Son's A1c was 7.2(question)

momof6 · #1 (**permalink**) 11-01-2006, 06:59 AM

Little backround;son is 4, was dx at 3. Anyway 3mo ago it was 7.2, which was surprising b/c he was having 1-2 high readings a day. When I brought his numbers up on another board, they said his next one would probably be high, but i never asked why..just felt like they were trying to steal my joy. Anyway does anyone know the reasoning behind that?

JediSkipdogg · #2 (**permalink**) 11-01-2006, 07:06 AM

Not sure why they say the next one will be high. A1Cs can have drastic changes in 3 months. How often does you son have one done and how often does he test his blood? That could then help to get it lower. But personally, for a 4 year old, 7.2 is great.

momof6 · #3 (**permalink**) 11-01-2006, 07:14 AM

HI. Thanks for your reply. That was only his second a1c, the first one was when he was first dx, and I have no idea what it was(don't even have those records) We are a military family, and moved about 10months ago, and were just seing a reg ped. So in the 13mo he's had D, he's only had two a1c's. He gets anywhere from 2-3 shots a day.

Funnygrl · #4 (**permalink**) 11-01-2006, 07:38 AM

Quote:

Originally Posted by momof6

HI. Thanks for your reply. That was only his second a1c, the first one was when he was first dx, and I have no idea what it was(don't even have those records) We are a military family, and moved about 10months ago, and were just seing a reg ped. So in the 13mo he's had D, he's only had two a1c's. He gets anywhere from 2-3 shots a day.

You really need to try and get in touch with a pediatric endocrinologist. I know it's hard, but ideally he should be having a1cs every 3 months and be on more than 2-3 shots a day.

momof6 · #5 (**permalink**) 11-01-2006, 07:41 AM

Quote:

Originally Posted by Funnygrl

You really need to try and get in touch with a pediatric endocrinologist. I know it's hard, but ideally he should be having a1cs every 3 months and be on more than 2-3 shots a day.

Thanks. He is getting his a1c done again this fri. The only reason he gets 2-3 shots is becuase his numbers are good at all the other readings. If I gave him more they would drop dangerously low.

Funnygrl · #6 (**permalink**) 11-01-2006, 07:49 AM

Quote:

Originally Posted by momof6

Thanks. He is getting his a1c done again this fri. The only reason he gets 2-3 shots is becuase his numbers are good at all the other readings. If I gave him more they would drop dangerously low.

Ah, that's good. He's probably honeymooning. What type of insulin does he use?

momof6 · #7 (**permalink**) 11-01-2006, 08:02 AM

regular, novalog, and nph. he gets nph once a day(right before brk w/ reg) the novalog he gets at lunch(sliding scale, if it's 150 or over) the reg he gets if his sugars are high inbetween readings.

JediSkipdogg · #8 (**permalink**) 11-01-2006, 08:07 AM

He doesn't take any NPH at dinner? That could be one reason his A1C is high. NPH only lasts 10-12 hours, therefore, by the evening and while he is sleeping it's all out of the system and he has no insulin.

Also, how often does he check his sugar levels?

momof6 · #9 (**permalink**) 11-01-2006, 08:20 AM

Quote:

Originally Posted by JediSkipdogg

He doesn't take any NPH at dinner? That could be one reason his A1C is high. NPH only lasts 10-12 hours, therefore, by the evening and while he is sleeping it's all out of the system and he has no insulin.

Also, how often does he check his sugar levels?

7.2 is high? I thought that was good. I check anywhere from 4-6 times a day. At dinner we only do a sliding scale, example if it's 200, I will give 2units of reg(sometimes 3 if I know he will eat it all and possibly have 2nds) He doesn't always finish his food which is a hassle. I am afraid that if I give nph it might go too low and he could go into a coma. Fortunately when he is napping or asleep and it has gotten too low,....he wakes up in a frenzy(crying and screaming)

momof6 · #10 (**permalink**) 11-01-2006, 08:22 AM

btw, thanks for all the info. I'm still learning, so anything that you think I should be doing let me know. Of course I have to run everything(changes) by the dr too.

JediSkipdogg · #11 (**permalink**) 11-01-2006, 08:43 AM

7.2 is good but high, lol. Around a 5.0 is what you consider normal. Anything above 8 is danger and above about a 10 would be take some corrective actions ASAP.

Have you woken him up in the middle of the night and tested his blood sugars? What are the numbers generally like then.

momof6 · #12 (**permalink**) 11-01-2006, 08:47 AM

Quote:

Originally Posted by JediSkipdogg

7.2 is good but high, lol. Around a 5.0 is what you consider normal. Anything above 8 is danger and above about a 10 would be take some corrective actions ASAP.

Have you woken him up in the middle of the night and tested his blood sugars? What are the numbers generally like then.

In the beginning I would test at night, but I guess it wouldn't be a bad idea to start again. I guess I could do it when one of my others wake up (the baby)

Hmm, thanks for that tidbit about the a1c numbers!

DeusXM · #13 (**permalink**) 11-01-2006, 08:56 AM

Careful when it comes to A1C numbers and children. Opinion is somewhat divided about what is right for children. A lot of people in diabetes medicine prefer to suggest that children can reasonably safely get away with slightly higher A1Cs than adults.

I personally would consider an A1C of 7.2 for myself as 'reasonable', but with a lot of room for improvement. For a 4-year-old, I'd say it's pretty good. Try and keep in under 8, and once he's been through puberty (I know, that's a **** of a long way off!) look about getting it under 7.

SueM · #14 (**permalink**) 11-01-2006, 09:03 AM

Your little lads A1c is great at 7.2 childrens levels are different to adults.

Gangrel · #15 (**permalink**) 11-01-2006, 10:49 AM

My last A1C was 6.8, and my endo only wants me around 6.... not down to 5. Man, I think it would be impossible to be below 6 for a long time, just due to the normal curves and swings your BS goes through........