What is optimal A1C goal? Healthy non-diabetics HbA1C range is within 4.2-4.6%. Many-experienced diabetics have been achieving the above range.
Best A1C target/goal
Fit non-diabetic person’s glycated hemoglobin percentage will be within 4.2 to 4.6%. These numbers are only from a person who is fit, non-obese, active, and on healthy diet.
The A1C result depends upon how well you are maintaining your blood-glucose level. If you are maintaining your blood sugar (BS) at an optimal range 70-85mg/dl (3.9-4.7mmol/l) at most of the time, then your A1C will be near normal range around 4.2-4.6%.
Dr. Richard K. Bernstein, Author of Diabetes Solution developed type-1 diabetes in 1946 at the age of 12. He said, "My A1C reading was once 3.9, over the years the highest was 4.4 but usually the results are 4.1 or 4.2%." At his age of about 80; he has been able to achieving the optimal A1C range with type1 diabetes, why it is impossible for you!
However, if you are new to diabetes and diabetes control, then in the beginning, it is difficult to achieve it. Even, Dr. Richard K. Bernstein faced difficulties to reach his today’s number. He put many efforts by testing, analyzing, modifying, again testing and after years of struggle, he made it. You can also make it, if you put consistent effort until your target has met.
“Strikeout im in impossible; you will get possible”
Achieving your A1C target is not impossibility, just strikeout "im" it becomes possible. Noting is impossible, if you strongly decided to do it.
However, do not fix any target that is difficult to achieve. It may make you disappoint and lose heart to achieve it again. Instead, aim for an easy target, once you achieved it; you will gain knowledge as well as confidence to go for the next level.
Step by step, achieve you A1C
As in shooting try to achieve a broader target, once you gained proper aiming slowly to shrink your focus to a much-specific optimal target.
- American Diabetes Association (ADA) suggests people with diabetes to aim for A1C levels of 7% or less. Thus for anyone with diabetes, a starting A1C goal of 7.0 to 6.5% is a good choice, and your chance of diabetes complications is low. If you are experiencing frequent hypoglycemia, stay in this range for months, until your body got practicing to this BS level. At the same time, learn what induce hypoglycemia and strive to stop it.
- Once you have gained expertise to stop frequent hypoglycemia, proceed to pre-diabetic range of 5.7 to 6.4%. Medication alone cannot make any magic; you have to take nutritious diet by cutting-down your carb intake, and increase in physical activity plus regular exercise.
- Once you have adapted to your lifestyle changes without frequently hypoglycemia, you can aim for an A1C range of 5.2 to 5.6%. Illness can raise your blood –sugar level; you should prevent illness and manage it promptly. Lack of sleep, will affect your blood glucose as well as your dieting habit; never compromised restful sleep.
- At this stage, you have gained mastery in glucose management. You can now try achieving sub-optimal A1C range of 4.7 to 5.1%. To reach this target, you may need further to cut down in carbohydrate and increase in physical activity. At this range, your chances for the diabetes complications are almost zero, keep it up!
- Learn to manage stress and ovoid fight/flight situations, these fluctuate your blood-glucose level. The final best optimal A1C range is 4.2 to 4.6%; this is the range of the healthy non-diabetic range, thumps up! You are a master of diabetes management, share your expertise in diabetes forum and help other.
Achieving your target, A1C (even just 7.0 to 6.5%) is not an easy job; it requires patience, interest to learn, ability to analyze, willpower to accept failures, and stick with lifestyle changes. If you have trouble at any target range, simply stay at that range for some months until your body practicing to the BS. Once your BS stabilizes, you feel comfortable and gained confidence then you can try reaching next target range.
Every individual is different, “Your Mileage May Varies YMMV,” so a healthy A1C for your friend will not be a normal one for you and vice versa. You need to find the right level for your own body. Does a lot of testing and finds what works best for you? If you are having any health concern such as gastroparesis, then it is very difficult to reach the target A1C range.
ACCORD study shows intensive glycemia treatment is dangerous, is it true?
No, because the Action to Control Cardiovascular Risk in Diabetes (ACCORD) study has been targeted an A1C of less than 6.0% with too much of medication, combination of medication and/or insulin. Additionally, the ACCORD study advised their patients to take low fat (means high carb) diet for their blood-glucose control. Too much of the carb, treated with an increased blood insulin level (Hyperinsulinemia) by Insulin Secretagogues drug or insulin, which is a risk towards hypertension, Coronary Artery Disease, and cardiovascular disease.
However, following an intensive glycemia treatment with a low-carb diet and increased physical activity help improve your overall health.
How frequently, I have to test my A1C.
Once diagnosed as diabetes, it is good to have at least four A1C test per annum. If you are more health concerns, it is up to you to have A1C test even monthly until reached your target by modifying treatment regimen. Do not forget your A1C decides your risk for diabetes complications.
Once you have reached your target A1C, and it has stabilized at that range then you can reduce taking A1C test to two to four times yearly.
If your A1C is in a higher side, do not be panic, you can lower it with some effort. You can learn more by visiting lower A1C level.