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Diabetes

With diabetes, your body doesn’t make enough insulin or can’t use it as well as it should. When there isn’t enough insulin or cells stop responding to insulin, too much blood sugar stays in your bloodstream. Over time, that can cause serious health problems, such as heart disease, vision loss, and kidney disease.

Как снизить гликированный гемоглобин

HOW TO LOWER YOUR A1C LEVELS?

Diabetes is a major global health concern with a significant rise in prevalence. At the same time, glycated hemoglobin (A1C) helps to know how your body copes with sugar. For us, it’s an opportunity to detect a condition when the body is not functioning normally but it has not yet reached a state of disease. We’re talking about prediabetes. But for people with diabetes, this test is useful as well, mostly because it shows the risks of complications. In this article, we will talk about the situation when the test has already been done, and its results exceed healthy values. So, here you will find all about how to lower your a1c without medication.

This article was last reviewed by Svetlana Baloban, Healsens, on June 11, 2020. This article was last modified on 7 February 2020.

When talking about Normal Levels of Hemoglobin A1c we shall remember the following ranges. For diabetes-free people the normal range is between 4% and 5.6%. If your hemoglobin levels are 5.7% – 6.4%, the odds you will get diabetes are high. Levels of 6.5% or higher mean you have diabetes.

Decreasing Hemoglobin Goals

In the US, 79 million adults have prediabetes, a prevalence approximately 3 times that of diabetes.

Certainly, whether prediabetes progresses into diabetes depends on a number of variable factors. The willingness of a person to change his or her lifestyle determines treatment success. Nevertheless, a person’s genetics and well-chosen drug therapy are important factors as well.

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So, the 4 pillars of effective diabetes management are:

How to Lower Your A1C without Medication

In 2002, Knowler hypothesized that lifestyle changes would prevent or delay the development of diabetes. The researchers randomly chose patients with prediabetes. Some patients received a placebo, other joined a special lifestyle changes program. It included increasing activity to at least 150 minutes/week and losing weight by at least 7%. The mean age of the participants was 51 years old. And the BMI was 34.0 kg/m2. The average follow-up was 2.8 years. As a result, the lifestyle intervention reduced the incidence by 58% compared with the placebo1group. Further analysis of this study showed that if people did not change their lifestyle, most would develop type 2 diabetes over the next 10 years.

Since then, many other studies have confirmed these conclusions. In 2013 researchers compared the effectiveness of lifestyle changes to standard care. Seven of the nine studies reported that lifestyle interventions put off the risk of diabetes by up to 10 years after a lifestyle intervention2.

However, for some people with prediabetes, a change in lifestyle is not enough.

Pharmacotherapy in Type 2 Diabetes Prevention

Evidence from pharmacotherapy preventing diabetes in patients with prediabetes was reported in 2002.

Biguanides, such as metformin, were proven by the researchers to decrease the incidence of diabetes. At the same time, this decrease isn’t as considerable as the one caused by lifestyle changes. Metformin has beneficial effects on BMI and lipid concentrations.

In 2010, Lilly and Godwin concluded after a systematic review of the literature and meta-analysis that metformin lowers risk of Type 2 diabetes by 45%3.

Glycated Hemoglobin (A1C) Tracking in Healsens

Metformin is currently the only medication recommended by the ADA for prediabetes treatment. According to the ADA, it is typically prescribed for patients who are at high risk of developing diabetes. So, if people fail in lifestyle modification therapy and their glucose is progressing, metformin is a reasonable second choice.

However, despite metformin’s widespread use, the medication is not for all patients. So, the ACE/AACE recommends a two-pronged approach to treating prediabetes. At first, intensive lifestyle intervention. Namely lifestyle modification training such as 150 minutes per week of physical activity as well as 7% of weight loss if BMI exceeds 25 kg/m24, followed by the prevention of CV complications for abnormal blood pressure and cholesterol.

Fiber in Diet to Lower Your A1C

Increased fiber in diet is associated with a reduction of glycated hemoglobin (HbA1c), improved lipid profile, and loss of body weight in type 2 diabetes patients5. An increased fiber content decreases the glycemic index of foods.

In addition, foods containing dietary fibers are also a rich source of magnesium. To underline, that magnesium is a co-factor for enzymes involved in glucose metabolism. In turn, dietary magnesium lower the incidence of type 2 diabetes. Studies also say that dietary fiber is associated with a reduced risk of diabetes which can be explained through markers of inflammation. We are talking about markers like interleukin-6 and tumor necrosis factor α6.

