My A1c improved and my lipids got worse

Started 2 November 2025 · 17 replies · 128 hearts · read 1.3k times

SolomonManchester, UK · 2 November 2025

9 months ago

Starting a thread on this because it keeps coming up in ones and twos: My A1c improved and my lipids got worse

I have had this diagnosis for a long time and none of the general advice quite fits me.

I have had this diagnosis a long time and none of the general guidance quite fits, which is why I am asking here rather than in the wider circles.

I have written out my results as a series rather than as single figures, because the trend is where my question actually lives.

What has changed is small and I only noticed because I keep records, and I cannot decide whether small and consistent is worth raising.

Thank you for reading all the background. I know it is a lot and I think it changes the answer.

KeeleyBlackpool, UK

Nine minutes twice a year is not enough to cover this and I stopped pretending it was. I bring a printed page now and we get through four times as much.

8me too 1

RomyVienna, AT

Coming back after my annual review to say everything was steady, nothing needed changing, and the appointment lasted eleven minutes and was pleasant.

MiraFacilitatorRotterdam, Netherlands

Noticing that this thread has stayed on the specifics rather than sliding into generalities, which for this circle is exactly right.

InêsPorto, PT

What I did not anticipate was needing to re-learn things I had been told a decade ago, because the guidance had moved and nobody had mentioned it.

BaySt Ives, UK

I had to have a proper conversation about my other medications, because a couple of them needed reviewing once things started changing. Do not leave that to chance.

AnnaAthens, GR

The long game is the actual subject. Everything I have got right came from doing something small consistently rather than something large for six weeks.

PippaTruro, UK

What I would say is get clear on what is being measured and what the target is, because I spent two years watching a figure I had misunderstood.

CarlMiddlesbrough, UK

Coming back to what Bay wrote further up, because it is the bit I keep thinking about.

My numbers moved over about five months and my GP was noticeably pleased, which after years of slightly tense appointments was a strange and good experience.

EphraimBrooklyn, NY

I have had this for eleven years and the last two have been the most straightforward, and the difference is mostly that somebody finally explained the mechanism to me.

BunnyWeston-super-Mare, UK

#10

Gently disagreeing with Carl, or rather adding the other half of it.

What helped was asking my nurse what she would want to see in six months, and then organising the six months around that rather than around vague improvement.

RohanPune, IN

#11

My monitor showed the shape of my day in a way that no periodic test ever had, and that was the thing that changed what I actually did.

NellFrome, UK

#12

What Bunny described happened to me too, in a slightly different order.

Something I did not expect: the appointments got easier because I had something to bring to them. Before, I was being told; now, we are discussing.

DuncanPerth, UK

#13

I have nothing to add and I did not want to leave it unanswered.

GwendaEbbw Vale, UK

#14

The hypo question is a real one if you are on certain other things, and it needed a specific conversation rather than a general reassurance.

NoahHull, UK

#15

My retinal screening and foot check carried on exactly as before, and I mention that because I had half assumed things would change and they did not.

7me too 3

MiraFacilitatorRotterdam, Netherlands

#16

I want to be plain about what this circle does with something a member has been told was in their head: it does not treat it that way. If that is why you have been slow to post, it is worth knowing in advance.

SadieSalford, UK

#17

What I got wrong was chasing individual readings. The trend over three months was the only thing that ever meant anything.