From Ann Arbor, Michigan, USA:
I am 31 years old, have had typeá1 diabetes for the last 13 years, and my husband and I are considering pregnancy. I am very worried about any possible "congenital malformations" that my child may end up getting. Although I have high sugars (200-300 mg/dl [11.1-16.7 mmol/L]) several times a week, my HbA1c has consistently been in the normal range (5.8-6.2%). My doctor cannot understand why. Could the low numbers be due to my thalassemia trait? Is it possible that the HbA1c is not an accurate measure of overall control in my particular situation?
You have raised some great questions. First, it sounds like you are worried about a falsely low hemoglobin A1c. Since the hemoglobin A1c level is dependent on a normal red cell survival, anything that causes premature red cell destruction can falsely lower the hemoglobin A1c. Your physician should be able to help you answer this question. Falsely elevated values come from persistent fetal hemoglobin and hemoglobin S because they appear to separate out on the instrument that measures hemoglobin A1c at the same point as hemoglobin A1c. Your doctor can order another test which reflects persistent elevation of blood sugars. Both the glycated albumin and the fructosamine levels reflect average blood sugars over approximately two weeks time. This will allow you to compare to your hemoglobin A1c with the knowledge that hemoglobin A1c reflects the previous three months.
I know that it is a tough decision regarding pregnancy. I wish you the best as you make your decision.
Original posting 29 Jan 2001
Posted to Blood Tests and Insulin Injections
Last Updated: Tuesday April 06, 2010 15:09:18
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.