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    • 5 hours, 44 minutes ago
      AnitaS likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Only "illness" that makes it really difficult to control my blood sugar is getting steroid injections into my cervical spine or fingers. I leave my basal rate on my pump at 250% and need much higher bolus doses and many "extra" doses if my blood sugar remains really high. I tell the MD's that it turns my insulin into tap water and try to avoid it, experience with having gotten these injections over the past few years has helped, but having blood sugars of 400-500 despite much higher basal and bolus dosing is so frustrating!
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 45 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
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      Randell Cole has commented in the same post you commented in :
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    • 6 hours, 51 minutes ago
      Randell Cole has commented in the same post you commented in :
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      Randell Cole has commented in the same post you commented in :
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    How important is the A1c measurement to you?

    Home > LC Polls > How important is the A1c measurement to you?
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    30 Comments

    1. Molly Jones

      It is very important to keep my A1c normal, but I wish hypoglycemia did not help to lower it!

      2 years ago Log in to Reply
    2. Kathy Hanavan

      TIR is much more important to me.

      2 years ago Log in to Reply
    3. Bob Durstenfeld

      It is still a comprehensive measurement that gives feedback on glycemic control. I agree that Time in Range is useful too. But both are recent developments within my life time.

      2 years ago Log in to Reply
    4. Ahh Life

      Time in range and the standard deviation have become much more important to me. But especially important is the percentage of the time I am in the hypoglycemic range, That’s a little like the time you are exposed to covid–you want to keep it as small as possible. Zero is ideal. How to do it? That’s another very, very long story.

      2 years ago Log in to Reply
    5. Larry Martin

      A1C used to be the standard. Mine was at 5.1 but you know what that means? I am WAY low too much. Time in Range is now the gold standards.

      2 years ago Log in to Reply
    6. Nevin Bowman

      Along with time in range and SD, these are about equal. I aim for less than 6.0 with 95%+ time in range with no lows.

      2 years ago Log in to Reply
    7. brian bloch

      Time in range is as important if not more so

      2 years ago Log in to Reply
    8. Jodi Greenfield

      It is important because it is important to my doctors. I like the time in range information my flash CGM gives me the best because I have very high and very low swings most of the time.

      2 years ago Log in to Reply
    9. Jana Foley

      I put somewhat important. It used to be very important, but now I am more contentious of my time in range as it is more accurate.

      2 years ago Log in to Reply
    10. Gene Maggard

      To me, both A1C and TIR are equally most important. They accomplish different things but added together provide a great benefit both for me and for my doctor.

      2 years ago Log in to Reply
    11. Daniel Bestvater

      Both time in range and A1c are important indicators. If your TIR is good generally your A1c is good. TIR can help reduce the wild hypo-hyper swings.

      2 years ago Log in to Reply
    12. Anthony Harder

      It’s important to me to reach my goal, but changing my A1C day to day is impossible. I work on individual tests on some aspects of diabetes care and long-term aspects. Affect long-term by repeating short term.

      2 years ago Log in to Reply
    13. connie ker

      My Abbott Freestyle Libre gives me time in range and averages by the day, week. 2 weeks and month. It also tells you how many highs and lows or in range numbers you have had. My Dr. still wants lab A1Cs along with all of the other tests that require fasting. I hate fasting labs!!!!

      2 years ago Log in to Reply
    14. Clare Fishman

      Since I have a Dexcom G6, I have found an actual A1C number to be fairly unimportant. I think TIR is a better indicator of blood glucose management. I can manipulate my A1C just by donating blood a couple of weeks before, but I can’t manipulate my TIR as easily.

      2 years ago Log in to Reply
    15. Adrienne Hitch

      I tend to run a bit higher in my A1c than my blood sugar average would suggest so I pay more attention to Time in Range.

      2 years ago Log in to Reply
    16. William Bennett

      Glad to see TIR as weighing as, or more heavily for a good many of us. A1C is an *average* not a *mean,* which means that you can get a splendid A1C by crashing low every few days. That’s why they used to yell at us for having one that’s too LOW, back in the day, as well as too high. “You can only get that number by going hypo–stop doing that!” With CGMs it’s much easier to avoid that, focus on TIR instead. I still find it somewhat useful just as a kind of way marker–as when I broke through the < 6 AIC barrier a year ago, yippee! But only did that (safely) by maintaining an >80% TIR.

      2 years ago Log in to Reply
    17. Sasha Wooldridge

      I agree with the majority of those leaving comments – A1C is important, but TIR is a much more informative and actionable metric.

      2 years ago Log in to Reply
    18. George Lovelace

      A1c will simply be a reflection of what your TIR and SD numbers are.

