24 months in and metformin is still the thing I get wrong
Reporting in. 24 months in and metformin is still the thing I get wrong. 24 months. Those are measured, not estimated, and not rounded up in my favour. My ApoB moved and it turned out to have nothing to do with glucose at all. Incretin-based agents stimulate insulin secretion in a glucose-dependent manner, which is…
The three numbers, and what each one can and cannot tell you.
A1c is an average over about three months, weighted to the recent weeks. It cannot show variability and it lags change. Continuous monitoring shows the shape — excursions, overnight, time in range — and is where improvement usually becomes visible first. Fingersticks are point measurements, useful for sanity-checking a sensor and for specific questions.
Most of the frustrated posts here come from expecting one of the three to answer a question that belongs to another. And all three are inputs to a conversation with whoever manages your care, which is not this board.
What does time in range look like, not just the average?
Correcting myself: 16 weeks between those two A1c results, which is too short an interval to interpret.
Kept fingersticks alongside the sensor for two weeks to sanity-check it. Worth doing once.
Have you taken this to whoever manages your diabetes?
Postprandial excursions flattened out first and the fasting number took months to follow. Nobody had told me to expect that order.