Doctor insights on:
How To Lower Hemoglobin A1c
Is hemoglobin A1c of 5.5 of concern? Doc says I should be between 4.0-4.9. I eat healthy (no refined sugar/carbs) heard cinnamon can lower it?
Average blood sugar: Hemoglobin A1c is a measure of the percentage of red blood cells permanently bound to glucose. Normally about 5% of our red cells are glycosolated. If you have greater than 6.5% you are diabetic. It is not affected by fasting, and since our rbc's live 90-120 days, it reflects an average over that time. ...Read more
Hemoglobin A1C: This is a rough estimate of average blood sugar control over a three month period, more accurate than a single fasting blood glucose (sugar) level. In many tests, greater than 5.9 is considered abnormal, but you should discuss risk factors and prevention of diabetes with your doctor. ...Read more
Short answer: The test measures indirectly measures glucose control over the preceding 6-8 weeks. It does not measure sugar directly; therefore I would believe it not to be necessary to fast prior to the test. However, the best way to answer this question is to call the lab where you go to have the blood drawn and ask them directly whether you need to fast for the test. ...Read more
Risk increase: When the hga1c as it is commonly called, becomes uncontrolled (higher than 7.0%) the rate of retinopathy increases. The duration of uncontrol and level of uncontrol both play a factor. ...Read more
Poor sugar control: Hemoglobin A1c measures average blood sugar over approximately the past 3 months. It is the measure of how much hemoglobin is attached to sugar molecules in the blood. Sugar in your blood binds to the hemoglobin of the red blood cell and stays there throughout the cell's lifetime (120 days). At high levels of blood sugar, more reacts w/ the hemoglobin, causing an elevated hemoglobin a1c. ...Read more
No - incr DM risk: We used to consider hemoglobin A1c (hgba1c) <6% as normal w/6-7 considered good control for diabetes. A couple of yrs ago, we relabeled <5.7 as normal w/5.7-6.4 as increase risk for diabetes while >6.4 is considered consistent w/diabetes. Talk to your family doc, change your eating habits & increase your physical activity. Then recheck in 3mo as hgba1c represents running 3mo average of blood sugar. ...Read more
4 to 6: The normal range varies from lab to lab but is generally between about 4 and 6 percent. ...Read more
Anemia vs diabetes: A hemoglobin is measured to screen someone for anemia. A hemoglobin a1c is measured to screen for diabetes or to evaluate a person known to have diabetes. They are quite different, though certain disorders of hemoglobin type can also alter how one should interpret an a1c value. ...Read more
Yes. Good.: An A1C less than 5.5 suggests "not diabetic". ...Read more
A needle poke: It's a lab draw so you will get a needle poke, which sometimes can be a pain and sometimes painful depending on your vein size, location.... ...Read more
License: You should be must more concerned with controlling your diabetes than worrying about your license for now. I think it is OK to drive your car but not drive a bus or truck. Work hard on getting your diabetes under control. Go on-line and look up NuVal. It will help you develop better eating habits. ...Read more
Controlled: Good diabetes control is important in pregnancy for best fetal health. There is some leeway because both high and low blood sugar can cause harm to mom and baby, but in general the lowest safely achievable A1c is desirable. Pregnant women with diabetes need to work closely with their ob/gyn and their pcp or endocrinologist, as medications used and level of control often change in pregnancy. ...Read more
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