What Do A1c Numbers Mean?

Share on facebook

Your A1c Results: What Do They Mean?

If you have diabetes, you should have an A1C test at least twice each year to find out your long-term blood glucose control. The A1C test measures your average blood glucose during the previous 2-3 months, but especially during the previous month. For people without diabetes, the normal A1C range is 4-6%. For people with diabetes, the lower the A1C value, the better the diabetes control and the lower the risk of developing complications such as eye, heart, and kidney disease. Your goal should be to have A1C values less than 7%. That may be a hard target to hit, but it is important to try because the lower your A1C, the lower your health risk. The table on this page shows what your A1C results say about your blood glucose control during the past few months. Some people are surprised when they have a high A1C result because when they check their blood glucose with their meter, they have relatively low numbers. But remember that checking your blood glucose gives you only a momentary sample of your blood glucose control. The A1C test measures your blood glucose control at all times during the previous 2-3 months, even times such as after meals or when you are asleep, when you don't usu Continue reading >>

Share on facebook

Popular Questions

  1. Becki


    Hello all...
    I am a 36 year old overweight female. About 2 years ago I went through IVF fertility treatments to have my child. During the 7th month of my pregnancy I developed Gestational Diabetes that was treated with insulin. After my pregnancy things seemed to resolve. I continued to test on my own every now and then with my meter that I had from the Gestational Diabetes and the numbers were a little high but not over 200.
    As part of my fertility medications the first time around I was on low dose metformin (500-1000mg). I stayed on the metformin till about the 4th month of pregnancy.
    I am getting ready to go through IVF again now. In preparation I have started my hormones again and the fertility doctor put me back on 1-2 metformin a day. I have been taking 1 pill a day for about 1 month (I haven't taken 2 pills because they have been causing me diareaha). And, I am not great about taking the metformin every day.
    I recently had some blood work done at the fertility clinic in prep for IVF this summer. They did an A1c test. The doctor called me tonight to say the A1C was 6.1% and the IVF clinic wants it at 6.0% or lower before doing the IVF.
    He asked me who I see to manage my diabetes. I told him that I have never been diagnosed with diabetes. I had gestational diabetes but it seemed to have gone away. He seemed surprised and asked me who prescribed the Metformin? I told him he did and he seemed to have forgotten about that. He told me to call my PCP or an endocrinologist and bring them into the loop on the A1C #.
    He also said that since I had about 3-4 months before the IVF that he thought diet, exercise, upping the metformin does and losing some weight would bring the A1C number down to 6.0% or lower before the IVF. But he again indicated that I need to call my doctor since the IVF clinic is not going to monitor me long term and that my diabetes will need to be managed during the pregnancy and after...
    I am frankly shocked and upset and scared by this phonecall!! He seemed to indicate that I am a diabetic based on this A1C number. Is that true?
    I was thinking that I might not see my PCP or an endocrinologist right now as I am terrified of being labeled a "diabetic" since from what I have read - once you have that diagnosis it never goes away - it can be controlled - but never gone. My plan was to go to Weight Watchers ( I lost 20 lbs successfully before my first pregnancy with Weight Watchers), start walking 20 minutes a day or so, and up the Metformin to 2 pills a day.
    I am kinda hoping this is something I can do on my own and I can get the A1C down to 5.9-6.0% on my own by doing the above.
    I realize that it is a virtual certainty that I will have the Gestational Diabetes again if I am lucky enough to get pregnant a second time.
    So - am I a diabetic?
    Should I call my doctor or is it worth following my own plan till June/July when my A1C will be tested again?
    I am nervous that if I have a formal diagnosis I won't be able to get additional life insurance which I want/need to get if I get pregnant again.
    What is weight loss goal to bring down the A1C?
    Should I gradually work up to 3 metformin a day?
    Any thoughts or advice greatly appreciated!

  2. nomorecarbs

    You are right to be concerned about the 'label' as diabetic. It is very important to avoid this label. My post will probably be quite different from that of others. A1c tests are generally not used to diagnose diabetes. That said, your A1c test indicates that you do not have the healthiest blood sugar levels. Whether you choose to call it diabetes, imparied glucose tolerance, high normal, is a matter of choice, but you need to make changes in your life. Almost all experts are agreed that increased physical exercise will help. What I have found most beneficial, is a very low carb diet. You will probably lose weight on such a diet, which will lessen insulin resistance. Additionally, because insulin response is muted, you will probably find that you have adequate insulin function. You may well find that you don't need any medications.

  3. RobertIA

    Becki, Listen to Jen and Ron! Don't play with your life or the life of the child you want. While being diagnosed with diabetes is a shock, "it is not your fault"! It would be your fault for not having the proper tests and safeguarding your health for the child you already have. This alone should get you moving to make an accurate determination!

  4. -> Continue reading
read more close

Related Articles

  • What Do A1c Numbers Mean?

    If there was a blood test that could give you valuable information about a major, yet reversible risk factor for Alzheimer’s disease and age related dementia, would you want to take it? What if that same blood test could also give you information about your risk of heart disease, high blood pressure, diabetes, vision loss, cancer and how fast you can expect your body to age? What if the test was really cheap? Now, what if you knew that what you ...

    blood sugar Jan 5, 2018
  • What Do The A1c Numbers Mean?

    We dFolk are bombarded with numbers, goals, and targets. We’re frequently told where we should be, but not how high our risk is when we can’t reach our targets. Here, we break down A1C numbers into a simple green-light, yellow-light, red-light format, to give you perspective on when (and how much) to worry, when to relax, when to call your doc, and when to call 911. Green-light A1C score For most people, the target for A1C, the green light, i ...

    diabetes Jan 12, 2018
  • A1c Numbers And What They Mean

    Dear Nadia, Why are my blood sugar numbers so varied? I have been experiencing high blood sugar numbers on my glucose meter. They range from 131 on the low end to 534 on the high end. But that was one time. My average numbers are 127 to 231. Roy G Dear Roy: Your varied blood glucose numbers are of concern. I would speak to your healthcare professional immediately to figure out what your real average blood sugar number is. This can be more accurat ...

    diabetes Jan 14, 2018
  • What Diabetes Numbers Mean

    Diabetes treatment varies for each individual Successful treatment makes all the difference to long-term health, and achieving balanced diabetes treatment can be the key to living with both type 1 and type 2 diabetes . Treatment varies for each individual, not simply on the type of diabetes that they have, but also more individual-specific diabetic treatment differences. Your diabetes treatment and management strategy should be agreed between you ...

    diabetes Jan 2, 2018
  • What Do Diabetes Numbers Mean

    If you have diabetes, managing your blood glucose level is an important part of managing your condition. That’s because high blood sugar levels can cause long-term complications. When you have diabetes, your body isn’t able to get the sugar from blood into cells, or make enough or any insulin. This causes high levels of blood sugar, or high glucose levels. After meals, it’s the foods that have carbohydrates that cause blood sugar levels to ...

    diabetes Dec 29, 2017
  • Diabetes Numbers And What They Mean

    Know the Numbers According to the American Diabetes Association's Standards of Medical Care, these numbers should be used to diagnose pre-diabetes and type 2 diabetes. The ADA suggests everyone over age 45 be checked every three years -- especially if your body mass index (BMI) is over 25. People with a family history of diabetes should be tested at a younger age and more frequently. Normal Fasting glucose level: Less than 100 mg/dl Two hours aft ...

    diabetes Jan 9, 2018

Popular Articles

More in blood sugar