A1c 11.6 Questions

If you have prediabetes (i.e. an A1C score between 5.7 and 6.5 percent) you should check your A1C score once a year.

For people who have type 2 diabetes, check your A1C score twice a year if you don’t take insulin and your blood sugar level is consistently in target range, or check your A1C score four times a year if you use insulin to manage your diabetes and your blood sugar level is not consistently within the target range.

A1C scores are accurate up to .5%, so if you’ve scored a 6.89 percent, your actual score can be anywhere between 6.39 percent and a 7.39 percent. This is why doctors will test your A1C score twice before diagnosing you with diabetes – they want to make sure the reading is accurate.

There are a few common reasons why your A1C score will have errors or misreadings.

  • A1C tests for patients who experience chronic bleeding may yield a false low.
  • A1C tests for patients who have iron deficiency anemia may yield a false high.
  • If your body produces a form of hemoglobin variant different than the normal hemoglobin A, your test can be inaccurate. This is more likely for people of African, Southeast Asian or Mediterranean descent. An example of hemoglobin variant is present in people with sickle cell disease, which changes the lifespan of red blood cells.
  • Patients who are going through hemodialysis might have false lows because the processes may be filtering the glucose out of the patient’s bloodstream.
  • Patients who have had a recent blood loss due to surgery or a heavy menstrual cycle may experience a false low.
  • Liver disease, sickle cell anemia and kidney failure can cause your reading to be inaccurate.

Additionally, your A1C percentage can be off by as much as half a percent based on the margin of error. While that might mean the difference between being diabetic and prediabetic, if you’re a half a percentage away from developing diabetes or prediabetes, you should make changes to your lifestyle to reduce your score.

The Department of Transportation doesn’t have diabetes regulations for personal drivers licenses; however, the department does regulate commercial driver’s licenses. Part of the DoT’s Physical Qualifications and Examinations, people who have diabetes are not physically qualified to have a commercial driver’s license. Therefore, drivers must submit an exemption form through the Federal Diabetes Exemption Program in order to obtain a commercial driver’s license if they have diabetes.

Other commercial drivers with diabetes who take insulin must apply for an exemption from the Federal Motor Carrier Safety Administration. These exemptions are good for a maximum of two years. The administration requires that people with exemptions go through quarterly and annual medical monitoring and reporting in order to maintain the exemption from the Federal diabetes standard.

Insulin users must also participate in diabetes education programs every year to continue to participate in the exemption program. They must also be evaluated by a board-certified or board-eligible Endocrinologist to confirm that no medical problems related to diabetes will impair safe driving. These examinations are valid for 6 months and must be renewed if expired during the application process, which is relevant because the application can take up to 180 days to process.

People with A1C scores that are greater than 10 are not eligible for the exemption and cannot get a commercial driver’s license.

A1C scores can be used to monitor women with type 1 or type 2 diabetes. The A1C test is different for pregnant women than for most people. Red blood cells do not live as long in the body of a pregnant woman as they do in a not-pregnant woman. Red blood cells live only a few weeks in pregnant women as opposed to a few months in other people.

However, A1C tests are not often used for diabetes diagnosed during pregnancy, which is called Gestational Diabetes Mellitus (GDM). Instead, doctors use something called an oral glucose tolerance test (OGTT) which gives them information about how well your body processes the sugar in foods.

High A1C scores during the first three months of pregnancy can indicate a higher chance of a spontaneous abortion or birth defects for women with type 1 and type 2 diabetes. For pregnant women, it is best to keep an A1C score below 6 percent.

Studies indicate that when high blood glucose is treated aggressively and early on, treatment can quickly lower A1C levels in pregnant women. Treating high blood sugar can stop negative ramifications for pregnant women and their baby’s health.

