Over the years my a1c was never “good”. I remember around my teen years it was around 10, probably higher at times. There were reasons it was that high but I’m not going to get into that now.
When I started on the pump 3+ years ago and began religiously counting carbs I noticed a big difference in my bg readings. Not that I didn’t have any highs or lows but there were less of them and less big fluctuations. Yet every time I went to my endo and had an a1c done it was still always in the 7’s , sometimes at the high end of 7. A lot of my appointments ended with me in tears because I was actually working so hard on managing my bg yet my a1c wasn’t a reflection of my hard work. I never really got an answer from Dr. R on why I wasn’t getting results I expected. She told me that it was like math – you can have a B average by getting all B’s or by getting A’s and C’s. That kind of made sense but wasn’t comforting at all. I had a CGM but used it only now & then, when I wanted to get some trends. Then last summer I started using my CGM on a regular basis and here it is over a year later and I haven’t been longer than maybe a day without it. My last a1c done by my endo’s office was 6.8 in June. I had finally gotten an a1c under 7. After 28 years! I’ve also invested in some of the Bayer A1c Now Selfcheck kits to get an idea where I am in between endo vists. I took one of those tests on the same day as my last endo visit and got the same exact result. I’m not saying they are 100% accurate but that comparison increased my confidence in them. A lot. I took another self test last week and could not believe my eyes.
Could it really be that it was my lowest a1c ever? Even if it was off by a little bit that would still mean that I am running in the low 6’s. Still the best I’ve ever had. I personally believe the CGM has a lot to do with the improvement of my bg management. But I’ve also been having a lot of lows in recent weeks. And I believe that is a big reason for the lower a1c. Although I am extremely pleased with a 6.0, I’m not extremely pleased that it means I’m having many lows. So is there a line between an a1c that is within recommended levels and one that is the result of too many hypoglycemic episodes? Is it okay for me to have a recommended a1c even if it means I’m having low blood glucose levels once or more per day? We all know that a lower a1c means less of a chance of complications right? But how low should that number really be? I think this is something I’m going to be discussing with my new endo in a couple of weeks.