What is the Magic A1C

By BadShoe Latest Reply 2009-04-02 08:56:50 -0500
Started 2008-03-15 04:04:09 -0500

Our endo has flat out said he doesn't want to see our kids below 6.7. The ability to feel lows is a function of deviation from the norm and that when kid get A1C much lower they don't feel lows as much or at all.

He keeps telling us about one patient (fictitious for all I know) who's parents obsess with low A1C. The doc says the kid is in a constant state of hypo and the parents will not listen to his advising higher targets.

We usually don't get there anyway. The kids are growing like weeds. Growth takes energy, energy is carbs, carbs need insulin, by the growth comes in spikes and keeping balance is tough.

Teens need rational parents to cope with their relative lack of teen rationality. One thing to be rational about is not making diabetes care a symbol of parental control. If parents obsess about A1Cs the kids may rebel against the diabetes care not the parents and you want them to rebel so they move out after college. You also want them to be self sufficient in their diabetes care when the move out.

4 replies

kdroberts 2009-04-02 08:56:50 -0500 Report

Sounds like the doctor is being overly cautious based on one patient. A lower than 6.7 A1c is going to be optimal long term but if getting that lower number includes going hypo on a regular basis then it is probably better to have a higher one and not go hypo. If you think about a non-diabetic child, they will have lower A1cs and lower BG levels so it's not really that a lower A1c is bad, it's the way you get it that's important. If they get their blood sugars in the range 70-100 all the time then I can see no reason why that would be a problem, it would lower the A1c considerably. However, if they are bouncing around in the range 30-150 all the time then you have a problem.

GabbyPA 2009-03-29 09:44:54 -0500 Report

The magic number is like a magic pill...there is not one that works for everyone.
Kids have to be especially though and I admire parents who are brave enough to allow your kids to take care of themselves. Oversight is always there, but rebellion can have really bad results too. I know how difficult it is as an adult to get that number that is healthful, I can't imagine watching your child go thru lows to try to achieve a good A1c...It's like the kids that don't eat to achieve that "vogue" look. I suppose we have to be careful of the pressure we put on our kids to achieve that "magic" number.

John Crowley
John CrowleyCA 2008-03-17 09:12:16 -0500 Report

I guess every endo probably has their own opinion on this one. I know when my son was doing really well and had an A1C around 6, his doc's first question was always about lows. It is certainly a big concern. And I think has to be individually evaluated. My son can detect lows really well and tolerates dropping low (like he doesn't get confused or uncoordinated or start slurring his speech). Not that he likes dropping low or anything, but it has never been really scary.

BadShoe 2008-03-19 12:10:06 -0500 Report

We just had A1C of 6.7 and 7.1 and were happy with that. A big part was the 6.7 in the 14 year old was based on him doing all his own care.

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