Re: [IPk] Very high HbA1c
- To: email @ redacted
- Subject: Re: [IPk] Very high HbA1c
- From: Diana Maynard <email @ redacted>
- Date: Sun, 08 Dec 2013 17:03:29 +0000
- Reply-To: email @ redacted
- User-Agent: Mozilla/5.0 (Windows NT 6.1; rv:24.0) Gecko/20100101 Thunderbird/24.1.1
Do you think it's mostly post-meal that you're getting problems?
If so, there are a number of things to try.
First, if post-meal results are unpredictable, and you think your carb
counting is pretty good, then you might consider gastroparesis as a
possibility? Or some other digestion-related issue.
In the short-term, you could try going lower carb and seeing if that
helps (in general, the fewer the carbs, the less fluctuation you should
get in your post-meal BG, unless your basals are wrong of course).
Good luck - I'm also one of those people who gets wildly fluctuating BGs
- on seemingly identical days I can have a post-breakfast BG of 17 or 3.
I manage by testing a lot (usually at least 10 times a day) and trying
to keep the carbs down (not always easy with a highly active and
unpredictable lifestyle with lots of travelling!)
On 08/12/2013 16:46, cherrycottage wrote:
> Does anyone have any bright ideas? My last HbA1c was 74. (Should be 20 -42).
> did have a traumatic couple of months but it has never been much below 9 in
> My Diabetic Clinic is in the flux of personnel change at the moment and my
> through friendly just said recently that they have people like me who are
> retired, have non routine lives and never get a reasonable control!
> I do fasting tests when I can get a reasonable BG to start with and adjust as
> instructed. Recently I adjusted carb to insulin from 8 to 7 with quite good
> success and have some quite good days.
> Today I had my exact normal breakfast and went to 2.9 at three hours. I try
> to overdo the correction.
> Lunch was small piece of bread, my daughters home made veggie soup and about
> two Tablespoons of M&S salads which I calculated at 40g. Plus as an
> a gooseberry fool with another 20g as on the packet. 2.5 hours later 17.4.
> have corrected as Omnipod, plus 10% for high level. I am also trying temp
> of +30% for two hours until early supper with family.
> There are so many variables and my Omnipod data doesn't download to my
> computer. My computer is too old and it is not compatible with the ipad.
> Therefore I draw out my own graphs to try to detect a pattern......often
> unsuccessfully. DSN has Never seen a pattern.
> Any ideas for a starting point? I am also writing to my new Consultant as the
> HbA1c of 74 was copied to me with no comment. I have been on CGM waiting list
> for a weeks trial since June.
> I did have CGM for a weeks trial a few years ago but received no help to
> adjust/suggest settings.
> I consider myself as being quite bright, but am really bogged down about
> way to proceed
> Tricia Barker
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