If you have diabetes, you should know about the importance of hemoglobin A1C. Test
your knowledge of hemoglobin A1C by taking this quiz.
1. A hemoglobin A1C test measures the average amount of sugar in your blood over the
last 3 months.
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The hemoglobin A1C test
shows the average amount of sugar in your blood over the last 3 months. It's a simple
lab test done by your healthcare provider. It's the best test to find out if your
blood
sugar is under control.
2. It's important to know your hemoglobin A1C number.
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If you know your
hemoglobin A1C number, you will know if your blood sugar is under control. A high
number
is a sign that you should work with your healthcare provider to change your treatment
plan or follow that plan more closely. A good test result is a sign that your treatment
plan is working and your blood sugar is under control.
3. All people with diabetes need to have a hemoglobin A1C test.
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All people with diabetes should have a hemoglobin A1C test, typically every 3 months,
but at least twice a year. Regular hemoglobin A1C testing can help you track your
blood sugar levels over time to see if they stay close to your goal. If your blood
sugar levels are too high or too low, work with your healthcare provider to change
your treatment plan and reach your target level of control.
4. Keeping hemoglobin A1C below 7% can reduce complications of
diabetes. h
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The hemoglobin A1C goal
for most people with diabetes is less than 7%. The American Diabetes Association advised
personal A1C target goals for people with diabetes. Your goal depends on many things,
including your preference and how well your diabetes is under control. Talk with your
healthcare provider to decide on a goal that works best for you. You almost always
need
a change in treatment if your hemoglobin A1C is over 8%. But if you can lower your
hemoglobin A1C number by any amount, you will improve your chances of staying healthy.
This is true as long as you have no great risk from your treatment.
5. Most people can tell what their blood sugar levels are simply by how they feel.
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Research shows that few
people can tell their blood sugar levels simply by how they feel. Testing your blood
sugar is the only way to know for sure if you are reaching your blood sugar goals.
6. You can have a "touch of sugar" but don't need to do anything
about it.
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If you have "sugar,"
you have diabetes. Diabetes is a serious disease that causes the sugar in your blood
to
be at too high a level. This high blood sugar harms your body's blood vessels. It
can
cause you to go blind, suffer a heart attack, lose your feet or legs to amputations,
stop your kidneys from working, and even kill you. There is no cure for diabetes,
but
you can do a lot to control it. You can change some of the foods you eat. You can
stay
at or get down to a weight that is right for you. And you can get regular physical
activity. Lots of people need medicine to control their diabetes.
7. You can do something about high blood sugar.
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You can do a lot to bring down high blood sugar and get it under control. Start by
asking your healthcare provider for a hemoglobin A1C test. If your hemoglobin A1C
test result is too high, talk with your healthcare provider about how to lower it.
To get your blood sugar under control, follow the meal plan recommended by your provider
or dietitian, stick to a physical activity program, take prescribed diabetes medicines,
and consult with your healthcare provider if needed.
8. A hemoglobin A1C number over 8% is a sign that one or more parts of your treatment
plan need to be changed.
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A change in treatment is almost always needed if your hemoglobin A1C is over 8%. Common
causes of high blood sugar include eating too much food or eating the wrong foods,
lack of physical activity, stress, a need to change medicines, and infection or illness.
If your hemoglobin A1C number is too high, work with your healthcare provider to change
your treatment plan and reach the goal of less than 7%.
9. A hemoglobin A1C test should be done about once a year.
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You should get a
hemoglobin A1C test at least 2 times a year if your blood sugar is in the target range
and stable. If your treatment changes or if your blood sugars have not been well
controlled, you should get a hemoglobin A1C test every 3 months until your blood sugar
level improves.
10. There's no proof that lowering your hemoglobin A1C number can reduce your chances
of getting serious eye, kidney, and nerve disease.
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The DCCT study showed
that the lower the hemoglobin A1C number, the greater the chances that people with
diabetes will slow or prevent serious eye, kidney, and nerve disease. The study showed
that if you can lower your hemoglobin A1C number as close as possible to the normal
range, you will improve your chances of staying healthy and preventing complications
from diabetes.