Moreover, some researches showed that when total dietary fiber was separated into cereal, fruit, and vegetable fiber groups, it appeared that cereal fiber reduced the incidence of developing type 2 diabetes the most7.

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type 2 diabetes

TYPE 2 DIABETES: CAUSES, DIET, TREATMENTS

After posting the publication about lipid profile assessment, we received many comments and questions. Among all the questions, type 2 diabetes and the ineffectiveness of drug treatment were mentioned most often. Therefore, today we will pay attention to this particular topic, dwelling on the following points:

This article was last reviewed by Svetlana Baloban, Healsens, on March 04, 2020. This article was last modified on 15 February 2020.

  • Talk about what causes diabetes and focus on the role of nutrition for people suffering from this disease
  • Consider different ways of evaluating your lifestyle to find out what may lead preservation, and in some cases, to the progression of this disease
  • Try to find an answer to the questions: Why taking drugs may not solve the problem and what are some other ways you can help yourself.
  • Cholesterol is in normal ranges having high triglycerides, let’s review possible reasons
  • Analyze the psychological aspect of the problem, the role of chronic stress, and ways of handling it

So, diabetes is a condition that affects blood sugar levels and causes many serious health problems if left untreated or uncontrolled. There is no cure for diabetes so that is why it’s easier to head off disease before it occurs than to treat it, and regular medical check up will help with its early disease detection. In case you’ve already got this disease, treatment modalities include lifestyle modifications, treatment of obesity, oral hypoglycemic agents, and insulin sensitizers like metformin, a biguanide that reduces insulin resistance and is still the recommended first-line medication, especially for obese patients. Other effective medications include non-Sulfonylurea secretagogues, thiazolidinediones, alpha glucosidase inhibitors, and insulin.

Causes of Diabetes Type 2

Genetics and Lifestyle Choices Play a Role

Type 2 diabetes has several causes: genetics and lifestyle are the most important ones. A combination of these factors can cause insulin resistance, when your body doesn’t use insulin as well as it should. Insulin resistance is the most common cause of type 2 diabetes.

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Genetics and Type 2 Diabetes

Type 2 diabetes can be hereditary. That doesn’t mean that if your mother or father has (or had) type 2 diabetes, you’re guaranteed to develop it; instead, it means that you have a greater chance of developing type 2 meaning early diabetes predictions must be part of your screening plan for diagnosing diseases. As for the genetic tests,, despite the fact that researchers know that you can inherit a risk for type 2 diabetes, they haven’t found out which genes carry the risk. The medical community is hard at work trying to figure out the certain genetic mutations that lead to a risk of type 2

Lifestyle Is Very Important

Genes do play a role in type 2 diabetes, but lifestyle choices are also important. You can, for example, have a genetic mutation that may make you susceptible to type 2, but if you take good care of your body, you may not develop diabetes. Moreover,  simple laboratory tests will help you determine the state of your body’s carbohydrate metabolism long before the disease occurs.

If you already suffer from this disease, you have probably heard a lot from the doctor or in the press about the dangers of products containing refined carbohydrates and “white” carbohydrates with the high glycemic index, such as white bread, ground rice, pasta made from premium flour and features potatoes. We will also dwell on this issue in detail and below it will be clear why this issue is so important.

When people eat food containing carbohydrates, the digestive system breaks down the digestible ones into sugar, which enters the blood. As blood sugar levels rise, the pancreas produces insulin, a hormone that prompts cells to absorb blood sugar for energy or storage. As cells absorb blood sugar, levels in the bloodstream begin to fall. When this happens, the pancreas starts making glucagon, a hormone that signals the liver to start releasing stored sugar. This interplay of insulin and glucagon ensure that cells throughout the body, and especially in the brain, have a steady supply of blood sugar.

What happens when you consume too much sugar?

A high sugar diet consumption provokes an instant increase in insulin levels, which sometimes leads to a sharp drop in blood sugar after a few hours. Hypoglycemia caused in this way (low blood sugar) provokes the desire to eat more food rich in refined sugars and starches, which leads to a new jump in insulin.

Over time, these constant “ups and downs” cause cells to lose their sensitivity to insulin, and more and more of this hormone is required for glucose transfer. This is called insulin resistance. And it becomes the root cause of the development of the metabolic syndrome leading to high blood pressure. Likewise, insulin resistance increases the risk of developing coronary heart disease. It’s also accelerating the aging process and can also lead to type II diabetes. With this type of diabetes, the pancreas can become so depleted that it completely stops producing insulin to lower blood sugar. In addition, insulin resistance is a cause of impaired fat metabolism, leading to an excess of triglycerides. That’s why having high triglycerides — a type of fat in the blood — may be a sign that you have prediabetes or type 2 diabetes.

