Question of Week | Why is A1c on the Rise?

RT is 33 years old and has had diabetes for the past 20 years.  RT uses an insulin pump and CGM and works hard to keep A1cs less than 7%.  Their most recent A1c increased to 7.9% and RT sets up an appointment with the diabetes specialist for help.  After downloading the report, the specialist thinks they have discovered the reason behind the increasing A1c. 

Which of the following would most likely explain the A1c increase?

  1. Carbohydrate bolus insulin omissions
  2. Basal insulin rate set too high
  3. Bolus insulin given 15 minutes before meal
  4. CGM sensor malfunction

Click here to test your knowledge!

Want to learn more about this topic? Join us for our upcoming

Level 4 | Solving Glucose Mysteries for Type 1 | 1.5 CEs |Recorded & Ready for Viewing!

Why do the blood sugars keep dropping after meals? Is the basal insulin set correctly? What adjustments are needed for exercise?

During this 60 -90 minute webinar Coach, Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 1 diabetes.

By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.


  1. Describe common glucose mysteries encountered by people with type 1 diabetes.
  2. Using a stepwise approach, evaluate factors affecting glucose patterns.
  3. State interventions to increase time-in-range and improve quality of life.

Join us for our Live Webinar

Updates Beginning May 19, 2021

Including Brand New Specialty Courses!

Can’t join live? No worries, we will record the webinar and post it to the Online University!

Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*

The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.