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c/t2dglp1·posted 11 months ago by u/camila_vasquez

reading glycaemic control threads from 2024 and half of it aged badly

Results Cold Box ×9 Slow Clap ×2 Clean Column ×2

reading glycaemic control threads from 2024 and half of it aged badly, which sounds obvious until you try to state the evidence for it.

Variability dropped before the average did, which was visible on the sensor and invisible on the lab result.

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.

My eGFR moved and it turned out to have nothing to do with glucose at all.

That is everything I have. The rest is opinion and I have tried to keep it out.

5,885 up / 2,000 down75% upvoted28 commentsid vadt0929 Aug 2025

28 comments

10 in this archive, depth 3

best — the order this archive was captured in

u/arne_nyberg444 points·11 months ago

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.

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u/nora_ramos148 points·11 months ago

What does time in range look like, not just the average?

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u/ingrid_correia224 points·11 months ago

That is a sensor value, not a plasma value, and the two are not interchangeable at that level of precision.

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u/camila_vasquezOP331 points·11 months ago

Panicked over a first-day sensor reading and rebuilt my week around it. It was the sensor.

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u/marta_trevino86 points·11 months ago

time in range is the more informative number and it is newer

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u/a1c_arcMOD361 points·11 months ago

Identifying details redacted from the exported report above.

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u/ice_pack_auditcold chain268 points·11 months ago

Postprandial excursions typically respond earlier than fasting glucose, so the sequence people observe is not a sign that something is not working.

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u/plain_titration220 points·11 months ago

Postprandial excursions typically respond earlier than fasting glucose, so the sequence people observe is not a sign that something is not working.

Disagreeing with this line: that endpoint is from the obesity programme and does not answer the question.

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u/camila_vasquezOP-19 points·11 months ago

A1c, CGM, or fingersticks — which are we discussing?

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[removed]201 points·11 months ago

[removed by moderator]

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About c/t2dglp1

Type 2 diabetes as the original indication: A1c trajectories, CGM traces, hypoglycaemia risk when stacked with sulfonylureas or insulin, metformin combinations, and why the weight-loss conversation sometimes drowns out the glycaemic one.

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