Question

Diabetes

What is the A1c target for someone with diabetes?

A Answers (3)

  • AAmy Campbell, Endocrinology, Diabetes & Metabolism, answered

    For most people with diabetes, the A1C goal is less than 7% in order to help avoid complications. However, the A1C goal may be modified based on the presence of certain complications, cognitive status and life expectancy. Also, people who have hypoglycemia unawareness (the inability to feel symptoms of low blood glucose) may benefit from a higher A1C goal for safety reasons. Make sure you talk to your healthcare provider about what you own A1C goal should be. 

  • AEliot LeBow, CDE, LCSW, Endocrinology, Diabetes & Metabolism, answered

    Defining The HbA1C

    HbA1C is a measurement of the amount of glycosylated hemoglobin in your blood. Glycosylated hemoglobin is a molecule that attaches to glucose (blood sugar) in red blood cells. The Higher the HbA1C you have the more glucose in your blood over a 2-3 month period of time. For optimum control the HbA1C test should be taken every 3 months. And life changes should be taken into consideration obtain as close to normal as possible.

    The higher your HbA1c levels, the higher the risk of developing future problems such as heart disease, nerve damage, eye disease, kidney disease and stroke. If your HbA1c remains high for a long period of time this will increase the risk but the closer to normal levels the lower the risk for diabetic related diseases.

    Normal levels for diabetics are 7% and below if your child’s HbA1c is higher then 8% depending on age, (set by American diabetes Association) then treatment (insulin, quantity of blood tests, etc.), exercise, or diet need changing.

    A hemoglobin A1c level less than 7 percent means that the blood sugar should rarely go above 150 mg/dl during self-monitoring blood glucose before meals over a 3-month period. On average a non-diabetic person HbA1c level is between 4 to 6 percent. Blood sugars of 70 mg/dl, or lower are dangerous and should be avoided.

    Most doctors I have encountered want your sugar levels to be between 70-120 mg/dl but my recommendation is a target area of 80 to 160mg/dl for adults with a goal of 100mg/dl relives emotion stress and pressure and is more obtainable. The American Diabetes Association has set age appropriate levels:

    1. For children younger then 6 years old, the target is 8.5 percent
    2. For six to 12 year olds, the target is under 8 percent
    3. For teens age 13 to 19, the target is under 7.5 percent
    4. For adults, the target is under 7 percent
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  • APhil Southerland, answered
    A1c is a commonly used three-month average measure of your blood sugar. Instead of making it a perfunctory measurement, I recommend using that three-month window as a way to both challenge and reward yourself to reach a goal A1c measurement of 6.5. This is just a little higher than normal blood sugar, but lower than the 8 or 9 that many diabetics commonly have. While reaching 6.5 doesn’t mean your diabetes is “cured,” it’s something your doctor will applaud, and it shows that you are successfully managing your disease.
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What is A1C (glycated hemoglobin)?