Diabetes: Blood tests don’t reflect daily blood sugar readings?
I’m 30 & I’ve been a T2 diabetic for 7 years now. My a1c’s have always been good but at one point I let taking care of it slide. Since I’m looking at having another baby in the next 2 years I want to make sure I had everything under control. I started seeing a very reputable endo. I got back to testing my blood sugars every day like I should & taking my meds (Metformin 1500 mg/day)
But I’m alarmed at my daily numbers. I’m RARELY below 200. Most often 200-300+. A big time fast might leave me around 150. But when I met with my endo a few weeks ago he said my a1c was only 6.4. I thought it’s impossible! But he said my fructosamine was about normal. He thinks I shouldn’t have readings as high as I do. He switched my Accu chek Aviva with a brand new meter & wants me to check using the new monitor. But I’m getting the same exact readings.
I’m worried with the real high #’s. Why might there be such a discrepancy? I’m SO tired all the time, sometimes unable to get out of bed! I want help!
My testing consists of three of the following each day:
first thing in the morning/before bfast
2 hrs after breakfast
before lunch
2 hrs after lunch
before dinner
2 hrs after dinner
bedtime
regardless of how I’m feeling. I did feel like I was way low once and tested and I was at 100. I just hope I’m not really that high all the time and my body now only recognizes 100 as being low. It used to be 30 is where I’d feel low.
My fingers are clean when I test and I’m getting similar readings from 2 monitors. Maybe it’s just the Aviva. But I’ve never had problems with monitors in the past.
I’ve been on insulin before and actually wouldn’t mind it again. I just want more control over my numbers. Besides if I’ll be getting pregnant again I’ll be on insulin anyways. I just found with insulin I feel better and have more energy. I don’t gain weight on insulin because I’m much more active! But my endo wants me to stay on 1500 mg Metformin. That’s where I’ve been for YEARS!
Kansieo.com
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The 6.4 A1c tells the whole story….youre doing ok. Like me…you probably check more when you feel high…..but youre not as high as you think on a regualr basis.
Doctors are recomending insulin more and more for type 2 diabetics..its much easier….sugars are lower and you are abel to have a broader dier plan. Try an isulin pump….you’ll be miss superdiabetic then.
good luck
Kansieo.com
I am also type 2. My A1C’s run in the high 6’s to low 7’s.
I have never heard of readings anywhere near what you are getting.
Suggest that next time you go for a A1C test take your meter with you and do a test right after the blood is taken. That way you can compare your meter reading with the A1C results.
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Washing your hands carefully and drying before testing?? Using alcohol on finger and not letting it dry before testing?? When are you testing?
The only meter I have found that is exactly with the labs testing my glucose are the One Touch.
The AccuChecks that my insurance company like so much measure 26 points higher!!!
Be careful to wash and rinse hands carefully and don’t put on lotion until after you check glucose level.
Don’t use alcohol on finger then ***** it or you will be testing the glucose level of the alcohol.
Test first thing in the morning when you get out of bed. Test at least 2 hours after a meal.
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The A1C is a three month average, so you may just be running high in the last month so it is not showing up on your A1C yet. I would talk t oyour Dr. about adjusting the meds. Or if you want to get a better base reading, i know how horrible it may sound, but try testing every 3 hours from the time you get up to the time you go to bed. Do that for a few days and see if there is a difference in the numbers just from testing more often. Mine tend to go down the more often i test, without me even making adjustments. However if you are still running high even with testing on a schedule, then something needs adjusting. Trust the meter, and if you dont, test it with the strip testing solution and make sure it is calibrated correctly.
Kansieo.com
Your doctor knows more about your case, also the doctor who you will visit before taking your decision to have a new baby, bacause the reality often differs than your imaginations in what you had wrote and worried about here.
Regards,
Dr. Amgad M. Rabie