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hb1ac again

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bigheadmike

Well-Known Member
Relationship to Diabetes
Type 1
hi guys,

my hb1ac just came back at 8.8%, great news i think considering it was over 11% last time. i still dont know what a normal result is though :S
 
Hi Mike, that's a good reduction 🙂 The closer you can get it to 6.5%, the better, as this significantly reduces the risks of complications. A non-diabetic person would probably be somewhere between 4.5-5.5%.
 
thanks, i was on the right track to getting it lower until i saw the "diabetic nurse" he changed my routine around and it sent me in all directions from hypos to hypers. so i have gone to looking after myself again, hopefully next results will be much better


ps i am under a military doctor for most things and they don't have a lot of experience with diabetes so they sent me to the local hospital.
 
lantus 40 unit in the morning and humalog 4-6 unit with meals.

i am very active so eat more than most, about 4000 cals, i am 95 kilo 6'2", normal cholesterol and little fat. i am athletic which in my job is a requirement.
 
bigheadmike said:
lantus 40 unit in the morning and humalog 4-6 unit with meals.

i am very active so eat more than most, about 4000 cals, i am 95 kilo 6'2", normal cholesterol and little fat. i am athletic which in my job is a requirement.
Click to expand...

Interesting, your ratio of slow-acting to fast-acting is the complete opposite of mine. I was on about 10% daily dose of lantus and 90% daily dose novorapid with my meals (now amazingly 0% lantus and 100% novorapid!). I'm also pretty active, although probably not up to military standards! Although you need lots of calories it might be worth considering where those calories are coming from - reducing portion-sizes of carb-heavy ingredients like potatoes, rice, pasta, bread etc. and replacing them with other veg might help with your levels further (not that you haven't done great recently!). What are your waking/fasting levels like? Do you test one or two hours after eating to see how high your levels are going? If you can reduce post-meal spikes that would also really help with your future HbA1c 🙂
 
Hi Mike
Are you on a fixed dose of fast acting? If so you'd do better carb counting so that you cover everything you eat. Apols if this is stuff you already know, but it's carbs you need to count rather than calories to get your insulin dose right. The trick is to work out your carb:insulin ratio (most people start with 10g carb:1 unit insulin and take it from there).
 
Hee hee Willsmum, I never start with the carb ratio because you cannot get that nailed down to the floor and unable to move, UNLESS your basal insulin is 100% correct.

Mike - please have a read of this

http://www.diabetes-support.org.uk/info/?page_id=120

Plus anything else on the same website you fancy reading. No it isn't Diabetes UK and it isn't even anything to do with this forum - but it's all good sensible stuff. Written BY diabetics FOR diabetics.

No medics or commercial considerations in sight.
 
I've sent you a PM Mike.
 
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