A1C ??

By Rich1956 Latest Reply 2012-02-22 21:02:04 -0600
Started 2012-02-18 14:23:02 -0600

Can anybody please tell me what exactly is A1C. I know I have to have one checked every 3 months & I do know it checks my sugar, but I check my sugar evey day. My last A1C was 10.4. Is that bad?? Thank You, Rich

15 replies

Caroltoo 2012-02-19 21:03:02 -0600 Report

The A1c is based on the amount of damage done to your red blood cells over the preceding three months by high glucose levels.

One of the neat things about the A1c is that is also averages in all the times when we don't take our readings. If your A1c is high and your BG readings are not, it would be because you have highs at times other than when you test. If it were low and your BGs higher, then it would indicate you are having some serious lows that should be of concern and you need to find out when they are happening.

So, the A1c is really the best way to see what is happening with your BGs over a 3 month period. The daily readings show us how our daily activities and food intake affect our BG and are like the road signs along the highway.

Most of us were high like yours when we were diagnosed. The goal of the ADA is a reading of 7.0. Many of us are aiming for the 5's on the scale, others are happier in the 6's. You will bring yours down as you begin to remove the trigger foods from your diet, get regular with exercise, and work on stress reduction. It doesn't usually happen all at once, but talk with your doc about what you too can agree upon as a goal for your next A1c.

red flower lady
red flower lady 2012-02-19 20:34:32 -0600 Report

It is the average blood glucose for a three month period. You can lie and tell your dr that your bg levels were normal or close to it, and the blood test will tell the dr the truth! Your A1c is not good and you should try to get it below 6. You do this by eating better and keeping your bg as close to your target numbers as possible. Do you count carbs, etc..?

Good luck

TsalagiLenape 2012-02-19 20:11:16 -0600 Report

Now for my A1C I get that done at the doctors office. It helps them to see what my meds are doing for my diabetes. If I have a really stressful time or not. Yet sometimes a change of meds or an added one does help while you watch what you eat and etc. You shoud check your bg aka blood sugar everyday or more depending on what your doctor told you. Yet the A1C will show the doctor how things are working for you. I hope this helps as well as the websites that were shared. Hugs

icefog 2012-02-19 16:07:38 -0600 Report

lol sorry don't mean to laugh but that was a mystery to me also. When i first was DX with type 2, i checked my readings a lot every day and i was so proud that i was keeping my numbers under 150 and excited to go back to the dr. who than told me that my A1C was to high. he never said anything about my numbers and my excitement just went away. but now i use the numbers to give me an idea of what my a1c is going to be. and sorry to say 10.4 is not a good number. there are also kits you can buy to test your own a1c.

jayabee52 2012-02-19 17:53:32 -0600 Report

Unless you are in a special situation, to take your A1c more frequently than every 3 mos is wasting money. I think it is best to have Dr do it.

icefog 2012-02-19 19:08:31 -0600 Report

at the time i was working on the road so it was 5 or 6 months before i would get back home to see my dr. and i needed to know what my a1c was doing. when i was first dx with the type 2 no one told me about the a1c. my dr at the time never even set me up with anyone to talk about it to.

Bamberg 2012-02-18 21:41:37 -0600 Report

As I understand it, a red blood cell lasts about 3 months. The A1C gives you the percentage of glucose attached to your red cells. The more glucose the red cells are carrying, the less oxygen they can deliver to the parts of the body that needs it; eyes, kidneys, feet, etcetera. I could have it all wrong, though.

jayabee52 2012-02-18 14:48:53 -0600 Report

Howdy Rich!

A1c is shorthand we use for a "glycosilated hemoglobin A1c" test. An A1c averages your Blood glucose (BG) readings over the past 3 month period.

10.4 could be a lot better. (A person whose pancreas works normally has an A1c of 4 to 5.7). You can read more about the test and what it means here http://www.knowyoursugar.com/did-i-pass-or-fa...

Praying you get your BGs under better control!

James Baker