Articles, Blog

HbA1c Test and What HbA1c Normal Range Means

August 27, 2019

Today I want to talk about hemoglobin
A1c (HbA1c) the levels the charts how to read them and why A1c may be the single most
important marker on a blood test and yet it’s often not even measured I going to
explain everything that you need to know Hey I am doctor Ekberg with Wellness For Life
and if you like to truly master health by understanding how the body really
works make sure that you subscribe and hit that notification bell so that you
don’t miss anything. A lot of people have heard about A1c and glucose and insulin
resistance and diabetes and they know it’s a big deal so we’re gonna explain
all the different pieces you need to understand to make sense of all of that
so first of all why is A1c measured? well blood sugar is important but blood
sugar can fluctuate tremendously especially with a diet of refined foods
so if you measure something at a certain time then you could get a very different
reading depending on the time you pick so measuring glucose is difficult
because it changes by the hour or even by the minute so what they found was
that the red blood cells these are red blood cells they’re floating around in
the bloodstream and if there’s a lot of sugar in the bloodstream meaning high
blood glucose some of that sugar is gonna get stuck to the red blood cells
to the hemoglobin and if there’s more sugar in the bloodstream there’s going
to be more sugar stuck to the hemoglobin so they can measure the percentage of
hemoglobin with glucose stuck to it and they come up with a measurement
hemoglobin A1c (HbA1c). So how did they do this simply they took 500 people they did a
long study they measured the glucose and the A1c at varying times they plotted
all of this and they came up with a remarkably straight line so they knew
that there was a very strong correlation a very tight relationship between
glucose and a1c then they came up with a formula so now we can measure one marker
a1c and get an average of what the average glucose is because a
red blood cell lives about three to four months and during its lifetime it gets
more and more sugar more and more glucose stuck to it so depending on how
much glucose is stuck we can measure and figure out pretty much exactly what the
average glucose was so now we have a much much better measurement because
even if it goes up and down a lot we can still figure out what it was on average
and that’s much more important to know than knowing what it was over here or
over here so now we can create a chart and we can figure out we know that an
average glucose of 91 is equivalent to an a1c of 4.8 average glucose of a
hundred is equivalent to a 5.1 and so on and they have defined normal as being
anything up to a 5.7 between 5.7 and 6.4 is pre-diabetes that means that you
don’t have diabetes yet but you’re probably going to get it and above six
point four or six point five six point five and up is called diabetes they’ve
defined that as diabetes but here’s the thing to understand that even though
they have imposed these sharp delineations they’ve put these these
limits and say here it is this thing and here it’s something else it’s all
gradual okay here it does very little damage and here it does a tremendous
amount of damage because we know diabetes it’s just a label at one it’s
got over a certain point but diabetes is associated with blindness with
amputations and with kidney failure it’s the leading cause of all those things
it’s devastating in in today’s society but if we understand that the higher the
number the more of these complications we have then we also understand that a
6.4 is not as good as a 5.1 there’s a huge difference so we don’t want to just
look at this number and say oh good I’m normal if we’re after optimum health we
want to understand this and try to bring it in to the optimal range which in my
experience and opinion and belief is somewhere between four point eight and
five point one so then people say well I had my on my last blood test they
measured my glucose and he came back at a 90 so does that mean I have an a1c of
four point eight no because when they measured the glucose that means that was
your fasting glucose level they caught it at a certain time and we don’t know
where on that scale it was but if you have an average glucose of a hundred
that means a lot of times it’s going to need to be lower than that and sometimes
it’s going to be higher than that so for example if you wake up in the morning
and you have a fasting level of 80 and then you eat something like something
healthy like an omelet or some avocado then it’s probably going to gum up a
little bit but not tremendously it’s probably going to stay in the 120 range
and then as your body digests this over several hours it’s gonna gradually come
back down again your average level there might have been
a hundred even though you’re fasting level was an eighty so that’s the thing
with the a1c it measures the average so in a good day it will look like this for
people who aren’t quite so healthy but still considered normal
they might look something like this so they wake up and they’re starving they
have hypoglycemia they’re lightheaded no energy they need to get something in
them before they start functioning and so they have some cereal and a doughnut
and low-fat milk and now it jumps up to a hundred and eighty and then it comes
crashing down because of all the insulin required to get this blood sugar out and
it comes up and down up and down throughout the day and yet their average
is a hundred and twenty which by the official guidelines is still normal it
is not even pre-diabetic but this is not healthy
because this is toxic to the brain and this level is toxic to the brain so
here’s sort of how it works this is not an absolute but just like a scenario to
give you an idea normal would be average of a hundred and within a very tight
range then we start eating some processed foods and the blood sugar goes
crazy but when it comes crashing down the body still has some reserves we
release some cortisol to bring up the blood sugar the liver is working so it
can break down some glycogen and get the blood sugar up so we never totally crash
but if we keep doing this now we develop even larger swings and at the bottom
here we get something called reactive hypoglycemia because now the organs are
