The risk of complications increases significantly with A1C levels above 9%. Studies show that high levels of A1C increase the risk of serious complications from Diabetic and Neuropathy Treatment South Bradenton FL. Damage to blood vessels can begin when A1C levels are above 7%. While any A1C level that indicates Diabetic and Neuropathy Treatment South Bradenton FL (6.5% or higher) requires treatment to prevent complications, levels that remain above 8% indicate a dangerous and significantly elevated risk, and urgency increases dramatically if levels exceed 9% or 10%.In light of the recent interest in adopting A1C for the diagnosis of diabetes, these findings may be useful to guide policies related to the classification and diagnosis of people at high risk of developing diabetes before preventive intervention.
The progression of diabetes risk with A1C is similar in magnitude and shape to that described above for fasting plasma glucose and glucose for 2 hours, and suggests that A1C could have a similar application as an indicator of future risk (2). The ideal decision about the A1C cutoff to be used for the intervention should ultimately be based on benefit capacity, as demonstrated in clinical trials. Our findings suggest that an A1C range of 5.5 to 6.5% will capture a large proportion of people at high risk and, if interventions can be used for this target population, this could result in a significant reduction in absolute risk. Taking into account current scientific data and evidence of the cost-effectiveness of intensive interventions performed in clinical trials (28.2), the use of a threshold between 5.5 and 6.0% is likely to ensure that people who will actually benefit from preventive interventions are efficiently identified.
It is also comforting that the average A1C values of the populations of the Diabetes Prevention Program, the Finnish Diabetes Prevention Study and the Indian Diabetes Prevention Program, where the average A1C was 5.8 to 6.2% and the SD of at least 0.5 percentage points, range from 5.5 to 6.5% (28-30). The A1C test, or hemoglobin A1C, test is used to measure long-term blood glucose levels. It is usually given every three to six months to people with diabetes. This lab test shows the person's average blood glucose control over the previous two to three months. It differs from the finger-prick blood test that is used daily to monitor current blood sugar levels.
For a person with diabetes, the goal is to have an A1C reading of less than 7.0 percent. For a person who is not diabetic, a normal A1C level is 4.0 to 5.9 percent. For a person with diabetes, medical providers like to see an A1C level lower than 7%. A reading of 6.5% would be ideal.
This can be a sign of diabetes or prediabetes and increases the risk of serious health problems, such as heart disease, kidney disease, and nerve damage. For example, people with more advanced diabetes will have higher A1C goals than those without diabetes. Overall, studies that classified A1C over a full range of A1C values (11,12,17,22,24-2) showed that the risk of incident diabetes increased considerably in the A1C range from 5.0 to 6.5%; both the relative and absolute incidence of diabetes varied considerably between studies; the A1C range of 6.0 to 6.5% was associated with a very high risk of incident diabetes, often 20 times or more than the incidence of A1C. If the National Glycohemoglobin Standardization Program (NGSP) standardized the A1C measurement and both standardized and non-standardized A1C values were reported, standardized values were used in the analyses. If your A1C is below 5.7%, it means that your blood sugar level is within the normal range and that you don't have prediabetes or diabetes.
A person with an A1C level that indicates prediabetes may consider making lifestyle changes, such as eating a well-balanced diet and staying active, to help control or even reverse the condition before it develops into type 2 diabetes. An A1C lower than 5.7% is normal, between 5.7% and 6.4% indicates prediabetes and 6.5% or more in two tests confirm the existence of diabetes. If a person with diabetes gets an A1C test result much higher than the set goal, a doctor can help recommend lifestyle and medication changes to lower their A1C level. A health care team that specializes in diabetes can help a person set a goal level that takes into account several factors, such as the current A1C value and the date of the next test.
Second, the magnitude of the relative risk depends largely on the population's overall risk and the selection of the reference group; studies with a low absolute risk and the selection of a particularly low-risk reference group will have very high relative risks across the A1C spectrum. Working closely with your diabetes management team can help you improve your A1C level. and general diabetes management. In addition to its usefulness and convenience, A1C may help identify people who are most at risk of developing diabetes.
A high A1C level increases the risk of complications such as heart disease, diabetic retinopathy, kidney failure, neuropathy and gum disease.
