The American Diabetes Association (ADA) recommends to begin A1c testing at age 45 for overweight or obese people; if the result is normal, the testing should be repeated at a minimum of 3-year intervals, with consideration of more frequent testing depending on initial results and risk status, or when classical signs or symptoms of increased blood glucose levels are observed.
The A1C test measures the glucose (blood sugar) in your blood by assessing the amount of what’s called glycated hemoglobin. “Hemoglobin is a protein within red blood cells. As glucose enters the bloodstream, it binds to hemoglobin, or glycates. The more glucose that enters the bloodstream, the higher the amount of glycated hemoglobin,” Dr. Dodell says.
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Hemoglobin A1c (“HbA1c” or just “A1c”) is the standard for measuring blood sugar management in people with diabetes. A1c reflects average blood sugars over 2 to 3 months, and through studies like DCCT and UKPDS, higher A1c levels have been shown to be associated with the risk of certain diabetes complications (eye, kidney, and nerve disease). For every 1% decrease in A1c, there is significant pretection against those complications.
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The ACP guideline are the most unscientific and irresponsible publication. The studies they used did not used the newer agents we have now. Glp1ra, SGLT2i and DPP4i. Not all medication in diabetes management are created equal when taking in consideration CV data. A person who is 65< can easily surpass 10yrs with good medical care. Ignoring the abundant amount of evidence that demonstrates higher glucose levels causes damage to the patient. Hypoglycemia is a risk when using hypoglycemic agents. With other agents, they can achieve a better glucose control with no hypoglycemia risk.