little too tired that are a little worn out to keep up with this abuse so now we
get even bigger swings but we’re still considered normal
maybe pre-diabetic maybe we’re getting into this range and then eventually the
system just can’t keep up at all it can’t get the sugar out of there quickly
so now we have type 2 diabetes maybe insulin dependent or non
insulin-dependent but the blood sugar is so high on average so consistently high
that the pancreas can’t create enough insulin to push this out into the cells
so now even though there’s some swings we have a steady high level and we’re in
diabetes so again it doesn’t happen like this every time but it’s just a scenario
of how this thing’s can can happen over time so what we want to understand is
that even if the average isn’t too terribly bad we’re still creating damage
we’re still not producing energy at a steady level we’re not functioning at
our optimum and we’re still developing inflammation with all this insulin so
there’s lots and lots of different different drawbacks to this scenario
over this even though we’re still considered in the normal range and the
other thing to understand about a 1c is that because these blood cells live
about 3 to 4 months these values don’t change very quickly so if someone
says how do I bring down my a1c as fast as possible well you start eating real
food you eat you avoid the sugar and the starches but it’s still gonna take a
while because let’s say you start off with a blood sugar of 180 and if you
kept it there for a while then your a1c would be about eight so
you realize hey I’m killing myself this is not a good thing let me change so you
start eating real food and after a month your average blood sugar as they
measured with frequent pinpricks is about a hundred and fifty and then in
month three it’s a hundred and twenty five and in month four it’s a hundred so
then you go and you figure oh look I’m gonna go get checked and my a1c should
be about five no it’s not going to be because you still have some of the blood
cells from previous months that were still swimming around while your blood
sugar was really high so even if you follow this scenario and you’re getting
very healthy very quickly you’re a 1 C is going to be maybe 6.5 so the moral of
the story is yes you definitely want to do this but the a1c blood test may not
reflect the true value because it’s lagging behind the if you get a 6.5
after four months you’re actually doing a whole lot better than this 6.5 is
indicating so be patient with it and realize that this is something you
definitely want to keep track of but it’s not something that’s going to
change very quickly you want to have at least the six or a nine month horizon on
on getting this leveled out so we don’t do a whole lot of blood work in our
office but I think there’s a few markers that are worth keeping track of and
maybe at least get a baseline so that you know where you’re starting so you
know what’s been been going on and a1c is one of those markers that we highly
recommend and then we suggest for people to get so while I was searching for a
few questions on Google I donned on me how many
misconceptions there are out there so one of the questions was what’s a good a
one see if you have type 2 diabetes there is no answer to that because it is
never good with diabetes but the problem is people have been labeled they have
been said oh look you have an a1c of 7 or 8 you are diabetic here’s your
medication instead of understanding that this is physiology this is an adaptation
your body has adapted to a long term insult and if you stop the insult your
body can reverse it so there is no good a one-seed level for diabetes the only
good way is to reverse the diabetes by giving your body some real food and some
good exercise and a healthy environment and other people are asking how do I
bring down my a1c quickly and again we sort of talked about this that it isn’t
gonna go quick because there’s gonna be a lag but regardless you’re gonna have
to do the right things to get your body healthy that’s the only way that you can
develop health and sustain health we want to get rid of that idea of a quick
fix ok you have to address the underlying conditions you have to handle
the cause of the problem and I can’t tell you how often I have people come
into the office and they say oh you know I have diabetes but my doctor says it’s
being controlled all right what that means is that they are managing to keep
it at an eight or a nine instead of a 14 so they’re not going to develop as
quickly as terrible complications as if they didn’t do anything
but that’s not a solution that’s not keeping it in control we have to
understand that the body can heal if we do the right things and the right things
is to not listen to government guidelines because they believe that
grains and sugar and processed foods are necessary in modern
okay if you want to reverse this then you get off sugar you get off of all the
white flour but also you get off of all the grain and all the processed foods
you base your food on vegetables you fill in with some protein and then you
eat healthy fats until you’re full that’s how you reverse this stuff
because if you stop putting things in the body that will cause blood sugar
spikes then you will start reversing this situation and what we’ve been
talking about is a big problem because there is probably less than 10% of the
population that are in a good level somewhere between 4.8 and 5.1 we have
50% or so at a level above 5.7 but again in my mind I think 5.5 to 5.7 is like
pre pre-diabetes it’s not a place you want to be if you’re looking for optimal
health just because something becomes normal in the sense that most people
have it that doesn’t make it a good idea or healthy just because you don’t have
symptoms yet doesn’t make it healthy so please share this information with as
many people as you can because the more we can get the truth out about how the
body works and the optimum lifestyle the better we can help people have quality
of life if you have any questions let me know I’ll be more than happy to answer
questions or make videos on additional topics and if you have some experiences
if you’ve been measuring your a1c s and you have some feedback for me please
share that as well I’d love to hear from you thanks so much for watching

