Below 2 links so you can read more about type 1 and LADA If the doctor’s office has an A1c kit, you should get your result before your consultation is over. Then the 1.5 mg dose may be increased after ≥4 weeks to 3.0 mg once weekly. He also probably weighs 100 pounds. If you wear a Continuous Glucose Monitor (CGM), your time-in-range should be listed when you download your data (as in the example from a Dexcom CGM below). Right?! You will learn, you will adapt, and you will be healthier. Try your bolus 15-20 minutes before eating, if you can. I generally think an A1c target of 6.0 – 7.0% is ideal and data shows that going below 7% has fairly little impact on complications. Do you know what a good A1c target is, how to lower your A1c, and how quickly you can lower your A1c safely? I turned to Dr. Peters for an explanation: “If you lower your A1c too quickly, many bad things can happen. The A1C test—also known as the hemoglobin A1C or HbA1c test—is a simple blood test that measures your average blood sugar levels over the past 3 months. He is also on Metformin (500 mg). Success! Carbohydrates have the greatest impact on your blood sugar, which is why many people with diabetes can benefit from following a low- to medium-carb diet (or even a ketogenic diet). It is very important to realize that we all react differently to carbs so you have to find the diet and foods that are right for you. Anything too sudden and the body reacts badly.”. In non-diabetic persons, the formation, decomposition and destruction of HbA1c reach a steady state with about 3.0% to 6.5% of the hemoglobin being the A1c subtype. It is important to remember that the A1C is a 3 month average, so when you get your A1C result from your provider, you should count backwards 3 months to know the date range that the A1C covers. That for most people would be considered fairly high. A lack of commitment and acceptance from me would just result in more damage as time went on, both physically and mentally. In clinical studies, the mean A1C reduction from baseline at primary endpoint was 0.7% to 1.6% for the 0.75 mg dose and 0.8% to 1.6% for the 1.5 mg dose. However, it may not be a good idea to lower your A1c so quickly, as I will explain below. He was the type of person that had horrible portion control, didn’t care about what he ate, and veggies/fruits (don’t even get me started). People with diabetes get their A1C checked every 3-6 months or yearly. But you! One Drop has been working with type 2 diabetics through their mobile application in IPhone and Apple watch. Youre at 6.0 almost a month after Christmas?! The glucose sticks to the cells until they die which is typically two to three months, reports Utah.gov. By using a CGM, you can now get a very accurate picture of not only your average blood sugar, but your blood sugar fluctuations as well. But we really shouldn’t! Fantastic work. I'm new to this, but feel free to message me if you need any help or just a friend to talk to. He is only 26. Just glad I'm starting here and not at 11! On average, the experts didn’t expect the general diabetes population to be in range more than 50% of the time at most, so talking about incremental improvement probably makes more sense than setting a fixed number. He is only 26. Cardio, such as brisk walking, jogging, swimming, biking, or dancing, are all excellent types of exercise, and as little as 20-30 minutes a day can make a significant difference when it comes to improving insulin resistance and managing blood sugar levels. There are different recommendations for what an appropriate A1c is for people living with diabetes. The endless support here and throughout the community is so helpful in knowing we aren't all alone. If you rely on manual blood sugar testing, it’s a little trickier since most people don’t test every five minutes. New comments cannot be posted and votes cannot be cast. How to Lower Your A1c: The Complete Guide. You can do this, try to set goals in a way that works for you and do everything you can to achieve them. One Drop Helps Lower A1C’s Within 3 Months. I would focus on getting those down so he’s not running high for those 6-9 hours that he sleeps. Your body is producing glucose faster than you can use it! In that case, focusing on increasing time-in-range is much more important than further lowering your A1c. If you, from one day to the next, decreased your daily average blood sugar from 300 mg/dl (16.7 mmol/l) to 120 mg/dl (6.7 mmol/l), your A1c would decrease from 12% to 6% in around two months. A1c has long been considered the best measure of diabetes management because it was the most accurate tool to observe long-term blood sugar trends. save hide report. Just find ways to do your best. As far as adrenal issues go…that is much more complicated so I’m glad you are seeing an endo. However, they also agree that the actual time spent in range needs to be individualized. Then he was diagnosed this last Friday. I have a friend who hovered at 12-14% from the ages of 13-20 and now he has incredibly bad gastroparesis, and essentially cannot function without zofran and marijuana to calm his stomach. Your doctor may suggest a different medication regime. It will help you realize what you need to do and why. Not only does exercise reduce