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A1c Levels are Dropping in Diabetes!

Your Hard Work is Paying Off!

Quest Diagnostics, a medical laboratory company, examined 14.3 million A1c blood tests over the past few years. Why? To see how well people were doing managing their diabetes of course.  The results are very encouraging. 

These glycated hemoglobin tests are closely linked to the risk for diabetes complications. The higher the result, the greater the risk for developing complications to eyes, kidneys, nerves and heart. Higher A1 c blood test result means higher blood sugars. Charts exist to translate A1c into actual blood sugar numbers. The result of Quest Diagnostics study showed more people  were getting their A1c three month average blood sugars  into target ranges of 7% or less.  So more people are getting their daily blood sugars into target ranges. 

According to the unpublished study only 36% of A1c tests were in target range in 2001. However, by the end of December 2005, 56% of the A1c tests were in target! This is an incredible improvement and should translate into less diabetes complications and less health care dollars spent on diabetes. 

Not having read the actual study, it is hard to determine how we should be interpreting these results.  Apparently, only people getting A1 c tests on a regular basis were included. This would exclude most of the people who had A1c tests done just to see if by chance they had diabetes. It is not typical to test A1c to diagnose diabetes, but some physicians do. What was left in the study should be people with diabetes.

Quest estimates the study might represent 6-7 million people with diabetes with an average of two  A1c tests per year. The guidelines do recommend 4 per year but, this is a huge increase from where things had been.

Overall, this study seems to portray good news. Rather - GREAT NEWS! People with diabetes are making more effort to control blood sugars. It is reflecting in their three month average blood sugars. These better A1c results should lead to less diabetes complications.  Congratulations!

Now go the step further and fine tune those numbers.  Below are links that will give you specific ideas on how to lower blood sugars at different times of the day.

DIABETES TREATMENT SOLUTIONS FOR:

How to lower fasting blood glucose levels:
One of the trickiest times of the day, but one of the most crucial times. This list contains an incredibly effective and under-used method to lower fasting sugars, along with 12 other possible solutions.

How to lower blood sugar at lunch:
Do you know if the numerous hours between breakfast and lunch are putting you at risk for complications? This is one of the two least tested times of the day that can impact your health. Visit this page for solutions if you are high at lunch.

How to lower blood glucose levels at supper:
17 possible diabetes treatments. And highs at supper that aren’t really highs. No—this is not a typo.

How to lower blood sugar at bedtime:
The “goof” that even doctors and diabetic educators sometimes make when looking at bedtime sugars. Why testing and acting on sugars at this time can affect over 1/3 of the sugar values for your day. And of course, the list of solutions to lower bedtime sugars.

How to lower glucose levels after meals.
Of course solutions are listed here but also answers to the questions: Should I be testing after meals? Medications to lower sugars after eating (and possibly help prevent diabetes).

 

Good Luck and Good Health!

 

Leaving A1 c to go Home: How to Control Diabetes

Reference: ADA Diabetes.org May 3, 2006

 


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