Diabetic Clinic & HbA1c
Time for my second diabetes post. Every 2-4 months most of us diabetic folks go to the “diabetic clinic” to check our HbA1c (reflects your average blood sugar readings), height, weight, bloods and have a chat about how things are going.
For years and years my HbA1c has been too high. I think I first “lost control” of my diabetes when I first started doing exams in school. It’s hard enough to pretend to be a pancreas but with added exam stress and comfort eating it gets even more difficult!
For a while it’s been around 11-12% which is far too high. After seeing a dietician and adjusting my carb counting and insulin to carbohydrate ratios I got it down to 9% which is still too high but I was delighted with getting it under 10 and was aiming for the next one to be closer to 7. But this time I went back and it’s back up at 10.6%. I was absolutely devastated. It’s a horrible feeling when it’s too high anyway but when you know you’ve been putting your all into it and thinking about it constantly it’s even worse. It makes me feel like a bit of a failure.
Explanation of what an HbA1c is and what it should be from http://www.diabetes.co.uk/what-is-hba1c.html:
What is HbA1c?
HbA1c occurs when haemoglobin joins with glucose in the blood. Haemoglobin molecules make up the red blood cells in the blood stream.
When glucose sticks to these molecules it forms a glycoslated haemoglobin molecule, also known as A1c and HbA1c.
The more glucose found in the blood the more glycated haemoglobin (HbA1c) will be present.
How does HBA1c return an accurate average measurement?
Due to the fact that red blood cells survive for 8-12 weeks before renewal, by measuring HbA1c, an average blood glucose reading can be returned.
For non-diabetics, the usual reading is 4-5.9%.
For people with diabetes, an HbA1c level of 6.5% is considered good control, although some people may prefer their numbers to be closer to that of non-diabetics.
People at greater risk of hypoglycemia may be given a target HbA1c of 7.5%
Luckily the consultant I had this time was a LOT more helpful than others. So my grand plan involves testing 8 times a day to figure out where I’m going wrong with my doses, weighing out all my food carefully and getting a proper grip of this. I’m not sure exactly how I’ll keep on top of it and stay motivated. Looking at pictures of diabetic neuropathy on Google sometime helps! 😉 (warning – don’t search it unless you have a strong stomach!!)
So now that my WordPress finally (touch wood) seems to be working, I’ll try to keep up to date with how everything goes.
In other news – EXAMS ARE OVER! Summer is here. Stress is gone. So I’ve been able to spend the last few days relaxing and enjoying the rare Glasgow sunshine, with maybe one or two drinks involved. I’m also going to Oban on Sunday to visit my boyfriend’s Gran for her birthday so hopefully the weather holds.
Wish me luck on the dosage alterations! And if any diabetic people have any tips, let me know.