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Why You Should Care About Your A1c

Controlling Blood Sugar Levels Dr Joel Wallach

Multiple studies have shown that high average blood sugars increase the risk of diabetes-related complications. Lowering your A1c to the recommended range will reduce the risk of diabetes-related complications significantly:

  • Eye disease risk is reduced by 76%
  • Kidney disease risk is reduced by 50%
  • Nerve disease risk is reduced by 60%
  • Any cardiovascular disease event risk is reduced by 42%
  • Nonfatal heart attack, stroke, or risk of death from cardiovascular causes is reduced by 57%

Achieving an A1c in the recommended range is, therefore, one of the most important things you can do to improve your long-term health when you live with diabetes.

However, the closer you get to the recommended A1c target, the less benefit you will get from lowering your A1c further. Taking your A1c from 12% to 11% makes a big difference while lowering your A1c from 7% to 6% provides a much smaller benefit. In fact, lowering your A1c too much may not be a good idea if it means that you increase how often you experience hypoglycemia .

I will explain why time-in-range is just as important as a low A1c later in this guide.

Blood Sugar 108 Mg/dl

Nerve damage, nerve pain and numbness or tingling in the extremities Individuals with diabetes are not able to convert blood sugar into energy either because on insufficient levels of insulin or because their insulin is simply not functioning correctly. This means that glucose stays in the bloodstream, resulting in high blood sugar levels. Diabetes takes two distinct forms: Type 1 and type 2. Diagnosing hyperglycemia is done by assessing symptoms and performing a simple blood glucose test. Depending on the severity of the condition and which type of diabetes the patient is diagnosed with, insulin and a variety of medication may be prescribed to help the person keep their blood sugar under control. Insulin comes in short, long and fast-acting forms, and a person suffering from type 1 diabetes is likely to be prescribed some combination of these. Individuals who are either diagnosed with type 2 diabetes or are considered at risk for the disease are recommended to make alterations to their diet, lifestyle habits and exercise routine in order to lower blood sugar and keep it under control. These changes generally help to improve blood glucose control, individuals with type 2 diabetes may require medication eventually. These can include glitazones, acarbose, glucophage or sulphonylureas.Continue reading > >

Managing Diabetes Over Age 65

Hypoglycemia happens when your blood sugar levels are lower than normal. It is defined as a blood sugar level of lower than 70 mg/dL.

It is common among older adults with diabetes. This could be due to the fact that the elderly are more likely to have other chronic conditions, malnutrition, or take multiple medications.

Hypoglycemia can also result from taking too much of the medication used to lower blood sugar. Overtreatment of diabetes in older adults is common.

Researchers say hypoglycemia is likely underreported because the elderly may not experience the symptoms of low blood sugar or they may not be able to communicate their feelings to their caregivers due to cognitive impairment.

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Make A Few Changes To Your Diet

Eating a healthier diet doesnt mean you have to cut out all the things you love. Even making changes to one or two meals a day can have benefits.

For example, maybe you start eating a very green salad loaded with fresh veggies for lunch instead of that footlong sub-sandwich. Or perhaps you start limiting your soda consumption to one can per day instead of 4 cans per day.

Pick a couple of places to make changes so it isnt quite so overwhelming. Over time, you may find that you want to keep making improvements to other food choices, too. And remember, the goal doesnt have to be 100 percent perfection. The 80/20 Rule is great: choosing healthy, real food 80 percent of the time, with 20 percent left for less-than-perfect treats.

Translating Your A1c To A Blood Sugar Level

Vida SÃ?, Diabetes NO on Twitter: " An #A1C test is a blood test that ...

Using this easy calculator from the ADA, you can translate your most recent A1C result to an eAG or estimate average glucose level.

You can also use this translation when working to improve your A1c and achieving closer to normal blood sugar levels. If you know an A1c of 6.5 is an average blood sugar level of 126 mg/dL or a range of 100 to 152 mg/dL, then you can look at your current blood sugar results on your CGM and meter and pinpoint which time of day youre frequently higher than this range.12% = 298 mg/dL or range of 240 347 11% = 269 mg/dL or range of 217 31410% = 240 mg/dL or range of 193 2829% = 212 mg/dL or range of 170 2498% = 183 mg/dL or range of 147 2177% = 154 mg/dL or range of 123 1856% = 126 mg/dL or range of 100 1525% = 97 mg/dL or range of 76 120

Normal blood sugar levels in a person without diabetes can result in an A1c as low as 4.6 or 4.7 percent and as high as 5.6 percent.

