6 posts, 4 contributors
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Popey81
DAFNE Graduate
Royal Glamorgan Hospital Diabetes Centre 5 posts |
I understand that during meals you BG readings can nearly double so they say to avoid checking inbetween. So if every 4 to 5 hours my bloods seem to have good control but in between their going up before coming down, what affect would this have on my HbA1c results?? |
AMcD
DAFNE Graduate
University College Hospital, Galway 38 posts |
BG Results will raise after meals but perhaps not as much as you think. The various insulins have different effects. I had a 24 hour monitor attached for 7 days and I was pleasently suprised that my BG almost flat lined throughout the day and night except after high carb pizza but even with that the results were very good... I use novorapid in a pump... the HBA1C is a measure of your average control. It is used as a guide for overall control si it's an average.Don't be too concerned if your control is good as you state 4 to 5 hours after meals. .. Andy |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
I suppose it will be different for everyone but I found that mid meal numbers where keeping my HbA1c up a wee bit.............. |
Warwick
DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria 423 posts |
I was given the opportunity to wear a CGM (Continuous Glucose Monitor) for a weekend. Up until then, I thought that my BGs were fine after eating muesli as they were generally similar values before and 4 hours after eating it. However, the CGM showed that they were spiking at 17 within an hour of eating the muesli. I haven't touched it since and I now try and avoid foods that have many carbs in them. My HbA1C has dropped from 6.5 to 5.8 as a result. As novorapidboi26 says, injecting or bolusing 15-20 minutes before eating a high carb meal can reduce the spikes. |
AMcD
DAFNE Graduate
University College Hospital, Galway 38 posts |
Novo Nordisk who manufacturer novorapid fast acting insulin have completed stage 3a clinical trials on a modified version of their fast acting insulin that achieves a faster rate of absorption and than novorapid. .. They applied to the FDA for a NDA (new drug application) in December 15.... They have called it onset 1 for type 1 use... if successful in getting to market this insulin will peak quicker than current fast acting insulin and hopefully make some further improvement on reducing post meal spikes. .. Andy |
Popey81
DAFNE Graduate
Royal Glamorgan Hospital Diabetes Centre 5 posts |
Thanks all for the replies. Keep doing what im doing until my next HbA1c test |