My A1C Dropped Below 6.5 - Am I Still Diabetic?

By BamaVetDM2 Latest Reply 2018-07-28 19:30:00 -0500
Started 2018-07-22 23:39:21 -0500

Hello. This is my first post in a "discussion," and I hope people read and respond. I was diagnosed as diabetic about two years ago. Also diagnosed with diabetic neuropathy, and diabetic peripheral vascular disease as well. Probably had all three for years, just didn't know. Anyway, my initial A1C was 6.8. I've been managing through diet and exercise. No meds. Lost about 25 pounds. I got my A1C down to 6.5, then an increase up to 6.6, then back-to-back readings of 6.5. Just last week I got a reading of 6.2. That's in the pre-diabetic range. Does that mean that I'm no longer diabetic? I know it may seem trite to some, but it's very important to me. Thank you!

16 replies

asktp 2018-07-28 09:14:56 -0500 Report

i am not sure on your answer to that question, but maybe a diabetic work shop might help define it for you. i am a pre-diabetic, with diabeties running in the family, i have seen what it does to the people as well as the medications. So i try to manage with my eating habits. first noticed A1-c about 7 years ago, it starting climbing up to 6.9, i had a tooth pulled a year ago and it went down to 6.3 then 3 months later i had another tooth pulled and it went down to 6.1, since then it has went to 6.3. i currently have arthristis in feet and is making it hard to do exercise.

BamaVetDM2 2018-07-24 23:02:10 -0500 Report

Tomorrow is grocery shopping day - 5 percent senior discount on Wednesday. I usually do the shopping, and though I've bought all these things before, I'm making a deliberate point of getting some almonds and/or walnuts, raw broccoli, spinach, asparagus, and turmeric (though I'm not quite sure of what to get). I've been watching my carbs and calories, but I'm going to try to move more to diabetics-friendly food. Anyone know anything about turmeric?

asktp 2018-07-28 09:16:44 -0500 Report

try getting the list of vegetables and fruit with carbs in them. i try to stay away from carbs (as in potatoes chips and pasta), and do higher protein with the fresh vegetables

Nick1962 2018-07-24 16:40:07 -0500 Report

I’m going to stir things up a bit. I’ve been known to do that.
It seems we only have one word for the condition of high blood glucose (or insulin resistance) – Diabetes. We’ve always thought that it was a “condition”. I am a T2 I’m told, for the last 10 years.

My A1c has been either at 5.0 or below for years now (latest 4.7) without any sort of medication – only modification of eating habits and exercise. My last blood panel result said “there is no evidence of diabetes”. I’ve asked my doctor several times about this and he assured me any test they could give me as a T2 would likely come back negative. Genetic markers in a T1 can be found to determine if they are likely to become diabetics, however, for a T2 there are not clearly defined markers that say “you will get it”. In T2’s, it’s a risk factor involving family history, age, sex, BMI, diet, and environment, but even those just produce a risk factor result. Not a guarantee.

That said, and again according to my doctor, I’m not diabetic. There is no test that can prove it. However, I also do not have any of the associated diabetic illnesses like neuropathy or vascular disease either, so no markers there.

I’m still not convinced high blood glucose or insulin resistance is automatically diabetes. I call it food drunk. We all know what happens when we drink too much. Well, I know full well I ate too much, and felt the hangover for years.

You (almost) may not be diabetic on paper, but the neuropathy and vision issues say you are, especially if they progress, as it is a continued imbalance that causes that. You have tested “positive”, but at least well on your way to minimizing those effects.

Just my opinion.

haoleboy 2018-07-26 10:34:10 -0500 Report

have you taken an OGTT lately?
IMO that would be definitive proof of "cure" (and one I am sure I would "fail")

Nick1962 2018-07-27 11:19:58 -0500 Report

I did last October when I had to start steroid injections for a neck/spinal issue. Started at 87, ended at 106.
Cured? I’m rethinking that term. We’ve long thought T2 diabetes is one of those conditions that is viral like shingles – once you’re infected you’re always at risk. I’m not so sure.
What else can I call a 4.7 A1c? When you get a cold, you get “better”. When you have a cut, it “heals”.

haoleboy 2018-07-28 10:14:38 -0500 Report

I've always considered type 2 to be a "symptom" rather than a "disease". as such I think we heal, reverse, and/or control it rather than cure it … but then, what do I know? ;)
☮ Steve

Nick1962 2018-07-28 19:30:00 -0500 Report

I can follow that logic, but what then is the parent disease? Type 1?
If we "heal" a cut before it becomes infected, do we not stave off the disease?
True, T2 is definately the biginning of a snowball effect of many issues to come.

suecsdy 2018-07-24 11:26:23 -0500 Report

My A1c is well under 6, but I still consider myself a diabetic. I use a weekly injectable med plus diet and (sometimes) exercise to control diabetes. I know there are things I cannot do again because it will all come back in a heartbeat. Lots of those things I don't miss but there a few. I would say that you may have achieved remission, but you cannot return to your former lifestyle or your hard work will have been for nothing. Keep up the good work.

Luis65 2018-07-24 10:18:35 -0500 Report

Yup! The truth is, are you sitting down? Type 2 diabetes is the result of the way your body deals with glucose. It is not the result of obesity or inaction or high carb diets. Those things will make the metabolic deficiency rear its ugly head as diabetes. Losing weight, exercise and proper diet can get things closer to normal, but it never goes away. Sad to say there is a progression of the disorder.

Take me for example, 26 years diagnosed with T2D. Shortly after diagnoses I went from 450 mg/dl fasting BG to 70-80 with postprandial in the normal range with exercise, carb restriction and no drugs. Then blood glucose levels began to spike with no change in diet, fitness or weight. Nothing would bring it down.

At that point I started Metformin and later Lantus insulin. I am still fit and careful about what I eat- but the truth is I am diabetic- BTW an HbA1C for a non diabetic is something like 4.8%

Oneshotbandit 2018-07-24 09:54:27 -0500 Report

6.5? My former Dr. wanted my A1c to be <6.0. Mine was 6.2 & he still wasn't happy w/me- I fired him! My "new" Doc told me that 6.2 was pretty good for T2 Diabetes & I've lost 10#'s!

Type1Lou 2018-07-24 07:58:40 -0500 Report

No, it means that you have reversed the symptoms of your diabetes. Diabetes is always lurking in the background and will return if you resume prior habits that may have contributed to its development. My last A1c was 6.0 but I am a Type 1 who manages my diabetes via insulin pump, diet and exercise. I will always have diabetes but, through determination and discipline I have been able to manage it. Congratulations for managing yours!

haoleboy 2018-07-24 07:31:45 -0500 Report

I was diagnosed 11 years ago with an A1c of 10.0%. My A1c has been under 6.0% for 10 1/2 years. Currently, it is 5.5%. I will always consider myself a diabetic and continue my way of eating (low carb & intermittent fasting).
btw … a "normal" (non-diabetic) A1c is 5.6% or less.
❤ eat as if your life depends on it

Habibi62 2018-07-23 12:24:59 -0500 Report

My understanding is once diabetic, always diabetic. You have just managed to get yours in very good control. Good for you! That's awesome!

BamaVetDM2 2018-07-23 20:52:17 -0500 Report

Thank you for your response. I've lost weight and for the first time in my life watched carbs and calories. I still need to lose weight, but will take the 6.2 in the meantime. I've looked at standard tables that delineate the various levels (normal, pre and full), but would love to see an authoritative report that says "once diabetic, always diabetic." That's what I've always heard, too. My mind is just racing, that's all. Again, thank you for your response. It made me smile.