All About Your A1C
What is A1C and should you get tested?
W
hat has your blood sugar been up to lately? If you’re at risk for prediabetes or type 2 diabetes, or if you’re managing diabetes, an A1C test can answer that question. The A1C test—also known as the hemoglobin A1C or HbA1c test—is a simple blood test that measures your average blood glucose (sugar) levels over the past 3 months. A1C tests are often used to diagnose prediabetes and diabetes. They’re also the main test to help you and your health care team manage your diabetes. Because higher A1C levels are linked to diabetes complications, reaching and maintaining your individual A1C goal is crucial. When glucose enters your bloodstream, it attaches to hemoglobin, a protein in your red blood cells. While everybody has some glucose attached to their hemoglobin, people with higher blood sugar levels have more. The A1C test measures the percentage of red blood cells that have sugar-coated hemoglobin.
When Should You Get an A1C Test?
Get a baseline A1C test if you’re an adult who’s 45 or older – or if you’re under 45, overweight, and have one or more of the following risk factors for prediabetes or type 2 diabetes: • A parent, brother, or sister with Type 2 diabetes • You are physically active less than 3 times a week • History of gestational diabetes • You are African American, Hispanic or Latino, American Indian, or Alaska Native
Prepare for Your A1C Test
The A1C test is done in a doctor’s office or a lab using a sample of blood from a finger stick or from your arm. You don’t need to do anything special to prepare for your A1C test; however, ask your doctor if other tests will be done at the same time and if you need to prepare for them.
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BOONE HEALTH
Fall 2023
LIFESTYLE TIPS Stay active. Current guidelines recommend that adults get a minimum of 150 minutes of moderate physical exercise each week. If you use insulin or have other conditions, talk to your doctor about a suitable exercise plan. Housework, gardening, and other routine activities can also keep you moving. Monitor your blood glucose. This is crucial to ensure you meet your targets and make any necessary changes. Follow your treatment plan. This includes the use of medications and lifestyle therapies. Manage your weight. Consider working with a health care professional to set realistic and achievable weight loss goals. Track your progress. This is useful for self-motivation, monitoring changes, and identifying which strategies work for you. Enlist support. Lifestyle changes are often easier to adopt if other people can encourage and monitor your progress.
