As described above, the answer to this question depends almost entirely on how often you experience hypoglycemia (low blood sugar). If your A1C is between 5.7% to 6.4%, this suggests that you have prediabetes. It is very important to realize that we all react differently to carbs so you have to find the diet and foods that are right for you. I only tested twice because I got a 4.8 the first time. Young children, teens, adults, and senior citizens may have different blood sugar goals. Therefore, a very low A1c shouldnt be a goal in itself. A normal A1c level is below 5.7 percent.. They examined findings from four large diabetes studies that included almost 30,000 people, and made four very important (and welcome!) Pregnancy and Type 1 Diabetes: Type https://diabetesstrong.com/pregnancy-and-diabetes/ Whether you are self-managing your diabetes or work closely with your medical team, the first step should always be to try to identify the main pain points or reasons why your A1c is higher than youd like. However, some nutritional supplements can affect your A1C test and lead to inaccurate test results. An A1c of 7% roughly translates to an average blood sugar of 154 mg/dl (8.6 mmol/L) as you can see from this conversion chart. There are studies that back up this way of eating that reverses diabetes. This article explores tequila and diabetes. However, a normal a1c level is below 5.7 percent. I have a very ambivalent relationship with my A1c myself. On the other hand, vitamin B12 and folic acid can falsely lower them, and vitamin C can do either, depending on whether doctors measure your A1C with electrophoresis, which can show a false increase, or chromatography, which can return a false decrease. Blood sugar goals should take into account a patients life expectancy and general health, as well as personal preferences, and include a frank discussion of the risks, benefits, and costs of medications. You may want to consider taking the time to talk with your doctor about the issue. It can be used by doctors to diagnose type 2 diabetes and to monitor patients' diabetes. Other times of the year that the test may be done include after an illness or trauma that affects both blood glucose and insulin levels, such as surgery or an injury. If your once-managed A1C spins out of control despite your best efforts, its possible you dont have type 2 diabetes at all. In a typical day, she eats fruit for breakfast with chia seeds and cinnamon. Re the home tests (A1c) I have only used one at a time (save the second for a month down the road or so). Plant-Based Nutrition and Healthcare Conference, American College of Lifestyle Medicine Conference, https://doi.org/10.1152/ajpendo.00661.2010, https://doi.org/10.1152/ajpendo.00524.2009. However, if you reduce your intake of foods high in glucose or increase your activity level, you should be able to lower your A1C within one month.if(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[300,250],'staminacomfort_com-medrectangle-3','ezslot_1',118,'0','0'])};__ez_fad_position('div-gpt-ad-staminacomfort_com-medrectangle-3-0'); The American Diabetes Association recommends that people with diabetes aim to bring their A1Cs as close to 6% as possible without causing hypoglycemia (low blood sugar). What it can do is make any existing complication worse. As painful as it can be to have to cut a check to the IRS every April, the process is much more arduous and confusing than it should be. Let's take a look at the A1C target numbers . Learn about who should get tested, and how. A 1000mg dose of metformin can decrease an A1C level up to 2% over a 3-month period. Its called the high carb low fat diet. It has pretty much stayed at 5.7 since then without insulin. Always consult with a doctor or dietitian before making any substantial changes to the supplements you take. Fathallah N, et al. Dr. Monique Tello is a practicing physician at Massachusetts General Hospital, director of research and academic affairs for the MGH DGM Healthy Lifestyle Program, clinical instructor at Harvard Medical School, and author of the evidence-based lifestyle, Hemoglobin A1c targets for glycemic control with pharmacologic therapy for nonpregnant adults with type 2 diabetes mellitus: A guidance statement update from the American College of Physicians. Although she was interested in trying out a low-fat, plant-based, whole-food diet, she hesitated because the idea of eating large amounts of fruit and carbohydrate-rich foods seemed dangerous to her diabetes health. I used to eat a ton of fruit but those days are gone. FEAST GLUCOSE 86. A1C ranks between 5.7% and 6.4% indicate that a person has prediabetes. I proved to myself that they are not accurate. So far, Tina has lost 53 poundsand she is continuing to lose weight at a steady, healthy rate. Calorie Restriction Increases Fatty Acid Synthesis and Whole Body Fat Oxidation Rates. American Journal of Physiology. How much can your A1C drop in 3 months? We all have different blood sugar patterns. You may know that its a good idea to limit carbs, exercise regularly, check other medications for possible interactions, and avoid drinking alcohol on an empty stomach. Lifestyle change should be the cornerstone of treatment for type 2 diabetes. 