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10.2 A1c

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Hemoglobin A1c

If there’s one number all patients with diabetes should know, it’s their hemoglobin A1c (HbA1c or A1C) level: a measure of their overall blood glucose control for the past 3 months. Blood glucose levels fluctuate from hour to hour, day to day; but the A1C level reflects the overall average and is the best test to monitor blood glucose control in the past 3 months. How it works Hemoglobin (the protein that carries oxygen) in red blood cells gradually becomes coated with glucose molecules in diabetes. The A1C test works by measuring the percentage of hemoglobin with glucose molecules attached. The A1C test is an important tool for diagnosing and monitoring diabetes. After diagnosis, most patients should take the A1C test every 3 months, though the test might be spaced to every 6 months for patients with consistently good levels. Healthy range In people without diabetes, A1C levels range from about 4% to 6%. Optimal A1C levels to reduce the risk of developing complications in most non-pregnant persons with diabetes are less than 7%, though older persons with multiple medications and limited mobility may have less stringent goals at less than 8%. Levels higher than 9% usually revea Continue reading >>

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Popular Questions

  1. Frisha

    At what A1C did you start on insulin?

    Hi all,
    I am just curious when people got started with insulin. Last year I had my highest A1C ever of 6.7 and then started taking Metformin. It certainly helped, my most recent A1C was 5.9, but my BGs are starting to creep up again. And every now and then my postprandial levels go a lot higher than I would like.
    I eat a low-carb diet and exercise almost daily (50-mile bike ride last Sunday, not bad for an old gal! ) so it seems to me insulin is the next logical step. I'd like to start on a tiny pre-meal dose to slowly reduce my postprandial peaks. However I'm concerned my doctor won't see it that way and will want to put me on another med that won't give me the control I could get with insulin. I'd like to preserve my remaining beta cells, at this point they seem like the most valuable thing I own! Anyone else dealt with this issue?

  2. sweetmissmagnolia

    don't remember.....I'd have to get my doc to pull that info from the charts....I have been on it maybe 3 years....guessing here....I really didn't pay too much attention to things like I should have until recently.....

  3. Frisha

    Hi sweetmissmagnolia,

    Originally Posted by sweetmissmagnolia
    I really didn't pay too much attention to things like I should have until recently..... Well, since you're part of this community now, I imagine you're paying close attention now, and that's the main thing.
    I learn useful new things every day on this site.

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