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October 29, 1999

A1c (Glycohemoglobin, HgbA1c), Honeymoon

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Question from Minnesota, USA:

My 11 year old daughter was diagnosed with type 1 diabetes seven months ago. Her first A1c was over 11. The second was 6.5. Her most recent was 4.1. This is low. What does this represent?

Answer:

From: DTeam Staff

It suggests that control may be a bit too tight, and so your daughter’s diabetes team might consider relaxing on the amount of insulin given. It might also represent your child going through the honeymoon period but remaining on the same amount of insulin, when she should be reducing the insulin dose.

JS
Additional comments from The Editor:

See also Conventional Versus Intensive Diabetes Therapy in Children with Type 1 Diabetes, which documents cognitive impairments due to hypoglycemia from intensive therapy.

JSH