blood glucose during exercise, but it also improves your insulin sensitivity for hours after your workout, meaning that you need less insulin. Expert. An A1c of 7% roughly translates to an average blood sugar of 154 mg/dl (8.6 mmol/L) as you can see from this conversion chart. One way of looking at it a little differently is that an A1C of 11.6 indicates that his blood sugar on average was 286 mg/dl. Hello mam You're not alone! By simply knowing this, people struggling with a certain type of carb can choose to reduce their consumption or cut it out of their diet altogether. I think we all know it's not ever this consistently positive. It measures your blood sugar levels over a 3-month period by showing the amount of glucose that is attached to your red blood cells. All I could do was cry, but it wasn't much longer until I realized I had to do more. Reduce A1C Levels In Months . The downside of the home kits is that they require a larger amount of blood (four large drops) than a regular blood sugar test, and if you don’t apply enough blood, you’ll get an error message and will have lost a test strip. ", "how could I have prevented this? My A1c number doesn’t reflect what’s been going on in my life for the last three months. Also your high A1C is also stunting your growth. He’s gone Monday thru Friday. The tips and tricks I've learned here helped me achieve that 6.0. If you exercise regularly, the effect of exercising overlaps from one workout to the next and you essentially achieve a permanent increase in insulin sensitivity. Now that you have a better idea of what your “pain points” are, you can start making changes to your diabetes management. I want to make an important point here: increasing your diabetes medication is not a sign of failure! What you choose to eat and drink can have a major impact on not only your waistline, mood, and well-being, but also on your blood sugar levels. I have a very ambivalent relationship with my A1c myself. To see why time-in-range is important, take a look at the three lines in the graph below. It has been invaluable to me. Diabetes is a long-term disease, so slow steps to establish new habits that can last a lifetime is the way to go. A1c, hemoglobin A1c, HbA1c or glycohemoglobin test (all different names for the same thing) is a blood test that measures your average blood sugar over the last 2-3 months. While I don’t believe your diabetes management should completely dictate how you live your life and which diet you choose to follow, it can be worth evaluating what food choices make life easier for you. Through my early weeks of T1, I became more active in the T1 community and as I did that, I became inspired to find every way I could to take better care of myself. What’s an acceptable high and low is something you have to discuss with your medical team. Your email address will not be published. Shocking thing was my Fasting sugar was 262 and random after 2 hours of meal was 225 .. than i tested my HBA1C which was 10.9 … after this horrible result i made lot of changes as i reduced carbs from my diet and i added 30 minutes walk before bed and few fruits and aftr 15 days now my fasting is between 96 to 120 and random is between 125 to 150 .. what i want to ask is iam confused either iam diabetic or iam pre diabetic ? You can find home test kits on Amazon and in some pharmacies. But when we get 45 minutes each of aerobic exercise and resistance training for just three days a week, we can reduce our A1C a lot. The A1C is now standardized, and the acceptable variance can be up to 0.5% from what your actual result is. Some people can eat oats with only a small increase in blood sugar while others see a quick spike. For example, let’s say he has high readings before bedtime. Your email address will not be published. Please try again. The A1C is a blood test that gives us an estimated average of what your blood sugar has been over the past 2-3 months. And certainly, someone who has been running A1c’s in double digits for quite some time should not be targeting an A1c of 6%… better to set modest, realistic, achievable goals.”. One easy, accurate way for us to measure a person’s blood sugar over time is the Because resistance training is so effective at increasing your insulin sensitivity, it’s a great way to lower your blood sugar consistently. However, if you are newly diagnosed and may have been far out of range for a while, you may want to have your A1C measured every 2 weeks at first. We send out a weekly newsletter with the latest posts and recipes from Diabetes Strong. Doc says I'm floating out. Because A1c is simply a measure of your average blood sugar over 2-3 months, it can (in theory) decrease by any amount over that time period. Reply. Press question mark to learn the rest of the keyboard shortcuts. Significant changes in blood glucose can be seen within 2 weeks. It’s not an “even average,” but an average where your blood sugars over the last few weeks count a little more than your blood sugars 2-3 months ago. She’s a diabetes advocate, public speaker, and author of the popular diabetes book Fit With Diabetes. To have an A1C of 10 his blood sugar would have had to be 240 mg/dl on average the last 3 months. 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