Dietary habits and diabetes

The issue of diet is very acute! However, everyone who tried to give up refined sugar and starches knows how difficult it is and there is a completely rational explanation for this.

In 2001, a study was published in the journal Nutrition Review showing that refined sugars and starches are addictive. And if you want to exclude them from the diet, it can cause withdrawal symptoms. But getting rid of simple carbohydrates in the diet is the only and most important step that should be taken to reduce the risk of getting sick with metabolic syndrome and type 2 diabetes, as well as to reduce body weight if necessary. Only rejection of these products will make this unhealthy habit disappear. Therefore, if you want to just reduce sugar consumption, it will not bring about the elimination of this addiction. As diet is a crucial tool for managing diabetes, you can also choose some special diabetes diet capable to prevent and manage diabetes. We’re talking about the Mediterranean diet and DASH Diet.

Glycemic Index and Glycemic Load

The second important point about carbohydrates is that not all of them are harmful. To explain how different kinds of carbohydrate-rich foods directly affect blood sugar, the glycemic index was developed and is considered a better way of categorizing carbohydrates, especially starchy foods. The idea and main focus are to avoid foods with a high glycemic load (you can find tables with lists of products indicating their glycemic index and glycemic load).

The glycemic index indicates how rapidly a carbohydrate is digested and released as glucose (sugar) into the blood stream. In other words, it shows how quickly foods break down into sugar in your bloodstream. A food with a high GI raises blood sugar more than a food with a medium to low GI but does not take into account the amount of carbohydrate in a food. So glycemic load is an indicator of how a carbohydrate food will affect blood sugar.

FUCT

Low-glycemic foods have a rating of 55 or less, and foods rated 70-100 are considered high-glycemic foods.

Medium-level foods have a glycemic index of 56-69.

Foods with a glycemic load under 10 are considered low-GL foods and have little impact on your blood sugar; between 10 and 20 moderate-GL foods with moderate impact on blood sugar, and above 20 high-GL foods that tend to cause blood sugar spikes.

Try to record your diet for a week and check which of the consumed foods are among high-glycemic foods.

Measuring Blood Sugar Levels throughout the Day

The practice of measuring blood sugar levels throughout the day with a glucometer is showing excellent results. Such measurement is carried out:

  • In the morning, immediately after waking up and before eating
  • Before each meal, to answer the following questions:
    • How does choosing food and serving size affect my blood glucose?
    • When injecting food (short / ultra-short) insulin, it is necessary to check whether the dose of this insulin given before the previous meal was adequate.
    • How to adjust the nutrition and serving size in the future?
  • Two hours after a meal. We answer the following questions:
    • Has your blood glucose returned to your target after eating?
    • When injecting dietary (short / ultra-short) insulin, it is necessary to check whether the dose of this insulin given before meals was adequate?
  • Before physical activity:
    • Do I need to eat before physical activity?
    • Is it possible to engage in physical activity or should it be postponed?
  • During and after physical activity:
    • How has physical activity affect your blood glucose?
    • Does physical activity have a delayed effect on blood glucose?
    • Is there hypoglycemia?
Target Levels
by Type
Upon wakingBefore meals 
(pre prandial)
At least 90 minutes after meals
(post prandial)
Non-diabetic*4.0 to 5.9 mmol/L (72 – 106.3 mg/dL)under 7.8 mmol/L (140.54 mg/dL)
Type 2 diabetes4 to 7 mmol/L (72 – 126.13 mg/dL)under 8.5 mmol/L (153.15 mg/dL)
Type 1 diabetes5 to 7 mmol/L (90.09 mg/dL – 126.13 mg/dL)4 to 7 mmol/L (72 – 126.13 mg/dL)5 to 9 mmol/L (90.09 mg/dL – 162.16 mg/dL)
Children w/ type 1 diabetes4 to 7 mmol/L (72 mg/dl – 126.13 mg/dL)4 to 7 mmol/L (72 – 126.13 mg/dL)5 to 9 mmol/L (90.09 mg/dL – 162.16 mg/dL)

*The non-diabetic figures are provided for information but are not part of NICE guidelines.

When you finish your blood glucose check, write down your results. Then you need to note what factors may have affected them. They might include food, activity, or stress. Take a close look at your blood glucose record to see if your level is too high or too low several days in a row at about the same time. If the same thing keeps happening, it might be time to change your diabetes care plan.

