Our son, diagnosed a little over 2 years ago, age 4.5 now, just had another A1C yesterday. The result came back today at 6.6 (lab norm 4.4-6.4). His previous A1C, taken several months ago, was 6.75 and 8.11 a year ago (both at the same lab, same norm). Do you feel these last two A1C's are indicating too tight of control? His pediatrician is pleased, but I suspect his endocrinologist will be express concern as she did before. Any recommendations for trying to increase his A1C reading, if necessary? We aim for a target of 6 - 11 mmol and are doing pretty good with it.
HgbA1C [glycohemoglobin] is a test that reflects average control over the past 2 - 3 months. A "near normal" HgbA1C can be obtained by averaging low blood sugars with high blood sugars. You can also obtain a "near normal" HgbA1C by having a lot of normal and near normal blood sugars without a lot of lows. Only frequent blood sugar testing can determine the pattern of blood sugars. If your child is having a lot of low blood sugars, you might want to loosen up on the control even if it means the HgbA1C goes higher. On the other hand, if your child is still in the honeymoon phase and is able to maintain near normal blood sugars without a lot of lows, you should be delighted and enjoy it while it lasts.
Last Updated: Tuesday April 06, 2010 15:08:56
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