Diabetes high a1c
Common Questions and Answers about Diabetes high a1c
diabetes
2% is equivalent to a daily glucose level of 146 to 160 mg/dl, well into diabetes land. A normal A1c is 4.1 - 5.0% which is 70 to 99 mg/dl. Diabetes starts at an A1c of >6% and where complications began to take shape.
There are many drug company sponsored web sites wanting one [and some doctors] to believe higher than normal A1c and/or glucose levels are OK when in fact it induces diabetes side effects.
An A1C is the average of blood sugars for a period of 2-3 months. If you experience low blood sugars as well as high, that would pull the average down and make it normal. My first question would be "what is that A1C"? A1C of 5.7-6.5 is considered pre-diabetes, so if it is in that range, it would be pre-diabetes. Your fasting of 7.3 (131) would be in the diabetic range, but your 6.8 (122) is considered pre-diabetes. Random blood sugars are virtually meaningless.
I was diabetic, had gastric bypass 3 years ago and was taken off metformin as my a1c was like 4.8. I should preface that I always have an issue with high morning numbers. My last a1c was 5.8, so still good but my bg on the test was 200. Now this week I has a wellness screening at work and my fasting bg was 330. The last week or so I have been feeling blah and lightheaded. I called my doctor who wanted me to go to the emergency room but I declined as I was feeling fine.
test you mean HA1C, since you refer to it as a three month average. An A1C of 6.2 is considered diabetes, not pre-diabetes (anything over 6.0). Your fasting numbers are still within the range of pre-diabetes (100-125), but the A1C is now considered the best diagnostic tool. So given that, what should you do differently? You are on the right track with losing the extra weight.
My major concern is not only the possibility of have gestational diabetes but that I may have regular type 2 and was unaware. Would the A1C be higher if I had preexisting diabetes? I have read 5.2 is normal but have also read its the high the end of normal...very confused and scared that i didn't know i had it, had uncontrolled sugar this whole time and have caused damage to my baby because of it. I checked my fasting BS this am and it was 97...
6% equates to 126 mg/dl which is knocking on the door of diabetes land. Anything above 5.6% is NOW considered diabetes. Then we have your A1c of 6.7% which equates to 161 mg/dl, well into diabetes land.
Like Zoelula stated, go see an Endocrinologist who will provide proper diabetes care that your current doctor is ignoring.
In fact I thought I was doing everything I possibly could to control my diabetes and the numbers were still high. My highest A1C was probably around 10.0. Now it's 6.7 and I have to tell you what really helped was going on the pump last year. I was very reluctant to try it, ignored my endo's plea for years, while doing research and asking other insulin pumpers what it's really like to be on this thing.
Can you buy an A1c test at the drugstore? I feel funny asking my Dr to run the test because according to her, I don't have diabetes. She never even mentioned pre-diabetes. I don't want her think I'm being neurotic!
Having scaled results (high to low, or normal to near high or above) calls for an A1c test to see the entire picture.
An A1c test measures your glucose going back three months. Why three months? On the average, new red blood cells live three months before dieing off and getting turned into Bilirubin. Excess glucose binds to the outer wall of red cells and the A1c captures this. The A1c determines where you stand as far diabetes goes.
To all of you with an A1C in the high ranges such as 7 or higher, you need to get to the doctor. I was just hospitalized for 5 days, 2 of those days in Intensive Care for an A1C greater than 14. If you don't get there, you run the risk of dying. I was feeling very rough and felt as though I was dying. I had no energy, was losing weight and was up urinating a lot. I was drained.
6 is under even the pre-diabetes level (starting at 5.7). The A1C is the standard for diagnosis of pre-diabetes and diabetes. So what I see in these numbers and the ones you report at home is that something is happening for sure but a diagnosis of full diabetes (rather than pre-diabetes) might be premature. If you have pre-diabetes you might want to start by trying to control it with reduction of carbs, exercise and weight loss if needed.
Regarding your A1c test result, in essence 6.2% A1c equates to a daily average of 131 mg/dl, a tad into diabetes land. Here are the reference ranges you should go by:
1. - Normal fasting glucose is between 60/70 to 99 mg/dl
2. - Normal A1c is <5%
3. - Prediabetes is considered between 100 to 125 mg/dl, or A1c of 5.1% to 6%.
4. - Diabetes is considered above 126 mg/dl
Post back if you have further questions.
A lot of doctors are now just taking a blood sample for a test called A1C. The A1C test is a common blood test used to diagnose type 1 and type 2 diabetes and then to gauge how well you're managing your diabetes. The A1C test goes by many other names, including glycated hemoglobin, glycosylated hemoglobin, hemoglobin A1C and HbA1c.
The A1C test result reflects your average blood sugar level for the past two to three months.
This test is useful in distinguishing between type 1 and type 2 diabetes. It should be noted that high anti-GAD antibody levels are considered markers for type 1 diabetes. When they occur in people who have what appears to be type 2 diabetes, it may indicate LADA.
See this brief on LADA
http://en.wikipedia.org/wiki/Latent_autoimmune_diabetes
Also these discussions on LADA
http://tinyurl.com/diabetes-lada
3.) An A1c test will show well you control/manage your glucose [blood sugar].
My 16 year child is a type 1 diabetic and recently recorded a high A1C (13). We have seen a doctor and doing things to get it down. It seems to have made her more irritated and less focused in and on school. I read lots on what do do but not much on how to explain the impact when high and until under control. How do I explain to someone the impact a high A1C can have on someone?
An A1c of 6.2% is considered high. Some doctors may say this is OK while others who understand the eAG [estimated Average Glucose] formula know it is unhealthy to remain at this level. To understand the eAG in relation to an A1c result use this manual formula: [calculators can be located online]
28.7 X A1C – 46.7 = eAG in mg/dl
or
1.583 X A1c - 2.52 = eAG in mmol/l
In your case abhimanyu64, your 6.2% A1c is equivalent to having a daily average glucose level of 131.24 mg/dl.
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