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Hemoglobin - A1c 12
An A1c of 12 indicates that you have diabetes.
The A1C test is used to diagnose type 1 and type 2 diabetes. After diagnosis, it’s used to measure how well a person is managing their diabetes. The test is also known as the glycated hemoglobin, glycohemoglobin, estimated glucose average, glycosylated hemoglobin, hemoglobin A1C, Hb1C and HbA1C.
A1C tests measure the percentage of hemoglobin in your body that is coated with sugar. Hemoglobin is a red blood cell protein.
The test gives you your average blood sugar level for the past three to four months because red blood cells live for about four months.
This is superior to other blood glucose tests because it isn’t strongly influenced by how long ago you ate or what you ate recently, unlike the typical blood tests done at home. Instead, the test gives a better indication of your current health based on information from a longer period of time.
Additionally, people who are taking the test do not have to do anything special to prepare for it. Just stay hydrated and go about your day as usual before the test. It’s important to note, if you’re taking other tests at the same time, the doctor may still ask you to fast before coming in.
What Does Your A1C Number Mean?
Your A1C score tells you what percentage of a protein in your blood called hemoglobin is coated in glucose.
High A1C scores are correlated with diabetes. A higher A1C level indicates that you have poor blood sugar control and that you’re at risk for diabetes complications. That’s because the higher the percentage of your hemoglobin that is coated with glucose, the poorer job your insulin hormone is doing of removing glucose from your blood.
Blood sugar is typically measured in milligrams per deciliter or millimoles per liter. To understand what your A1C score would look like if it were on your daily blood glucose monitor, compare your score to this chart:
Converting Your A1C Score into Your Estimated Average Glucose Score
|A1C Score (percentage)||eAG (in mg/dL)||eAG (in mmol/L)|
For example, an A1C score of 10 is equal to an eAG score of 240 mg/dL or 13.4 mmol/L.
What Does an A1C of 12 mean?
An A1C of 12 means that you have diabetes, and the you’ve entered dangerous levels and need immediate & drastic medical attention. An 12 A1C score puts you at serious risk of kidney failure, blindness, stroke, heart attack and more. View the full A1C range chart to see how a A1C score of 12 compares.
Additionally, taking action now on your diet, stress and exercise will not only prevent your score from getting worse, but it can also reduce your score.
Is a1c 12 bad?
Having 12 percent of your hemoglobin coated in glucose can be dangerous. If you’ve tested with an A1C score of 12, you should not attempt to remedy your blood glucose levels independently. At this point, the glucose that has attached to your hemoglobin has thickened your blood considerably. Your blood is supposed to be thin so that it can travel through your blood vessels. Your heart has to put in extra effort to carry this thick blood to and from your heart.
As your A1C level increases further, you’ll be at serious risk of kidney failure, blindness, stroke, heart attack and more.
Additionally, when your A1C level is greater than 10, the Department of Transportation (DoT) no longer allows you to have a commercial driver’s license. If your score is higher than 10 percent, seek immediate medical care.
What is a good A1C level? What is a normal A1C score?
People who have diabetes often aim for an A1C score of 7 percent. It’s a good percentage to aim for. If you can sustain this score, you are less likely to experience complications down the line.
How Often Should You Check Your A1C Score?
Check your A1C score twice a year if you don’t take insulin and your blood sugar level is consistently in target range. 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.
Checking your A1C score frequently can help you determine if the actions you are taking to treat your diabetes are working.
A1c 12 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.
At the moment, you cannot cure your diabetes. You can cause your type 2 diabetes to go into remission, which would mean you don’t have any signs or symptoms of diabetes, but you would still have diabetes.
There are three forms of remission that your body can have: partial remission, complete remission and prolonged remission.
When you have partial remission, it means your blood glucose level or A1C score has been similar to that of a person who has prediabetes rather than diabetes for at least a year, and you haven’t been taking any medication to cause that. When your body is in complete remission, your blood glucose levels and your A1C score are normal. During complete remission, you’re not taking any medication, and tests seem to indicate that you don’t have diabetes for at least one year. Prolonged remission is the same as complete remission, but it has lasted longer. Prolonged remission lasts for a minimum of 5 years.
People who have experienced remission typically follow strict diets and personalized exercise routines.
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.
When there’s a lot of glucose in your bloodstream, your kidneys step in to help filter it out through your pee. In order to cause you to pee, your kidneys have to filter out water from your blood. Your body naturally triggers your thirst in order to add water back into your bloodstream.
If you ignore that thirst and don’t drink water, your body can get the needed water from your saliva or your tear ducts. This is a common reason why people experience dry eyes and dry mouth.