Why the Fuss About Your A1C

To help Type2 individuals maintain their good health, the American Diabetes Association set an A1C target of 7 or lower. Since the A1C is based on glucose levels, this means keeping those levels within the target range. But where does an A1C of 7 come from? Is 7 the magic number for everyone? 

The major studies that form the basis for guidelines are the Diabetes Control and Complications Trial (DCCT) and the U.K. Prospective Diabetes Study (UKPDS). The results of both of these studies demonstrate that a decline in A1C rates results in a decline in “the risk and progression of microvascular complications of diabetes.” The evidence is convincing enough when you read the results and study the tables. When you see the graph, it literally jumps right out at you.

For people with Type2 Diabetes, the cause of complications is hyperglycemia. The higher your glucose levels, the more likely you are to incur microvascular damage that results in an assortment of unappealing problems. Problems like blindness, kidney failure, amputation, heart attack, stroke … I could go on but I’m sure you get the picture.

The A1C target for most¬†Type2 Diabetics is 7. For some people that figure is not appropriate. So? Talk to your doctor. Find out which A1C level is a target for you. Then get to work. I mean, really, what are you doing that’s more important than keeping your glucose levels in range for your target A1C?


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