Question:
Has anyone, who is diabetic, been told...

... that you must have a hemoglobin a1c result of 9 or less? I am currently at a 12. Are there any supplements or diet tricks that I can use to bring this number down faster? Thanks for the help.    — Earl Z. (posted on March 28, 2003)


March 28, 2003
An HgA1C of 12 is pretty high. It indicates that your blood sugar's been out of control for awhile. The HgA1c shows how well you have controlled your blood sugar over the past two to three months. It is administered by a doctor, and should be done 2-4 times a year. A good HgA1c level is less than 7%. <p> So I don't think that there is any "tricks" to bringing it down. Follow the diet prescribed by your physician, take your diabetes medication and the number will come down eventually. I don't think any doctor is going to want to operate on someone with uncontrolled diabetes because the healing will be a lot slower...JR
   — John Rushton

March 28, 2003
Mine was like yours pre op. I was near strving and it was still out of control pre op. Since surgery its been near normal under 7.
   — bob-haller

March 28, 2003
I used the suzanne sommers diet, sommersizing, very close to atkins. It brought down my A1C, my cholesterol and everything else. Good luck!!!
   — Bethy413

March 28, 2003
IF you are trying to make a deadline for surgery and in a hurry to get the A1c down, go on insulin if you must. You can dose your insulin to normalize your sugars, and the A1c will be down in 2 months. The goal for diabetes is to be less than 6.5. If you are not on insulin now, you will be off of it after surgery so it would be a temporary thing.
   — Dana S.

March 28, 2003
Earl, I had the same problem with having to have my blood sugars under control for surgery. I think if you can get them under control and show with your daily monitor that you're having success say over a month period your doctor may give the "go" on your surgery. It does take months to bring those numbers down because it shows a long term result. And if you're at a 12 I'd bet that it'll be a LONG while. Thats why my doctor was willing to go by my daily monitor. When I had to do this I avoided ALL sugar and bread. NO pasta, no bread. I could eat an occassional soft taco shell, and a small amount of rice or potatoe but avoided any processed bread products, tomatoe sauce, fruits, and anything with sugar. I also drank a TON of water to help flush my system. You should also see your doc or a specialist about adjusting your program. Add an oral med, add insulin, whatever is necessary to bring your sugars down and keep them down.
   — Shelly S.

March 28, 2003
My HbA1c had been running near 10, and because I also need to loose weight, my PCP perscribed xenical. Yes it is a fat blocker, but eating faty foods as well as sugar and carbs causes blood sugar to rise. My PCP also said she has noticed a sharp decline in blood sugars, in many of her patients taking xenical, It makes since. I do take insulin, and oral meds, my morning fastings without xenical are around 145 and with taking xenical it runs 90 much better. Proof is in the blood work, and it doesnt go through your liver, it only causes malabsorbation of fat by coating the intestine. My insurance covers it, but many dont its around $120.00 a month. Good luck on getting your HbA1c down, and your journey. :0)
   — wizz46

March 28, 2003
I forgot to mention my HbA1c went from 10 to 8, I only take the xenical capsules one or two and day, and not everyday as I am supposed to. It was prescribed to be taken 3x a day with meals, but I dont like the supprising out come if you know what I mean. If I took it as prescribed, my weight loss and sugars would probably be even be lower. Rosemary
   — wizz46

March 28, 2003
It doesn't really take a long time to get your A1C down. Those results cover about a 3 month period. What happens is this. Sugar binds to the hemoglobin in your blood. The cells that make up hemoglobin have a life of about 3 months. So the A1C tests measures how much sugar is present in the hemoglobin. The result is not really an average, but more of an indicator of how often your blood sugar is high and when it is high for extended periods of time. The desired results may be different from doctor to doctor. I have Type 1 diabetes and my endocrinologist has told me that for her patients taking insulin, she wants to see the A1C under 7.
   — garw




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