If your considering becoming pregnant, you’re more likely to get GDM if you:

  • Are older 25.
  • Are overweight before becoming pregnant.
  • Have prediabetes.
  • Have a close family member who has or had type 2 diabetes.
  • Have had GDM during a past pregnancy.
  • Have delivered larger than normal children in the past.
  • Are black, Hispanic, Native American or Asian.

Developing GDM can cause complications for your baby. It could cause your baby to grow larger than they’re supposed to and require C-section for birth. Your baby could have low blood sugar after birth because his or her insulin production was high while in the womb. After normal feedings and possibly other intervention methods, your baby’s blood sugar should return to normal. Your baby would also have a higher risk of becoming obese or developing type 2 diabetes throughout his or her life. If you develop GDM, follow treatment precisely. Untreated GDM could cause a baby’s death either before or shortly after birth.

GDM can affect you too. Mothers that develop GDM can suffer from preeclampsia and subsequent gestational diabetes. When you have preeclampsia, you can experience high blood pressure and swelling in your legs and feet. It also causes there to be extra protein in your urine. Additionally, once you have GDM, you’re more likely to develop it in subsequent pregnancies and your more likely to develop type 2 diabetes.

You can reduce your A1C score without medication, but you should consult with a doctor to ensure that is the best course of action for you. After you talk to a doctor, he or she may recommend that medication is the best option for you. Nonetheless, your doctor will also recommend non-medicinal ways to lower your A1C score, like modifying your diet, participating in mild exercise and reducing stress.

You can reduce your A1C score through restricting your calories to between 1,200 and 1,500 calories a day. It’s generally safe to start by cutting 500 calories out of your diet per day. About 50 percent of your calories should come from carbohydrates, a third should come from fat and a fourth should come from protein.

You should also moderate your carb intake. You can test out what the right amount of carbs is for you by using a blood glucose monitor. Through this process:

  1. Test your blood glucose before you start eating.
  2. Enjoy a delicious meal and record what you eat in a food journal.
  3. An hour after eating, test your blood glucose level. Is it above 140? If your blood glucose is above 140, you ate too many carbohydrates in your meal. You should reduce them in a meal tomorrow and follow these steps again. If your score is below 140:
  4. Test your blood glucose two hours after eating. Has your blood glucose returned to the level it was at before you ate? If it has this is a good amount of carbohydrates for you to eat in a meal. If not:
  5. Test your blood glucose three hours after eating. Has your blood glucose returned to the level it was at before you ate? If it has this is a good amount of carbohydrates for you to eat in a meal. If not, you should reduce the carbs in your meal tomorrow and follow this process again.

You can also do blood glucose tests to see how your body reacts to some foods versus others. Consuming soda, juices, desserts and other refined carbohydrates will negatively affect your diet. After your testing, you can figure out which foods have the smallest impact on your blood glucose level? Those are the foods you should be eating in your diet!

Mild exercise causes your muscles to use up glucose, which can lower your blood glucose levels. Additionally, your body becomes more sensitive to insulin hormones. That makes it a lot easier for insulin to remove glucose from the bloodstream.

These steps will also help you lose weight. For people who have type 2 diabetes, losing 5 or 10 percent of your body weight can reduce your A1C score. People who have higher A1C scores will see more profound changes to their scores as they lose weight than people who have lower A1C scores, but on average people’s A1C scores drop by 0.1% for every 2.2 pounds they lose. That’s not necessarily because the weight was causing the diabetes but because the actions you take to lose the weight help reduce your blood glucose level.

Lastly, avoid stressful situations. Stress causes the body to reduce insulin levels and increase levels of growth hormone and cortisol. Your body wants you to have more glucose in your body to give you energy and help you cope with the stress. The growth hormone and the cortisol cause your body tissue to be less sensitive to insulin – the opposite effect as exercise. These effects can last for 6-8 hours. During that time your insulin will not be removing glucose from your blood, which will make it difficult for you to control your blood sugar.


A1C Scores Lower than 11.6

A1C Scores Higher than 11.6