Calculating A1c

momhargrave
By momhargrave Latest Reply 2010-10-30 21:48:47 -0500
Started 2010-10-30 09:03:27 -0500

WHat does A1c mean and how do you know what your number is. I get this queston a lot. Since I still can not find a Dr. , can I somehow calculate this myself.


3 replies

idamtnboy
idamtnboy 2010-10-30 21:48:47 -0500 Report

I don't recall the exact details but they are easy to find by Googling on A1c. Basically it's a measure of long term continuous average glucose level in your blood. Some marker on a hemoglobin cell is determined by the sugar level in your blood. I think it's when the cell is created. It doesn't change during the life of the cell. Hemoglobin cells last about three months then die, are absorbed, or whatever it is that happens to them. By measuring the average level of the marker of the hemoglobin cells, which is what you get when you draw a sample of blood, you get a picture of what the glucose level has been for about the past 30 to 90 days.

There are charts available on the net that will convert BG readings into A1c numbers. If you take a series of daily BG readings over several weeks, all taken post sleep, you should get a pretty good estimate of what the lab reading of A1c will be.

The A1c number is much, much, more stable than daily BG numbers. That's why doctors use them, and why strenuous exercise a few days before lab test won't fool the doctor into thinking your BG is down!

Kirla
Kirla 2010-10-30 11:55:43 -0500 Report

There are several home kits available. The Bayor A1C Now home tests I have used and have read where other people had excellent results with them also. They cost around $30.00 for a box containing 2 tests. One you can do now and one you can do in 3-4 months or when you think your blood sugar has been running good for a few months.

I test a lot, 6 plus times a day and from my reading I use a spreadsheet that is pretty accurate in letting me now how well I’m doing.

I believe if your A1C is below 6 your doing great. Any number above that you need to keep trying until you figure it all out. Mine was 14.1 when diagnosed and all the rest have been under 6. It only took me a few months to get my numbers down. It may take you longer. Everyone is different.

I’m not too sure how high they can go. But the higher it is the more damage your doing to your body. I found that low carb vegetables like broccoli cauliflower cucumbers cabbage and the like helps with blood sugar control. Also drinking plenty of water is good for you also.

By testing before and after each meal you will find what kinds of foods will spike your blood sugar. By testing and eliminating high carb starchy foods my blood sugar kept dropping week after week.

By testing I found I had to give up foods like bread and most foods made of grains along with pasta, rice, corn, potatoes, oatmeal, cereals, chips, crackers, cakes, cookies, candy, soda, fruits, fruit juices and most foods that contain more than 5-6 net carbs per serving as found on the package label all spiked my blood sugar. Some people can cut back on these foods and some people like me have to stop eating them.

Good luck
Kevin
http://kirla.wordpress.com/

realsis77
realsis77 2010-10-30 10:43:01 -0500 Report

Hi no this test is usually done at a lab however there are now home tests for it. My doctor explained it like this , its a clear picture of how your blood sugar has been doing for the past three months or so. It measures the sugar I think in your cells. I'm not real clear on that part either but that's a real basic explanation. Usually your doc gives the test to see how your manageing your diabetes.