A1c Testing for Diabetes

by Dr. Robert Aden

About the author: As a Miami private-practice physician with affiliations at Baptist Hospital of Miami and South Miami Hospital, Dr. Robert Aden maintains board certification in internal medicine and endocrinology. Endocrinologists like Dr. Aden manage a variety of conditions related to endocrine glands and hormone production, such as diabetes, thyroid and adrenal disorders .

As an endocrinologist, I treat many patients seeking management of type 1 and type 2 diabetes. Many doctors use the A1c test to diagnose both types of the disease and to monitor the efficacy of treatment modalities. A1c measures the level at which sugar coats your hemoglobin (glycated hemoglobin). When you have higher levels of A1c, it means your body is poorly controlling your blood sugar. Poor blood sugar control may indicate the existence of undiagnosed diabetes, and it may show an increased risk of complications in previously diagnosed diabetes.

The test monitors your average blood sugar levels over a period of a few months in order to obtain a baseline of A1c and an ongoing basis for evaluation of blood sugar management. It can prove invaluable in teaching you how to effectively control your blood sugar levels. In general, your doctor will recommend you take the A1c test two to four times a year depending on the type of diabetes you have and your management strategies.

The test consists of simple blood draw, performed in your physician’s office. A “normal,” non-diabetes A1c level remains between about 4.5 and 5.7 percent, while a result of 6.5 percent or higher indicates diabetes. Talk with your doctor about utilizing A1c to diagnose and manage your disease.

Basic Facts About Diabetes: Treatment and Prevention By Dr. Robert Aden (Part 2 of 2)

In the United States, seven million cases of diabetes remain undiagnosed. Another 79 million people suffer from prediabetes, or above-average blood glucose levels that have been associated with several long-term health problems. Here, I provide three basic facts about detecting, managing, and preventing diabetes.

1. Individuals can reduce the risk of developing serious complications by detecting diabetes or prediabetes in the early stages. The symptoms of type 1 diabetes include extreme thirst and hunger, fatigue, weight loss, and frequent urination. These symptoms, along with recurring infections, blurred vision, and numbness in the extremities, can also indicate the presence of type 2 diabetes; however, many individuals with type 2 diabetes often show no symptoms at all. Blood tests to measure glucose levels can detect prediabetes.

2. Although treatment plans will vary according to the individual’s specific needs, diabetes management usually involves glucose monitoring, a healthy meal plan, and medication when necessary. Individuals with diabetes typically check blood sugar levels every day to watch for warning signs of serious complications and adjust their meal plans to best fit their needs. While treating type 1 diabetes requires insulin replacement therapy, delivered via injection or insulin pump, many individuals do not need medication to manage type 2 diabetes. Depending on the case, however, people with type 2 diabetes may need to control their blood glucose levels with insulin, oral medication, or other injectable medications.

3. Because type 2 diabetes results from a combination of genetics and lifestyle factors, individuals can work to prevent this form of diabetes by maintaining a healthy lifestyle. Risk factors include being overweight and engaging in low levels of physical activity, so healthy eating and regular exercise can help delay or even prevent type 2 diabetes.

About the author: Based in Miami, Florida, Dr. Robert Aden completed a fellowship in endocrinology, diabetes, and metabolism at New York University Medical Center. Board-certified in Internal Medicine and Endocrinology, he holds professional affiliations with the American Diabetes Association, the American Association of Clinical Endocrinology, and the Endocrine Society.  He is recognized by the American Diabetes Association as a “Provider of Excellence.”

Basic Facts About Diabetes: Explaining the Disease By Dr. Robert Aden (Part 1 of 2)