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What Does Elevated HbA1c Levels Indicate?

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Posted on Thu, 19 Jan 2017
Question: HEMOGLOBIN A1C 5.8% test result
Have seen where 5.7 this is beginnings of prediabetes
and others indicate anything below 6.0% is normal.
Any clarification wll help
doctor
Answered by Dr. Mirjeta Guni (38 minutes later)
Brief Answer:
About prediabetes;

Detailed Answer:
Welcome and thank you for asking on HCM!

You are right, the HbA1c level is slightly elevated but to judge for prediabetes you should check fasting and postprandial glucose levels.

If fasting blood glucose results to be 110-125 mg/dl or postprandial levels 140-200 mg / dl, than prediabetes is confirmed.

Do not hesitate to attach the results so i can guide you further if will be necessary.

Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Mirjeta Guni (12 minutes later)
119 mg/dl I fasted.

What should my concern be at this point?
doctor
Answered by Dr. Mirjeta Guni (32 minutes later)
Brief Answer:
About prediabetes treatment:

Detailed Answer:
Welcome back!
So fasting glucose intolerance or prediabetes is confirmed.
Healthy lifestyle choices can help you bring your blood sugar level back to normal, or at least keep it from rising toward the levels seen in type 2 diabetes.

To prevent prediabetes from progressing to type 2 diabetes, try to:

1) Eat healthy foods. Choose foods low in fat and calories and high in fiber. Focus on fruits, vegetables and whole grains.

2) Be more active. Aim for 30 to 60 minutes of moderate physical activity most days of the week(Of course if cardiac pathologies are excluded)

3) Loose excess weight. If you're overweight, losing just 5 to 10 percent of your body weight — only 10 to 20 pounds (4.5 to 9 kilograms) if you weigh 200 pounds (91 kilograms) — can reduce the risk of developing type 2 diabetes. To keep your weight in a healthy range, focus on permanent changes to your eating and exercise habits.

4) Stop smoking.

After these lifestyle modifications, check the HBA1c level again (after three months) and the fasting and postprandial blood sugar. If they persist high and you have high risks of developing Diabetes or Ischemic heart disease, than your treating physician will prescribe you oral antidiabetic tablets.

Wish you good health.

Best wishes,
Dr.MIrjeta

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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What Does Elevated HbA1c Levels Indicate?

Brief Answer: About prediabetes; Detailed Answer: Welcome and thank you for asking on HCM! You are right, the HbA1c level is slightly elevated but to judge for prediabetes you should check fasting and postprandial glucose levels. If fasting blood glucose results to be 110-125 mg/dl or postprandial levels 140-200 mg / dl, than prediabetes is confirmed. Do not hesitate to attach the results so i can guide you further if will be necessary. Kind regards, Dr.Mirjeta