Should I be concerned about ACI? What is it?

By Susanpwd2 Latest Reply 2010-12-14 17:26:53 -0700
Started 2010-12-14 09:13:19 -0700

I have been seeing this AC1 and, I do not understand what it is and should I be concerned, and paying attention to this?

16 replies

kdroberts 2010-12-14 09:21:54 -0700 Report

A1c is a test that shows how much glucose has bonded to red blood cells. Since red blood cells live for around 60-120 days it is used as a gauge to see how well your diabetes is under control. Lots of people refer to it as average blood sugar but it doesn't test blood sugar at all and all references that will give you an average blood sugar are really just theories. There are a few things that can affect the result as well, blood loss (heavy bleeding, donating blood, etc) will give a falsely low result and certain diseases like sickle cell anemia can cause false results.

For reference. A normal, non-diabetic A1c is around 4.5-5.4. The American Diabetes Association says diabetics should aim for 7.0, the American Association of Clinical Endocrinologists say diabetics should aim for 6.5 and diabetics generally say you should aim as low as you can without having low blood sugars but you need to figure out your own goals with your doctor.

Susanpwd2 2010-12-14 09:38:16 -0700 Report

Okay, so how do you monitor it?

Doc 720
Doc 720 2010-12-14 09:55:40 -0700 Report

There are some home test that you can purchase through a local drugstore (Wal-Mart, Kroger, CVS, Wal-Greens, etc., etc., and so on). These are prick your finger and mail off to a laboratory.

My suggestion as with many others will be to keep in close touch with your diabetic healthcare team, whom will be sticking you more than you can stand, for one reason or another.

Most Insurances will not pay for the test at less than 6 months. and it depends on your team, they may want to draw it every 3 months until you can show a stability and then every 6 months.

Until then Have fun, save your money and stick around here. The Diabetic teams are helpful to a point but are just not readily available (Cost each time you speak with them or go to see them).

Susanpwd2 2010-12-14 10:55:14 -0700 Report

Was at the Dr last week and they pricked my finger. Also had someone check my feet, did a little test on the feet and after done the nurse came in and asked how I was doing with eating, the medication it I had any concerns to talk to Dr. Matter of fact the Dr Office called today and said the Dr. would like to see me about my concerns as he was on vacation last week.

jayabee52 2010-12-14 11:08:47 -0700 Report

The lab A1c test is not done with a finger prick. They take a small vial of blood from your arm or hand.

GabbyPA 2010-12-14 17:26:53 -0700 Report

My home test and the lab test were only .2 difference and taken within a couple of weeks of each other. So while they may not be perfect, it is good to get a number to work from.

jayabee52 2010-12-14 09:52:44 -0700 Report

Your Dr SHOULD have the test done every 2 to 4 months. If s/he doesn't ask your Dr "isn't it time to do my A1c?" It is a blood test that is usually drawn by a lab. The results should be back within a couple of days at maximum. You could have your blood work done before a Dr visit so s/he can interpret it for you.

There are home A1c test kits available. But I prefer lab tested A1c because they seem more reliable to me.

every 3 to 4 months you should get an A1c done. Any more frequently is a waste of money, IMO.

kdroberts 2010-12-14 10:59:25 -0700 Report

It's not a fasting test but to get an accurate result you need to have your blood drawn and sent to a lab.

CaliKo 2010-12-14 09:19:39 -0700 Report

Yes, you should know your A1C test results. It's a measure of how well you are controlling your blood glucose levels in the past three months. This is from the Mayo Clinic site:

The A1C test is a common blood test used to diagnose type 1 and type 2 diabetes and then to gauge how well you're managing your diabetes. The A1C test goes by many other names, including glycated hemoglobin, glycosylated hemoglobin, hemoglobin A1C and HbA1c.

The A1C test result reflects your average blood sugar level for the past two to three months. Specifically, the A1C test measures what percentage of your hemoglobin — a protein in red blood cells that carries oxygen — is coated with sugar (glycated). The higher your A1C level, the poorer your blood sugar control. And if you have previously diagnosed diabetes, the higher the A1C level, the higher your risk of diabetes complications.

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