Just a decade or two ago, it was rare for a person with type 1 diabetes to achieve an A1c result below 6 percent. Thanks to new and improved insulin and better technology like continuous glucose monitors and smarter insulin pumps, more people with diabetes are able to safely achieve A1c levels in the higher 5 percent range.

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If The Blood Sugar Level Is Very High Which Of The Following May Result


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Headaches And Difficulty Concentrating

Acute hyperglycemia can cause headaches and difficulty concentrating in a fashion similar to polyphagia in which starving cells send out hunger signals because they cant access the glucose circulating in the blood.

Your brain is the biggest glucose hog around. If you dont believe it, consider that while the brain represents about 2 percent of your body weight, it devours fully 25 percent of the glucose you consume. And when brain cells have difficulty getting the fuel they need, they function poorly. This can cause problems with thinking, reasoning, and remembering, difficulty staying focused on tasks, and headaches.

Chronic high blood glucose can also lead to headaches, but by a different route. These headaches are often related to various types of nerve damage. Examples include occipital neuropathy, or damage to the optic nerve from elevated glucose levels, and a variety of diabetic mononeuropathies, which can affect specific cranial nerves, peripheral nerves, or nerve roots all of which can lead to headaches of varying intensities.

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Normal Range Of Fasting Blood Sugar Found Among Men : 74

Ideal values of Fasting blood sugar depending on age :

Age Ideal Fasting blood sugar value
< 5 years
> 100 years 97.028

If you want your blood test report to be interpreted by Fasting blood sugar specialist, then you can upload your report. Our Fasting blood sugar expert will provide you with the most accurate interpretation of your blood test results and treatment within 12 hours. Upload blood test report now

What Should Your Blood Sugar Be 2 Hours After Eating

What is A1c?

Repeat treatment as wanted to deliver Symptoms Of Low Blood Sugar blood sugar inside vary Your healthcare What Is The Normal Blood Sugar Level provider might provide individualized directions on when to contact the workplace If you might have two or more surprising blood sugars over 250 mg dL, notify your healthcare supplier for instructions The numbers beneath symbolize values within the hyperglycemic range and require motion to convey levels right down to a normal range.

Type 2 diabetes can generally be managed with healthy consuming and regular exercise What Is A Normal Blood Sugar alone, but may also require drugs or insulin therapy Type 1 diabetes is an autoimmune disease and is also called insulin dependent diabetes People with kind 1 diabetes aren t in a place to produce their own insulin and cannot regulate their blood Low blood sugar and short term memory loss What Is A Normal Blood Sugar sugar because their body is attacking the pancreas Roughly 10 per cent of individuals dwelling with diabetes have kind 1, insulin dependent diabetes Type 2 diabetes is the most typical analysis, followed by kind 1 diabetes Gestational diabetes occurs throughout being Does same lowe blood sugar pregnant, and is normally momentary.

Keeping blood sugar levels very close to Symptoms Of Low Blood Sugar Carbohydrate Metabolism Signaling Pathway Map the best can minimize, delay, and in What is best time to check blood sugar some circumstances even stop the .

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The Importance Of Early Diagnosis

Keep in mind that the blood glucose level before a meal for a non-diabetic and a prediabetic person may be very similar.

The blood glucose before meals is usually very similar to what is called the fasting glucose level, which means the blood glucose level that you have when you wake up in the morning, having fasted all night.

Diagnosis of diabetes is usually based on measuring your fasting level, so a person with prediabetes may be told that everything is fine. This will usually mean that such a person will continue the unhealthy lifestyle of eating too much food, eating the wrong foods , and exercising too little.

This is unfortunate, because being diagnosed with prediabetes would serve as an excellent wake-up call for many people to change their ways and adopt healthy habits. Obviously, it is much easier to reverse prediabetes before it progresses to full-blown diabetes.

