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Confused...converting BG numbers to HbA1c results...think I've made a boo boo...

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

Bubbsie

Well-Known Member
Relationship to Diabetes
Type 2
Been reading my patient notes online...no idea I could do that...until I saw it here...saw BG on diagnosis was 17.4...no idea what means in HbA1c terms...until I came on here no idea what HbA1c was...just used the converter Robin mentioned in her post ...put in my BG at diagnosis (17.4)...asked it to convert from % to mmol...came up as initial HbA1c 167 (now 66)...that can't be right surely...being technologically & mathematically incompetent think I've made a real boo boo...have I done that right?... someone point me in the right direction please...
 
Quick query, when you was diagnosed was it with a finger prick test or blood taken from your arm and sent off?
 
Been reading my patient notes online...no idea I could do that...until I saw it here...saw BG on diagnosis was 17.4...no idea what means in HbA1c terms...until I came on here no idea what HbA1c was...just used the converter Robin mentioned in her post ...put in my BG at diagnosis (17.4)...asked it to convert from % to mmol...came up as initial HbA1c 167 (now 66)...that can't be right surely...being technologically & mathematically incompetent think I've made a real boo boo...have I done that right?... someone point me in the right direction please...
I would give your surgery a call to clarify it
 
9 = 75
48 = 6.5
46 = 6.4
 
Quick query, when you was diagnosed was it with a finger prick test or blood taken from your arm and sent off?
Hi Stitch...it was blood taken from my arm...GP just said BG at17...want you to bring it down to 10...as said no idea (then) what HbA1c was...
 
I would give them a ring to clarify things.
When I was diagnosed I was told what the HbA1c test was and what the results were (mine was 127) and they gave me a target to get it down to.
 
Mine went from 127 to 77 after 3 months.
 
Mine went from 127 to 77 after 3 months.
Wow...almost halved...fantastic achievement Stitch...just found a converter I can use...think its the 'Converter for Dummies' edition...worked out HbA1c at the start 108...now 66...average BG 10.7...b****r...just missed the target GP set of 10.00...see him on 25th...hope he's not smug...might bring my lancets with me just in case...🙄
 
If youre unsure when you see him, just ask him to clarify what all the numbers mean. Its all very confusing and daunting when first diagnosed and sometimes you may even miss things that are said to you. If I think of things before appointments I write it on a post it note and stick it in my BG diary so I have it for next time i'm at the Dr's
 
Been reading my patient notes online...no idea I could do that...until I saw it here...saw BG on diagnosis was 17.4...no idea what means in HbA1c terms...until I came on here no idea what HbA1c was...just used the converter Robin mentioned in her post ...put in my BG at diagnosis (17.4)...asked it to convert from % to mmol...came up as initial HbA1c 167 (now 66)...that can't be right surely...being technologically & mathematically incompetent think I've made a real boo boo...have I done that right?... someone point me in the right direction please...
Just seen this, I've just posted on the morning thread about what the DUK converter is converting. best check with GP what that first reading was, but my guess is that it was a spot test, not an HbA1c otherwise they'd have given it in the new system, as they have done with your recent one. My surgery started giving the new system (alongside the old) a couple of years ago.
 
If youre unsure when you see him, just ask him to clarify what all the numbers mean. Its all very confusing and daunting when first diagnosed and sometimes you may even miss things that are said to you. If I think of things before appointments I write it on a post it note and stick it in my BG diary so I have it for next time i'm at the Dr's
Will do Stitch...good advice...but so frustrating...why don't they tell us...think he thought I would be satisfied with the pills...and a book he recommended...will be having along talk with him...just seen he's made me a twenty minute appointment...want to ask why not given this information...so important...irritating...have a good day...
 
Just seen this, I've just posted on the morning thread about what the DUK converter is converting. best check with GP what that first reading was, but my guess is that it was a spot test, not an HbA1c otherwise they'd have given it in the new system, as they have done with your recent one. My surgery started giving the new system (alongside the old) a couple of years ago.
Thanks Robin...will do...but think I've worked it out now...Dr V...will be getting a grilling when see him on 25th...
 
My surgery, and hospital clinic, have stuck with the old system for now, so no converting and confusion for me yet.
 
