What factors affect the A1C test?
962441
I'm sure you already know that Hemoglobin A1c is a used as measure to see how well a person is keeping his or her diabetes under control.  However, if there has been a recent change in diet or treatment, the A1c may not be an accurate measurement of diabetic control.\n\n"Glycated hemoglobin measurement is not appropriate where there has been a recent change in diet or treatment within 6 weeks. Likewise the test assumes a normal red blood cell aging process and mix of hemoglobin subtypes (predominantly HbA in normal adults). Hence people with recent blood loss or hemolytic anemia, or hemoglobinopathy such as sickle cell disease are not suitable for this test. The alternative fructosamine test may be used in these circumstances and it similarly reflects an average of blood glucose levels over the preceding 2 to 3 weeks."
555091
Diabetes email this page  \n\nprint this page    \n   \n \n--------------------------------------------------------------------------------\nWhat is it?\nThree Types\nSigns & Symptoms\nTests\nTreatment\nSources \n--------------------------------------------------------------------------------\n \nTests\n\nGlucose is the most important test to a diabetic.  The fasting blood glucose level is used to screen for and diagnose diabetes and pre-diabetes.  It is usually done as part of a regular physical, is ordered when someone has symptoms suggesting diabetes, and is ordered routinely when a person presents to the emergency room with an acute condition.\n\nAccording to the American Diabetes Association, either a fasting glucose (about an 8 hour fast) or an oral glucose tolerance test (OGTT) may be used to diagnose diabetes and pre-diabetes, but tests should be done at two different times to confirm the diagnosis.  The OGTT that they recommend involves a fasting glucose, followed by the patient drinking a standard amount of a glucose solution to “challenge” their system, followed by another glucose test two hours later. Gestational diabetes is diagnosed using a glucose challenge as a screen and then followed by OGTT if the screen is abnormal.\n\nSometimes random urine samples are “dipsticked” for glucose, protein, and ketones during a physical.  If glucose and/or protein or ketones are present on the dipped indicator strip, the patient has a problem that needs to be addressed.  This is a screening tool, but it is not sensitive enough for monitoring.\n\nDiabetics must monitor their own blood glucose levels, often several times a day, to determine how far above or below normal their glucose is and, based on their doctor’s instructions, what modifications they should make to their medications.  This is usually done by placing a drop of blood (obtained by pricking your skin with a small lancet device), onto a glucose strip and then inserting the strip into a glucose meter, a small machine that provides a digital readout of the blood glucose level.\n\nA1c (also called hemoglobin A1c or glycohemoglobin) is a test that is ordered several times a year to monitor patients with type 1 or type 2 diabetes. It is a measure of the average amount of glucose present in the blood over the last 2 to 3 months and helps the doctor to determine how well a treatment plan is working to control the patient’s blood glucose levels over time.\n\nMicroalbumin, often ordered as a microalbumin/creatinine ratio, is a test that measures very small amounts of protein in the urine (microalbuminuria). This is a symptom of the very early stages of kidney disease. Microalbumin is usually measured annually. \n\nUrine and/or serum ketone tests may be ordered to monitor patients who present at the emergency room with symptoms suggesting acute hyperglycemia and to monitor patients who are being treated for ketosis. A build-up of ketones can occur whenever there is an increase in glucose levels and/or a decrease in the amount or effectiveness of insulin in the body. \n\nSeveral other laboratory tests may be used to monitor diabetes, evaluate organ function, and detect emerging complications. These include:\n\nTo monitor kidney function:\nCreatinine Clearance, GFR, EGFR, CMP, BUN, Creatinine, Cystatin C\n\nTo monitor cholesterol and other lipids:\nCholesterol, HDL cholesterol, LDL cholesterol, Triglycerides, Lipid profile\n\nTo monitor insulin production:\nInsulin, C-Peptide
417874
No.\n\nSome risk factors of Diabetes:\nObesity, family history, African American\nHigh BP, High cholesterol, inactive lifestyle.\n\nJust eating chocolate would probably not lead to diabetes.
241449
I have been a type 1 diabetic for 24 years now and i have 2 teenage kids, both healthy and happy. i had c-sections with both of them.My blood sugar levels were terrible when I got pregnant but with 3 hourly monitoring and weekly scans after 32 weeks to make sure the baby wasn;t getting to big, I had a healthy boy. I got alot of support from my diabetic specialist and obstetrician. I had to have an amnio at 18 weeks but no problems. Your sugar levels go up a bit after the birth for a few days but settle down again as your body recovers feel free to ask me anything there really is nothing to be scared of!!!
