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A1c Level 7.2

The Hemoglobin A1c (HbA1c or simply A1c for short) test is a blood test used to measure the average blood glucose concentration in your body in the past 1-3 months. For diabetics, this is the standard way of determining how well the diabetes is controlled. An A1c of less than 7% is considered good. Getting the test every 3 months (usually during a doctor visit) is usually enough. But sometimes you may want to just estimate your A1c level based on the data from your regular self-tests. The formula below could help in this case. Accuracy, of course, could vary depending on how often and when you check your blood sugar. I found it pretty accurate last time I used it. My calculation was off only by 0.1%. This is the same formula GlucoseTracker uses in the app's dashboard. Glucose in mg/dL: A1c = (46.7 + average_blood_glucose) / 28.7 Glucose in mmol/L: A1c = (2.59 + average_blood_glucose) / 1.59 So, for example, if your average blood glucose level in the past 3 months is 130 mg/dL (7.2 mmol/L) , your estimated A1c is 6.15%. There are also cheaper devices you can buy that will allow you to do the actual A1c tests yourself, like this one. If you need to do these tests more often, say every month, then it could save you money in the long run as lab tests could get expensive. It may not be as accurate as the lab tests, but my guess is it's probably good enough. Continue reading >>

Why Should My A1c Be 7 Per Cent Or Less?

Share: Over the last several years a significant amount of research has proven that control matters, and good control is now defined as an A1C of < 7 per cent. What is an A1C? An A1C test shows your blood glucose control over the last 2 or 3 months. Research from both the Diabetes Control & Complications Trial (DCCT) and its follow up study (EDIC) proves that having an A1C of 7 per cent is definitely worthwhile for persons with type 1 diabetes. Exactly 1441 volunteers aged 13 to 39, all with type 1 diabetes, took part. These people agreed to randomly be assigned to either conventional treatment - taking about two insulin injections a day - or to intensive treatment (IT) - taking either multiple dose insulin (MDI, about 4 injections a day) or an insulin pump. During the study the A1C of each group was compared: the conventional therapy group had an average A1C of 9.1 per cent (normal 4-6 per cent) the intensive therapy group had an average A1C of 7.2 per cent The purpose was to finally demonstrate whether or not good blood sugar control was really important to prevent the complications of diabetes. And indeed it is – as you can see below, complications developed at a much lower rate in the intensively treated group compared to the conventional group. Effect of intensive therapy on: Those with no complications at beginning of study: Those with some complication at beginning of study: Eye Disease (retinopathy) 76% overall reduction 54% less progression 45% less risk of needing laser therapy Kidney Disease (nephropathy) 34% less microalbuminuria 56% less proteinuria Nerve Disease (neuropathy) 69% less occurrence 57% less occurrence Heart Disease Trend towards reduction in risk factors Trend towards reduction in risk factors The reduction in risk for eye disease (the prima Continue reading >>

What Are The Normal A1c Levels For Children?

The A1c blood test is one of the laboratory tests used to diagnose diabetes and an important measure of average blood sugar levels in someone who has diabetes. This test determines the amount of glucose or sugar that has attached to the blood's hemoglobin -- the oxygen-carrying protein in red blood cells -- during the 3-month lifespan of these cells. Target A1c levels have been established to help healthcare providers, as well as children with diabetes and their families, understand the blood sugar goals needed to reduce the risk of the long-term complications of diabetes. While there are some situations where the A1c result may not be reliable, as a rule this test is accurate and an essential part of a child's diabetes management program. Video of the Day Normal A1c Levels Diagnostic criteria for children is similar to the guidelines used in adults, and the A1c is one of the tests used to diagnose diabetes. A1c levels are reported as a percentage, and often the estimated average glucose (eAG) -- a number calculated from the A1c reading -- is also included with the results. Using the same units as a blood glucose meter, the eAG makes understanding the A1c result a bit easier by comparing the A1c to average blood sugar levels. A normal, nondiabetic A1c level is below 5.7 percent, which reflects an eAG below 117 mg/dL. The level used to diagnose diabetes is 6.5 percent and above, which reflects an eAG of 140 mg/dL or higher. A1c levels above normal but below the diabetes range fit into a prediabetes range. Target A1c Levels Along with its role in diagnosing diabetes, the A1c test is performed between 2 and 4 times per year to estimate average blood sugar levels over the previous 3 months. This test is used to monitor the effectiveness of diabetes treatment and to determin Continue reading >>

