Lower stress levels and get adequate sleep to help balance hormone levels that can affect blood sugar. 5.76.4 1 Screening and diagnosis of type 2 diabetes 1. Screening and diagnosis of prediabetes 1. If you have diabetes, follow your diabetes treatment plan. The A1C test is sometimes called the hemoglobin A1C, HbA1c, glycated hemoglobin, or glycohemoglobin test. Lose excess weight if you are overweight or obese. Choose whole-grain carbs such as whole wheat bread/ pasta, quinoa, farro, and steel-cut oats, instead. Incorporate lean protein and plant-based fats as well, to assist with blood sugar control.Īvoid refined carbohydrates and too much added sugar. Here are some things you can do to maintain a healthy A1c:īe physically active for 30-60 minutes most days of the week.Īt every meal, fill half of your plate with non-starchy veggies. Regardless of whether or not you’re at increased risk for prediabetes/ diabetes, eating a healthy, balanced diet and being active are key to maintaining optimal A1c levels. However, this observation did not reach incorporation into daily clinical practice or the respective guidelines. Several studies report increased levels of HbA1c in nondiabetic elderly. Women who had diabetes during pregnancy or who have been diagnosed with polycystic ovary syndrome (PCOS) Measurement of gylcated hemoglobin A1c (HbA1c) plays a central role in monitoring quality of antidiabetic therapy and in the diagnosis of diabetes. The table below lists the normal ranges with qualitative categorisation. Those with high blood pressure, or who take medicine for high blood pressure Ideally, the goal is for the A1C to be at or near normal (6 percent or an average blood glucose of 120 mg/dL 6.7 mmol/L). Target range for blood glucose: 63 mg/dL to 140 mg/dL. Individuals with low HDL (good) cholesterol and/or high triglycerides The following table illustrates how A1C levels relate to average blood glucose, which is given in mmol/L (outside the United States) and mg/dl (within the United States). These risks are highest when glycated hemoglobin (hemoglobin A1C or A1C) is >8 percent or the average blood glucose is >180 mg/dL (10 mmol/L). People who are sedentary/ not physically active According to the ADA, an A1C level below 5.7 percent is considered normal between 5.7 and 6.4 signals prediabetes and over 6.5 percent indicates type 2 diabetes. Those with a parent, brother, or sister with diabetes People of Black, Hispanic/Latino, American Indian, Asian American, or Pacific Islander descent Groups that are at greater risk for developing prediabetes/ diabetes include: The American Diabetes Association (ADA), International Expert Committee (IEC), and the World Health Organization (WHO) recommend the use of HbA1c to diagnose. If you have diabetes, an ideal HbA1c level is 48mmol/mol (6.5) or below. A1c tends to increase with age, so it’s important to have your levels checked on occasion, especially if you’re at greater risk for prediabetes or diabetes. HbA1c is your average blood glucose (sugar) levels for the last two to three months. How to maintain optimal A1c levelsĪn A1c level of 5.6% means you have had good blood glucose control over the last few months. Maintaining an optimal A1c is important for preventing diabetes and the complications associated with this disease. The 2010 American Diabetes Association Standards of Medical Care in Diabetes added the HbA 1c 48 mmol/mol. A1c levels between 4 and 5.6 percent indicate good blood glucose control over the last 2-3 months. Glycated hemoglobin (HbA1c, glycohemoglobin, hemoglobin, A1C or A1c) is a form of hemoglobin (Hb) that is chemically linked to a sugar. A hemoglobin A1c (aka HbA1c or A1c) level of 5.6 is considered optimal.Īn A1c of 5.6 means that 5.6% of the hemoglobin in your blood is saturated with sugar.
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