爱达荷州立大学中国学生学者联谊会

Chinese Association of Idaho State University (CAISU)

Type 2 Diabetes What Is The Hemoglobin A1c Test?

When being tested for Type 2 diabetesGluco Type 2, many people undergo something called the hemoglobin A1c blood test. This test, also known as the HbA1c test, will allow the doctor to see your average blood sugar control over the last 2 to 3 months. Basically, it's like taking a picture of all the different blood sugar ups and downs, the highs and the lows, to give you an average. The HbA1c test is really objective... your results will be accurate even though your blood sugar level is high or low on the day you take it.

Doctors recommend people who have already been diagnosed with Type 2 diabetes have this test run every three months until their disease is controlled and has been stable for a while. Then, it should be run at least every six months... the American Diabetes Association (ADA) recommends at least two of these tests each year, more if you are having problems controlling your blood sugar levels. Make sure to note on your calendar, or in your smart phone, so that you don't forget when the test needs to be run. Diabetes is very important to keep under control, so this blood test is critical to making sure this happens.

The hemoglobin A1c test: This test looks at the amount of blood sugar that is permanently attached to your red blood cells. When your blood sugar levels shoot up too high and remain at these high levels, more glucose will become attached to your blood cells. Red blood cells last for about 120 days, so this test is able to look at a picture of your blood sugar over the entire life of that blood cell. Because blood cells are constantly dying and being replaced, you will always have some that are very new and some that are older. That's why the hemoglobin A1c test will show control over 2 to 3 months of time.

The results will come out as a percentage. Each lab will have a different level they consider normal. When you look at your blood work results, you will be able to see the normal ranges for that particular lab. People who do not have Type 2 diabetes will show a level of about 4 to 6%. The American Diabetes Association recommends people who already have diabetes keep their hemoglobin A1c levels less than 7%. If the level is above 8%, the doctor may need to re-evaluate the way your diabetes is being treated.

Type 2 diabetes is a condition that can be managed... and even reversed with proper lifestyle changes. For that reason, knowing your numbers and keeping tabs on your blood sugar levels will help you to have the best chance of reversing this condition. In other words, you don't have to be a slave to insulin and anti-diabetes medications for the rest of your life as long as you're willing to take responsibility and action.

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