Jump in A1c level

Posted by gelyte @gelyte, Oct 20, 2023

My a1c has been around 5.3. My last test was 5.8. Why this jump? Tests were approximately 1 year apart. I’m stumped by this big change.

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A change in A1C from 5.3 to 5.8 doesn’t sound like a big jump to me. But I spent many years with double digits A1C. Maybe consider if you have had any significant changes in your eating plan, medications, or other health factors. Maybe you will discover something that has potentially made a difference.

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Agree that is not a big jump. If you are not aware, the a1C only reflects your average blood glucose over the previous 3 months.

I was able to affect my a1c the most by finding movement that I look forward to. . . I walk shelter dogs from the humane society.

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I'll give you my take on this: Nine months ago my A1C was 5.5. Very happy with the that number. The two test in the last six months it has been 5.8. Somewhat disappointed but my Endo has no problem with it at all. The reason could very well be that you are in better control now then before. A1c is the last three month average. When you had the 5.5 you may have had more lows to offset the highs. Now at 5.8 you may have less lows so the number is now higher. It is a constant battle to "keep it between the lines" and being at the lower end has more current ramifications then being on the higher side. An A1c of 5.8 calculates to an average blood glucose of 120. I'd take a number like that all day long if I could. A 5.3 calculates to 105. So take a look at how the last 3 months might have been different. Vacations, parties, special events, stress, life style changes, sickness are just a few things that can affect glucose readings. You maybe doing better then what the number shows. Good luck.

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I think a lot of people would be *very* envious of an A1C of 5.8.

Perhaps more to the point, how do you feel? If you're over 60 and feel pretty good, you're a lucky person.

Remember, you're a human being, not a bunch of parameters.

My philosophy: Enjoy life while you can. Keep track of numbers, but don't be dominated by them.

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@scottrl

I think a lot of people would be *very* envious of an A1C of 5.8.

Perhaps more to the point, how do you feel? If you're over 60 and feel pretty good, you're a lucky person.

Remember, you're a human being, not a bunch of parameters.

My philosophy: Enjoy life while you can. Keep track of numbers, but don't be dominated by them.

Jump to this post

Great advice ….

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@scottrl

I think a lot of people would be *very* envious of an A1C of 5.8.

Perhaps more to the point, how do you feel? If you're over 60 and feel pretty good, you're a lucky person.

Remember, you're a human being, not a bunch of parameters.

My philosophy: Enjoy life while you can. Keep track of numbers, but don't be dominated by them.

Jump to this post

Very kind and lovely advice. Thank you

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Mine went from 5.8 to 6 in one year. My doctor isn’t worried but I am. But then I worry about everything ❤️

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@mydogsbestfriend

Mine went from 5.8 to 6 in one year. My doctor isn’t worried but I am. But then I worry about everything ❤️

Jump to this post

My husband, 30 years after his type 2 diagnosis, is the same. We looked for the answer, tried more closely watching diet, increasing exercise, he lost a few pounds - nothing worked. This summer, he added Jardiance to his regimen, removing one BP med (Jardiace acts a diuretic) and reducing his Glipizide. It worked, his A1C is below 6 and he has lost a few more pounds (not a necessity - his BMI has always been normal.) It's not perfect - side effects of dizziness and dehydration must be managed.
My daughter, only 40 and not overweight, considered pre-diabetic, has turned to Ozempic to manage her A1C. She learned from her Dad's experience to reject Metformin as a first line - he has CKD from long-term use.
Where are you in your diabetes journey?
Sue

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I am not diabetic and slightly overweight. Trying to lose 10 lbs. I’m mostly vegetarian and losing about 1 lb a week in the last week by cutting down on portion sizes

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