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  • Reply nazrin fathima April 1, 2019 at 7:41 pm

    Thank u doctor very well explained 👍

  • Reply Shah Alam Chowdhury April 2, 2019 at 4:54 am

    Explaination is helpful to learn about diabetics. Thank you.

  • Reply Isabella kelsay April 2, 2019 at 2:26 pm

    I have type 1 diabetes, I was diagnosed 2 years ago my latest A1C was 5.7. But my doctors were nervous that I was keeping my target range to low because of the risk of hypoglycemia. I am on an insulin pump and CGM. Seems like doctors don’t want type 1 diabetics to strive for normal blood sugars. I feel if your not having lows it shouldn’t matter.

  • Reply Harish Perati April 4, 2019 at 3:05 am

    Nice presentation, informative video,thank you doctor

  • Reply D Graf April 4, 2019 at 4:31 pm

    Can high blood sugar be spotted with a microscope ?

  • Reply skubytube April 5, 2019 at 1:28 pm

    Totally agree at minute 13 … seems the American Diabetes Assoc really doesn’t want this illness controlled or they would push and advocate harder about a sugar and carb free diet ! Thank you Doc for putting the truth out there.

  • Reply Carlota Cube April 7, 2019 at 5:45 pm

    Dr. Ekberg, I’m so glad I found your channel. Your videos are very informative and your explanations are very enlightening! I am learning a lot from you! Thank you, thank you so much!

  • Reply Tim parris April 8, 2019 at 5:04 am

    Is it possible to get your A1C below a 4.5 and keep it in that range if you're a type 2 diabetic and be healthy?

  • Reply Rindy S April 8, 2019 at 5:11 am

    2 years ago my A1C was 6.0. It probably went up a little since then. I was afraid to check. I've been doing keto for 3 months. Today my A1C was 5.0! I've lost over 20 pounds, and as a bonus, I have optimal blood pressures (below 120/80) which I haven't seen since my 20s. I am now 48. Where has this diet information been all my life!?

  • Reply John Dossey April 9, 2019 at 4:20 pm

    Excellent description. I understood that average blood sugar was not good indicator, but I learned that the A1C was a longer average, and you really did a good job explaning it.

  • Reply Kashifsultan Ahmed April 10, 2019 at 11:45 pm

    Thanks doctor very amazing information I get your vedio

  • Reply Carolyn Taylor April 11, 2019 at 4:25 pm

    Thank you for this information. 💕💕

  • Reply pavlou m April 20, 2019 at 9:52 am

    Very helpful information. Thank you so much.

  • Reply Adel Kamal April 21, 2019 at 10:33 am

    Hello DR. i have a1c =5.8 and fasting 11 hours=also 5.8

  • Reply Krishnan Narayanan April 21, 2019 at 3:33 pm

    Doctor, Can FMD (Fasting Mimiking Diet) will reverse the Type 1 diabetes? Sir, will you make an educational video about FMD?

  • Reply Walter Last April 22, 2019 at 2:09 am

    Thanks, Doc. The charts and explanation of them were very useful.

  • Reply CTW April 24, 2019 at 8:15 am

    I am 20 years old and recently got my blood test results, my HbA1C is 37 mmol, 5.5% DCCT/NGSP. I always check my blood sugars and they are low, however HbA1C so high.

    What should I do?

