A1c numbers

By dingogranny Latest Reply 2012-09-16 01:10:00 -0500
Started 2012-09-01 22:17:24 -0500

My doctor has told me that my A1c shouldn't go below 6.5 as that is considered normal for T2 and any lower isn't healthy, but I keep reading people crowing about how theirs is much lower. What are your doctors saying about your A1c numbers?
And I believe, though I may be wrong, that 6 is normal for non-diabetics.

22 replies

awakening2health 2012-09-07 14:48:24 -0500 Report

This question is a really good example of how one must indivualize.

Clinical studies of diabetics have shown an increased mortality when an A1c goal of less than 6.5% is attempted (with medications).

But - clearly, many type 2 diabetics - can completely reverse their disease and lower thier A1c back to normal (often into the low 5's) with no medication at all. This occurs only with lifestyle change.

So the point may be - pushing A1c below 6.5 with medication is dangerous, but is beneficial with Lifestyle change.

MAYS 2012-09-04 21:17:40 -0500 Report

Type 2 diabetes is an individuals disease, it is as individual as the individual!
Diabetes care and treatment should be catered around "that" individual and in saying so, your ideal A1c should be determined for you by your doctor although a prolonged A1c over 7.0 can begin causing possible internal organ damage and complications for diabetics (according to doctors).



What's a Normal Hemoglobin A1c Test?

For people without diabetes, the normal range for the hemoglobin A1c test is between 4% and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% indicate increased risk of diabetes, and levels of 6.5% or higher indicate diabetes. Because studies have repeatedly shown that out-of-control diabetes results in complications from the disease, the goal for people with diabetes is a hemoglobin A1c less than 7%. The higher the hemoglobin A1c, the higher the risks of developing complications related to diabetes.



IronOre 2012-09-16 00:42:48 -0500 Report

" . . . prolonged A1c over 7.0 can begin causing possible internal organ damage and complications for diabetics . . . "
Where did you get this info from? and how far over 7.0?

jayabee52 2012-09-16 01:10:00 -0500 Report

did you read the links provided? I did and understand what Mays is saying and from where he got the info. Try reading the links sometime. Otherwise you can just remain in your misconceptions. Your choice!

IronOre 2012-09-04 19:49:08 -0500 Report

I am type 1 (37 years), but I am so glad that you brought this up.
I think your doctor is right on the money with his "6.5" opinion. I am always a bit less than 7.
I think some of the diabetes community has gone a nuts with getting their A1C number as low as they can without falling off the edge. I am not sure where this attitude comes from, and like your doctor says . . . it isn't healthy.
The more that this type of nonsense keeps up the more we will be reading news articles about diabetics driving and getting in accidents, and similar types of things.
The number 7 is the magic number for me, and I will always stay around that. If anybody is going to tell me that i am wrong with this attitude of mine please quote something with credibility that supports your opinion.
I cringe when I read below what people's readiings are . . . Yes, it is dangerous.

annesmith 2012-09-05 02:31:07 -0500 Report

I agree so much with you! I feel my very very best at an A1c of 7. Anything below that, which I had done in the past, and I felt bad, real bad. I starved myself into an A1c of 5.5 once, and landed in the hospital. I got really really weak, and had internal bleeding. The risk for car accidents is so high when it is too low. Swerving in lanes, slower reactions, etc…not good. ANNE

Set apart
Set apart 2012-09-03 06:13:44 -0500 Report

I usually stress about this, but my a1c has been at 6.6 since diagnosed. Not sure as a T1 if that makes a difference. My Dr. Seems pleased with this number! My goal would be to at least get to 6, but he did say that this means I am doing a great job!

IronOre 2012-09-04 19:49:31 -0500 Report

no need to stress, 6.6 is right on

Set apart
Set apart 2012-09-05 05:53:00 -0500 Report

Thanks, I have a tendency to run low, and have experienced some really bad lows, so getting below 6.6 also places me at a higher risk fir lows! Thanks for all you said in this discussion, it places me a bit more at ease!

Nick1962 2012-09-02 08:45:04 -0500 Report

Recently, the ranges have been re-assesed and while below 7 has always been the loose "norm", for older people with certain helath risks, specifically heart risks, most doctors want you below 6. My lowest was 4.9, but I'm holding at 5.2 now.
Your doctor may know someting about you that might make 6.5 risky, so I'd definately ask him/her about it even though it is in a good range.

eristar 2012-09-02 06:14:52 -0500 Report

My first one, two years ago, was over 12 - WAYYY to high. Last time it was 6.7 and my doctor was not pleased - he would like to see it in the 5s…Guess each doctor has his/her own ideas of the idea, whatever THAT is!

jayabee52 2012-09-02 06:24:06 -0500 Report

I would say that 6.7 from the 12s is doing QUITE WELL, and if I were your Dr I would be celebrating with you. I would want to see you in the 5s as well, but still I'd celebrate your effort in bringing down your A1c in such a short time.

jayabee52 2012-09-01 23:02:02 -0500 Report

Howdy Dingogranny!

I decided to look it up and for pepple who do NOT have diabetes the article
I read said: " In most labs, the normal range is 4-5.9 %. In poorly controlled diabetes, its 8.0% or above, and in well controlled patients it's less than 7.0%. The benefits of measuring A1c is that is gives a more reasonable view of what's happening over the course of time (3 months), and the value does not bounce as much as finger stick blood sugar measurements."

As far as what one's Physician says about A1c, it would tend to be whatever authority that Dr chooses to follow: "The American Diabetes Association currently recommends an A1c goal of less than 7.0%, while other groups such as the American Association of Clinical Endocrinologists recommend a goal of less than 6.5%." (source for both quotes ~ http://www.medicinenet.com/hemoglobin_a1c_tes... )

Blessings to you and yours


DeanaG 2012-09-01 23:00:20 -0500 Report

My last one a few weeks ago was 5.7.
My doctor wrote on my chart "stable and well controlled" and she told me to keep up the great work.

tabby9146 2012-09-02 20:12:57 -0500 Report

great!! that was my very first number when I was first diagnosed. I've been able to stay a little lower than that ever since, and that was over 3 yrs ago. I hope you stay that way too. :-)