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    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
    • 37 minutes ago
      Donna Condi has commented in the same post you commented in :
      In your own words, how would you describe the feeling of a severe low?
      Before Dexcom it was in the middle of the night and my husband woke me up because he said I felt very clammy to him. I was sweating profusely. I could barely think to get out the words to him to go get my bottle of juice from the fridge. I asked him to get my meter so I could check my bs. And it was no surprise that the number 21 came up.
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    How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?

    Home > LC Polls > How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
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    Based on your responses from yesterday's question (what you usually do before exercise), what would you say is your ideal blood glucose range before engaging in 30 minutes of moderate-intensity aerobic exercise (i.e., working hard enough to raise your heart rate and break a sweat but still be able to talk)?

    Sarah Howard

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    49 Comments

    1. AnitaS

      It is a little useful if I look at the deviation on my blood sugar range. However, it is very useful if I have a good time-in-range but have not looked at how variable my sugars are

      2 months ago Log in to Reply
    2. Jneticdiabetic

      I put “a little useful.” A1c is a helpful benchmark, but doesn’t really inform specific insulin dose adjustments like my pump/CGM reports do. I was happy to recently get my A1c down to 6.8% with fewer lows after years in the mid 7% range. This is about a year after switching to Tandem/Dexcom with Control IQ.

      4
      2 months ago Log in to Reply
    3. Ahh Life

      A little. And certainly not as God-awesome as the TV commercials touting CGM’s for everybody. Bah humbug for them. 🤢🤢🤢

      3
      2 months ago Log in to Reply
    4. Jordan Harshman

      Time in range is much more useful to me.

      7
      2 months ago Log in to Reply
    5. fletchina

      It’s useful in assessing management, but not in making changes to my routine.

      5
      2 months ago Log in to Reply
    6. mojoseje

      Being able to call up a thirty-day summary on my pump is more useful.

      1
      2 months ago Log in to Reply
    7. dave hedeen

      Very understates CGM importance! My trial 780g keeps me between 108 & 116 regardless where my evening begins

      2 months ago Log in to Reply
    8. Janice Bohn

      Time in range and standard deviation is much more accurate and helpful

      10
      2 months ago Log in to Reply
    9. Flo Bachrach

      A little useful – mostly because doctors seem to view it as the holy grail, at least in my experience. However, I feel that CGM data (time in range, standard deviation, and average glucose) make A1C an obsolete measurement. If you’re using a CGM, A1C isn’t going to tell you anything you don’t already know.

      7
      2 months ago Log in to Reply
      1. lis be

        so many doctors need re-training!

        2 months ago Log in to Reply
    10. Mick Martin

      I answered ā€œa little usefulā€ as HbA1c is a helpful benchmark, but TIR (Time in Range) is MUCH more informative in my humble opinion. (HbA1c does tell you when your blood glucose levels were high or low, only an ‘average’ of what they’ve been over the previous 3 months.)

      6
      2 months ago Log in to Reply
    11. Lyn McQuaid

      I put ā€œotherā€ because I am not sure how accurate it is? I find that my A1c varies greatly from my Dexcom 30, 60, and 90 day averages. For example, my A1c will be 5.4 while by Dexcom averages indicate the A1c should be more like 6.1. Not sure why there is such a discrepancy?

      1
      2 months ago Log in to Reply
    12. Carrolyn Barloco

      Medicare requires A1c at my clinic. It’s a nuisance to go to the lab for a blood draw. Time in range is a much more helpful measurement to me.

      5
      2 months ago Log in to Reply
    13. TomH

      As I’ve noted previously, I have a CGM and depend more on GMI, TIR, StdDev, and COV; I can adjust these for today, the last week, the last month for current status. A1c is in the mix and used, but is too reflective for essential value. For those without CGM, though, it has much more meaning.