1. The red blood cells in the body form constantly and die as well, so they live for about three months. This means, it can take up to 3 months to notice significant changes in your A1C. Sorry it was from 160 pounds to 120 pound. I added more carbs and gained about 5 pounds back. But common sense should rule the day. Your A1C result is an indicator of your typical blood glucose levels over the last 2-3 months, giving you and your healthcare practitioner an accurate picture of your situation. Learn how your comment data is processed. Experts advise filling about half your plate with vegetables that are low in starch, such as carrots, greens, zucchini, or tomatoes. But what do you think when you test your a1c. It can measure this longer time frame because hemoglobin, which transports oxygen in your blood, is a protein that glucose sticks to over time. What you choose to eat and drink can have a major impact on not only your waistline, mood, and well-being, but also on your blood sugar levels. I was told that bringing the A1c down too fast can cause eye damage, is that true? If the doctor's office has an A1c kit, you should get your result before your consultation is over. He is the co-founder of Mastering Diabetes and Amla Green, and is an internationally recognized nutrition and fitness coach who has been living with type 1 diabetes since 2002. Your RBC's (red blood cells) have a life span of approximately 90 days. On average, the experts didnt expect the general diabetes population to be in range more than 50% of the time at most, so talking about incremental improvement probably makes more sense than setting a fixed number. "+a;var y=document.createElement("script");y.type="text/javascript";y.async=true;y.src=x;var z=document.getElementsByTagName("script")[0];z.parentNode.insertBefore(y, z);})(); Hi, I am 39 and my a1c was 6.9 and I reduced it to 5.5 in 3 months and lost weight from 160 pounds to 149 pounds by walking or running. However, every three months when I see my endo, I get a little anxious because receiving your A1c can feel a lot like getting your diabetes report card. Its important to note here that the term normal A1c level in this context refers to people without diabetes. A1c has long been considered the best measure of diabetes management because it was the most accurate tool to observe long-term blood sugar trends. It also lowers your risk for heart disease, stroke . 1 The A1C test is also the primary test used for diabetes management. If you (almost) never experience hypoglycemia, your A1c technically cannot be too low. The Effects of Physiological Adaptations to Calorie Restriction on Global Cell Proliferation Rates. American Journal of Physiology. "Treat the patient, not the number." The A1c test determines the average blood sugar levels during the previous 2-3 months. The doctor simply pricks your finger (or ear if you prefer) and takes a tiny blood sample. Recently my A1C increased to 6.3. First, weight gain and total body swelling. He is the co-host of the annual Mastering Diabetes Online Summit, a featured speaker at the Plant-Based Nutrition and Healthcare Conference (PBNHC), the American College of Lifestyle Medicine Conference (ACLM), Plant Stock, the Torrance Memorial Medical Center, and has been featured on The Doctors, NPR, KQED, Forks Over Knives, Healthline, Fast Company, Diet Fiction, and the wildly popular podcasts the Rich Roll Podcast, Plant Proof, MindBodyGreen, and Nutrition Rounds. Your doctor or endocrinologist should test your A1c regularly (typically every 3-6 months). As a service to our readers, Harvard Health Publishing provides access to our library of archived content. But generally, people who start out with higher A1Cs tend to see greater reductions than those who have lower numbers to work with. Next, it can cause bleeding in the retina (back of the eyes) which can lead to blindness, and third, it can cause painful neuropathy that never goes away. Not only is that very frustrating, scary, and annoying, but it can also affect your A1c and time-in-range negatively. Someone without diabetes will have about 5 percent of their hemoglobin glycated. Monique Tello, MD, MPH, Almost immediately, Tina felt significantly more energy, and was amazed at how easy it felt to eat the Mastering Diabetes way, despite the drastic change from her previous diet. A1C: What it Measures, Conversion Calculator, Ranges & Tips. A1C levels can fluctuate because of vitamin deficiencies, supplements, stress, lack of sleep, and more. JavaScript is disabled. Some medications that may increase blood sugar levels include: Several medications and supplements can also cause falsely low A1C levels, including vitamin C, vitamin E, antivirals, and certain medications used to treat cancer and some skin conditions. A1C levels below 7% are considered normal. I will cover the four most important things you can do below but its always recommended that you start by having a conversation with your medical team before making changes to your diabetes management. Roohk, Donald J., Smita Mascharak, Cyrus Khambatta, Ho Leung, Marc Hellerstein, and Charles Harris. https://doi.org/10.1152/ajpendo.00661.2010 Sometimes temporarily, sometimes not. Time-in-range refers to the percentage of time in which your blood sugar is within a specific range. I have done those home test kits. Exercise plan. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. For example, if your A1C was 10%, it may drop to 8% in 3 months. I decide to try a new way of eating and see if I could lower my A1c before getting the lab work done and seeing the new dr again. If you have any other health conditions that affect your sleep, such as sleep apnea or insomnia, talk with your doctor to determine the best course of treatment for you. This can help you see the data in a more cohesive way so you can start looking for trends. Compilation Cum In Mouth Over 50 Times! If you wear a Continuous Glucose Monitor (CGM), your time-in-range should be listed when you download your data (as in the example from a Dexcom CGM below). The Mayo Clinic reports that on average, people with diabetes can expect their A1Cs to drop by 0.5 percentage points every month. We are always told that having a low A1c is an important goal in our diabetes management, but do you know why? For a person . How much can A1C drop in 2 months? A1c levels can drop in as little as a few weeks for some people, but it might take months or even years for others. Mine dropped very dramatically. By simply knowing this, people struggling with a certain type of carb can choose to reduce their consumption or cut it out of their diet altogether. 12 (December 2012): 180114. 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