Satified with an A1c of 7

By kindlekm Latest Reply 2015-04-10 08:18:47 -0500
Started 2015-04-07 10:02:54 -0500

so on another diabetic forum a member posed this question

here was my response to it and thought it would be a good spark for a discussion here as well

when i was first diagnosed i got my a1c down to 7 and doc took me off of insulin gave me Met

i was like you then thought hey if ADA recommends 7 then thats ok , i still get that thought occasionally now, but with that 7 i let my diet go to the wayside which led to a creeping number when i last saw that doctor and then even worse i turned 26 had to wait for new insurance with work got a job which required me to be in town more and no more good timing like christmas or spring break to go to the doctor , which lead me to not see anyone for a about a year, finally did so end of march and with my recent lab work that showed a a1c of 13 and beginning signs of kidney complications i don't think i agree anymore

its a goal for the moment but not a long term one

19 replies

Jeanette Terry
Jeanette TerryPA 2015-04-08 15:59:35 -0500 Report

An A1c of 7 is good. But you in order to keep it there you still have to work. Mine hovers around 7. sometimes a little higher and not as often a little lower. But I have to be very vigilant in my diabetes management to keep it there. There is no letting your guard down with this disease.

GabbyPA 2015-04-08 07:54:39 -0500 Report

I personally perfer anything in the 6%, but I would not mind seeing in the 5% as long as I am not having a lot of lows to get there.

haoleboy 2015-04-07 16:18:26 -0500 Report

"good" is under 6.5%
"normal" is under 5.7%
I strive to be "normal"


Pegsy 2015-04-10 08:18:47 -0500 Report

I strive to get under 6 but so far the lowest I have been able to get is 6.1, then back up it goes. I tend to average around 6.3.

bellastar 2015-04-07 16:02:10 -0500 Report

What is a good A1c number?

jayabee52 2015-04-07 18:22:47 -0500 Report

Bella, as low as you can get it without having hypo events.
Actually it depends on what one is using as a method of managing one's diabetes.
i had an A1c of 5.5% but I was in no danger of a hypo episode because
I was not using any diabetes medication to manage my numbers. Generally speaking the ADA suggests A1c of 7% for those with T 1 and the numbers Steve posted above for T 2s.

JoleneAL 2015-04-07 11:57:31 -0500 Report

My old doctor told me to stop trying to get into the 5 club and be happy with 6 or 7, but not over that. He said studies trying to find the best A1C for folks found that more people died of heart events trying to stay at 5 than those between 6 and 7. I stay between 6 and 7 now and my current doctor is happy with it.

Type1Lou 2015-04-07 15:37:23 -0500 Report

That's essentially what my endo told me as well. I can't remember where the study he cited was conducted but A1c's lower than 6 had a higher mortality with more serious low BG episodes.

kindlekm 2015-04-07 12:25:59 -0500 Report

interesting i have never heard of that

haoleboy 2015-04-07 12:53:57 -0500 Report

That studies conclusion has been shown to be incorrect.
I believe you are best served by keeping your A1c at or below 6.5 in order to avoid complications.


jayabee52 2015-04-07 18:02:31 -0500 Report

Steve, do you have someplace one can go to find that study which shows the incorrect conclusion is incorreect?

haoleboy 2015-04-08 18:18:29 -0500 Report

thinking it was the ACCORD study that the doctor was basing his recommendation on … a study whose results, it turned out, were misinterpreted.

Type1Lou 2015-04-07 11:16:45 -0500 Report

My HbA1c has been hovering in the high 6's…last one was 6.9. My endo is happy with that level, but I would prefer to get it back into the mid to low 6's which is what works for me without having too many really scary low BG's. (Been a Type 1 for 38+ years; lowest A1c I've had was 5.9 back in 2004.)) I do have some retinopathy although my ophthalmologist says that has improved over last year (hooray!) and some mild neuropathy but no debilitating complications yet. This is what motivates me to keep tighter control of the BG's. Prior to going on an insulin pump back in 2011, my HbA1c had climbed into the low-mid 7's. Pumping, in addition to following a low carb diet has helped me get it back down. Anything below 7 will slow/prevent complications and how low one can/must go is a very individual thing. Congratulations on taking control…it's never too late.