Regarding Hb1Ac

[sibaprasad_das2000]

Hello,

I have diabetes from may 2016, and now my FBS (120) and PPBS (145), but the Hb1Ac is (>14). so please I need some suggestion to control the Hb1Ac.

[sati006]

My suggestion take PPBS after each meal, i think after certain meal the sugar lvelvs increasing, dont just stick to after breakfast

[Hidden]

Recheck the values , otherwise you are in danger . You certainly need insulin.Talk to Diabetologist immediately .

[drvsreeni]

Dear friend

There is no wonder in having such a variability in ur glucose values and A1c value. This may be due to the glycemic variability you encountered. That means your glucose levels differ according to the difference in your meals and physical activity pattern in different times of a day. If you could make a record of your blood glucose in different times you may spot out at what time of a day the blood glucose increases if at all it does.

Record your blood glucose minimum of 5 times a day using a glucometer at the following timings.

Before breakfast

Two hours after breakfast

Before lunch

Two hours after lunch

Before supper.

With regards ..drvsreeni

[Aiyaraj]

Switch over to LCHF. Check HbA1c after 3 months.

[iminig]

Don't worry there is a solution. It requires a strong will and discipline. Low carb is the real answer to the diabetes problem. The food is good and you can easily stick to it.

Learn more here:

dietdoctor.com/diabetes

[amra232]

Please put a patch in your arm which stays for 14 days and continuously measures the blood sugar 24/7. The data is downloaded twice a week and corrections made. When the data is downloaded the handheld computer prints out a chart and shows the variations in a chart. I had serious variations through the day and was corrected. I am a diabetic Type 2 since 1978. My HbA1c is 6.9

[scp_123 in reply to amra232]

what is the "patch" you are talking about. Where it is available and what is the cost and accuracy

[amra232 in reply to scp_123]

You have to go to a doctor. I live in Mumbai and went to Dr. Nadeem Rais a specialist. The patch has to be put out side the arm and it stays there for 14 days and is controlled by a handheld computer.

It cost me about Rs: 4000 + Doctor's fees.

[Hidden in reply to scp_123]

Freestyle Libre pro

Costs around Rs 2000+ dr fees

Find out any diabeto around.

They will implant it

It u can manage to get the help line of Abbott then they can send a nurse at your home and implant it

They can give u the reading once the 14 days are over

[ShooterGeorge]

FBS & PPBS are mainly the reflections of activities of that & previous days where as HbA1c reflects the activities of previous 90 to 120 days. Hence HbA1c need not be directly correlatable to FBS & PPBS.

[ramana_53]

At initial stages of high blood sugar detected, generally common. The patient has to follow remedial measures strictly, preferably diet, morning walk, yoga, medication etc. It can be controlled and bring to normal level within 2-3 months, provided you strictly follow the remedial measures. I experienced the same problem and felt depression. On consultation and supervision of doctor, I could control and brought to normal level within 1 - 1 1/2 months. (FP- 350, PP >450) TO 145-175.

[ShooterGeorge]

If FBS, PPBS (breakfast), PPBS (lunch) & PPBS (supper) are maintained at the reported FBS-PPBS values for 3-4 months, HbA1c is bound to come down drastically.

My estimation is that it may fall below 7.

Wish you all the best.