A goal of such medical check up

Make the right plan for nutrition and physical activity. Your task is to find out your lifestyle where the level of glucose in the blood is within its target range, which means in such a way to remove the insulin “jumps” we talked about.

You need to take into account that there may be hidden sugars. It’s especially important for ready-made food in supermarkets. For such cases, this control will make it clear whether the food you are used to buying needs to stay on the shop shelf next time.

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Continuous Glucose Monitor

Now there are continuous glucose monitors in the medical equipment market. These devices constantly measure your sugar level throughout the day, without the need for constant blood sampling from your finger.

The system consists of three components: a sensor, a transmitter, and a receiver. The sensor is a flexible round wire that runs directly under the skin to read glucose levels and attaches to the skin with a sticky dressing. The transmitter connects to the sensor and wirelessly sends glucose information to the receiver every 5 minutes. The receiver displays glucose levels and trends. It’s about the size and weight of a mobile phone.

The essence of this process is the same – to understand which of the habits cause jumps in glucose in the blood and eliminate them. Secondly, it helps to analyze how sufficient the level of physical activity is. Remember that blood glucose levels rise when nutrition, activity level, and therapy are poorly balanced. Hyperglycemia can also occur with stress. You can read more about this in the very last section of our article.

Diet changing and physical activity increasing will necessarily lead to weight loss if there is such a problem. And for people with type 2 diabetes, losing at least some weight is a very important factor. Even a little more physical activity can have a positive effect. For example, if you get used to walking more often. So, walking was the most common activity, with numerous studies demonstrating its beneficial effects on reducing the risk of T2 diabetes, cardiovascular diseases, and mortalityWalking for at least 30 min per day was shown to reduce the risk of T2 diabetes by approximately 50%1.

Psychosomatic Aspects Of Type 2 Diabetes

Physical and mental health are very closely related. Moreover, and either can have a significant impact on the other. According to Britneff and Winkley (2013), there is an association between mental health problems and increased diabetes complications. In addition, people with diabetes type 2 run a poorer quality of life. So managing emotional health cannot be less important than keeping blood sugar under control.

Health problems can occur if the stress response goes on for too long or becomes chronic, such as when the source of stress is constant, or if the response continues after the danger has subsided. In addition, chronic stress may also go unnoticed for a long time. That happens because different people may feel stress in different ways. For example, some people experience mainly digestive symptoms. On the other hand, others people may have headaches, sleeplessness, sadness, anger or irritability. People under chronic stress are prone to more frequent and severe viral infections, such as the flu or common cold.

Routine stress may be the hardest type of stress to notice at first. Because the source of stress tends to be more constant than in cases of acute or traumatic stress, the body gets no clear signal to return to normal functioning. In psychology, a constant high blood sugar level is sometimes associated with a resistance. The biological meaning is to help an individual better defend himself with a high sugar level. It means that nature provides additional energy in the form of sugar.

If you feel internal conflicts, experience chronic or routine stress, then in addition to the above recommendations, it is highly desirable taking practical steps to manage your stress.

How to Cope with Stress

The following are some tips that may help you to cope with stress:

  • Recognize the Signs of your body’s response to stress. For example, difficulty sleeping, increased alcohol and other substance use, being easily angered, feeling depressed (or use Online Depression Screening), and having low energy.
  • Get Regular Exercise. Just 30 minutes per day of walking can help boost your mood and reduce stress.
  • Try a Relaxing Activity. Explore stress coping programs, which may incorporate meditation, yoga, tai chi, or other gentle exercises. For some stress-related conditions, these approaches are used in addition to other forms of treatment.
  • Set Goals and Priorities. Decide what must get done and what can wait. And learn to say no to new tasks if they are putting you into overload. Note what you have accomplished at the end of the day, not what you have been unable to do.
  • Stay Connected with people who can provide emotional and other support. To reduce stress, ask for help from friends, family, and community or religious organizations.
  • Schedule a psychologist consultation to mitigate the problems.

Furthermore, numerous studies with non-diabetic populations have shown that performing various positive psychological exercises (e.g., writing gratitude letters, performing acts of kindness) have led to greater well-being2.

Comprehensive Approach to the Management of Diabetes

So, let’s summarize everything we talked about above. To cope with the problem, you need to take a comprehensive approach to assess your nutrition, physical activity, medication, and psychological health. And if the selection and dosage of medications should be carried out without fail by your attending physician, then you can handle the rest yourself.

