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c/t2dglp1·submitted 5 months ago by u/rui_only_ro

[Question] how do you actually verify glycaemic control

Questionbranch of 6 comments

Slightly embarrassed to be asking this, but: how do you actually verify glycaemic control. My A1c moved and it turned out to have nothing to do with glucose at all. The order things move in, since nobody explains it and it worries people. Postprandial excursions generally respond earliest. Variability tends to narrow…

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6 comments, started 5 months ago
u/fasting_insulin_f37 points·5 months ago

sensor accuracy varies and the first day of a sensor is the worst

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u/hassan_ostergaard-7 points·5 months ago

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

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u/britt_abubakar1 point·5 months ago

That A1c change is inside the assay’s variability and the interval you measured over is too short.

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u/rui_only_roOP0 points·5 months ago

How long between the two A1c measurements?

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u/arne_amankwah1 point·5 months ago

Push back: one sensor reading is not a data point worth acting on, especially in the first day of wear.

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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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