What Should My Blood Sugar Levels Be With Type 2 Diabetes

What Should My Blood Sugar Levels Be With Type 2 Diabetes – The A1C test measures the average amount of sugar in your blood over the past few months. Health care providers use it to diagnose prediabetes and type 2 diabetes and to track how well your diabetes treatment plan is working.

The A1C test measures the average amount of glucose (sugar) in the blood over the past three months. The results are given as a percentage. The higher this percentage, the higher the average blood sugar level.

What Should My Blood Sugar Levels Be With Type 2 Diabetes

Glucose (sugar) is made mainly from carbohydrates found in food and drinks. It is the body’s primary source of energy. The blood carries glucose to all the cells of the body as energy.

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Many bodily processes help maintain blood sugar levels in a healthy range. Insulin, a hormone produced by the pancreas, is the most important contributor to maintaining healthy blood sugar levels.

Persistently elevated blood sugar (hyperglycemia) and elevated A1C results usually indicate diabetes. Diabetes occurs when the pancreas does not produce enough or no insulin, or when the body does not use it properly.

If you have diabetes, you should get your A1C tested at least twice a year to see how well your treatment plan is working. Your healthcare team will recommend exactly how often you should have this test.

If you have not been diagnosed with diabetes, your healthcare provider may order an A1C test if you have symptoms such as:

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If you are at risk for type 2 diabetes, you can also have an A1C test to screen for type 2 diabetes. Risk factors include:

The A1C test is based on hemoglobin. Hemoglobin is the part of red blood cells that carries oxygen throughout the body. If there is glucose in the blood, it attaches to hemoglobin. This is called sugaring. The more glucose there is in the blood, the easier it sticks. And it can stay there for about three months, about the lifetime of an average red blood cell.

The A1C test measures the average amount of glucose bound to hemoglobin over time. Because the A1C test measures glucose levels over a period of time, it provides more information about your blood sugar than a single blood sugar test.

For A1C tests that involve venous samples or blood, you can expect:

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Blood tests are a very common and essential part of medical tests and screenings. There is little risk to having either type of A1C test. You may experience mild tenderness or bruising at the site of the blood draw or finger prick, which usually heals quickly.

On this A1C graph, the first three rows refer to the diagnosis of diabetes. If a person with diabetes has persistently elevated A1C levels, they are more likely to develop diabetes-related complications.

A1C test results are given as a percentage. The numbers represent the part of the hemoglobin protein that is glycated or holds glucose. The higher the percentage, the higher your blood sugar has been over the past few months.

If you already have diabetes, A1C results can give you a glimpse of how well your treatment plan has worked over the past three months. Treatment may include oral medications, insulin, blood sugar control, and/or lifestyle changes such as diet and exercise. A1C helps determine if any part of your treatment plan needs to be changed.

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It is important to note that A1C (for diabetes) is only an average of blood sugar levels over several months. It is not a grade or the ultimate determinant of whether or not you are living a healthy life.

Some laboratories report A1C results as a percentage alongside the corresponding estimated average glucose (eAG).

The eAG calculation converts your A1C percentage to the units used in home glucose meters (glucometers): milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). Just like A1C is an average, eAG is a single number that represents your average blood sugar level over the past three months.

For example, an A1C level of 7% corresponds to an eAG of 154 mg/dL (8.6 mmol/L). An A1C level of 9% corresponds to an eAG of 212 mg/dL (11.8 mmol/L).

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What is “normal” and healthy for people with diabetes depends on their goals and their access to diabetes medications and tools. You and your healthcare provider will work together to determine what A1C range you should aim for. This will likely change during your lifetime.

In general, the American Diabetes Association recommends an A1C of 7% or lower for most adults with diabetes.

On the other hand, health professionals generally advise pregnant women with type 1 diabetes to keep their A1C below 6.5% during pregnancy. This is to reduce potential fetal health risks and prevent fetal macrosomia.

The higher the A1C level, especially if it has been consistently high for several years, the more likely you are to develop complications such as:

Blood Sugar Chart

Studies have shown that keeping A1C levels below 7% can reduce the risk of diabetes complications in people with diabetes.

It is important to note that other factors, such as genetics and duration of diabetes, may contribute to the development of diabetes complications.

These factors can lead to falsely low or falsely high results. Most factors are due to differences in the lifespan and health of red blood cells.

The form of hemoglobin in the blood depends on the genes inherited from the biological parents. There are many different formats. Its most common form is hemoglobin A. Other less common forms of hemoglobin are called hemoglobin variants.

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Hemoglobin variants do not increase the risk of developing diabetes, but they can affect A1C results. Laboratories use different methods to perform A1C tests on blood containing hemoglobin variants.

Blood tests can detect hemoglobin variants. Talk to your healthcare provider if you think you have a hemoglobin variant that may affect your A1C results.

The following conditions/situations can lead to falsely low A1C results: This means that the result is lower than the actual A1C level.

The following conditions/situations can lead to falsely high A1C results: That is, the result will be higher than the actual A1C level.

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The first time your A1C is elevated (6.5% or higher) does not necessarily mean you have diabetes. Certain medications (such as steroids) and other factors, such as illness, can temporarily raise your blood sugar. Anemia and other conditions can also cause falsely high A1C results. It is also possible that an error occurred during test collection, transmission or processing.

Health care providers rely on several tests to diagnose diabetes. For example, they may order a fasting blood glucose test or another A1C test. In all cases, the service provider carefully interprets the results and discusses them with you.

For decades, healthcare providers and people with diabetes have relied on A1C as the primary way to measure how well they are managing their condition.

Blood sugar levels can fluctuate significantly over days, weeks and months, especially in people with type 1 diabetes. Because of this, A1C is based on averages and is not always an accurate measure of regulation.

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For example, a person whose blood sugar fluctuates frequently between extremely low and high episodes may have an A1C of 7%. A person whose blood sugar is consistently around 154 mg/dL may also have an A1C of 7%.

Recently, with the invention of continuous glucose monitoring (CGM) devices, healthcare providers and diabetes patients have discovered a more useful and accurate representation of diabetes management: the time in range (TIR).

In-range time is the time your blood sugar is within the recommended target range. TIR is measured as a percentage. Target blood sugar levels vary from person to person, but a typical target range is 70-180 mg/dL. For most adults with type 1 or type 2 diabetes, healthcare professionals recommend a TIR of 70% or higher (about 17 hours out of 24 hours).

With CGM and TIR, healthcare providers and diabetes patients can see how often they experience hyperglycemic or hypoglycemic episodes. This allows more precise tailoring of treatment strategies.

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Unusual or unexpected A1C results can be stressful. Know that just because your A1C is elevated for the first time does not necessarily mean you have diabetes. Many factors can cause inaccurate results. Your healthcare provider will let you know if further tests are needed. Don’t be afraid to ask your provider questions. They are available to help.

If you have diabetes, it’s important to remember that A1C is only a temporary average of your blood sugar levels. Know that there are steps you can take to change your A1C level. Talk to your doctor if you feel overwhelmed by your diabetes management

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