A1C and age.

Hubby has been diabetic for 47 years, and on insulin for 26 of them. His doctors always wanted him to have his A1C 6 or below. He has been going to our G.P. for 4 years now, and she has wanted his A1C between 7 and 8.

She explained the younger you are, that below 6 is fine, but when you get into your 70’s and 80’s it needs to be higher. Older people are more likely to get hypoglycemia, and if they don’t wake up, they can die. I know that, as one time in bed hubby’s sugar went so low I couldn’t get orange juice down him. I had to use an emergency kit, and shoot it into him. I also called 911, because he needed a drip to get his glucose up.

Today there was a question in the Diabetes Forecast magazine. It was from Chris from Vermont, and the doctor had said exactly the same as our G.P. The answer came back that a lower A1C could be associated with dangerous hypoglycemia in older individuals that can cause low blood glucose. If this happens it can cause loss of consciousness, falls, serious injuries, and heart problems. That is why a target A1C should be between 7 and 8%. This is better to balance the benefits, and risks of good blood sugar control.

I know I have written about this before, but feel that it’s good to remind people, to get their A1C balanced.

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Photo: Pixabay.

4 comments

  1. I completely understand. There were some T1 parents who were obsessed with keeping A1Cs below 6. But they also checked their kids constantly (like 2 X a night). I just couldn’t do it. I checked my son before I went to sleep between 11 and 12. I remember shoving glucose tabs in his mouth (he would chew them while he was half asleep). You need to achieve a balance somehow. Waking up with low blood sugar is not worth it. I remember that clammy feeling on his forehead when he was low.

    Liked by 1 person

  2. Unfortunately, I know firsthand what type I diabetes is.
    The biggest fear is, indeed, to either not wake up or loose brain in case of severe hypoglycemia.
    I have spent many years researching it on my own. So far, any doctors have big time mislead me. Therefore, it’s good to have decent medical education and research experience, as well as lots of knowledge I have found while editing and translating patient data from numerous clinical trials.
    The ideal doctor in type I diabetes case would be someone, who has it and understands how insulin, insulin resistance and accompanying factors work. Literature and theory is one thing, and reality completely another.
    It seems your husband is doing just fine if he can keep such levels.
    I wish you both all the best!

    Liked by 2 people

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