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Question: From Wheaton, Illinois USA: I have been having severe menstrual bleeding for about 5 weeks out of the last 2 1/2 months. My blood levels were determined to be lower than normal--mainly my Hemoglobin, RBC Count, Hematocrit. I have always controlled my sugars very well. My last A1c two months ago was 7%, which was 1% higher than I normally keep it, so I increased my insulin intake dramatically and began a very strict diet. We are starting an ART (in vitro) cycle next week, and I wanted to verify that my A1c level was appropriate. To my shock and horror, my A1c was 10%! I have none of the symptoms of hyperglycemia. I never feel well when my sugars are higher than 150 mg/dl [8.3 mmol/l] (over time). I test several times a day and I am NEVER over 150. I know that I have lost a great deal of blood over the past 2 months, and I also know that I am anemic. Could that be causing this very aberrant A1c result? If so, how can I get an accurate result so that I can determine if it is safe to proceed with the IVF cycle? My questions need urgent consideration, so I am discussing this with my doctor, but I want a second opinion, and someone else might benefit from your answer since this is such a bizarre circumstance I am in. Answer: The A1C can be affected by many factors. A low hemoglobin, depending on the method, may be one of these. Given your circumstances, I would repeat the test at another facility and discuss this with your physician. I definitely agree that if your A1C is that high, I would rethink proceeding with IVF. ABS DTQ-20031108160629 Original posting 7 Dec 2003 Posted to A1c, Glycohemoglobin, HgbA1c and Family Planning

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:51
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