In any case, you are doing well! Wonderful post, it makes absolute sense, and what I have thought for a long time, having been a person victim of two situations. Note, time of the test 3 months prior all finger blood tests were normal non diabetic range i. Here in Spain I did not get the opportunity as I request to have a 2nd test due to inconsistencies between A1C, and real blood finger tests majority all non diabetic range.
Result, I was labelled Diabetic and on record. This is a serious situation, and I cannot reverse this. Without doubt, I feel there was a Lab error, i. Also became victim of where you are in the world depends time of diagnosing, i. Spain is 6. It was once upon a time not long ago the WHO in their official website, declared that they did not feel that A1C was a reliable marker for Testing, due to variations generally, I believe now they have changed their mind on this policy and allow the A1C to be used, again there is Doubt as to the accuracy of this Test.
I have to say the explanations, and information provided on this blog content was excellent and very very interesting to say the very least. Thank you for your comments and feedback, Jenny! Diagnosed with type 2 in May.
I am not on insulin.. Trying to get lower is not needed and can be dangerous. Good luck! Hi doctor, As I understand, A1C test is the percentage of Glucose attached to the red blood cell in 90 days. Also, as I understand, Glucose attachment to the red blood cell is, a continuous process.
So the question is, test of A1C is for 90 days blood cell or 60 days blood cell or the the blood cell day test was done, which one. The A1C is an important laboratory parameter that gives doctors and us folks living with diabetes an idea of what our glucose control has been over the past 2 to 3 months. The average life span of red blood cells, which are being produced and cleared from the body continuously, is about 2 to 3 months.
When we measure the amount of glucose on the hemoglobin of the red blood cells, for example, it is called the glycosylated hemoglobin, and is indicative of the amount of glucose in the circulation over the past 2 to 3 months. My question is: my husband is a type 2 diabetic he just got home after spending a month in the hospital where they was always allowing his blood sugars to get up to and giving him the smallest amount of insulin they could give him which was 7 units of Lantus when he was at then the same week he got home after having his blood sugars messed up for a month he did a a1c his previous a1c was 5.
The A1c test is really inaccurate. If he had a blood transfusion or was anemic this would make his A1c artificially low. Kidney problems will also do it. I am guessing that was the case. Was diagnosed with T2D a year ago and was put on Farxiga and metformin. After 2 months was taken off Farxiga. Had lost almost 50 pounds. Then put back on 25 pounds over the next 10 months. Is this normal?
Just had an A1C drawn with 5. Is this a good thing? My fbg is usually But if my fbs is below 90 I feel bad. What questions should I ask my doctor? Would these diseases have an impact on this? Your case is complicated. The wide swings in weight is not that normal, and thyroid issues too high or too low may be playing a role.
Your glucose values are excellent, so congrats. I would ask your doctor about your thyroid status and is it normal. Good luck. Had kidney surgery a year ago and was given insulin periodically. Have always been told I was pre diabetic with my A1C always at 6. Having surgery on other kidney since I had growths on both. All biopsys were negative and hope for same on this surgery. Do I understand that surgery can spike glucose? Probably had it or some version of it, pre perhaps, for years without knowing.
Sugary cereals spiked me to and by lunch I was hypo and shaky and below 70 somewhere according to my readings. Annual comprehensive metabolic panel test showed morning glucose after fasting since , above and no higher than ish. So August 30, , I bought a Contour meter and test supplies and am running my own unscientific testing. Had an A1c test yesterday Aug. I agree with the doctors article that they are innacurate. Because of so many variables, like blood travel time to testing site and turnover.
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Lynne Scharf. There is a better way. Look up Glycated Albumin. John Burd. Steve Edelman. Thanks for your comment John. Thank You Janet!
Thank you for your thoughts, Randall! Cia McKoy. The 70 to is meant to get pre and post meal ideal ranges for most people. But staying on the high end tends to suggest its time to add a little insulin or change the overall regimen Reply.
Everything else is like that Reply. Carolyn Jager. How do I find the time in range? Michael Donohoe. Thanks for your comment Michael! The CGM makes me read low and high and I count my carbs. A1C is important, but it's not a substitute for frequent self-monitoring. Only regular blood sugar checks show you how meals, activity, medications and stress affect your blood sugar at a single moment in time, as well as over the course of a day or week.
Without regular self-testing to provide day-to-day insights, an A1C result can be confusing. Because it gives a long-term view, a person with frequent highs and lows could have an in-range A1C result that looks quite healthy.
The only way to get a complete picture of your blood sugar control is by reviewing your day-to-day self-checks along with your regular A1C tests, and working closely with your healthcare team to interpret the results.
This calculator only estimates how the A1C of someone who self-monitors quite frequently might correlate with their average meter readings. But many factors can affect blood glucose, so it's critical to have your A1C checked by your doctor regularly.
For those who have changed their therapy or who are not in good control and not meeting glycemic goals, an A1C test is recommended quarterly. Your doctor will help you decide what's right for you. Keeping your A1C test results low can significantly reduce the risk of long-term diabetes complications such as nerve problems, damage to your eyes, kidney disease and heart problems.
Standards of medical care in diabetes— [position statement]. It may also be used as a baseline measurement for people with a strong family history of diabetes or other risk factors to see if levels are increasing over time.
The lower the A1C value, the less glucose there is coating the hemoglobin. The higher the A1C value, the more glucose there is on the hemoglobin. So higher A1C levels typically correlate with higher circulating blood glucose levels. This is what would typically be expected for someone who does not have diabetes.
If your body becomes less efficient at moving glucose into your cells to be used for energy, or insulin resistant , then levels may increase from 5. Those with levels from 6. Your healthcare provider can advise you on an individualized A1C goal that takes into consideration factors such as:. There are some conditions that can affect A1C levels, which your healthcare professional will be aware of, including anemia and sickle cell disease. A1C results are not good or bad, they are information.
Living with diabetes brings many challenges, and some aspects of controlling blood glucose can be out of your control, such as pain from an injury, stress, not being able to eat on time, and more. When it comes to diabetes self-management, the more information you have, the better.
Although an A1C level gives you a sense of average glucose levels over the past few months, a person with type 1 or type 2 diabetes needs a blood glucose meter to check blood sugar and make treatment decisions on a day-to-day basis. If you test often during the day — like before and after meals and other times that your blood sugar can vary — and use an accurate glucose meter , this can give you valuable information on daily variations in blood sugar levels.
Many blood glucose meters are also equipped to provide 7, 14, 30, or day averages. A day average on your meter can be used in the calculator above to estimate how it may correlate to an A1C.
Glucose meter averages are based on the frequency that you have tested per day, so if you do not have many data points i. The EAG value from the A1C calculator tells you how your blood glucose numbers are averaging in a unit of measure that is familiar, like on a blood glucose meter.
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