shirleyalan

[shirleyalan]

hi i am a newbie to the forums I am type 1 after 2 year still finding it hard to cope with and to get my Hba1c down it is still 65.I hopeing to find some advice thankyou.

 

[trophywench]

Hiya!

First thing I want to say is, D is hard to cope with! - so you're perfectly normal there.

Tell us more about you please, in this way we can hopefully suggest things that will help.

How did you come to be diagnosed, what do you do for work, do you live alone, which insulins are you on, have you received carb counting & dose adjustment training, what are the particular things you can't get your head around? (even if there 126 things, seriously, don't NOT say so - there are no questions regarded as 'silly' here, you're amongst friends)

 

[everydayupsanddowns]

Welcome to the forum @shirleyalan

Have you ever been offered an education course to help you balance your doses with carbohydrate, activity levels, stress, alcohol, exercise, illness and the hundreds of other factors that can affect things? DAFNE is a well known one, nut different places have their own versions.

Members here often recommend Ragnar Hanas’s T1 book too, which is a helpful, and practical handbook no matter how old you are.

 

[leonS]

Am I missing something here? An Hba1c of 65 mmol/mol is very low for a type 1. My notes say below 100 "Great heep up the good work" AND below 78 "Danger of hypos"

 

[Bruce Stephens]

An Hba1c of 65 mmol/mol is very low for a type 1. My notes say below 100 "Great heep up the good work" AND below 78 "Danger of hypos"

Really? Those seem high numbers to me. They don't match NICE, for example. 65 seems like a bit high but not very high.

(It's possible the units are different, though I thought in the UK we were all using these standard units or the older percentages.)

 

[leonS]

Really? Those seem high numbers to me. They don't match NICE, for example. 65 seems like a bit high but not very high.

(It's possible the units are different, though I thought in the UK we were all using these standard units or the older percentages.)

My error! I converted 7.0% to mmol/mol some time ago. I recorded the result as 100, but the correct answer is 53. NICE say aim at 6.5%. I can not get near these figures.

A fail in both maths and diabetic control.

The formula is 10.93 times the percentage value then subtract 23.5 but you have to press the right keys on the calculator!

 

[Bruce Stephens]

My error! I converted 7.0% to mmol/mol some time ago. I recorded the result as 100, but the correct answer is 53. NICE say aim at 6.5%. I can not get near these figures.

NICE say 6.5% in some places but 48 in newer ones, and 53 isn't that far from 48. (My last result was 49 but I wouldn't be that surprised (or disappointed) to get 53.)

 

[trophywench]

Only time I ever got into nice low 50s was because of daily hypos, so it wasn't nice at all. I have a very thin line between what's OK and what absolutely isn't with very little grey 'bit low' margin between them. I have long since ceased to frustrate myself by aiming to balance on the knife edge and instead only seek to achieve a much easier to sustain level. However last A1c some time last year was in the 60s and I was doing better until March and knowing I'm much more active in the summer .... this year of course I forcibly haven't been whatever active and wasn't even sposed to have a little walk outside the 7ft confines of our small back garden until the traffic past our house had built back up to normal levels with lorries whizzing past all flippin day hither and yon.