  • Diet Revision
    • Exclusion from the diet of foods with a high glycemic load. Maintaining a balance of 33–40% of carbohydrates of the total calorie intake. However, in some cases, it may be necessary to limit the intake of carbohydrates to reduce weight and allow the cells of the pancreas to rest (from several months to a year or more).
    • Avoid cereals and fruit juices, drinks.
    • Avoid processed meats, especially sausages, sausages, etc.
    • Choose fruits with a low glycemic load.
    • Eat a moderate amount of legumes (peas, beans, lentils, peanuts, etc.) and nuts (walnuts, cashews, almonds, etc.).
    • Increase your intake of low-starch vegetables on the ground, such as white cabbage, cauliflower, Brussels sprouts, leafy cabbage, curly and Beijing cabbage, broccoli, mustard leaves, chard, spinach, lettuce, peppers of all colors, green peas, celery, zucchini, cucumbers, etc. d., raw or after minimal heat treatment.
    • Be sure to eat redfish 2-3 times a week.
    • Make sure that the amount of incoming salt is moderate.
  • Increased physical activity.
  • Stress reduction.

To get additional confidence that you are doing everything correctly or, if it seems for you that you’ve already done everything according to the recommendations, but the problem persisted, it may be useful for you to check your blood sugar with a glucometer during the day. Having this data, as well as the data about what was happening at that moment, you can contact a doctor and a nutritionist to adjust the treatment.

Thank you for your attention and we hope that the material has been useful to you!

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hemoglobin

GLYCATED HEMOGLOBIN A1C TEST (HBA1C)

Type 2 diabetes mellitus is rising at an epidemic scale throughout the world. Up to a certain moment, diabetes 2 (DM2) develops as a latent pathology which accounts for its late diagnosis and onset of therapy. Hence, the high frequency of vascular complications, early disablement, and mortality. Therefore, the improvement of screening studies is of primary importance for the detection of metabolic disorders. Glycated Hemoglobin A1C test is a simple laboratory screening test that can provide a direct measure of how your body is processing sugar in the blood.

This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on 13 April 2022.

Let’s consider who is recommended to take this clinical laboratory test, why it is important, and what glycated hemoglobin counts are considered normal. Also, we will consider the advantages and disadvantages of this test, as opposed to checking blood sugar levels. But we will begin with the meaning of Glycated Hemoglobin A1C test.

Glycation and Glycosylation

Glycation and glycosylation refer to the process of attaching a glucose or sugar molecule to another molecule such as protein or fat. The more sugar there is in circulation in the bloodstream, the more sugar molecules there are to stick to fat and protein, in other words, to glycate them. You control your rate of glycation by the amount of sugar and high-glycemic index foods that you eat.

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Chronic consumption of sugar and high-glycemic-index foods leads to persistent increased formation of Advanced Glycosylated End products (AGEs). These AGEs are sticky conglomerations of sugar and protein that gum up your enzymes. It leads to adding the burden of toxic waste that must be handled by your detoxification system. This accelerates the aging process in body tissues by covering them with sugar. Besides, it also leads to many of the chronic complications of diabetes, such as blindness, renal failure, and neuropathy.

Glycated Hemoglobin A1C blood test, which reflects chronic blood glucose values, is routinely used in monitoring glycemic control. It’s also called HbA1c test, hemoglobin A1C, and glycohemoglobin. The significant reduction in microvascular complications with lower A1C has led to the recommendation that A1C be used for screening and diagnosis of diabetes. Accumulating evidence suggests that racial differences in A1C values may be present. Despite these caveats, A1C can be measured accurately in the vast majority of people. The convenience of this test enables detecting diabetes in millions of people who have it but are not currently diagnosed with it.

In other words, Glycated Hemoglobin A1C lab test shows the average glycation level over the past three months. 1 per cent elevation of HbA1C means that your sugar level has increased by 30 points (in mg/dl) over this period. Thus HbA1C higher than 6.3 is a red flag for diabetes free people. It means that it’s time to reevaluate their eating habits and choose low-glycemic-index foods and avoiding foods with high sugar contents.

FUN FACT

Almost 2,500 years ago it was noticed that ants were attracted to the urine of some individuals. So, in the 18th and 19th centuries, the sweet taste of urine was used for diagnosis of diabetes before chemical methods became available.

When Should Glycated Hemoglobin A1c Be Tested?

