Let’s recap what this A1c actually means to you.
You may think it is an average daily blood sugar level for three months.
And you may be wrong.
Here’s what A1c actually is…
Contrary to popular belief the A1c measured number comes from*:
10% the month BEFORE the first month (90-120 days from sampling)
20% the first month of your 3 months (60-90 days)
20% the second month (30 – 60 days)
50% the third, most recent month (1-30 days)
Yep. That’s right.
My patients used to come in and I would ask them if they spent the last month diligently working on keeping their blood sugars lower and they said “yes”, sheepishly.
So basically this means that four times a year they’re putting themselves on the program to get their A1c down.
Change is hard.
Always has been and always will be.
So what did we do?
We took their three months or 12 weeks and we broke it down.
We agreed to do really well the first week of the first month.
Then we did really well the first week of the second month.
We wanted to see if there was a change in their A1c if we added these two weeks into their 3-month A1c goal.
Starting today I want you to measure a week out.
You can’t do a week?
Then do three consecutive days in the first month and then again in the second month, and be really good at managing your sugars that last month.
Watch what happens to your A1c.
Remember, we don’t have to get it perfect, we just have to get it going.
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You can do this! I know you can!
*From usPharmacist, [A1c is used to measure glycemic control over the previous 3 months.1-3
A1C represents a weighted average, with approximately 50% of the value due to the mean blood glucose (BG) concentrations in the 30 days prior to sampling; BG concentrations from the previous 90 to 120 days make up about 10% of the final total A1c value.2