PDA

View Full Version : Putting Bayer's A1cNow to the Test


ShottleBop
09-22-2009, 09:06 PM
Tomorrow I go in for new blood tests.

Six months ago, in mid-March, my lab-tested A1c was 5.3. My average BGs for the three preceding months had been 102 (Feb), 94 (Jan), and 99 (Dec), for an average of 98. [5.3 translates into an average BG of 111.4, which I think is high, but I understand that the A1c can give a skewed average for a number of reasons, among them having red blood cells that live longer than the average 90 days.]

My average BGs for March, April, and May were all 100. I would have expected, given the slight two-point rise from the prior 3-month period, an A1c in early June that was only slightly higher than it had been in March (maybe 5.4). Using a Bayer A1cNow home-test meter (purchased online, from Walgreens), however, my A1c came up 5.8. 5.8 equates to an average of 129.2--to my mind, way out of whack (I can count on the fingers on one hand the number of times my BG was even as high as 129 during those three months, and I was testing 8-10 times a day, with an Accu-Chek Aviva that had tested within a couple of points of my lab FBG).

I decided to hold onto my second A1CNow* test until my next lab test, to see how closely the A1cNow and the lab test turned out. I go in tomorrow. My averages for June, July, and August were 97, 96 and 98, respectively, for an average of 97, and my average for the first three weeks of September is also 97. Based on those averages, I expect my lab-tested A1c to be no more than it was in March. The A1cNow, on the other hand just reported my A1c to be 5.9--higher than in June, and based on a slightly lower meter average for the period. I hope the A1cNow is wrong.

ShottleBop
09-23-2009, 11:36 AM
So far, so good. Blood pressure 106/76; pulse 60. Blood taken. Urine taken. We shall see.

ShottleBop
09-30-2009, 10:18 AM
I got my lab results today. A1c: 5.4--much more in line with the 5.3 I had in March, and certainly more reassuring than the 5.9 the A1cNow reported.* The A1cNow overstated my number by nearly 10%.



______________
* I listened to Dr. Bernstein's teleseminar last night, though, and he reported that the patients he sees that come in with A1cs of even 5.2-5.4 have complications from high blood sugars. I don't know that I can get below 5% without exogenous help.

TomT127
09-30-2009, 11:07 AM
I guess the most important thing is consistency of the Bayer A1C meter. I have heard from my doctor that results can differ even from different labs.

ShottleBop
09-30-2009, 07:14 PM
I guess the most important thing is consistency of the Bayer A1C meter. I have heard from my doctor that results can differ even from different labs.

Consistency may be more important than accuracy when you're talking about a glucose meter that you use to track your BGs on a dailyl basis. Since A1c is used to judge how well you've been controlling your diabetes, any home-measurement system, I think, should be able to approximate your lab results very closely. (When you buy an A1cNow meter, it's only good for two tests, and it comes with two cartridges. Then you have to buy another. Assuming that there's some variability between meters and cartridges, you might never be sure how an A1cNow test taken in between lab tests really compares.)

ShottleBop
10-01-2009, 09:49 AM
I've written to Steve Freed, who works with Dr. Bernstein, describing my issues with the A1cNow tester. (They promoted it on Dr. Bernstein's teleseminar this past Tuesday.) He has promised to check with Bayer and get back to me.