A1c 8.3 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 shouldn’t drink alcohol if you have high A1C test results. Sugary mixed drinks will raise your blood sugar. The alcohol can affect your liver’s ability to produce sugar and cause low blood sugar. More so, alcohol doesn’t mix well with most medications, including diabetes medications. If alcohol is truly important to your lifestyle, consult with a doctor about how often and how much alcohol you can. The doctor may switch you to a medication that isn’t strongly affected by alcohol.

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.

What you eat and how much you weigh are influential contributing factors to diabetes. Seeing a nutritionist and following their advice can help lower your A1C score. A registered nutritionist can help you plan out your meals and when you eat them to ensure that you are giving your body the energy it needs while working to reduce the amount of sugars that you eat.

Some nutritionists have even undergone exams to become certified diabetes educators, meaning they are experts in teaching people about diabetes.

You should not use a nutritionist as a substitute for a doctor. You should always consult with and follow the advice of your doctor first.


A1C Scores Lower than 8.3

A1C Scores Higher than 8.3