Her A1C test came back as 1100.

This happened from this lady I take care of that has Bi-polar. Her A1C test came back with 1100 today and doctor didn't seem to care because of here past history of eating everything. Once it is high is it hard to keep it down??

Her insurance company sent her a mail type A1C test to see for them self to see what's going on. Company called BioiQ
completemya1ckit.com This is from United Health care Team
 

I think you mean her A1c is 11.0? Which means a blood sugar of around 270.
Her Blood Sugar was found by her doctor to be 1100. I can see it being high because she drinking a bottle of wine one day and eating cheese cake and eating fudge which is real high in sugar.

Bottle of wine is Sangria with 20 grams of sugar for 8 ozs
 

Her Blood Sugar was found by her doctor to be 1100. I can see it being high because she drinking a bottle of wine one day and eating cheese cake and eating fudge which is real high in sugar.

Bottle of wine is Sangria with 20 grams of sugar for 8 ozs
At 1100, it's unlikely that she would be unable to stand, walk or keep any food or liquid down due to "Diabetic Ketoacidosis" which can be fatal. That condition occurs at 600 or higher. If 1100 is her blood sugar level, her doctor (more likely an ER doctor) would be looking for a serious infection somewhere, which can cause blood sugar to spike. 3 years ago, I was hospitalized for 8 days - 3 days in intensive care for Ketoacidosis and Sepsis due to a dental infection & a botched root canal that spiked my blood sugar to 705.

Does she use insulin? If her levels are that high, she would need insulin to survive - especially if she lacks self discipline with sweets. When her blood sugar is high, she would need a fast-acting insulin (Humulin, Humalog, Novolin) to bring it down in 2 hours or so.

20 gms of sugar is not a large amount. A large apple or orange has 20 gms of sugar. Most bread has 22 gms/slice. A slice of cake or pie can have 60-80 gms sugar. A 12-oz can of soft drink has 40 gms sugar, which is 10 teaspoons (10 of those restaurant packets on tables).
BTW, A1c is not a measure of current blood sugar. It is a measure of average blood sugar over the past 3 months. It measures the percentage of red blood cells that are coated with sugar. They are replaced every 3-4 months; that's why diabetics can determine their average blood sugar over the past 3 months. Non diabetics' A1c is around 5% - 6%.
 
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@win231 is undoubtedly correct in saying her A1C was probably 11.2. In doing a search for the highest A1C reading, I found the article below in which the author asked colleagues what's the highest they'd seen. His bet was on 35 (35%) but he got answers such as 17% (17), 18% (18) and 21% (21) which surprised him. The article mentions that one testing machine only went as high as 14, but that labs can get higher results. So it is likely that it was her mg/dl level was 1100 when it was done by at her doctor's office. As you can see this chart that gives average mg/dl levels equivalent to A1C results only goes to A1C 13.0. The corresponding result of 386 is considered very dangerous, so your friend is lucky to still be alive!
https://www.healthline.com/diabetesmine/highest-diabetes-A1C-in-history#2

Diabetes Chart.jpg
 
At 1100, it's unlikely that she would be unable to stand, walk or keep any food or liquid down due to "Diabetic Ketoacidosis" which can be fatal. That condition occurs at 600 or higher. If 1100 is her blood sugar level, her doctor (more likely an ER doctor) would be looking for a serious infection somewhere, which can cause blood sugar to spike. 3 years ago, I was hospitalized for 8 days - 3 days in intensive care for Ketoacidosis and Sepsis due to a dental infection & a botched root canal that spiked my blood sugar to 705.

Does she use insulin? If her levels are that high, she would need insulin to survive - especially if she lacks self discipline with sweets. When her blood sugar is high, she would need a fast-acting insulin (Humulin, Humalog, Novolin) to bring it down in 2 hours or so.

20 gms of sugar is not a large amount. A large apple or orange has 20 gms of sugar. Most bread has 22 gms/slice. A slice of cake or pie can have 60-80 gms sugar. A 12-oz can of soft drink has 40 gms sugar, which is 10 teaspoons (10 of those restaurant packets on tables).
BTW, A1c is not a measure of current blood sugar. It is a measure of average blood sugar over the past 3 months. It measures the percentage of red blood cells that are coated with sugar. They are replaced every 3-4 months; that's why diabetics can determine their average blood sugar over the past 3 months. Non diabetics' A1c is around 5% - 6%.
She only takes 38 units of Lantus insulin in the morning everyday. This 1100 was found at her doctor's office and they gave her fast insulin to bring it down. She always getting HI readings on her Diabetic meter about every other day from eating high sugar food.
 
well some doctors won't do anything if you're continuously non-compliant. they just wait for you to end up in the hospital or dead. if she wants the dr to care she's gonna hafta start putting in some effort. she won't last long like that Robert.
 
38 units of lantus is ridiculous. Her doctor is a quack. Aren't you diabetic too, Robert? So common these days.
 
She only takes 38 units of Lantus insulin in the morning everyday. This 1100 was found at her doctor's office and they gave her fast insulin to bring it down. She always getting HI readings on her Diabetic meter about every other day from eating high sugar food.
Lantus is a slow-acting insulin that works over a 24-hour period & has no peak. It mimics one of the types of insulin non diabetics produce - slow-acting to keep blood sugar levels even while we sleep. That's what allows us to survive without food for weeks (if we have to).
It won't do her any good after meals - especially high-carb, low fiber meals.
 

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