A1C Test

By alwaystryin Latest Reply 2009-03-29 22:51:07 -0500
Started 2009-03-24 10:39:23 -0500

MY Wife has not had an A1C test in a very long time and has had Novolog added along with Lantus. I do not understand WHAT can be changed as far as RX's go? My understanding is the A1C gives a longer average of Blood Sugar?

23 replies

2009-03-26 19:28:53 -0500 Report

I am waiting and nervous on the results of my A1C test. It should be emailed to me yesterday, lol. I've got to think it's better, at least I hope so. My one and only test was 13.9 or 13.7. Wish me luck! Angie

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-03-26 21:08:41 -0500 Report

You know I'm praying for you. I'm sure it will be much improved. Especially considering the lows you've experienced over the last while. Be sure to let us know as soon as you get it! Guess you made it down to the Redneck Rivera okay, huh?

2009-03-26 21:13:30 -0500 Report

Thank you all! It's got to be much better!

Diane, I made it through the Redneck Rivera, finally! It's spring break and oh my at the kids on the beach! I would get irritated at them, but I used to act just like them :) Glad to see them having fun. Just makes traffic a nightmare! Love u all! Angie

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-03-26 21:51:20 -0500 Report

I think I was that young once. Can barely remember. They are having fun, I know, but it scares me to know all that takes place during Spring Break.

2009-03-26 21:55:43 -0500 Report

I remember being that young 'once upon a time' LOL I never was allowed to go to spring break anywhere so now I just kick back on the couch and pretend I'm there with all those happy people having the time of my life… :)


Anngelia 2009-03-29 22:51:07 -0500 Report

Angie, I havent been on in several days. Did you get your results back yet? If not hopefully you will tomorrow.

rbergman 2009-03-26 14:18:30 -0500 Report

At our daughters last visit her A1C level went up. She started with a 5.0 but it was 5.9. This brought major concerns from her Ped Endo, as Laura is considered a Double Diabetic…T2 for now leading to T1. The A1C test shows that she could be getting closer to T1 as the oral medications aren't giving her as good of control as they would like. She lost over 11 lbs in 6wks which we thought was great because she had been working hard, however they also said the weight loss could be another factor for her getting closer to T1… because the A1C was higher it prompted other tests to be ran, without the A1C they would not have known there was a change other than some higher BGL's she'd been having with no explanation of why they were higher.
The point I'm trying to make is, a few high BGLs doesn't necessarily mean the medication isn't working properly but an A1C tells soooo much more about true control.

dj7110 2009-03-26 12:36:59 -0500 Report

My doctor just increased my Lantus to 55 units from 50 following my last A1C. It was 8.1 . To my understanding the A1C is supose to be below 7.0 for diabetics. I also was high on TRIG with a 214. I also take Humalog during the day with my meals based on carb intake & B/S reading of around 10 - 20 units with each meal.

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-03-25 22:40:48 -0500 Report

Most of us have had to have adjustments made in medications over time, so, yes, there are a number of changes/combinations of changes that can be used to improve BS numbers. The A1c is very important and really needs to be done every 3 mos., in my opinion. Of course daily testing is imperative. Hope he can get herself straightened out and on an even keel very soon.


Anngelia 2009-03-25 20:47:35 -0500 Report

If you go to healthyoutcomes.com you can learn alot of information and then order an in-home A1c test. So it ends up being free and they even pay the shipping.

Debe Pendice
Debe Pendice 2009-03-25 20:25:03 -0500 Report

I personally have my A1c done on a 3 month basis. I know where my BS stand for a 3 month period and have had good control of them with this test. If your wife hasn't had this done in a while I would question her MD unless he is going by her daily BS log she brings in to him to adjust or add to her medication…

alwaystryin 2009-03-25 20:41:34 -0500 Report

Thanks…and that is what did happen her last md visit. We brought in 30+ days of logs/graphs/std dev charts etc. and he based her med change (doubled lantus to 20) on those. At that time we thought we were within days of deciding on Insurance, but that fell through. So we are going to ask him about an A1C test from Relion that iss taken at home mailed to a lab and the results to us/DR.

Debe Pendice
Debe Pendice 2009-03-25 20:43:37 -0500 Report

I am pretty sure you can buy these A1c tests at Walmarts. I will let other friends on this site tell you how they do it…

2009-03-25 22:29:38 -0500 Report

I have used the at home A1C and it is fairly accurate and $9.00 including the lab and postage here in WI at Walmart.

jsd2005 2009-03-25 20:05:44 -0500 Report

The A1c gives an average of the past three months control of blood sugar ranges. It is a good indicator of control. I would suggest she have one done, especially before changing or adding medication.

kdroberts 2009-03-26 07:37:58 -0500 Report

The A1c is not an average of blood sugar numbers. The charts for A1c to blood sugar are completely manufactured averages and can be WAY off. Blood sugar and A1c measure completely different things. It would be like saying, I got 30 miles per gallon from my last tank so I must have been doing an average speed of 47mph.

It is, for most people, a good indication of control though. For some people it can almost be a waste of time because other factors that affect the result make it so far off a true value it isn't worth doing.

2009-03-24 12:01:50 -0500 Report

If your wife hasn't had an A1C in a long time how do the doctors know to change her meds? I'd be a buzz over that one because that's how the doctors can tell if there is a need for a med change.

Hope I understood that right.

alwaystryin 2009-03-24 12:17:47 -0500 Report

Another great question. She was admitted from the ER initially because of foot ulcer concerns, and the fact her blood sugar was never under 300 for ther period of time in the hospital. This was, in addition to a follow up to her regular MD, the reason for the change in meds. Currently 20 Lantus at bedtime, and the 'sliding scale' for the novolog. We have since started to mainly use the '450/500' rule for establishing insulin per carb intake.

kdroberts 2009-03-24 11:16:11 -0500 Report

A1c is not an average of anything, it's a measurement of how much glucose has bonded with red blood cells. Blood sugar does play into the result, the higher the blood sugar the higher the A1c, but there are other factors that could raise or lower it. Think of it as a completely separate test to blood sugar and work with the guidelines for A1c.

As far as prescriptions go, a lot can be done. There are other longer acting and shorter acting insulins, each with a slightly different profile to novolog and lantus. Also when and how much she takes can also be adjusted. There are other insulins available as well as the insulin pump. Are lantus and novolog not working for her?

alwaystryin 2009-03-24 11:59:00 -0500 Report

Great reply. I think the question I was trying to ask is what can/will change based on the result of the A1C? The current regiment of insulin/oral meds do work, of course within the constraints anyone with this disease contends with

kdroberts 2009-03-24 12:04:16 -0500 Report

if the result is high then the treatment will be changed. It could be diet changes, exercise changes, medication changes, insulin changes. There is a lot that can be done. What exactly does she take? What does she eat? What exercise does she do? What are her blood sugar numbers like?