      2 years ago Log in to Reply
    19. ConnieT1D62

      TIR is the more important indicator to me than A1C.

      2 years ago Log in to Reply
    20. MARIE PEELER

      I agree that TIR is much more important but care about A1C because one can have a 100% TIR running on the high side of the range and still not maximize the A1C. (But one can have a fabulous A1C while having too many lows.)

      2 years ago Log in to Reply
    21. Tim Lors

      Most important to me is TBR (Time BELOW Range). After that, A1C. This combo analysis addresses A1C’s that are deceptive due to excessive lows, and TIR’s that are deceptive due to hovering around 160.

      2 years ago Log in to Reply
    22. Steven Gill

      When l initially got the MEDTRONIC system my a1C rose a bit but it stopped the extremely lower levels I experienced from work/life. Since I stopped utilizing the CGM I’ve had a few lower than “safe” levels so while I expect an improved a1C there are those risks, and yes I’ll tend to snack for specific tasks to prevent those drops. With a CGM I’d vote for the “time in range,” but l now have to use the a1C.

      2 years ago Log in to Reply
    23. NancyT

      Now with CGM availability, A1c is far less important. My doctor doesn’t always order A1cS any more.

      2 years ago Log in to Reply
    24. Janis Senungetuk

      I find TIR far more significant. A1c is an average that doesn’t accurately reflect my daily life.

      2 years ago Log in to Reply
    25. Janice B

      I believe that time in range is much more important.

      2 years ago Log in to Reply
    26. Julian Reeves

      The comments from others are very informative. Time in range does appear to be more important than A1C. I thought it was important because my doctor performs the test and asks the questions.

      2 years ago Log in to Reply
    27. Mary Ann Sayers

      The A1C gives the long view of what I did on a daily basis. I like the accountability. I have a CGM not connected with my pump. I’m waiting to get one that can be connected, so I’ll have a “Closed Loop” system (better known as an artificial PANCREAS!!!)

      2 years ago Log in to Reply
    28. Nicholas Argento

      I said unimportant but that is only part of the answer. I look at my GMI (A1c estimate from CGM data) every week. I look at the average glucose, not the population average for correlation of mean glucose with percent of hemoglobin with a glucose molecule stuck to it in a particular position of that molecule, which is what the A1c actually is. It is the population average applied to the individual. The GMI (glucose management indicator , that is, an A1c generated from CGM data) is your actual average BG level compared to the measured A1c of a population of people using CGM. GMI with a modern system where you use it nearly all the time is more accurate for you. 30% of people have a measured A1c that is 0.4% or more different than the GMI. Many endorsed time in range. I use this daily, set a goal that is tough and try to meet it. It requires me to avoid post meal hyperglycemia, and hypoglycemia, to meet it (90% or better between 70-180). TIR is a better indicator for day to day, allows time below range (hypoglycemia) which is a critical safety indicator. I want both- the A1c-GMI is what has been correlated to risk of complications over time in studies, countless times. It turns out that applying TIR retrospectively to the Diabetes Control and Complications trial showed TIR with fingersticks predicted as well as A1c. Actually, these are highly correlated with each other, but the TIR is more complete. GMI discussed more here: Glucose Management Indicator (GMI): A New Term for Estimating A1C From Continuous Glucose Monitoring Richard M. Bergenstal, Roy W. Beck, Kelly L. Close, George Grunberger, David B. Sacks, Aaron Kowalski, Adam S. Brown, Lutz Heinemann, Grazia Aleppo, Donna B. Ryan, Tonya D. Riddlesworth and William T. Cefalu Diabetes Care 2018 Nov; 41 (11): 2275-2280. https://doi.org/10.2337/dc18-1581 BTW- I am sorry this new format does not allow posting images. A picture (often for me a graph or table) can be worth a thousand words…

      2 years ago Log in to Reply
    29. Cheryl Seibert

      Somewhat important. The A1C is just an average over several weeks so if BGs widely swing very high and very low and trend towards more lows, your A1C looks great, but your control and time in range is horrible. Time-in-Range and Standard Deviation of TIR is much more important.

      2 years ago Log in to Reply
    30. Angela Langway

      I said A1c is very important because it’s one of the tools used to help manage diabetes and anything that helps is very important in my opinion. However A1c alone can be misleading, you can have a high A1c and be having serious lows, but if your highs are high enough and often enough they can cancel out those lows. To really understand you need to go below the surface. I would say time in range would be more helpful and therefor more important, but without a CGM there won’t be enough data to get reliable time in range info. Personally, I feel that the graphs from my CGM & pump data are the MOST important to me, this is where I see the trends, the real numbers behind my A1c and time in range, this is the data that informs my decisions on treatment changes.

      2 years ago Log in to Reply

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