592350
The gum has sweeteners in it instead of the sugar, so yes it is said to affect the results. Its best to have this tests in the morning, so you can fast over night.
404060
When a type 1 diabetic becomes hypoglycemic, the body produces several hormones that can not be properly processed (one such is adrenaline).  As a result, there are some classic symptoms that many type 1 diabetics  tend to exhibit.\n\nAs time goes on the natural aging process changes some of the responses.  However, The person can become asymptomatic to hypoglycemia.  This is usually caused by a high frequency, severity and duration of hypoglycemic events.  \n\nIssues to review:  How many times do you test you BG?  Are you on Humilog and NPH?  A contributing factor may be that your (ISF) insulin sensitivity factor has changed.\nHas your insulin to carb ratio changed?  has your physical condition/fitness improved or gotten worse?\n\ngood luck
13000
Need to take several blood tests for blood sugar. Start with a fasting one (12 hr fasting). Best to consult a doctor if in doubt
808481
try API20E or any other commercial available kit. or conventional sugar test recommended by CDC.
141823
I'm a Type 2 diabetic myself, and I can speak from experience here...if I eat something heavy in sugar or carbs, especially without anything else in my system, my body "crashes" after the initial sugar rush wears off.  One of the big problems with Type 2 is the wild variations in blood sugar count at any given time...it's like your bidy doesn't react in any stable way to big swings in blood sugar count.
783661
This is called pregnancy diabetes, and it affects only the mother as such, even if it can be dangerous for the foetus if it is not controlled (it can cause an abortion). It does not make the baby diabetic.\nDiabetes means that you have a deficiency in a hormone called insulin. Type 1 diabetes happens when the insulin-producing cells of your body are destroyed by your immune system. I don't think that type 1 diabetes is hereditary as such.\nType 2 diabetes happens in people who eat a lot of sugar and dont exercise very much. They still produce insulin, but it has lost its effects. Fragily to this type of diabetes is hereditary.\nThe symptoms of type 1 diabetes are much more pronounced than what you describe. People with type I diabetes lose a lot of weight even though they eat a lot, lose sensitivity in their extremities, lose consciouness, have a sour odor in the breath (acetone), are thirsty all the time and have sugar in their urine (they used to taste the urine before to tell if somebody was diabetic).\nSo if you have no worse symptoms than that, I wouldn't worry.\nAnd if you still worry, have a sugar blood test done.
939894
they have that hemoglobin test (every three months for me) requested by the physician, that is the accurate results for testing the glucose in the body.\n\nbut any test relates to diabetics, the blood is required no matter what. it will be less pain depends on the lancing device and lancets to prick the skin. if the gluco meter required small amount of blood, you need to adjust the lancing device accordingly. some people have a thin skin layer so you need to to use the lower number, but if it is thick layer, it need to be adjusted to the higher number. that is where the pain occurs..\n\nthere are multiple brand, precision extra by medisense, freestyle by therma-sense, those are the two we have in the house. my mom carry the one touch ultra..
1100490
Have your blood tested for blood sugar level..etc, doctor will let you know
225924
Yes, a blood sugar reading of 92 is great, but that does not mean that your daughter is not diabetic. In order to determine this for sure, consult with your doctor and have an A1c test done on your daughter. As a type 2, you know that the A1c test will give you an average for about 120 days. This will help determine whether or not your daughter's levels are running high consistently or if the 92 that you got on your own was an indicator of normal blood sugar levels. \nOther blood test will also help determine whether or not she is diabetic. \n\nWhile decreased healing is one symptom of diabetes, it could also be the symptom of something else... infection, etc. If the sores are there longer than they should be, then get them checked out by a doctor ASAP to avoid serious complications (infection, scarring, etc.). \n\nGood luck and best wishes...
455811
Try your local pharmacy/drug store. They carry many different kinds of diabetic supplies so it is almost a sure bet that they have and adjustment chart.
257465
Check your bloodsugar 4 to 6 times a day, OR MORE. Get on an eating plan with your doctor or dietician. Learn to use "sliding scale" insulin. Everyone can do it and it's very effective. I've been diabetic for 16 years and my hemoglobin A1c has always been between 5.0 to 5.7, with the last being 5.4 It IS possible to be in perfect control. Talk to your physician about it, and if your physician is unwilling GET A NEW DOCTOR!!!
12133
For long term survival with diabetes, keeping blood sugars to near-normal levels is the key.  Many diabetics take in too many carbohydrates in their diet, and significantly reducing these can reduce the need for insulin and simplify the management of the disease.
18798
Different types of carbohydrates are known to affect blood sugar levels differently due to the speed of absorption into the body. You could do a study on how they differ, and if fats slow down this process.