The American Diabetes Association® (ADA) recommends screening for prediabetes and diabetes beginning at age 35 for all people1. In the presence of risk factors, diagnosis of diabetes should begin earlier. The risks include the following factors:

  1. overweight (≥ 25 kg/m2) combined with such risk factors as:
    • sedentary lifestyle
    • parents diagnosed with diabetes mellitus
    • belonging to certain ethnic groups with high risks of diabetes mellitus
    • women with a newly born baby weighing more than 4.5 kg or women having gestational diabetes
    • elevated blood pressure (140/90 mm of mercury) or antihypertensive medication therapy;
    • low level of high-density lipoproteins (HDL) less than 0.9 mmoles and/or triglyceride level higher than 2.82 mmoles/l
    • polycystic ovary syndrome
    • HbA1c level equal to or higher than 5,7% as well as impaired fasting glycemia or glucose intolerance shown in previous tests
    • other clinical conditions associated with insulin resistance (super obesity, acantosis nigricans, etc.)
    • cardiovascular diseases in medical history.
  2.  In the absence of the above factors, diabetes testing is recommended to all people older than 40.
  3. If the test result is within the norm, re-testing should be done no later than in 3 years, with room for more frequent cause-specific testing based on initial result and risk factors.
  4. WHO recommends taking the test every three months to every patient diagnosed with diabetes mellitus

The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity2.

And the USPSTF recommends considering screening earlier in patients with higher risk (i.e., one of the following):

  • family history of diabetes;
  • members of certain racial and ethnic groups (i.e., blacks, American Indians or Alaska Natives, Asian Americans, Hispanics or Latinos, or Native Hawaiians or Pacific Islanders);
  • personal history of gestational diabetes;
  • polycystic ovary syndrome.

At the same time, many health organizations try to build more advance way to define people who need to take a diabetes screening test. For example, The Canadian Task Force on Preventive Health Care released an updated guideline calling for more precision in type 2 diabetes screening. The guideline, prepared by the independent panel of 14 clinicians and experts, suggests using a risk calculator to identify patients with high risks of diabetes. But this questionnaire is intended just for adults aged 40 to 74 years 3.

People who have diabetes need this test regularly to see if their levels are staying within range.

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A1C Versus Glucose Testing

Both of these tests are utilized significantly to diagnose diabetes. The usage of glucose screening was the “gold standard” for the diagnosis of diabetes for many years. But this testing suffers from several deficiencies.

For example, the requirement to take blood on an empty stomach. But the most important deficiency is that numerous factors can influence results of blood tests. For example, taking various medications, doing physical activity the day before and so on may result in obtaining inaccurate data. Moreover, fasting glucose concentrations vary considerably both in a single person from day to day and also between different subjects.

Before blood donation, the should be no exercise stress (running, climbing stairs), or any emotional excitement. Before the procedure, you need to rest 10-15 minutes. Calm down. Blood glucose results may be altered due to eating, prolonged fasting, or physical activity. All this reduces the accuracy of the analyses and creates additional difficulties.

HBA1c blood test can be taken amid at whatever time of the day. The investigators concluded that HbA1c testing has a higher sensitivity for identifying patients at risk for diabetes vs FPG.

What Are Normal Levels of Glycated Hemoglobin A1c?

glycosylated hemoglobin A1C level below 5.7 percent is considered normal4. An A1C result between 5.7 and 6.4 percent (39-47 mmoL/moL) signals prediabetes. Patients with prediabetes should be tested yearly in order to determine whether they have converted to diabetic status. For people with type 1 diabetes, a blood sugar test is recommended.

It is worth mentioning that glycated hemoglobin in the range of 5.7–6.4% (prediabetes), especially in combination with a slight increase in fasting glucose, is associated with an increased risk of mortality, CVD, stroke and coronary heart disease5.

Type 2 diabetes is diagnosed when the A1C results are over 6.5 percent.

Healsens is there to help you with HbA1C screening test schedules regarding all the above factors. Follow us to get news about ways of drug-free control and lowering of HbA1C levels if needed. You can also download our app to use diagrams which will help you monitor changes.

Unlock your health insights with our smart data analysis – the Free Health Tracker app, your reliable medical record!

Drastically reduce the time to detect chronic diseases & inspire healthy habits



Unlock your health insights with our smart data analysis – the Free Health Tracker app, your reliable medical record!

Drastically reduce the time to detect chronic diseases & inspire healthy habits



FURTHER READING

Follow us on Facebook|| Instagram || Telegram || Twitter || Youtube

Source: ©️2019 Healsens B.V. All right reserve

GLYCATED HEMOGLOBIN A1C TEST (HBA1C) Read More »

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