July 21, 2004
A1c (Glycohemoglobin, HgbA1c), Blood Tests and Insulin Injections
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Question from India:
My daughter was diagnosed with type 1 diabetes in July 2002 when she was 13 years old. Her blood sugar fluctuates from 70 to 300 mg/dl [3.9 to 16.7 mmol/L] in 24 hours, even with four injections per day and daily blood sugar testing. Her A1c remains below 7.0. Is this treatment reasonable? Insulin pumps are still not affordable in India.
Answer:
From: DTeam Staff
An A1c less than 7.0 is good, but those blood sugar fluctuations are not good. You should ask your diabetes team about switching to insulin glargine Lantus, a long lasting insulin analog that can help lead to more target readings. It is often given as a separate shot at bedtime. Short-acting insulin, such as Humalog or NovoLog is then given for each meal or snack eaten.
AS
