Ask the Diabetes Educator Archive


I have just gotten the results from my A1C test and it was 7.4. Does this indicate that I need to go on Diabetes meds or can I try to control it with diet and exercise for a while before any harm is done to myself?

According to American Medical Association standards of care, an A1C of 7.0 is considered the point at which medication initiation for diabetes is recommended. In practice, many patients work out a plan with their practitioners to follow lifestyle changes for a specified period of time to see how much blood sugars may improve. This is often a 3 month period when retesting is done. With dietary and exercise changes, many people have achieved this drop. Maintaining a lower A1C over the long haul will depend on both controllable and uncontrollable factors. Environment and genetics are the two major factors fueling most diseases.

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