I think there's an issue here with confusing three sets of figures.

HbA1C is now reported according the the IFCC standard, which is in mmol/mol. This is the number that typically runs from about 30ish upwards. A 'good' A1C by this standard will be 48 or lower, typically.

Previously, HbA1C was reported according the the DCCT standard, which is expressed as a percentage. Most people who've had diabetes for a long time will be used to thinking of their A1C in these terms. A 'good' A1C by this standard will be 6.5% or lower, typically.

However, individual blood sugar tests (as in, what your blood sugar is doing right now) are measured in mmol/l (in the UK, anyway). This is NOT the same as the IFCC standard.

Where confusion occurs is because the DCCT method of reporting HbA1C gives numbers that are broadly similar to individual blood sugar tests...but not exactly. So it's very easy to talk about an individual blood sugar test being '6.5', but also to talk about an A1C being '6.5' - but these are NOT the same thing.

A converter between DCCT and IFCC units is available here - http://www.diabetes.co.uk/hba1c-units-converter.html

Just to keep things even more confusing, you can also do a conversion between A1C and estimated average glucose (eAG) ie. you can find out what your individual blood sugar readings are generally like, based on your A1C.

A convertor is here: http://professional.diabetes.org/diapro/glucose_calc

The confusion doesn't end there, as other countries also use an entirely different system again for measuring individual blood sugar readings (mg/dl) and other countries will also use eAG instead of A1C!

To cut a very, very long story short though, if your blood sugar reading of 17.4 was in mmol/l (ie. an individual reading), if we assume your average blood glucose was this figure, using the second calculator, this translates to a DCCT A1C of 12.6%, which then converts (using the first convertor) to an IFCC A1C of 114.

Phew!

However, after all of that, there are really only a couple of things you need to know.

You should aim for all your individual readings to be below 8.5mmol/l
You should aim for an A1C of below 48
You should not expect to achieve these readings when you've only been recently diagnosed and you should not beat yourself up if you don't make them. The important thing is to be heading in the right direction, which you certainly are.
 
@Bubsie - Your 17 was possibly a Fasting test, or a random test, but either is simply a snapshot. None of us can have a clue if that was, at that time, any reflection of your then averages.

It is allowable to diagnose T2 on one very high fasting reading I believe (but I haven't back-checked that this morning, so may have mis-recalled that).

Bottom line is what does it really, really, really matter? Bottom line is initially your initial finger pricks were in the teens all the time, now your they are far removed from that. As a data monster, I like starting benchmarks, to then be able to track progress and trends, but if the information isn't there, there's no way of going back to find it. Ask your Doc/Nurse next time you are there, as the systems we patients are able to access don't show all of the available notes; just a summary of the notes. Test results are usually there in full detail, so you would be asking if there was anything further in the Doc's notes. I love System Online. It saves all that ringing up for results nonsense.

My finger prick test conversions always suggest a lower HbA1c that the lab returns, by quite a margin. Initially, I wanted a reason, but I am now reconciled I'll never really have one. It's probably just my body's glycation routine, potentially either the Hb lasting longer than usual, or more likely to glycate than your average bear's. Nobody is ever going to investigate to prove any hypothesis, and I'm now comfortable enough with my stability (for now), that I'm not going too spend too much pocket money on investigating it either.

I think what I'm saying is it takes most of us to really get a grip on our own brand of Diabetes and how our bodies react to out personal method of dealing with it.

My guidance to you would be to look forward. The past can rarely be absolutely proven, but the future can be influenced. I'd suggest you focus on the things you can change and maintain. What's gone is gone.

You're doing well. Don't be derailed by something n the past.
 
I think there's an issue here with confusing three sets of figures.

HbA1C is now reported according the the IFCC standard, which is in mmol/mol. This is the number that typically runs from about 30ish upwards. A 'good' A1C by this standard will be 48 or lower, typically.

Previously, HbA1C was reported according the the DCCT standard, which is expressed as a percentage. Most people who've had diabetes for a long time will be used to thinking of their A1C in these terms. A 'good' A1C by this standard will be 6.5% or lower, typically.

However, individual blood sugar tests (as in, what your blood sugar is doing right now) are measured in mmol/l (in the UK, anyway). This is NOT the same as the IFCC standard.

