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I lost 20 lbs. 12% of body weight, so why did my A1C go up again?
Diabetes & Endocrine System | Last Active: Aug 12, 2023 | Replies (38)Comment receiving replies
My kid has type 1 and the A1C jumps around. The difference you are describing is so small I cannot believe it has any signficance at all, but my experience is with type 1. I get that it is inching closer to 6.4 but it is a spectrum, not a line. Does your rheumatologist say why they are concerned?
I know thin people with type 2 (and type 1 of course, which is an autoimmune disease not related to weight or exercise).
Do any of your meds cause a rise in blood sugar? Do you test with a meter, before and after meals, when you wake up etc? The A1C is a 3 month average so you cannot always tell what is going on with just that info 🙂
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Hi @annewoodmayo -- I'm agreeing with windyshores here about using a meter and the 3 month A1c not giving specific info. What I have found even more helpful in determining foods that cause a rise in blood sugar is the LibreFreeStyle 14 day monitor. There are other brands and a Libre 2 version that I didn't like due to much less accurate and alarms going off all the time. No annoying alarms with the original 14 day system shown below.
Your doctor needs to write a prescription for it, but the insurance won't cover it. With the the free GoodRx discount (be sure to confirm the price in advance), it's about $75 for a two pack so lasts 28 days. It doesn't hurt at all to apply to the back of your arm and I don't feel it while I'm wearing it. Just have to be careful not to knock it off while washing in the shower. You load a free app (need iPhone 7 or above -- not sure about other phone brand requirements). Then you can just tap your phone to the sensor anytime and it gives you a glucose reading. It also keeps a graph record so you can monitor what is happening even while sleeping. Be sure to tap at least every 8 hours to keep the graph going. I've compared the sensor reading to my finger sticks and it's always within 10 points so it seems pretty accurate.
Even if you only buy this once, it's great for testing everything you eat to see how it impacts your blood sugar. I find it worth the investment even if you only do it one month. I was drinking a lot of high protein breakfast drinks (that also had sugar and stevia) due to a food aspiration issue and discovered those were raising my blood sugar more than candy bars. Who knew? I thought the protein would balance it out. My blood sugar went to 240 after drinking that 8 oz. drink. The 14 day sensor system is so easy to use and no finger sticks. Due to my neuropathy, those finger sticks really smart!
I also recommend seeing an endocrinologist who may even have a free sensor sample to give you. Although mine gave me a free sample of the newer Libre 2 system that I didn't like or find accurate. Endocrinologists are much better at diagnosing blood tests, ratios, related hormone conditions, etc. Best of luck to you.
My A1c does not seem to vary with weight changes.