It gets into the blood faster so the amount in the blood increases faster, similar to the way insulin is released by the body after food. I assume you are only testing your child's blood sugar 4 or 5 times a day, probably before meals. The reason that the Hemoglobin A1C is still high is that your child's blood sugar is probably higher 1-2 hours after eating. Hemoglobin A1C reflects an average of all the blood sugars during a 2-3 month period. I think it has become clear that it may be impossible to achieve normal hemoglobin A1C's in most individuals, especially children, without increasing the risk of low blood sugars.
Some people seem more prone to low blood sugars than others.
I think each individual should strive for the best blood sugars possible while avoiding frequent or severe low blood sugars. I treatment is still experimental in children with diabetes. It may improve blood sugars in difficult to control individuals, but also can have some side effects. It is very important that, before you agree to participate in any study, you sit down with the doctors and ask all your questions regarding possible side effects and benefits before you decide to participate. Comments and Feedback .