HbA1C refers to glycated hemoglobin. HbA1C forms when hemoglobin, the protein found within red blood cells that carries oxygen, collates with glucose in the blood, becoming 'glycated'. By measuring HbA1C, we can estimate, overall, the average blood sugar levels over a period of weeks/months, usually over 120 days, which is the lifetime of a red blood cell.
The key factors to lowering your
HbA1C levels are no different from those necessary for bringing down blood
sugar levels. And it cannot be achieved immediately. Indeed, reaching your goal
HbA1C level entails making substantial lifestyle changes. These changes are
necessary to maintain healthy levels of blood sugar (whether fasting blood
sugar, or HbA1C) on the long run.
1- Healthy diet: a diet rich in vegetables, whole
grains (fibers), lean proteins, healthy fats (avoiding trans and saturated
fats; concentrating on polyunsaturated fats including omega 3 fatty acids) is a
primary step to be better able to control blood sugar both in the short and
long term. Fruits and vegetables are rich in fiber, and eating more fiber has
been linked with better blood sugar control over time.
2- Regular physical exercise: daily physical activity of moderate intensity for no less
than 30 minutes most days of the week (at least 5 days per week) is
also essential in managing your blood sugar and keeping diabetes under control.
Moderate aerobic activity can be easily achieved with a brisk walk.
3- Compliance with medications: avoiding skipping your medications cannot be
stressed enough.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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