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A1c mystery solved

Member Forum >> Diabetes and Pre-Diabetes Protocol >> A1c mystery solved

t1dtamer

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Posted: 3/20/2019 10:10:59 AM
Edited: 3/20/2019 10:23:46 AM (5)
 
I’ve lived with type 1 diabetes for 35 years. As a result, I have been monitoring my blood glucose daily with fingersticks and a continuous glucose meter (CGM). Average blood glucose numbers correspond, within a range, to a discrete A1c value.

I noted over the years that my A1c number consistently came in at about 0.5% above my average glucose number measured by both my CGM and my meter. I challenged a series of endocrinologists over the last ten years as to why that occurred. My observation was met with disinterest and a lack of curiosity.

Recently, my naturopath ordered a complete blood count (CBC) panel and I was surprised to see that my red blood cell count, hemoglobin, and hematocrit all measured just below the lower lab limit. I had become anemic and it was likely fairly longstanding.

I did a quick Google search on "A1c anemia" and found this 2014 NIH study. It reported that people with iron-deficiency anemia often received A1c results that were about 0.5% above their actual glucose experience.

So I started to supplement with iron about six weeks ago and all three markers improved and moved above the lower lab limit. I rechecked my A1c this week. My glucose meter and CGM predicted an A1c of 4.9%. My A1c measured 5.0%. This is my lowest A1c in 35 years and it corresponds nicely with my actual glucose experience.

I think if my endos over the last ten years had been more curious about this A1c/glucose discordance, they would have discovered my anemia sooner. Of course, if they had just ordered a CBC blood panel, they could have easily uncovered an important health deficit.

Oh well, live and learn!
Tags: A1c,Blood Glucose,HbA1c

PrimalType1

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Posted: 3/20/2019 10:59:16 AM
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t1dtamer

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Posted: 3/20/2019 11:33:12 AM
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Pleegasser

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Posted: 3/20/2019 11:42:02 AM
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Bob Niland

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Posted: 3/20/2019 11:52:26 AM
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t1dtamer

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Posted: 3/21/2019 8:14:35 AM
Edited: 3/21/2019 10:50:53 PM (2)
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