    I have a quick metabolism and have trouble gaining weight

    Many thanks 🙂

  • Reply Bosslady Wesley April 25, 2019 at 4:57 pm

    Thank you for your simple version of the A1c!

  • Reply Merley Tagayon April 29, 2019 at 12:39 am

    my A1C when i tested this morning 3.6 im afraid so i ate carb and hotdogs. and after 30 mins it raised to 8 then after one our 8.7. im asking if its normal A1C of 3,6?

  • Reply Royston Clark April 30, 2019 at 1:46 pm

    Got my A1c down to 5.2 my diabetic nurse said it's too low I should aim for 5.3 I thought I was doing well. I'm on a low carb high fat diet and I'm practically off my insulin. Type 2 diabetic for 10 years.

  • Reply Manuel Karadag April 30, 2019 at 4:07 pm

    Great video thank you!

  • Reply Pierre Carbonneau April 30, 2019 at 10:49 pm

    Thank you very much for your always enlightening, educational and life-saving explanations. After 4 months of IF and almost total keto I have lowered my A1C to 5.4%. My bloodwork has improved significantly and I have lost 20 lbs. I just had a heart scan and it revealed a 30% stenosis in one coronary artery and another 60% stenosis in a second coronary artery as well as diffuse plaque all over. I guess this validates your comment with regards to way back from the brink and that being a long process. I am very much dedicated to this. I have recently purchased a Keto-Mojo glucose/ketone monitoring system to make sure I am in ketosis. I have a question for which there is no obvious answer in the keto community. Is it possible to reverse plaque/atherosclerosis?
    The best answer to this question seems to be to take vitamins D3 and K2. Do you have anything else to suggest?

  • Reply Pierre Carbonneau April 30, 2019 at 10:52 pm

    I just read Rindy S's comment and want to add that I am 65 and that I am no longer on BP meds. Indeed, where has this info been?

  • Reply Thomas Kowalski May 1, 2019 at 8:20 pm

    Nice explanation.

  • Reply Khaled Ramadan May 2, 2019 at 11:14 am

    Hello dear Dr Ekberg..
    I am in KITO since 70 days .. when starting KITO my hbac1 was 7.8 . After 70 days it was 6.9.. I am totally disappointed for the slight drop in the HBAc1 ..
    what do you advise me please to have it drop more.
    Thank you

  • Reply Daniel Martinez May 2, 2019 at 2:08 pm

    Thank you Doc. Best description-explanation of DIABETES, ever. My primary doctor would see me and prescribe metformin at once. I quit diabetes medicine after "researching", the purpose of medicine is to keep you sick; like funeral homes that celebrate high when they have LOTS of funeral ceremonies. Thanks again doctor. You might be an awaken being. Blessings.

  • Reply El Lobo May 3, 2019 at 10:10 pm

    I really like my family doctor and he is very generous with his time and treats you like you are not beneath him. But he has never explained it anything like this. I would have taken it more seriously years ago and learned about what foods spike insulin. Great video

  • Reply dd jm May 5, 2019 at 11:07 am

    Waw.Very good information.What i need.You did that.Thank you thank you Dr.

  • Reply paul lavallee May 7, 2019 at 1:42 am

    I was just notified that Im pre diabetic , Ive had blood tests every 6 mos for the past 3 years and this is the first sign,, thanks for the video and the great information

  • Reply John Britto May 10, 2019 at 4:36 pm

    50 years back, it had been fixed at 180 for pp as normal. How this nonsense level of 4.8 a1c emerged. I know why.

  • Reply Richard Lee May 12, 2019 at 11:10 pm

    I was pre-Type2 for about ten years. Then started really watching what I ate in January (Keto) 2017. The average Fasting glucose level in my last five panels ( 117,109,108,112,102 about every six months) is 109.6 indicating my A1c is about 5.4ish. I'm 73 years old with RA & Gout (that seems to have stopped progressing). Now, I'm going to shoot for an A1c of < 5.0 because I watched this video! Even if it only gives me another 15 or 25 years of life, I'll be happy watching my 2 year grandson go off to college. 😉

  • Reply Rooben Doraisamy May 20, 2019 at 12:35 pm

    Doctor Ekberg thank you for your excellent presentation. I am diabetic and recently experienced my blood sugar level to be acceptable while on OMAD before walk was 3.8 then after walk was 4.5. Is that how the body compensates glucose level even without food intake? Thanks

  • Reply Haim Hadar May 24, 2019 at 6:49 am

    Finelly after your brilliant explanation I've understood what is A1c and how it works.. Thank you very much for that knowledge!

