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Hba1c result

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runner

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
Feeling really cheesed off - my result is 9.1, up from 8.6 in November and 7. something before that. Really thought it would have gone down again and my control was better. Only consolation is that I'm having fewer hypos. Guess it must in part be due to weight I've put on.... :(
 
Sorry to hear you've been disappointed with your result.

Good nerws about the hypos though.

Any particular times of day you are finding difficult BG-wise?
 
just wanted to say that I'm sorry that you feel rotten about your HBA1C result. I hope you can find out what is causing the problem
 
Thanks both of you. Morning usually the highest, and have tried DAFNE adjustments, but end up having hypos. Have regular hospital appointment and DAFNE follow-up this month, so hopefully get it sorted. Also aiming to loose weight I've put on, and numbers usually much better then.
 
Thanks both of you. Morning usually the highest, and have tried DAFNE adjustments, but end up having hypos. Have regular hospital appointment and DAFNE follow-up this month, so hopefully get it sorted. Also aiming to loose weight I've put on, and numbers usually much better then.

Sorry to hear that the result is going in the wrong direction runner, but good to hear that you have an inkling about the possible reasons and will hopefully be able to get a plan in place. I find personally that if I gain weight then it is a manifestation of other things that probably aren't ideal for my control (less active, maybe not always eating the right things, too much stress, booze etc.), so tackling the reasons for the weight gain also radically improves my control. Any chance of a pump so you can make finer adjustments to avoid the hypos?
 
Thanks Northerner. You've hit the nail on the head! I have asked about pump before, but was told I would be highly unlikely to get one - I think my age is against me.
 
Thanks Northerner. You've hit the nail on the head! I have asked about pump before, but was told I would be highly unlikely to get one - I think my age is against me.

I can't see why your age should work against you - you're still a young woman (you're younger than me, I think!) and have decades ahead of you. Might be worth asking INPUT for advice, as it would seem you qualify on the HbA1c criteria currently, and the difficulties with control if you attempt to get things tighter.
 
Older than you I think - 57. I'll have a look at INPUT before my appointment - thanks.
 
I was 61 last April (ie 2011) and got my pump last May.

There's absolutely no reason whatsoever for age (youth or the opposite end of the scale) to disbar you from getting a pump if a pump is what you need.

Certainly in my area, pumps are not as rare as hen's teeth any more. If our consultants say this patient needs a pump because, then the PCT have to fund that pump. The only thing that does hold it up sometimes is DSN's going on holiday and stuff like that ! (I should have got mine in March but because she was on hols during April we would have been 'abandoned' LOL, so it was put off till after her hols when everyone knew she'd be available and at our beck and call for the first few weeks) (Cos it is a bit, err scary right at the beginning but then of course, most people don't have the resources of the membership of forums like this one to help em 24/7, do they, poor souls !) (what do my hospital think the pump manufacturer's helpline is for I wonder ? LOL)

Except .... I am really not 100% certain that pump guidelines actually include T1.5. Or mention them at all. OTOH IMHO, if you are T1 enough to officially go on DAFNE then you must therefore also be T1 enough to officially get a pump !!!

Turning back to the immediate problem in hand, have you done a basal test recently? Cos if you haven't then you should. ASAP. If your basal ain't right, your bolus never can be. (Still I need talk, I certainly need to do one and I can't seem to get round to it!)
 
I'm on Lantus, but it never seems to last the 24 hours - tried splitting, increasing etc. and found best dosing time was with evening meal - think dosage is right, but you're right - should check it to confirm. Did discuss different basal - might still be an option to think about.
 
Hi runner, i have been on lantus since diagnosis nearly 1 year ago and have struggled enormously, especially like you with morning readings. Put in more and i go hypo put in less stay too high. I have only today been given levimir which i will be trying and if this doesnt work i will be in talks with the hospital dsn about a pump suggested by her as the next step if the levemir doesnt help.
 
Hope the change works for you Brett.
 
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