First A1C Test results are in!

By alwaystryin Latest Reply 2009-04-15 19:42:34 -0500
Started 2009-04-15 08:02:54 -0500

The first A1C that we are aware of being done has produced results. We used the Relion Home HbA1C test. Mailed it last Saturday and got notified this AM it was ready. Drum Roll…7.5%…!! This was after Novolog was added mid-February.

Now of course, the questions begin. There is a section 'Equating HbA1c to average plasma Glucose' that starts at 5% goes to 12% with an average plasma glucose number next to it. i.e. it shows HbA1c of 7% and avg glucose number of 170. Does that mean that her 7.5% result means her average was around 170?

Also, with the 7.5% number, what, if anything can be done medication wise with that number? OF course that will be a question for the Dr, but you guys are my first choice for info!

8 replies

2009-04-15 19:42:34 -0500 Report

Hi, and it sounds like you got a pretty good report. I also did the Reli-On mail away test and mine came back as 5.7% (I was diagnosed in December.) It's obvious I had diabetes for several months before I knew it because my first test was 13.9% when I was diagnosed with Type 1. They also did a blood draw A1C test at the hospital (the tests were two weeks apart) which came in at 5.9%. This test was 2 weeks ago when I was back in the hospital with insulin problems. I was happy about the 5.7% but found out it might not be so good because I had so many low readings to get it down that low. I'm taking both tests results to MY doctor on Monday and I'll let him tell me where I need to be. Do the same with your tests and let the doctor make the call. I've hear the number can be different for each person. I think it sounds great for a 1st A1C! I've definitely seen much higher and lower! Good luck to both of you! Take care, Angie

kdroberts 2009-04-15 09:54:02 -0500 Report

Forget the charts, I think they are more trouble than they're worth. They measure two completely different things so it's not worth trying to figure it out. 7.5% is above the recommended levels, 7% for the ADA and 6.5% for other organizations, so of course medication can be asked about. However, diet and exercise should come first. Of the medications you have all sorts from pills to injections to insulin, it just depends on what your doctor thinks will be best for you.

alwaystryin 2009-04-15 10:06:33 -0500 Report

2000 metformin a day, 25 lantus at bedtime and novolog on the sliding scale during the day. I reckon more lantus at bedtime? cant change the sliding scale right? So diet and exercise must be the best ticket?

kdroberts 2009-04-15 10:07:33 -0500 Report

Why can't you change the sliding scale?

rbergman 2009-04-15 10:26:15 -0500 Report

Your best bet is to call the doctor. Of course keep in mind that although several of us have doctors that accept the home test results, not all doctors do. They may order their own blood draw A1C test rather than rely on the home test results. Yes a sliding scale can be changed but again, something the doctor would make the final call about. There is a lot of trial and error when it comes to getting the medication just right, if more recently diagnosed it can take awhile to get the right combination that works for you (her). It can be frustrating but it does all work out in the end once the right combination is achieved. I would suggest contacting the doctor about the results and see what they have to say as to what the next step should be whether it be medication adjustments or them doing their own A1C test. Good Luck ~Robin

kdroberts 2009-04-15 10:45:49 -0500 Report

A sliding scale is something different for everyone and is definitely not set in stone. The whole point of them is it is custom to the individual. If yours isn't working quite as well as it should then you need to go to your doctor with a food diary and blood sugar readings so they can adjust the scale. Even when you get it working well, don't be surprised as time goes by if you have to change it again and again.

The first attempt at a sliding scale for somebody is a complete guess on the part of the doctor. They don't pull it completely out of nowhere but it's far from being the perfect scale for you. You have to provide the feedback to them and they need to make small adjustments when needed until you get it right. If you have an ac1 of 7.5% then you probably do need some sort of adjustment to the scale, probably small adjustments to the Lantus as well.

Diet and exercise will help a lot and may mean the scale you have will work. If you feel that right now you are doing what you can do long term then talk to your doctor about adjusting the sliding scale. If you feel you could make changes to diet and/or exercise that will last long term then make those first and when you are comfortable with that see how your numbers are.

John Crowley
John Crowley 2009-04-15 11:16:13 -0500 Report

Note: Sorry, I got confused and was reading too fast. I thought this A1c was for Robin's daughter. That's why my reply was about goals for kids. Oops. Guess I need to slow down :-)

Our Ped Endo has different goals for younger kids. If I remember right, for a child under 10 the goal is less than 8%. His thinking is that a young child is going to be less mature and making tough decisions about low blood sugars could be too much. So he gradually lowers the goals as the patient grows and matures.

So check with your doctor. 7.5% might be right where he wants your daughter to be. And taking into account how often your daughter is dropping too low will certainly be important in making any plans to try to improve the A1c.