A1C test ?

By b102009 Latest Reply 2013-01-07 11:17:50 -0600
Started 2013-01-05 17:34:11 -0600

Can an A1C test be "normal" because my BG spikes and drops so often? If so what do I do is there a different test I can do?

10 replies

Sumatrafor1 2013-01-06 07:41:26 -0600 Report

A1C like any other test gives you an idea but it is your actual readings that tell you how you are doing. Yes you can stay in the normal if you have highs and lows as it is an average. Need to be able to control the reading throughout the day equivalent to what someone without diabetes. So after you eat your numbers still should not go up to the 200s and not be able to drop normally so need to have control of diet and readings. If I want to eat something I know will spike I make sure that I am going to active all day from the time I eat it and that helps a lot so take the kids to the zoo or park and walk while they play but stay very active and this works for me with out being a exercise fanatic. But I do have to be active for that treat more so than normal so I plan it so we all meaning kids I enjoy.

Nick1962 2013-01-05 19:42:34 -0600 Report

I don’t know of an alternative test, but the answer to your question is yes, and it is simple math.

If you add:
Example “A” 50+50+190+190 the average is 120
Example “B” 90+90+150+150 the average is also 120
Both averages (which is what an A1C is –an average expressed as a percentage) equal a low to mid 6 A1C (depending on who’s scale you use) and by that measure ALONE would be considered to be good. BUT……. in example “A” we see there is a 140 point spread between numbers and in example “B” only a 60 point spread.

While this might be a good cardiac workout for the heart, I’m of the opinion (just my opinion, consult a professional) that this huge up and down swing taxes the pancreas and liver ( if they are both working properly) unduly.

This is why I kept a food log and BG log/spreadsheet for many years at first. If I couldn’t “flatten” out those high and low curves on the graph my spreadsheet showed through food, I knew something was medically wrong. Through smaller meals and more frequents snacks I did smooth my curves out, and now, after giving Mr. Pancreas and easier time of it, he seems to be thanking me by performing better whenever I have a craving for pizza.

s l k
s l k 2013-01-07 10:24:31 -0600 Report

I'm doing a copy/paste of your post and attaching it to my wall. My A1c went down from 16 to 6.2 and I do still have some swings, although most days I'm pretty steady. Gonna work on that more!

Nick1962 2013-01-07 11:17:50 -0600 Report

I sure hope that is a typo – an A1C of 16? Good job bringing it down from double digits, and I bow and worship you if that 16 is correct!
I’m not sure my post is wall worthy, I just discovered that since I’m a visual person, and my doctor’s time is limited, plotting my numbers in graph format (through my excel spreadsheet) my results were so much easier to interpret. Plus I could “tag” my highs and lows with explanations of what may have caused them. I kept a several running graphs for a year and could quite clearly see my results. That “radio wave” was outside the range for a good 6 months, but by the end of the year I got real close to an almost flat line. I still have highs and lows, but I understand (and can predict mostly) what causes them. Managing diabetes is a job, and I try to be good at my job.

Harlen 2013-01-05 19:22:40 -0600 Report

Yes it can but that means your lows are bad and that can lead to mager bro.
You just may need to count carbs better to cover for what your eating if your on insulin .
Best wishes

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