A1c 9 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.

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.

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 Lower than 9.0

A1C Scores Higher than 9.0