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What is an acceptable HbA1c ?
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<blockquote data-quote="Scardoc" data-source="post: 941730" data-attributes="member: 44692"><p>I think there’s a degree of pedantry clouding the OP. Saying 6.5% is an acceptable HbA1c level is, in my opinion, perfectly ok. You will be diagnosed as diabetic if you are over 6.5% thus, if you are not over, then your level is acceptable.</p><p>Now, technically, 6.0 – 6.5% will get you a pre-diabetic diagnosis so you could argue that the acceptable level would then be 6.0%.</p><p>Further, a “normal” persons HbA1c should be <5.5% so you could further argue that this is the acceptable level.</p><p> </p><p>I would rule out that last one as diabetics are not “normal” in pancreatic circles. I would say anything 6.5% or under is acceptable. For individual cases a Doctor may agree that higher figures are acceptable and these can only be judged on an individual basis. The risks run by someone having a target of 7.0% may be far outweighed by other conditions they suffer from. You just don’t know.</p><p> </p><p>Aiming for normal levels is the obvious goal for any diabetic but no diabetic can do that safely without a CGM to tell them they are not suffering regular episodes of hypo’s. Without that evidence, then I would argue that sustained HbA1c levels of 5.4-5.7% would only be achieved through numerous hypo’s. Near normal readings suggest that BG levels are almost never raised for prolonged periods of time leading to glycosylation which simply flies in the face of what diabetes is and does.</p><p> </p><p>In the first two years after diagnosis I was never above 6.3% and I know I suffered regular hypo's.</p></blockquote><p></p>
[QUOTE="Scardoc, post: 941730, member: 44692"] I think there’s a degree of pedantry clouding the OP. Saying 6.5% is an acceptable HbA1c level is, in my opinion, perfectly ok. You will be diagnosed as diabetic if you are over 6.5% thus, if you are not over, then your level is acceptable. Now, technically, 6.0 – 6.5% will get you a pre-diabetic diagnosis so you could argue that the acceptable level would then be 6.0%. Further, a “normal” persons HbA1c should be <5.5% so you could further argue that this is the acceptable level. I would rule out that last one as diabetics are not “normal” in pancreatic circles. I would say anything 6.5% or under is acceptable. For individual cases a Doctor may agree that higher figures are acceptable and these can only be judged on an individual basis. The risks run by someone having a target of 7.0% may be far outweighed by other conditions they suffer from. You just don’t know. Aiming for normal levels is the obvious goal for any diabetic but no diabetic can do that safely without a CGM to tell them they are not suffering regular episodes of hypo’s. Without that evidence, then I would argue that sustained HbA1c levels of 5.4-5.7% would only be achieved through numerous hypo’s. Near normal readings suggest that BG levels are almost never raised for prolonged periods of time leading to glycosylation which simply flies in the face of what diabetes is and does. In the first two years after diagnosis I was never above 6.3% and I know I suffered regular hypo's. [/QUOTE]
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