      4
      2 months ago Log in to Reply
    14. Drina Nicole Jewell

      I prefer TIR for decision making on tweaks and adjustments to all dosing. It’s much more helpful.

      4
      2 months ago Log in to Reply
    15. Carl Robertson

      A1c is nice, but Time in Range is more useful.

      9
      2 months ago Log in to Reply
    16. Derek West

      I track my results using an Excel spreadsheet and make adjustments based on that data. I find the A1c a good confirmation that I am making the right adjustments, but I would not be able to make adjustments based on A1c alone.

      2
      2 months ago Log in to Reply
    17. Bonnie kenney

      My Dr and I look at time in range!

      1
      2 months ago Log in to Reply
    18. Lawrence S.

      While I find the A1C number “useful”, I do not make any changes to my routine based upon my A1C. However, having said that, If my A1C had gone high, I would have taken a closer look at my meal plan, exercise and insulin basals and boluses.
      Luckily, I’ve maintained my exercise and meal plans, and have kept my A1C’s at acceptable levels.
      Day to day data, charts and numbers affect my daily routine very much.

      1
      2 months ago Log in to Reply
    19. M C

      Having a CGM has removed the benefits from the A1c measurement as a tool to a large extent… Still helpful in terms of knowing whether the CGM is providing accurate data, or not…

      4
      2 months ago Log in to Reply
    20. Mary Ann Sayers

      I like to know my reasoning regarding basal rates have been good because it shows in my A1Cs. Also with my bonuses and diet. By staying in touch with my dr with what I’m doing, my A1Cs stay under 7.

      2 months ago Log in to Reply
    21. Marty

      As other have said, my CGM data are far more useful for managing BGs. Also, A1cs underestimate my BGs because of another health condition that makes my RBCs “younger” than they should be. However, my pump supplies provider seems to believe they need to send an A1c number to Medicare so I get it measured anyway when I have my other blood tests done.

      2
      2 months ago Log in to Reply
    22. RegMunro

      I suspect the CGM measures will soon be regarded as a far better tool to measure control

      2
      2 months ago Log in to Reply
    23. Trina Blake

      TIR is far more useful. I use the Tandem X2 BIQ and Dexcom 6. Every time I look at my pump (I use it as my receiver) I see if I am “flatlining” – which is good news. Since I have (and prefer) BIQ, if need be I can use temp basal to tweak for the time being. I think that the A1C being just an average isn’t all that informative. Let’s say the goal for A1C is 5. If you bg’s run 5, 5 and 5 your A1C is 5. But if yor bg’s run 0, 5, and 10 your A1C is still 5.

      1
      2 months ago Log in to Reply
      1. Ernie Richmann

        If your bg is 0, you are likely dead. I get it- it is an average.

        2 months ago Log in to Reply
    24. Robert Wilson

      Past performance is not a guarantee of future results. Useful but only to help confirm what is working or not working.

      3
      2 months ago Log in to Reply
    25. Bob Durstenfeld

      A1c is one of several tools. So are Time-in-range, average, standard deviation, and morning BG.

      2
      2 months ago Log in to Reply
    26. Becky Hertz

      I think time in range is more useful than A1c.

      5
      2 months ago Log in to Reply
    27. Brandy Wilson

      Overall A1C does not affect how I make changes. Other factors like time in range and standard deviation actually is more helpful.

      4
      2 months ago Log in to Reply
    28. cynthia jaworski

      I consider A1c an average over 3 months, nothing more. I like to see my average over the last week as an indicator of how any changes I have made are working.
      Time in range and a look at overall patterns are both more important for my daily and long-term management.
      A1c remains a quick question for non-endocrinologists to ask.

      4
      2 months ago Log in to Reply
    29. Juha Kankaanpaa

      A1c has very little value if you are using a continuous glucose monitor. The cgm gives actual blood glucose values, whereas A1c is a rough estimate with high variability between people. But, A1c is a one test that is easy to do at a clinic. It still has little value.

