why does nobody talk about A1c
Genuine question, and the title is the question: why does nobody talk about A1c.
My TSH moved and it turned out to have nothing to do with glucose at all.
Variability dropped before the average did, which was visible on the sensor and invisible on the lab result.
Continuous monitoring shows the shape: postprandial excursions, overnight behaviour and time in range. Two people with identical A1c can have very different distributions.
Sceptical readings welcome. The confident ones are the ones I distrust.
best — the order this archive was captured in
Certain conditions affect A1c independently of glycaemia. If a result looks inconsistent with the sensor data, that is a question for whoever manages your care rather than for this board.
Disagree — that is an obesity trial endpoint and this thread is about glycaemic control.
postprandial excursions are where most of the improvement shows up first
Yes — the person managing your diabetes is the one to talk to, and this board is explicit about that.
That A1c change is inside the assay’s variability and the interval you measured over is too short.
Retitled — the original quoted an obesity endpoint as a glycaemic one.
A1c reflects average glycaemia over roughly the preceding three months, weighted towards the most recent weeks. It cannot show variability and it lags any change you make.
Agreed on variability. Two people with the same average can have completely different days.
Kept fingersticks alongside the sensor for two weeks to sanity-check it. Worth doing once.
sensor accuracy varies and the first day of a sensor is the worst