Low Hba1c Meaning

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At a glance Also known as Haemoglobin A1c; glycated haemoglobin; glycosylated haemoglobin Why get tested? To diagnose diabetes, to monitor a person's diabetes and to aid in treatment decisions When to get tested? When first diagnosed with diabetes and every 3-6 months Sample required? A blood sample drawn from a vein in the arm or from a fingerstick Test preparation needed? None What is being tested? As glucose circulates in your blood, some of it spontaneously binds to haemoglobin (the protein that carries oxygen in your red blood cells). This combination is called haemoglobin A1c (HbA1c). The amount of HbA1c formed is directly related to the amount of glucose in your blood. If your diabetes is not well controlled, your blood glucose levels are high, causing higher HbA1c levels. HbA1c levels do not change quickly since red blood cells live for 3-4 months. Because of this, the amount of HbA1c in your blood reflects the average amount of glucose in your blood during the last few months. How is the sample collected for testing? Your blood may be drawn from a vein in your arm or, in some cases, a drop of blood from a finger-prick may be used. Is any test preparation needed to ensure t Continue reading >>

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  1. Yau Teng Yan

    Time to get out those running shoes!
    Your HbA1c is not in the diagnostic range for diabetes (>6.5%) but neither is it within normal range (<5.6%). This puts your squarely in the prediabetes group.
    What this means is that your body is still producing insulin, however it is developing resistance to insulin. The good thing about this is that you can take actionable steps in order to reduce your risk of progressing to diabetes.
    It's been shown that losing 5- 7% of your body weight significantly reduces your diabetes risk (See the Diabetes Prevention Program in the US - National Diabetes Information Clearinghouse ). In fact, at the prediabetes stage, an intensive program of exercise and nutrition therapy shows greater reduction in risk of getting diabetes, compared to just taking a diabetic medication (metformin)

    If you want more information, here’s a detailed blog post I wrote about A1c, what it means to you and how you can lower it -> Quick A1c Calculator: All you need to know about A1c (HbA1c)

  2. Liang-Hai Sie

    Instead of looking at your HBA1c levels, that looks back 60 - 120 days, what are your latest fasting and post-meal blood glucose levels? It might be those values that prompted your doc to prescribe you metformin, the backbone for any type 2 diabetes medicatie, since it correlates with a lots less mortality over time than the other cheap and popular antidiabetic the sulfonyl ureas see my previous answer Liang-Hai Sie's answer to Which is the best medicine for type 2 diabetis which doesn't affect liver, kidney and heart?
    Pleaes also see Liang-Hai Sie's answer to If I am diabetic, my A1c is 6.0-6.7, is my current diet enough? If my A1c is in the target range, is any further reduction in my diet called for? Do I have to cut out all desserts and candy?

    In obese people losing weight often makes one needs less, even no antidiabetic meds anymore, whether in the future you’ll continue to need metformin would depend on a lot of factors.

  3. Nikhil Prabhu

    Your HbA1c is in prediabetic range.
    At this stage it can be reversed to normal with weight loss via diet exercise and certain drugs which are insulin sesitisers like metformin or pioglitazone.
    Once you have a established diabetes then you need to take life long medication. But at this stage it is not established so along with diet & exercise metformin will also help you to loose weight.
    After few months of treatment you can recheck your HbA1c again if it comes below 5.7 you can stop metformin and continue with diet & exercise alone.
    Before starting medication it is advisable to consult your local diabetologist or endocrinologist.

    Find Out The Most Reliable Test for Diabetes

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