This devise has helped me with my problem of night time lows alarming me and getting me out of bed to treat these is a lot better than waking up in a ambulance with them telling me I was at 26 when they showed up. I always had what I thought was a good A1C level during my Dr. appointments but it has gone up a half point since using CGM system and I am wondering were those night time lows artificially lowering my numbers making me look like I was doing better than I really was. My day time tests have not changed too much running about the same as always but my nights have become much higher running in the 80-150 range up from 26-80. The one good thing , I dont go to bed scared anymore.Has any one else had the same problem with there A1C going up instead of down?
Replies to This Discussion
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Permalink Reply by Melanie Hofmann on -
AIC can go up with less lows. That happened for me too. Unless it is going up into a dangerous range, going up a bit is not a terrible thing. I rarely have lows at night - can't remember the last time that occurred. Is there an educator who can help you get your basal rates corrected?
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Permalink Reply by David C Weisberg on -
What is your A1c? Perhaps the higher reading is a good one. Of course, it went up when you eliminated the dangerous lows. Your night time averages now are what my endocrinologist would be very happy to see and would make no adjustment. Make sure you test immediately before going to bed.
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Permalink Reply by Natalie ._c- on -
In your case, I wouldn't call a rise in A1c a problem! Why would you expect it to go down when you're having fewer lows?
The A1c is NOT the be-all and end-all of assessment of your control. First priority is to minimize dangerous lows, which it appears you have done. That is FAR more important than any A1c number.
I agree that you should check your night-time basals, because it would be better to sleep the night through rather than having to get up to treat a low. After you achieve that, you can look at your other BGs and find out when you tend to go high, and what you might do about it -- could be basals, or an incorrect insulin:carb ratio.
But you're on the right track, girl! -
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