A1c fasting was high

By restlessdiabetic Latest Reply 2012-12-28 15:58:46 -0600
Started 2012-12-27 13:18:43 -0600

So I finally did my blood work fasting and got sent to the emergency room the day after because my bs was over 400+. Just spoke to the dr and my A1C is 13.5. I really don't know what that means but I have sugar n keytones in my urine as well. Can someone here explain to me what the A1C is? What it means, what part of your body does it come from n all that? This is all new to me. Thank you n I hope you are all having a good holiday n happy n healthy new year :)

7 replies

kdroberts 2012-12-28 15:58:46 -0600 Report

What kind of foods are you eating? An A1c is basically the % of your red blood cells that have glucose attached. High blood sugar will increase it but so will other things. At 13.5 it is extremely high, dangerously high really. What kind of insulin do you take and do you take anything else? You can't rely on insulin alone to be the magic fix, you need to make sure that diet and exercise are so focal points of treatment.

restlessdiabetic 2012-12-27 15:31:43 -0600 Report

Wow have you been doing this long? My bs numbers have been between350 - 600 for months now. Not even insulin is working anymore :(. Btw thx for the explanation on the A1)

red flower lady
red flower lady 2012-12-27 23:41:34 -0600 Report

Just saw this after I posted to your previous discussion. Now you know some of what I was referring to about big health issues. You are putting ALL of your organs at risk by keeping high numbers and have to make changes NOW!

Nick has explained it very well and manapua is on the right track. Once you make the changes and get numbers under control, you will feel better. You need to keep a chart of bg numbers, all foods eaten as well as meds taken in order to help the drs help you. It does take effort, but it is necessary, once the bg numbers come down the drs will let you exercise to help keep them in good range.

manapua72 2012-12-27 20:33:02 -0600 Report

Can't explain as well as Nick … I can tell u this though my last A1c was also 13 point something … Was on insulin shots , #'s were still outta control … My doctor was a firm believer in the pump … Urged me to get one and to change my life style … Well I got one ( a pump ) and yes I've changed my eating habits too … I'm doing so much better … I advocate the pump to anyone having a hard time controlling their diabetes … It really works !!!!!!!!!!!!

Nick1962 2012-12-27 16:19:14 -0600 Report

Going on about 6 years now. the glucose and keytones are a result of high blood sugar (a condition called glucosuria). I'm a little more than concerned that you know you've been in this range for months. This can mean there are kidney issues as well as insilin resistance. Please, please, please tell me you and your doctors are trying to do something about this.

Nick1962 2012-12-27 15:22:12 -0600 Report

Your hemoglobin A1c test (or HbA1c, glycated hemoglobin test, or glycohemoglobin A1c) is actually a 3 month or so average of your blood sugar expressed as a percentage. Its taken from the blood sample with the rest of your tests. Since it is an "average" it is not affected by fasting. Not to be an alarmist, but if my chart is correct, you had to be averaging a BS between 350 and 450 pretty much for the last 120 days to get a 13.5 A1c. I'm hoping the emergency room and doctor gave you something, and are requiring future visits soon (like every week), because that's just about off the chart.

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