Where confusion occurs is because the DCCT method of reporting HbA1C gives numbers that are broadly similar to individual blood sugar tests...but not exactly. So it's very easy to talk about an individual blood sugar test being '6.5', but also to talk about an A1C being '6.5' - but these are NOT the same thing.

A converter between DCCT and IFCC units is available here - http://www.diabetes.co.uk/hba1c-units-converter.html

Just to keep things even more confusing, you can also do a conversion between A1C and estimated average glucose (eAG) ie. you can find out what your individual blood sugar readings are generally like, based on your A1C.

A convertor is here: http://professional.diabetes.org/diapro/glucose_calc

The confusion doesn't end there, as other countries also use an entirely different system again for measuring individual blood sugar readings (mg/dl) and other countries will also use eAG instead of A1C!

To cut a very, very long story short though, if your blood sugar reading of 17.4 was in mmol/l (ie. an individual reading), if we assume your average blood glucose was this figure, using the second calculator, this translates to a DCCT A1C of 12.6%, which then converts (using the first convertor) to an IFCC A1C of 114.

Phew!

However, after all of that, there are really only a couple of things you need to know.

You should aim for all your individual readings to be below 8.5mmol/l
You should aim for an A1C of below 48
You should not expect to achieve these readings when you've only been recently diagnosed and you should not beat yourself up if you don't make them. The important thing is to be heading in the right direction, which you certainly are.
I DeusXM I've decided to settle for 'heading in the right direction' for now...still not getting it...will cross examine GP when see him on the 25th.. I am utterly hopeless with figures...thank you so much for trying...
 
@Bubsie - Your 17 was possibly a Fasting test, or a random test, but either is simply a snapshot. None of us can have a clue if that was, at that time, any reflection of your then averages.

It is allowable to diagnose T2 on one very high fasting reading I believe (but I haven't back-checked that this morning, so may have mis-recalled that).

Bottom line is what does it really, really, really matter? Bottom line is initially your initial finger pricks were in the teens all the time, now your they are far removed from that. As a data monster, I like starting benchmarks, to then be able to track progress and trends, but if the information isn't there, there's no way of going back to find it. Ask your Doc/Nurse next time you are there, as the systems we patients are able to access don't show all of the available notes; just a summary of the notes. Test results are usually there in full detail, so you would be asking if there was anything further in the Doc's notes. I love System Online. It saves all that ringing up for results nonsense.

My finger prick test conversions always suggest a lower HbA1c that the lab returns, by quite a margin. Initially, I wanted a reason, but I am now reconciled I'll never really have one. It's probably just my body's glycation routine, potentially either the Hb lasting longer than usual, or more likely to glycate than your average bear's. Nobody is ever going to investigate to prove any hypothesis, and I'm now comfortable enough with my stability (for now), that I'm not going too spend too much pocket money on investigating it either.

I think what I'm saying is it takes most of us to really get a grip on our own brand of Diabetes and how our bodies react to out personal method of dealing with it.

My guidance to you would be to look forward. The past can rarely be absolutely proven, but the future can be influenced. I'd suggest you focus on the things you can change and maintain. What's gone is gone.

You're doing well. Don't be derailed by something n the past.
Yes...given up trying to guess...now I am aware of what I can do to manage 'Betty'... and what HbA1c is...I shall take a different approach when at GP's...Thanks AndBreathe ... mostly in the 7's now...so a vast improvement...
 
What @DeusXM says. Different number & systems and confusion rules.

HbA1C is now reported according the the IFCC standard, which is in mmol/mol. This is the number that typically runs from about 30ish upwards. A 'good' A1C by this standard will be 48 or lower, typically.

Previously, HbA1C was reported according the the DCCT standard, which is expressed as a percentage. Most people who've had diabetes for a long time will be used to thinking of their A1C in these terms. A 'good' A1C by this standard will be 6.5% or lower, typically.
6.5% = 48 I believe.
 
Yes...given up trying to guess...now I am aware of what I can do to manage 'Betty'... and what HbA1c is...I shall take a different approach when at GP's...Thanks AndBreathe ... mostly in the 7's now...so a vast improvement...
Dump your past celebrate your future
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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