      2
      2 months ago Log in to Reply
    30. Molly Jones

      I find HA1c useful as a calibration of my other measurements and vice versa.

      2 months ago Log in to Reply
    31. Janis Senungetuk

      A1c “average” is of little help. TIR and standard deviation is far more useful when considering any changes.

      1
      2 months ago Log in to Reply
    32. Ernie Richmann

      A1C along with time in range are very usefull.

      2 months ago Log in to Reply
    33. sdimond

      Time in range based on a range of 70 to 180 is worthless as it is based on the assumption that an A1C of 7.0 is “good control.” Doctors should be honest with their patients and encourage them to achieve an A1C under 5.0 and yes, that is achievable without hypos.

      2 months ago Log in to Reply
      1. Marsha Miller

        😮
        That would not be achievable for me. Too many hypos. Hypos kill brain cells.

        1
        2 months ago Log in to Reply
    34. Lenora Ventura

      Being a T1D for almost 38 years, the A1C was the gold standard until TIR & AGP came on the scene. Interestingly enough, my A1C brings with it constant dissatisfaction & unspoken guilt as opposed to my TIR. I know how hard I work and am very proud of the high 85% I average per 10 day Dexcom session. No complications so I guess I am doing pretty good despite a 6.8 average A1C

      2
      2 months ago Log in to Reply
    35. Sharon Gerdik

      My A1C is never accurate. For over 20 years I’ve been geting a Fructosamine drawn as well and my Endo says that is much more accurate based on my BS readings. That seems to correlate better with my TIR.

      2 months ago Log in to Reply
      1. Marsha Miller

        I have never heard of fructosamine. What is that?

        2 months ago Log in to Reply
    36. George Lovelace

      I’m on Dexcom with Tandem CIQ and I’ve about eliminated all Hypos so my latest A1c of 5.4 seems like a Cure to me. Just working on SD and TIR now.

      2 months ago Log in to Reply
    37. Steven Gill

      The a1C is part of it. Time in range, deviation, and yeah elimination of hypoglycemia.

      2 months ago Log in to Reply
    38. Nicholas Argento

      I said not at all but that is because I use CGM full time and use the average BG on CGM, which is used to generate the GMI (glucose management indicator) as a better indicator.

      2 months ago Log in to Reply
    39. Sharon Gerdik

      Reply to Marsha Miller; My last 3 Endo’s in 3 different states have always ordered Fructosamine Levels when seeing that my A1C didn’t jive with my pump data and sensor info. Fructosamine just measures a 2 week analysis vs 90 days for A1C. I’ve been told I have a certain protein attached to my blood that affects the 90 day test. The 2 week test has always been more accurate for me.

      1
      2 months ago Log in to Reply
    40. Elizabeth T.

      TIR seems to be more useful

      2 months ago Log in to Reply
    41. Mike Plante

      A1C is nice and all, but TIR is much more valuable to me.

      2 months ago Log in to Reply
    42. beth nelson

      Because I use a closed loop pump system with CGM, I depend more on the “Time in Range” than A1c. A1cs are averages and if I have a lot of lows and highs, the A1c result is not a measure of control.

      1
      2 months ago Log in to Reply
    43. Kelli Christiansen

      I also like to know time in range

      2 months ago Log in to Reply
    44. T1D4LongTime

      A1C is just an average over 90 days, so it is NOT an accurate way to measure BG control. However, due to inaccuracies in CGM readings, Time in Range (TIR), Standard Deviation (SD) needs to be combined with A1C (since its not derived from CGM technology) to determine accurate measure of control.

      1 month ago Log in to Reply
    45. ChrisW

      A1C is an indicator of an indicator of blood glucose over time. Just because the only tool doctors have is a sledge hammer doesn’t mean they should use it every time we patients have a screw loose. I look forward to the day when CGM reports completely replace A1C tests for type 1 diabetics.

      1 month ago Log in to Reply

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