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A1c (Glycohemoglobin, HgbA1c)

I am 29 years old. My husband and I are seriously considering having a child in the very near future. I realize that each laboratory has a different “normal” range for HbA1c levels, but could you tell me what number you recommend for the preconception stages of planning a family?

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My daughter, age 15, has recently gotten her Hemoglobin A1c results back and it was the worst ever: 13.1! Her readings are generally in range, 80-180. How can this Hemoglobin A1c be so high?

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My 14 year old daughter has become very unstable over the last few months with an A1c of 13.8%, and she has had three hospital admissions for ketoacidosis. Her condition seems to keep going down from bad to worse, yet no reason has yet been found for this happening. Any hints would be greatly appreciated.

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I have had my A1c checked twice, and the last level was 6.4%, but my fasting blood sugar was okay, and I am not showing any signs and symptoms of diabetes. What causes my A1c to increase? How do I treat this condition?

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In college, I had to discontinue use of my insulin pump because of lack of good medical coverage. Since then, my A1c has gone up significantly and I want to resume pumping. My doctor will not approve my use of the pump. How can I convince he and my educator to change their minds?

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My 12 year old son is entering puberty. His blood sugars are harder to control. He takes NPH and Humalog. Do you have any suggestions?

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When I check my glucose levels at home, my sugars are always well above where they should, regardless of my diet that day. However, my A1c is always well within range.

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My daughter’s A1c continues to rise. She needs to be 250 to 300 mg/dl [13.9 to 16.7 mmol/L] to avoid a nighttime low. Should we consider doing her Lantus at sometime other than 8 p.m.?

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If one has good control, but high blood sugars just before an A1c test, will the test reflect those highs or overall control for three months?

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My daughter was diagnosed with type 1 at age five. She takes low doses of insulin and has never had tests, not even an A1c. Could she have type 2?

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