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Lab results - comments please

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SueinFrance

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I have my first lab results since being on treatment
A1C 37🙂
2 hour post lunch BG 8.9 :(
If the A1C is a sort of average, how can that be? My post lunch BGs are always above normal. can this be targeted? will my treatment change?
Sorry I'm full of questions but I do find that answers are more forthcoming on here than at the doctors...

Also have cholesterol 6.09 and TSH 0.014 but that's another story...
 
Hi Sue

It's very difficult to interpret just one result. So here are some things to consider...

What is your fasting reading? (just after you wake up)
What is your pre-lunch reading?

If FBG is good, and prelunch reasonable, but post-lunch is higher than you'd like then that points the finger squarely at your lunchtime choices. What do you tend to eat for lunches?

If pre-lunch is 8ish and 2 hours after lunch is 8.9 that's pretty good in terms of lunch, but things need looking at earlier in the day (though untimately you might want to do a 1-hour check to see what happens soon after eating just in case your Phase 1 insulin response is impaired and 2 hours is long after your meal 'peak').

BG levels, just like BP will fluctuate through the day, and BG in particular will most likely be significantly affected by food - but without knowing where you are coming from, post-meal numbers are much harder to interpret.

Well done on the A1c 🙂
 
Fasting are stable around 5.5-6.5
I haven't done much pre-meal testing but will do as you say to see where I'm starting from.
Lunch on the test day was a large chicken salad with half a dozen chips and a yoghurt.
thanks for your help 🙂
 
SueinFrance said:
I have my first lab results since being on treatment
A1C 37🙂
2 hour post lunch BG 8.9 :(
If the A1C is a sort of average, how can that be? My post lunch BGs are always above normal. can this be targeted? will my treatment change?
Sorry I'm full of questions but I do find that answers are more forthcoming on here than at the doctors...

Also have cholesterol 6.09 and TSH 0.014 but that's another story...
Click to expand...

That's a great A1c - same as mine! 🙂 (5.5%) I would say that your post lunch reading is only slightly above ideal, but might be worth doing some 1 hour tests as well to see if you are higher at that point. If not, then all is good. I occasionally have much higher levels 2 hours post-meal but they don't last long, so have little impact on the A1c results. I'd say you are doing very well - just need to get that cholesterol down a bit 🙂
 
I wouldn't try to reduce a 5.5 per cent hba1c at all - if that's how it translates and you're not hypo a few times a day, you're doing marvellously.

Little peaks after lunch aren't the end of the world as long as they go back down again as n said.

I have always understood that you shouldn't change what you eat - eat normally (ok so healthily ish) and learn to get the injections to work for your diet (hence the Dafne course, dose adjustment for normal eating!). If it was a plate of fast sugars on the other hand, this would explain a big rise afterwards but chicken salad and chips doesn't sound too bad.
 
I don't know the TSH reference ranges: were they worried about your thyroid at all?- because I think that can cause high cholesterol levels?
Or were they talking about dietary manipulation to get the cholesterol down?
Or is the first blood test too early to say?
(I think that's definitely one for the doctors or someone more experienced that me!)
 
Lizzzie - just for clarity with others reading... I don't think Sue is taking insulin and DAFNE is a course designed for T1 management which T2s are not allowed to attend 🙂
 
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everydayupsanddowns said:
Lizzzie - I don;t think Sue is taking insulin and DAFNE is a course designed for T1 management which T2s are not allowed to attend
Click to expand...

That's right Mike, I am not T2 either!:( prediabetic being treated for those post parandials (was on insulin during pregnancy many moons ago).
I do have thyroxine for Hashimotos and that needs adjusting.
My concern is that those post meal BGs have not budged despite the aggressive treatment as detailed below BUT i suppose that the good AC1 is an indication that the peaks don't stay around for long.
 
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Ah I'm sorry I hadn't read that properly, was miles out of context. Interested to follow your story now, will skip back a bit....
 
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