Imagine that your last hemoglobin A1c result was 5.9. Now it's time for a new test, and the results show that your A1c is 6.1. Does this mean your control has gotten a lot worse?
We have to remember that all these lab tests we get are subject to all kinds of errors. First, they're performed by human beings, and all human beings occasionally make mistakes.
When I was first diagnosed, my hemoglobin A1 (the old test that didn't break down into A1c) was 16. This was equivalent to an A1c of about 13. Obviously not good! I was put on metformin and given the standard dietary advice.
I drastically reduced my food intake, especially starches and sugars, went back for another test in several weeks, and then saw my doctor. He said my A1 hadn't changed. I told him that was impossible. "If it had gone from 16 to 14, I'd believe you, but it's impossible that it hasn't changed when I've changed my diet so much ( read more about dietary changes for diabetes here) . My fastings ...
I recently received an interesting question (which I paraphrase below): Nondiabetics' mean blood sugar level is around 83 mg/dl, whereas our teachers and the ADA recommend keeping it between 80 to 120 mg/dl. This is allowing patients to leave it >30% higher than where they could have been with better control. Is this not the reason of having a lot of vascular and neurological complications? Are the advisors giving loose and harmful advice? Is there a way to have a real fact and clinical study to base the advice for the benefit of people afflicted with diabetes? My answer: The concern about targeting normal values for blood glucose and A1C in people with diabetes has always been the issue of provoking hypoglycemia if aiming for normal values. Recently, there's been an additional concern identified when aiming for perfection: In patients with T2DM plus cardiovascular disease (or cardiovascular risk), aiming for lower values of A1C (below 6) increased the risk of death compared to aiming fo...
I recently saw the following question:
My granddaughter’s HgbA1c was elevated to 10. Her glucose readings have been normal. Why does she have this elevated reading?
It seems obvious at first glance that either the elevated HgbA1c is wrong, or the glucose readings are misleading. I’ll assume that your granddaughter has a diagnosis of diabetes, and that the glucose readings you describe are being done by her with a home glucose meter, rather than being done in a commercial laboratory. You don’t describe her as being a child, teen, or adult, but the issues are mostly age-independent.
As you are aware, the glycosylated hemoglobin test (called by various acronyms including HgbA1c and A1C) has a normal range well below your granddaughter’s value of 10. In people without diabetes, the value is usually about 5; for people with diabetes, most endocrinologists would want to see the value below 7. So, based on her value of 10, one would assum...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.