Slow Healing Of Cuts And Wounds

High blood sugar greatly slows the healing of skin and soft-tissue infections because neutrophils, the most common type of leukocyte in the immune systems arsenal, are particularly vulnerable to high levels of glucose. High blood sugar keeps the neutrophils from sticking to the endothelium, the inner lining of the blood vessels disrupts chemotaxis, the bodys chemical signaling control system that directs neutrophils to the site of injuries or infections and, as noted above, makes phagocytosis sluggish.

Another critical element of wound healing is a sufficient supply of oxygen, and the delivery of oxygen can be reduced by either peripheral neuropathy or peripheral vascular disease both common conditions caused by or made worse by high blood glucose.

The slow healing of wounds sets the stage for some of the grimmest diabetes complications. Minor wounds can advance to cellulitis, which is a serious infection. Cellulitis can advance to tissue necrosis, or tissue death. Tissue necrosis can then extend from the soft tissue into the bone, which is what often leads to amputation: Roughly 73,000 amputations are performed on people with diabetes in the United States each year.

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How Quickly Can You Lower Your A1c

Because A1c is simply a measure of your average blood sugar over 2-3 months, it can decrease by any amount over that time period. If you, from one day to the next, decreased your daily average blood sugar from 300 mg/dl to 120 mg/dl , your A1c would decrease from 12% to 6% in around two months.

However, it may not be a good idea to lower your A1c so quickly, as I will explain below.

How Do People Get Type 1 Diabetes

Blood Sugar Chart

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Normal Postmeal Blood Sugar Levels

Checking your blood glucose one to two hours after eating can help you understand how your blood sugar reacts to the food you consume. It can also offer insight into whether you’re taking the right dose of insulin or if you need to follow up with your healthcare provider to discuss medication and diet or lifestyle adjustments.

There are two ways you can measure your blood glucose levels: by pricking your fingertip using a glucometer or by using continuous glucose monitoring. How often you should check your glucose levels varies from a few times per week to four to six times each day. As a general rule, the American Diabetes Association recommends keeping blood sugar below 180 mg/dL one to two hours after eating.

However, your target blood sugar range will depend on the following:

  • Duration of diabetes

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Prediabetes: Symptoms Diagnosis & Treatment

The day youre diagnosed with prediabetes can feel like a remarkably scary day. It can also be a day that motivates you to take action. While type 2 diabetes is a progressive disease , there are still many things you can do to improve your blood sugars right away.

In fact, prediabetes is type 2 diabetes in its earliest stages which is why it shouldnt be dismissed or taken lightly. Youve earned the pre in front of diabetes because while your blood sugar levels are higher than normal, they simply arent high enough to qualify for full-fledged type 2 diabetes.

For some, prediabetes and type 2 diabetes is reversible. For others, it may not be.

In this article, well look at the symptoms of prediabetes, how its diagnosed, how its treated, and whether or not it can be reversed.

  • Can prediabetes be reversed?
  • How Are Diabetes And Pre

    Rule of Thomas for Hemoglobin A1c Conversion

    The following tests are used for diagnosis:

    • A fasting plasma glucose test measures blood glucose in a person who has not eaten anything for at least 8 hours. This test is used to detect diabetes and pre-diabetes.
    • An oral glucose tolerance test measures blood glucose after a person fasts at least 8 hours and 2 hours after the person drinks a glucose-containing beverage. This test can be used to diagnose diabetes and pre-diabetes.
    • A random plasma glucose test, also called a casual plasma glucose test, measures blood glucose without regard to when the person being tested last ate. This test, along with an assessment of symptoms, is used to diagnose diabetes but not pre-diabetes.

    Test results indicating that a person has diabetes should be confirmed with a second test on a different day.

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    Why You Should Keep An Eye On It

    When your blood sugar is high, you can get symptoms like a foggy-headed feeling that makes it hard to focus or think clearly. Your energy may also take a dive, and you may feel nervous or moody.

    If your levels go too low, you could even pass out. In the long run, if your blood sugar stays up, you could be at risk for heart disease, stroke, kidney disease, or other problems.

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