Sarah Howard
Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Manager of Marketing at T1D Exchange.
Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.
This brings up the seemingly endless discussion of A1c over other measurements. A1c is backwards looking for several month, a good data point and useful for a lot of people that don’t have CGM or live in parts of the world it’s not available. But for those with CGM/FGM other options exist with a more current look: TIR, GMI, Standard Deviation, and Coefficient of Variability are good measures of the recent situation and depending on availability can customized to show various periods of time from 24 hours to 90+ days to show directional change. The medical community (doctors, hospitals, clinics) needs to incorporate such measurements into their thinking.
5.6
Nov. 22. My doc is scheduling out 6 mos. I was supposed to get A1c again in May, but my mom died. They were able to get me in July.
So sorry for the loss of your mom
April was last blood test. My clarity report says 5.8 today
My endo isn’t very interested in my A1c since I have a CGM to track BGs, but my surgeon wanted the number as part of a pre-op panel so I just had it measured this month.
Every three months prior to endocrinologist appointment.
May 1, 2023 to satisfy a Medicare requirement. My quarterly endo appointment was on May 4th. She considers the TIR to be more important, as do I because it directly relates to my Quality of Life.
Mine was 5.9 or 6 in march. Next one is scheduled for Sept. Latest 14 day Dexcom printout shows 95% in target range (70-180 mg/dL) and GMI 5.9% (Goal less than 7%). Av glucose 107 mg/dL (Goal less than 154 mg/dL). Coefficient of variation 21.8% (Goal less than 36%). BUT my endo this morning said variability is more significant than A1C and to minimize that, it’s hard to beat pumps. I’m on MDI. So once again, I’m going to look at pumps.
January for me.