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Last three HBA1C readings have been 37/38/40. Sad it's going up :(

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Purple_Panda

Active Member
Relationship to Diabetes
Type 2
So my last three readings from March (37), May (38) and June (40), seem to have been increasing which is concerning me even if they are inside the normal range. I'm wondering if my recent fruit, no added sugar x y z stuffs binges affected the May to June result? I've been really strict since the background retinopathy screening. But what can I do from now on to bring it down further? I'm disheartened it's at 40 now when it went as low as 37.
 
It could be anything. It could be your body's responses changing. It could be the weather. It could be what you ate. It could be anaemia. It could be sleeping too much. It could be not sleeping enough. It could be a mild infection. It could be lower next month. It could be a message to stop trying to do something impossible and to stop blaming yourself for something that is very good and not actually a problem.

This is why, as Maltida-Rose says, you should not be testing so close together. What matters is the general trend and working with that, not trying to micromanage it. You cannot keep going down forever, and you cannot stay static. There will always be variations from minute-to-minute, from day-to-day, from month-to-month.

Going from 38 to 40 is not a problem. 40 is not a problem.

Worrying about perfectly fine levels is a problem.

Do the best you can to manage your levels, and if they are within the normal range that is fine. Some months will be higher than others and that is fine. Keeping doing the best you can and see what they say next time. Trying to find exact causes of variations that are perfectly normal, that are at a perfectly good level will not help you. You cannot judge individual meals or days with an HbA1c, that is why you test before and after eating. You cannot do the impossible.

But if you are concerned about certain foods, cut them out for three months and see what it says then. It may be lower, and it may be a total coincidence, but it seems from this and other threads that is what is important to you. And as much as I do not think you have anything to worry about with your physical health unless things continue to head up and out of the normal HbA1c range, your mental health matters too.

You have asked about your no added sugar foods several times and it seems to me you have to options to choose between:

1/ stop eating those foods and try to get your levels as low as you can.
2/ accept that being in a healthy range is good and eat what you want within that.

You need to decide which matters more to you: the comfort of certain foods, or the comfort of you levels being as low as you can get them. Unfortunately you cannot have both, and this is clearly causing you worry and unhappiness. So it may not be easy, but sadly that is the choice you need to make.

Personally I would pick option 2, you are doing very well overall and if those foods make you happy and your levels are within healthy ranges I do not see a problem. If you go too low that can also be bad for you. And no matter how much you try, you are not going to get so healthy as to gain immortality. And why would you want to anyway if the effort to achieve it makes you unhappy?

Quality of life is as important as quantity of life. People climb mountains accepting the risks. You have to find the balance that works for you.

A level of 37 without the wafers you like.
A level of 40 with the wafers you like.

There is nothing wrong with a 40. Unless the 37 is more important to you than the wafers. Only you know that. Only you can decide that. Sorry, but you have to make that decision.

And stop over testing, it makes it meaningless and is bad for your mental health.
 
I guess your getting Private HbA1c tests so your just wasting your money testing so close together.
 
I guess your getting Private HbA1c tests so your just wasting your money testing so close together.
nope got them at the surgery
 
Agree with the general tenor of the other replies. I'm guessing that the differences found have more to do with the reproducibility of the measurement. 37, 38, and 40 are to all intents and purposes the same result so don't fret about it. I cannot remember what your starting HbA1c was but whatever it was you can take great satisfaction from getting it back down to sub diabetic level. Smug smile in order, not a frown!
 
I wouldn’t worry about such small increases . It could just be a simple matter of a normal variance of lab testing.

Also as your Hb1ac is being done so frequently, most places wait at least three months before the next one, the latest Hb1ac is covering a period of time of the previous one., so their is an overlap,, which is not a great idea .

Have they explained why they are doing the Hb1ac so frequently
 
Are you requesting the hba1c this frequently or is your GP requesting it?
 
March was the three month requested one I think. May a little earlier but still ok. This most recent one I was having other tests done so it was done with that.
 
March was the three month requested one I think. May a little earlier but still ok. This most recent one I was having other tests done so it was done with that.
If you were having tests for other things then those conditions being tested for could easily have influence on your HbA1C eg infection, anaemia, and a few others I believe which could explain it.
 
37, 38, and 40 are to all intents and purposes the same result

You beat me to it.

I might be wrong but I'd be surprised if these tests were accurate enough to be able to truly distinguish between those numbers.
 
@Purple_Panda Gosh; I'm shocked that the GP's are offering tests that shouldn't be done so close together. I'm lucky to get through to my GP on the phone, nevermind getting unnecessary/inaccurate blood tests done. To me that is a waste of valuable resources.......
 
Hopefully you can relax a little after these replies @Purple_Panda

Your results are fairly stable - Certainly the May and June results would have overlapped quite a lot and both measured a proportion of red blood cells which were in circulation for both checks.

Perhaps the slight indication of a ‘direction of travel’ will help you to resist any binging urges over the next few months, and be extra careful with your eating?
 
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