Questions for your Doctor
For patients with type 1 diabetes, it is important to know where you stand, not only in the area of diabetes, but also to know about related conditions to type 1 diabetes.
- What is my A1C?
This is a must for everyone with diabetes. A1C gives you a reading of how much glucose is on the red blood cells, which turnover ever 90 days and thus reflect your average blood sugar control over the past 3 months. Many studies have shown that patients who know their A1C status and goals are much more likely to achieve those goals and reduce their risk for complications.
- In addition to frequent home glucose monitoring and knowing your A1C, it is important to speak with your doctor about:
- Vitamin D levels (25 hydroxy vitamin D)
- Thyroid levels (TSH and TPO antibodies)
- Running a Celiac Panel
- When to check for ketones
Check out these resources for more helpful information:
- Dr. Levetan did the first study with patients to determine which was the best name for patients and health care professionals to use to describe the 3 month glucose marker, which was once known by many names including: glycosylated hemoglobin, glycohemoglobin and Hemoglobin. A1c…And the answer is A1C. If you are striving for A 1 Control, you must know your A1C level.
Levetan A1C Standardization Study (PDF)
- Dr. Levetan even did a study showing that if you know your own A1C number, you were much more likely to achieve your goal than patients who did know their A1C.
Levetan Knowing Your A1C Helps Lower It Study (PDF)
- A1C–the test to ask for because it gives you the best picture of how much sugar is sitting on the red blood cells. Since red blood cells live for 90 days (and there is constant regeneration as old cells die), the A1C is a window into your average sugar over the past 3 months.
- Although all A1C goals are individualized, a target goal of < 7.5% is the current recommendation for adolescents.
- A1C……Get it……Know it……Lower it!