Overtreatment Of Elderly Diabetics

The last time I was directly responsible for treating diabetes was fifty years ago, when I was an intern in medicine at UCLA. In my subsequent career as a psychiatrist I was not directly responsible for diabetes care, and as an individual, I don’t have the condition. As a result, I haven’t kept up on diabetes treatment, so a June 11 article on “Diabetes Overtreatment in Elderly Individuals: Risky Business in Need of Better Management” was news to me. The opening two sentences of the American Diabetes Association’s article on “Tight Diabetes Control” make it sound as if “tight control” should be the goal of treatment: “Keeping your blood glucose levels as close to normal as possible can be a lifesaver. Tight control can prevent or slow the progress of many complications of diabetes, giving you extra years of healthy, active life.” In my uninformed state, that’s how I understood how diabetes should be managed, even for over 65ers. But I was wrong. Several paragraphs later there’s a very clear statement that elderly people with diabetes should be treated differently: “Elderly people probably should not go on tight control. Hypoglycemia [overly low blood sugar] can cause strokes and heart attacks in older people. Also, the major goal of tight control is to prevent complications many years later. Tight control is most worthwhile for healthy people who can expect to live at least 10 more years.” The American Geriatrics Society gives precise guidelines for the goal of diabetes treatment in over 65ers. The key measure of diabetes control is hemoglobin A1c. For healthy over 65ers with long life expectancy, the target should be 7.0 – 7.5%. For those with “moderate comorbidity” (so-so health) and a life expectancy of less than 10 years the targe Continue reading >>

Patient Comments: Hemoglobin A1c Test - High Results

I have been doing a lot of research on CIN1. I was 26 when my doctor told me I have cervical dysplasia (CIN1), January of 20017. I didn't think anything of it. But then she told me I have HPV high risk E6/E7 mRNA. One day I was looking through my medical records online and discovered I had CIN1 3 years ago July of 2014 and my doctor never told me. Now I am stressing over it because my periods are irregular and when I do have them they are strange. Also the year of 2014 I told my doctor I was having clots the size of 2 half dollars put together and she didn't say anything either. I get pelvic pain sometimes. She did a biopsy and I was positive for CIN1 and high risk HPV and ascus. I don't know what I should do, maybe I should get a new doctor. In May 2015 I was really tired, lethargic and bloated all the time. I was so constipated and miserable. I had been gluten free for 4 years by self-diagnosis. Finally, I went to a gastroenterologist. My blood work came back positive for Helicobacter pylori. The doctor said that H. pylori causes similar symptoms as gluten allergies. I had an endoscopy and colonoscopy which showed all of the internal inflammation and prior damage from the bacteria. It seemed to be dormant so there was no need for eradication, however the prescription acid reflux pills made me sick so I stopped that. Now I take probiotics and manuka honey and feel great. Try to avoid the prescription drugs. I have to go back for a check up to see if the bacteria is gone. I just had a laparoscopy 2 days ago and other than feeling full and bloated from the gas and a soreness around the incisions, I feel pretty good. The day of the surgery when I came home, I was very sleepy and slept for almost 2 days with getting up, except here and there to use the bathroom and eat. My Continue reading >>

Diagnosis

Print Symptoms of type 1 diabetes often appear suddenly and are often the reason for checking blood sugar levels. Because symptoms of other types of diabetes and prediabetes come on more gradually or may not be evident, the American Diabetes Association (ADA) has recommended screening guidelines. The ADA recommends that the following people be screened for diabetes: Anyone with a body mass index higher than 25, regardless of age, who has additional risk factors, such as high blood pressure, a sedentary lifestyle, a history of polycystic ovary syndrome, having delivered a baby who weighed more than 9 pounds, a history of diabetes in pregnancy, high cholesterol levels, a history of heart disease, and having a close relative with diabetes. Anyone older than age 45 is advised to receive an initial blood sugar screening, and then, if the results are normal, to be screened every three years thereafter. Tests for type 1 and type 2 diabetes and prediabetes Glycated hemoglobin (A1C) test. This blood test indicates your average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells. The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. An A1C level of 6.5 percent or higher on two separate tests indicates that you have diabetes. An A1C between 5.7 and 6.4 percent indicates prediabetes. Below 5.7 is considered normal. If the A1C test results aren't consistent, the test isn't available, or if you have certain conditions that can make the A1C test inaccurate — such as if you're pregnant or have an uncommon form of hemoglobin (known as a hemoglobin variant) — your doctor may use the following tests to diagnose diabetes: Random blood sugar Continue reading >>

A1c At 7.2 And Doc Is Pleased

Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. Since starting on the MM pump 15 months ago, my A1c has been reduced from just under 11 to 7.2 on my last lab test (March). I told my Endocrinologist that I would prefer to get my A1c below 6 because this is the range I see many members reporting on this forum. He told me that I should not compare my numbers with the typical type 2 who is not insulin dependent. Based on my history, he stated that I should be very pleased with my progress and does not expect me to show results significantly below 7. Does this make sense to any other insulin dependent type 2's ?. Congratulations on the drop in a1c. That shows a lot of hard work. I can't comment as a T2, but I can say that getting into the 5s with insulin can be difficult as you run the risks of a lot of lows. I hit the low 6s with minimal lows and not too many spikes and was happy with that. I think your doc has the right approach in that he was encouraging with the progress and doesn't want you to overdo the insulin. Also, don't compare yourself with others. Everyone is different and you will achieve what works for you. Don, I'm not a T2 but my endo has told me that he does not want my a1C below 7 nor does he think I can achieve it without many severe lows. I'm working now to prove him wrong. Don, I'm not a T2 but my endo has told me that he does not want my a1C below 7 nor does he think I can achieve it without many severe lows. I'm working now to prove him wrong. I've always found that an a1c of 7 means a number of highs that can be controlled without risking lows. I ran at about 7 for a while and was not happy. My endo encouraged me and I g Continue reading >>