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What does my A1C Test result mean?

By Samuel Kolodney 2 years ago 3211 Views No comments

Your blood sugar changes regularly based on when you eat, what you eat, and time between meals. If you use a glucose meter to check your blood sugar after a meal, you will find it is at its highest point. Whereas, if you were to check it four or five hours later, it would be considerably lower. If you were to test your blood sugar 10 or 20 times a day every day for 90 days and then took the mean average of all those tests that would be very close to the reading a single A1C test provides in 5 minutes.

The amazing science behind the A1C test is researchers figured out that, through a process called glycation, red blood cells accumulate sugar on the HbA1C area of the hemoglobin in proportion to the amount of glucose circulating in the blood during the 90 days they are alive before they get recycled by the body.

The even more amazing technology behind the A1CNow test is that researchers figured out how to chemically treat the blood sample to read the glycation of the HbA1c area of the red blood cell using an optical scanner. This reading is your A1C number, which indicates the percentage of glycation or sugar your hemoglobin accumulated over the past 90 days. This makes it the perfect way to calculate your average blood sugar.

What should my A1C number be?
A healthy person should expect to have an A1C reading between 4% and 5.6%, which according to the conversion chart below is an average blood sugar between 65 mg/dl and 122 mg/dl respectively. It is important to consider that normal fasting blood sugars should be between 70-99 mg/dl and 2 hours after a meal a normal blood sugar is expected to be less than 140 mg/dl.

If your A1C level is between 5.7% and 6.4% this doesn’t mean you have diabetes but it does mean you need to consider making some lifestyle changes that include more exercise and a low carbohydrate diet in order to help your body uptake the sugar that is in your blood stream. As you adopt these changes you will likely lose weight which will accelerate the pace A1C level returns to the normal range.

If you have an A1C level of 6.5% or higher you probably have diabetes and it means you should go and see your doctor right away to get on a plan to reduce your blood sugar. High blood sugar over a prolonged period of time can cause a number of terrible health problems including neuropathy, heart disease, kidney disease and many more issues.

To better understand the conversion of A1C to average blood glucose you can look at the chart below:

Jan 17, 2017 3:53:50 AM

A1C Test Essentials

By Samuel Kolodney 2 years ago 1520 Views No comments

The A1C test measures the glycation of HbA1c area of the hemoglobin in your red blood cells. As your red blood cells deliver oxygen to your body they travel with all of the other nutrients in the blood stream including glucose. Higher levels of glucose in the blood cause more rapid glycation of the hemoglobin. This is similar to the rusting process where oxygen binds to iron, in oxygen rich environments rusting occurs faster but in the case of A1C, instead of oxygen it is glucose that binds with the iron in your hemoglobin.

An A1C blood test indicates your average daily glucose levels over the past three months. This test looks at the portion of hemoglobin in your red blood cells called the HbA1c, which picks up sugar in a process known as glycation. The A1C test tells you the percentage of sugar your red blood cells accumulated during their 90 day life span.

The expected amount of HbA1c glycation for a healthy person is between 4% to 5.5%. An A1C level of 6.5% or more, is an indication you have diabetes. People with an A1C level of 5.6 to 6.4% are at risk for diabetes and have a condition known as prediabetes, which if caught early, can usually be managed with changes in diet and exercise.

Since you have an entirely new batch of red blood cells every 90 days, people who have increased risk factors for diabetes like lack of exercise, being overweight or having other family members with diabetes should get their A1C levels tested every 90 days.

There are many benefits to lowering your A1C level as close to the normal range as possible. The fact is that hemoglobin is very sensitive to increases in blood sugar. Like a canary in a coal mine, it is the first signal that other organs and tissues are being affected by high levels of sugar in your blood. The longer your other organs are exposed to high blood sugars the more likely it is to develop problems like neuropathy, heart disease, kidney problems and blindness.

The body is amazing. The best part is that lowering your A1C percentage by just one point can result in a 35% reduction of the likelihood of developing complications of diabetes.

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