How to get the best result in tests HBa1c ?

[HSSS]

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I do not agree with you, my friend When glucose increases hemoglobin, this means a decrease in the transfer of oxygen to the body Because the blood cells are responsible for the transport of oxygen hba1c is not only a measure of blood sugar level in the body within three months

I wasn’t aware glucose increases haemoglobin.

 

[Jaylee]

I wasn’t aware glucose increases haemoglobin.

... I'm wildly assuming that very high BGs, such as DKA may slow down the transportation process?

 

[LooperCat]

That could be a reasonable point. Certainly one of the symptoms of DKA canbe a shortness of breath?

Edit to add link. https://www.nhs.uk/conditions/diabetic-ketoacidosis/

The shortnesss of breath is called “Kussmaul breathing” and is very distinctive. A sort of high pitched sounding, very fast, desperate for breath, real struggle. Having been through that myself, I can tell you it’s not very pleasant.

 

[HICHAM_T2]

Just to clarify, HbA1c measures the percentage of haemoglobin molecules that have a glucose molecule attached. It doesn't matter if you were to measure all the haemoglobin in a litre of blood or in one blood cell, as it is a percentage. Note that each blood cell contains about 270,000,000 haemoglobin molecules. So a non diabetic with HbA1c of say 5% would have 13,500,000 haemoglobin molecules in each cell with glucose attached. If you have an HbA1c of 15% then lack of oxygen is going to be the least of your problems.

Thank you for all these clarifications

 

[HICHAM_T2]

For explain better
The role of hemoglobin is the transfer of oxygen to all organs of the body
But when the hemoglobin is filled with glucose, this task is a failure
For this purpose, members begin to die, such as retinopathy, diabetic foot and kidneys\

 

[HICHAM_T2]

I did (although I’m type one). Kept my BG under really tight control, and got a non diabetic HbA1c of 40.

Well, this is what I wanted, and thank you for sharing this information
Let me give you this example. I hope I do not be silly
It is somewhat like someone who has had children and is poor
But years later he became rich. Naturally, his children who were born in wealth would not know something called poverty

The same thing happens with cells that have lived at a high level of glucose and the other has not lived in a high level of glucose
Four or three months later, only young cells will remain

 

[HICHAM_T2]

I wasn’t aware glucose increases haemoglobin.

Glucose does not increase hemoglobin but it affects its action in the transport of oxygen to the body organs
Hemoglobin is found naturally in the body but it is found on the types
https://ysjournal.com/the-types-of-haemoglobin-throughout-human-life/

 

[LooperCat]

Well, this is what I wanted, and thank you for sharing this information..

...The same thing happens with cells that have lived at a high level of glucose and the other has not lived in a high level of glucose
Four or three months later, only young cells will remain

You’re welcome

I like the analogy, but not all the blood cells are replaced at once, it’s an ongoing process. There will always be cells of all ages, from 0-3 months floating around your system.

 

[HICHAM_T2]

I like the analogy, but not all the blood cells are replaced at once, it’s an ongoing process. There will always be cells of all ages, from 0-3 months floating around your system.

Yes, of course, this is what is called eAG
Suppose that someone has 33 percent of the cells carrying 10 percent of the glucose And 33 percent of his body cells carry 7 percent of glucose And 33 percent of newly born cells in a healthy environment with 4 percent glucose
that mean 10+7+4 =21/3 =7

 

[Mr_Pot]

You’re welcome

I like the analogy, but not all the blood cells are replaced at once, it’s an ongoing process. There will always be cells of all ages, from 0-3 months floating around your system.

For those who like figures, red blood cells are produced continuously at a rate of about 2,400,000 per second.

 

[HICHAM_T2]

Example

 

[NoCrbs4Me]

I think I've lost the plot of this thread. I thought it was obvious that the longer you go with blood glucose levels in the "normal" range, the lower your HbA1c results will be. I don't think it's all that complicated. Apart from donating blood or using injected insulin or an insulin stimulating med, the only way to get the best possible HbA1c result is to not eat any carbs or fast. Am I missing something?

 

[Resurgam]

I think I've lost the plot of this thread. I thought it was obvious that the longer you go with blood glucose levels in the "normal" range, the lower your HbA1c results will be. I don't think it's all that complicated. Apart from donating blood or using injected insulin or an insulin stimulating med, the only way to get the best possible HbA1c result is to not eat any carbs or fast. Am I missing something?

From my own results - 6 months with a low carb diet (50gm per day) Hba1c of 41 - job done as far as I was concerned

 

[HICHAM_T2]

I think I've lost the plot of this thread. I thought it was obvious that the longer you go with blood glucose levels in the "normal" range, the lower your HbA1c results will be. I don't think it's all that complicated. Apart from donating blood or using injected insulin or an insulin stimulating med, the only way to get the best possible HbA1c result is to not eat any carbs or fast. Am I missing something?

Yes my friend is as you said
But there is a big and important question
Does the glucose attached to hemoglobin affect pancreatic function? Especially beta cells
If this is the case, it means that the higher the hba1c the higher the pancreas loses the ability to control

 

[Mr_Pot]

Does the glucose attached to hemoglobin affect pancreatic function? Especially beta cells

Even if it did, all you can do to reduce it, is lower the amount of glucose in your blood, which presumably you are doing anyway. If you have a non-diabetic HbA1c then you don't have any more attached glucose than a non-diabetic person.

 

[HICHAM_T2]

maybe like this

 

[NoCrbs4Me]

Yes my friend is as you said
But there is a big and important question
Does the glucose attached to hemoglobin affect pancreatic function? Especially beta cells
If this is the case, it means that the higher the hba1c the higher the pancreas loses the ability to control

I doubt it. HbA1c is just a proxy for average blood glucose levels. High blood glucose levels do the damage to organs and nerves.

If you really believe it's the glycated haemoglobin that causes damage, then the best thing you can do is to donate blood regularly.

 

[HICHAM_T2]

I doubt it. HbA1c is just a proxy for average blood glucose levels. High blood glucose levels do the damage to organs and nerves.

If you really believe it's the glycated haemoglobin that causes damage, then the best thing you can do is to donate blood regularly.

I do not think it's just a measure
Depends on it as a measure only because it has a relationship between glucose levels like c-peptide with insulin
edit
High glucose Wrapped around hemoglobin is Guide of high glucose levels

 

[NoCrbs4Me]

I do not think it's just a measure
Depends on it as a measure only because it has a relationship between glucose levels like c-peptide with insulin
edit
High glucose Wrapped around hemoglobin is Guide of high glucose levels

Then you should donate blood as frequently as allowable.

 

[HICHAM_T2]

Then you should donate blood as frequently as allowable.

Well, it's a nice plan, or maybe taking iron too much or reducing your carbohydrate intake for at least three months