Help needed ...explanation

[Simmo66]

Hi guys
4 th week into my new found problem
On visiting the consultant
She told me that I was admitted to hospital on 140 . I am now down to 110..but ideally . I should be around 50
I know my blood sugar was 29.7 and it’s down to around 6 now
Q. What is the 140 ‍♂️

 

[Drummer]

That looks like your Hba1c level. Shorthand for glycated haemoglobin, which gives an indication of how your blood glucose has been over the last few months before the test.
I was told that I was 'a very bad diabetic with Hba1c of 91, so yours is a bit special - but bringing it down as you have done is good. You should see further decreases as your new blood cells are not moving around in sugary blood, and you must be starting to feel the benefits - I hope.

 

[trophywench]

The HbA1c is literally to amount of spare, unused glucose that has stuck to your red blood cells during the previous 12-ish weeks.

So to begin with there was shedloads and now there's still too much but it's considerably reduced already - so that's great and presumably if you carry on doing whatever you've already done - next time it will be better still!

 

[Simmo66]

The HbA1c is literally to amount of spare, unused glucose that has stuck to your red blood cells during the previous 12-ish weeks.

So to begin with there was shedloads and now there's still too much but it's considerably reduced already - so that's great and presumably if you carry on doing whatever you've already done - next time it will be better still!

Is this some to do with ketones
In the blood stream

 

[Simmo66]

Is this some to do with ketones
In the blood stream

Is there any way of testing this my self

 

[Kaylz]

Hi just checking you are 100% sure on the results you have stated? As your first post said you were up near the 40's I'm sure rather than being in the 20's

Ketones turn your blood acidic but shouldn't make a blind bit of difference on hba1c tests it self, ketones are only really produced with higher blood sugars though so that will make it higher

Yes there are urine test strips to check for ketones and also some blood glucose monitors can check for ketones but very few Type 2's generally need them xx

 

[everydayupsanddowns]

Is there any way of testing this my self

HbA1c isn’t directly related to ketones, no. Non-dietary Ketones are produced in the absence of insulin at elevated BG levels as the body begins to break down fat and then muscle/tissue as it cannot access energy from glucose/carbohydrate.

You can measure ketones either with special ketone strips in selected meters, or with urine strips. Blood strips are more accurate and respond more rapidly than urine strips, but urine strips are MUCH cheaper (£5 per pot of 50 strips vs £2.50 for each blood strip).

 

[Drummer]

Ketones are usually only dangerous when the blood glucose levels are high - hence you being in hospital - for me on my low carb diet and Hba1c down to the top end of normal at 42 I am probably 'in ketosis' most of the time, but along with my blood glucose levels being down, under 7mmol/l most of the time, it is actually a good place to be.
If you can get your everyday tests down into normal numbers ketones are not normally something of concern.