Brandy Wilson

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- 1 year, 3 months ago
  
  ChrisW has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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 year, 4 months ago
  
  T1D4LongTime has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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 year, 4 months ago
  
  Kelli Christiansen has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  I also like to know time in range
- 1 year, 4 months ago
  
  beth nelson has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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 year, 4 months ago
  
  Mike Plante has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  A1C is nice and all, but TIR is much more valuable to me.
- 1 year, 4 months ago
  
  Elizabeth T. has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  TIR seems to be more useful
- 1 year, 4 months ago
  
  Sharon Gerdik has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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 year, 4 months ago
  
  Nicholas Argento has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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.
- 1 year, 4 months ago
  
  Steven Gill has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  The a1C is part of it. Time in range, deviation, and yeah elimination of hypoglycemia.
- 1 year, 4 months ago
  
  George Lovelace has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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.
- 1 year, 4 months ago
  
  Marsha Miller has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  😮 That would not be achievable for me. Too many hypos. Hypos kill brain cells.
- 1 year, 4 months ago
  
  Marsha Miller has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  I have never heard of fructosamine. What is that?
- 1 year, 4 months ago
  
  Sharon Gerdik has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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.
- 1 year, 4 months ago
  
  Lenora Ventura has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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
- 1 year, 4 months ago
  
  lis be has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  so many doctors need re-training!
- 1 year, 4 months ago
  
  sdimond has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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.
- 1 year, 4 months ago
  
  Ernie Richmann has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  If your bg is 0, you are likely dead. I get it- it is an average.
- 1 year, 4 months ago
  
  Ernie Richmann has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  A1C along with time in range are very usefull.
- 1 year, 4 months ago
  
  Janis Senungetuk has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  A1c "average" is of little help. TIR and standard deviation is far more useful when considering any changes.
- 1 year, 4 months ago
  
  KarenM6 likes your comment at
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  Overall A1C does not affect how I make changes. Other factors like time in range and standard deviation actually is more helpful.
- 1 year, 4 months ago
  
  John Barbuto likes your comment at
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  Overall A1C does not affect how I make changes. Other factors like time in range and standard deviation actually is more helpful.
- 1 year, 4 months ago
  
  Gerald Oefelein likes your comment at
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  Overall A1C does not affect how I make changes. Other factors like time in range and standard deviation actually is more helpful.
- 1 year, 4 months ago
  
  Molly Jones has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  I find HA1c useful as a calibration of my other measurements and vice versa.
- 1 year, 4 months ago
  
  Juha Kankaanpaa has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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.
- 1 year, 4 months ago
  
  cynthia jaworski has commented in the same post you commented in :
  How useful is the A1c measurement to you as a tool for assessing your T1D management and making changes to your routine?
  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.
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Brandy Wilson

101 Federal Street, Suite 440
Boston, MA 02110
Phone: 617-892-6100
Email: admin@t1dexchange.org

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