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What Causes Low A1c Levels In A Diabetic Patient?
I am 76 yrs old. have had type 2 Diabetes for over 20 years.I have had an excellent Diabetes Doctor for most of those yrs. I try to eat right (don t always succeede) I take B.Sugar readings 4 or 5 times a day (since my doctor changed my Lantus from 75 units per evening to 40 units 2 x daily) I am strictly on Insulin.;..Humalog before each meal & Now Lantus 2x daily...My Question is .....My Diabetic doctor just recently moved to a different city...but she talked to me about the doctor who would be taking her place & of course highly reccomended her, so I said I would continue on with the new Doctor. I had My 1st appointment with her Last week & really like her & her staff...She surprised me tho by saying that my A1c (which has for most of the time been 7 or 7.1 or.2 was in the O.K. range for my age & length of time I ve had Diabetes!) My doctor that just left always told me that was too high & I needed to try to get my weight down & I could probably get off of or lower my Insulin too if I did. I DO TRY to cut back on portions & watch sweets...(actually I rarely eat sweet things, but do use sweetner & eat no sugar added or sugar free things), My Primary doctor has also said my A1c is too high....Who is right?
Mon, 25 Aug 2014
dear sir I can understand your concern
I am very happy to see that your are monitoring your sugars very well and taking good care of diet and exersise
this is very important because good diabetes Control will keep complications away
in my opinion your new doctor gave you a very good advise
as per new diabetes guideline we need to customize the target Hba1c to the age of patient
for your age 7% hba1c is a great value and kindly keep it around seven only
regards
Dr vamsi
Diabetologist
I am very happy to see that your are monitoring your sugars very well and taking good care of diet and exersise
this is very important because good diabetes Control will keep complications away
in my opinion your new doctor gave you a very good advise
as per new diabetes guideline we need to customize the target Hba1c to the age of patient
for your age 7% hba1c is a great value and kindly keep it around seven only
regards
Dr vamsi
Diabetologist
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For people without diabetes, the normal range for the hemoglobin A1c test is between 4% and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% indicate increased risk of diabetes, and levels of 6.5% or higher indicate diabetes. Because studies have repeatedly shown that out-of-control diabetes results in complications from the disease, the goal for people with diabetes is a hemoglobin A1c less than 7%. The higher the hemoglobin A1c, the higher the risks of developing complications related to diabetes. so both are right and your sugar level is under control. hope this explains...
For people without diabetes, the normal range for the hemoglobin A1c test is between 4% and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% indicate increased risk of diabetes, and levels of 6.5% or higher indicate diabetes. Because studies have repeatedly shown that out-of-control diabetes results in complications from the disease, the goal for people with diabetes is a hemoglobin A1c less than 7%. The higher the hemoglobin A1c, the higher the risks of developing complications related to diabetes. so both are right and your sugar level is under control. hope this explains...
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