Ask the Diabetes Educator Archive

7/28/03

Q:
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?

A:
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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