When using the A1C test for diagnosis, your doctor will send your blood sample taken from a vein to a lab that uses an NGSP-certified method. The NGSP, formerly called the National Glycohemoglobin Standardization Program, certifies that makers of A1C tests provide results that are consistent and comparable with those used in the Diabetes Control and Complications Trial.
You may have already stopped adding sugar to your tea or coffee, but hidden sugars find their way into your diet through a plethora of other channels. Check food labels to stay away from hidden sugars. Give up on soda and sugary drinks as well. That Starbucks latte you love must go too! You want to avoid empty calories, trust us. Give your body the calories it needs through wholesome, healthy foods that provide real nutrition. Cutting back on trans fats is also important for reducing the risk of cardiovascular disease. That means you should stop buying packaged, processed, baked goods and focus on cooking fresh meals at home, from scratch.

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High blood sugar (hyperglycemia). Your blood sugar level can rise for many reasons, including eating too much, being sick or not taking enough glucose-lowering medication. Check your blood sugar level as directed by your doctor, and watch for signs and symptoms of high blood sugar — frequent urination, increased thirst, dry mouth, blurred vision, fatigue and nausea. If you have hyperglycemia, you'll need to adjust your meal plan, medications or both.
Stream a variety of exercise routines to get you moving and motivated! GlucoseZone™ is a digital exercise program that provides you with personalized exercise guidance and support designed to help you achieve the diabetes and fitness results you want. American Diabetes Association members receive an exclusive discount on their GlucoseZone subscription when they sign up using their ADA member ID!
When repeated, the A1C test result can be slightly higher or lower than the first measurement. This means, for example, an A1C reported as 6.8 percent on one test could be reported in a range from 6.4 to 7.2 percent on a repeat test from the same blood sample.3 In the past, this range was larger but new, stricter quality-control standards mean more precise A1C test results.
High blood sugar and high blood pressure can do a number on the tiny blood vessels in your eyes, but the damage can be prevented if your doctor spots it early. The best way to do that? A yearly dilated eye exam. With the help of eyedrops that enlarge your pupils for a short time, your eye doctor will examine the inside of your eyes for signs of leaky blood vessels. It's a painless test, but you won't be able to see clearly for a few hours afterward.
Diabetes can cause major health problems if you do not keep your blood sugar in check. However, you can stay healthy and feel good despite your diagnosis if you follow your doctor's recommended treatment plan and maintain a healthy lifestyle. By choosing foods wisely, exercising regularly, maintaining a normal weight, reducing your stress level, and making other modest lifestyle changes, living with diabetes will be easier.

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High blood sugar (hyperglycemia). Your blood sugar level can rise for many reasons, including eating too much, being sick or not taking enough glucose-lowering medication. Check your blood sugar level as directed by your doctor, and watch for signs and symptoms of high blood sugar — frequent urination, increased thirst, dry mouth, blurred vision, fatigue and nausea. If you have hyperglycemia, you'll need to adjust your meal plan, medications or both.
Often, people with type 2 diabetes start using insulin with one long-acting shot at night, such as insulin glargine (Lantus) or insulin detemir (Levemir). Discuss the pros and cons of different drugs with your doctor. Together you can decide which medication is best for you after considering many factors, including costs and other aspects of your health.

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Large changes in your blood glucose levels over the past month will show up in your A1C test result, but the A1C test doesn’t show sudden, temporary increases or decreases in blood glucose levels. Even though A1C results represent a long-term average, blood glucose levels within the past 30 days have a greater effect on the A1C reading than those in previous months.
Because carbohydrates break down into glucose, they have the greatest impact on your blood glucose level. To help control your blood sugar, you may need to learn to calculate the amount of carbohydrates you are eating so that you can adjust the dose of insulin accordingly. It's important to keep track of the amount of carbohydrates in each meal or snack.

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Nuts make an excellent snack, but only if you feel hungry in between meals. They taste great even when added to oatmeal, salads and curries. An American Society for Nutrition study from 2008 revealed that nuts have the potential to improve blood lipid profile to reduce the risk of coronary heart disease and type 2 diabete. Choose from walnuts, pine nuts, almonds, hazelnut, peanuts and pistachio. Steer clear of packaged nuts with added fats and sugars. The best kinds of nuts are the organic and least processed kinds.
Tuna melt: Top 1 toasted whole grain English muffin with ¼ c tuna mixed with 1 tsp mayonnaise (or 1 Tbsp light mayonnaise), 1 Tbsp minced dill pickle and/or chopped celery and 1 oz reduced-fat cheese. Place in pre-heated oven (450ºF) for 5 to 10 minutes (or microwave for 30 seconds until cheese melts).  Serve with 8 baby carrots with 2 Tbsp reduced fat ranch dressing, and 1 c fat-free milk or calcium-enriched soy beverage.
When repeated, the A1C test result can be slightly higher or lower than the first measurement. This means, for example, an A1C reported as 6.8 percent on one test could be reported in a range from 6.4 to 7.2 percent on a repeat test from the same blood sample.3 In the past, this range was larger but new, stricter quality-control standards mean more precise A1C test results.

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