A1c 7.1 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.

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.

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.

There are home tests that you can purchase at your local pharmacy. They typically cost about half of what a hospital test costs and use a smaller amount of blood. Many at home kits have been cleared by the FDA and meet the standards of the National Glycohemoglobin Standardization Program for measuring A1C. There are multiple brands available like CVS, Walgreens and others.


A1C Scores Lower than 7.1

A1C Scores Higher than 7.1