A1c

msonnier26
By msonnier26 Latest Reply 2011-03-02 10:10:12 -0600
Started 2010-08-16 00:06:32 -0500

I don't understand what A1c is, can someone plz explain it to me from the beginning.


8 replies

RAYT721
RAYT721 2010-08-16 08:41:42 -0500 Report

When I first joined support boards everyone asked about my a1c. I was near tears because I didn't know. I was diagnosed by phone and didn't have a clue what an a1c was. It is a test that your doctor orders to test the average glucose level over a 3 month period. Because I was just diagnosed the doctor didn't request the test and the average would have been altered because I had no previous signs or risk factors for it. When I got my first a1c in June it was 6.4 and the doctor was happy. I will go again for an updated one. That's how they can compare averages. I am not currently on medications for diabetes. I've dropped weight and exercise more. I hope to get a better a1c level with my upcoming blood lab results. I hope yours is good as well.

msonnier26
msonnier26 2010-08-30 00:09:35 -0500 Report

What is a bad number to have for an A1C and what number is good? What exercises do you do to loose weight? I had lost 25 lbs but as soon as I got off track I gained it all again and starting over is so hard to do but tomorrow no matter what, I am getting back on track I dont like the way that I feel when my sugar is high. I hurt very bad from head to toes and I cant stand the pain.
Got to go, get very emotional talking about diabetes.
Thanks for the advice and listening.

Very Grateful,
Annette

kdroberts
kdroberts 2010-08-30 08:04:56 -0500 Report

A normal A1c is roughly in the 4.3-5.4% range. The American Diabetes Association says under 7% is the target and the American Association of Clinical Endocrinologists say under 6.5% for a diabetic is the target. Lots of things play into an A1c, like frequently very low blood sugar or various other conditions so a seemingly high one may actually not be so bad and a seemingly good one could be quite dangerous.

jason123
jason123 2010-08-30 08:21:01 -0500 Report

kd, one endo I met put the normal A1C at under 6.0, my doctor, who is not a diabetic said her A1C is 5.5. My latest A1C came in at 5.3, varied from 5.1 to 5.5 over the year…why do you put the high range at 5.4? TIA

kdroberts
kdroberts 2011-03-02 10:10:12 -0600 Report

I guess I missed this originally, sorry. I put it there because in the studies done on people without diabetes, that was the range they fell into. What's interesting is the lab I get my blood work done on just put some new ranges on the A1c results. <5.5 = Non-diabetic, 5.5-<6.5 = increased risk of diabetes, 6.5+ = diabetes.

Edit: That said, if you HAVE diabetes and have an A1c that is under 5.5 it doesn't mean you are no longer diabetic.

Kaiyle
Kaiyle 2010-08-16 06:33:11 -0500 Report

Mays is so completely thorough with posting information, but I hope this will help you too in some way.

WHAT SHOULD MY BLOOD SUGAR BE?

You and your doctor will decide what your target blood sugar levels should be.
For people without diabetes, according to experts, blood sugar levels should be:
Between 70 and 120 mg/ dL For people with type 2 diabetes:
Fasting (not eating for a period of time): up to 130 mg/dL
After meals: less than 180 mg/dL

Why should I check my blood sugar?
Monitoring your own blood sugar levels with a meter is a good thing to do. It helps you see how food, physical activity, and medicine affect your blood sugar levels. The readings can help you manage your type 2 diabetes day by day or even hour by hour. Keep a record of your test results and review them with your doctor at every visit.

How do I test my own blood sugar?
You use a tiny drop of blood and a meter. Be sure you know how to test your blood sugar levels the right way.

How often should I check my blood sugar levels?
Self-tests are usually done before meals, after meals, and/or at bedtime. Ask your doctor when and how often you need to check your blood sugar.
If I test my own blood sugar levels, do I still need the A1C test?

Yes. The results of both the blood sugar tests that you do yourself and A1C tests help you and your health care team get a complete picture of your control of type 2 diabetes. Learn more about the A1C test.

A1C is a blood test done in a doctor’s office or in a laboratory. An A1C shows your average blood sugar level over the past 2 to 3 months—and, by extension, how well your blood sugar is being controlled over time. Generally, doctors recommend that you get an A1C test up to 4 times a year.

It's important to know your A1C because it tells how balanced your blood sugar level is staying over time. Balanced blood sugar means that your blood sugar level is neither too high nor too low. It stays within a healthy range.
If your A1C is higher than it should be, don't lose hope. You CAN take steps to help bring it down. Every step you take now can help you lower your risk of future health problems caused by diabetes.

What should your target A1C be?
You and your doctor will decide what your target A1C should be. For most people with diabetes, the American Diabetes Association recommends an A1C of less than 7%. Another group of experts, the American Association of Clinical Endocrinologists, recommends an even lower A1C of 6.5% or less.

Read the full article at januvia.com

MAYS
MAYS 2010-08-16 01:14:30 -0500 Report

Here goes,

Hemoglobin A, a protein found inside red blood cells, carries oxygen throughout the body. When there is glucose in the bloodstream, it can actually stick (glycate) to the hemoglobin A protein. More glucose in the blood means that more glucose sticks to hemoglobin, and a higher percent of hemoglobin proteins become glycated.

Once glucose sticks to a hemoglobin protein, it typically remains for the lifespan of the hemoglobin A protein — as long as 120 days. Therefore, at any moment, the glucose attached to the hemoglobin A protein reflects the level of the blood sugar over the last two to three months.

The A1c test measures how much glucose is actually stuck to hemoglobin A, or more specifically, what percent of hemoglobin proteins are glycated. Thus, having a 7% A1c means that 7% of the hemoglobin proteins are glycated.

The above is taken from the website listed below:

http://diabetes.about.com/od/symptomsdiagnosi...

Here is some other information on A1C Test that may interest you:

http://www.diabeticconnect.com/videos/829-wha...

http://www.diabeticconnect.com/videos/1005-wh...

http://www.diabeticconnect.com/videos/1006-a1...

If I can help you in any way, please feel free to contact me at any time.

~Mays~

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