tag:blogger.com,1999:blog-8191128400524019706.post5429665222370116344..comments2024-03-22T05:18:23.597-04:00Comments on Kayla's Life Notes: What is Good?Kayla O'Connellhttp://www.blogger.com/profile/09677392507125490960noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-8191128400524019706.post-86132635013770559202014-03-29T01:39:30.524-04:002014-03-29T01:39:30.524-04:00We may actually have the same family doctor (not e...We may actually have the same family doctor (not even exaggerating). If you are curious (plus I understand if you don't want me to post the doctor's name) I can send you a private message somehow ? <br /><br />Anyways, the confusion that came into play with the nurse is she thought the random or fasting BG listed on the lab report meant that your a1c corresponded to that number. Its hard to explain what she was saying, but my a1c was 8 something at the time but they drew m blood when my sugar was 15 something. So she called me because she thought the lab report said my average sugar was 15 and that is what the a1c of 8 something corresponded to an average sugar of 15. <br /><br />Technically, they say your a1c should be below 7 but that is not realistic for most type 1s without a CGM.<br /><br />I have not heard of many clinics in out area pushing patients to be below 7, some clinics in the US are very big advocates of the a1c being below 6.9 maximum (I think it has something to do with the Endo getting incentives from the insurance companies if he or she has more patients meeting targets.)<br /><br />They say that to get to 6.9 you have to meet CDA targets. So spike to a maximum of 10 mmol for a maximum of 2 hours after eating and spike no higher than 7 any other time. If you deviate from that supposedly you cannot hit 6.9. Not sure if I believe that though. <br /><br />Beth <br />Anonymousnoreply@blogger.com