  • Reply Elizabeth Randall May 27, 2019 at 2:17 am

    So, Iam not prediabetic, because my insulin when I w. Up is 103 to 110

  • Reply Mazen Al-Sakkaf June 4, 2019 at 4:57 am

    Anther great vedio

  • Reply BlackBeard Papa June 6, 2019 at 7:08 pm

    Doc I love your videos! Truly great! I now understand the HbA1c. I now stopped taking glipizide as it was lowering my blood sugar too much. Can you make a video on the pills for diabetes, like glipizide and metformin. What do they do and can you stop taking them over the long time. Thank you!

  • Reply Mao Chenda June 7, 2019 at 8:33 am

    Excellence explanation. Thanks

  • Reply Adam Salhi June 7, 2019 at 5:24 pm

    my HBA1C get down from 5,8 to 5,2 in 3 weeks with a low carbs diet and i repeated the test today after two days it is 5,4 what does it mean ?

  • Reply Greg Rose June 8, 2019 at 5:10 pm

    What is the optimal diet for someone with Diabetes and Coronary Artery Disease?

  • Reply Paul McCarthy June 9, 2019 at 11:20 am

    Great Commentary Doctor. Thank you So much for All the Real INFORMATION you give.

  • Reply N J June 9, 2019 at 2:06 pm

    If I had found this video 3 months ago when my “borderline “ tipped over to T2 it would have saved me so much heartache. I didn’t get any of this at all from my GP. All he said when I complained Metformin wasn’t working was give it more then 2 weeks. Well, then I complained that Metformin was giving me weird night time carb cravings, to which he had no answer. I never crave toast and jelly, but suddenly I just had to have it at night. Well, you can imagine what that did to my blood sugars.
    Anyway, found Keto and helped a lot but still can’t get sugars where I want them on a regular basis.(70-90). So I started more prolonged fasts and messing with my Metformin levels & timings.
    BUT! If I had known that the red blood cells just needed time to cycle out I would not have been so frantic!
    Seriously, you have decreased my cortisol levels ten fold over here! And maybe I’ll be a little easier on my poor GP when I go for my follow up next month. 🥰

  • Reply Izmi Quadir June 9, 2019 at 7:34 pm

    I have a clear understanding + proper explanation about sugar by Doc what he is talking about I can educate my friends and family what doc said this is a best Video helpful

  • Reply Shaista Afzal June 14, 2019 at 11:29 pm

    Best videos ever on Insulin resistance. I have recently discovered that I am prediabetic so am trying to understand how to deal with the situation .These vidoes are treasure of knowledge.Salute to Dr Sten.

  • Reply Suge212 June 16, 2019 at 3:01 pm

    Great breakdown of blood glucose measuring!

  • Reply mike87109 June 16, 2019 at 5:28 pm

    After just hitting an A1C of 5.8, I stopped eating fruits, potatoes, rice, oatmeal, and especially good craft IPA beer. Purchased a blood glucose monitor, learning a lot about what food/drink spikes my blood sugar. I'll have another A1C test in 9 months. Nice video, thank you.

  • Reply Ruth Lopez June 17, 2019 at 4:29 am

    Dr. I have a fasting level of 80 but hemoglobin it is 9.5. Could it be that I have been on OMAD the entire week. I have just completed a month in Keto. I have lost 15 pounds

  • Reply Ruth Lopez June 17, 2019 at 4:43 am

    Please make a video on anemia if I can still do keto diet

  • Reply queensgirl58 June 19, 2019 at 5:07 pm

    Great video.. you explained it so well. I was diagnosed with type 2 after I got the tail of my pancreas removed. This was about 4 1/2 years ago. I eat a low carb diet with exercise and I am not on any meds. My a1c fluctuates from 5.7 to 5.9. I believe my a1c cant get any lower cause it's my fasting numbers that stay high for some hours after waking. The rest of the day I have good numbers. You have mentioned that you will be doing a dawn phenomum video. Is that why I cant get my a1c any lower? Or is it because I make less insulin cause 1/3 of my pancreas is gone? Thanks. Gina

  • Reply Sarfaraz Khan June 20, 2019 at 6:49 am

    Thank you doctor for a very beneficial information.

  • Reply Amin Zola June 21, 2019 at 4:51 am


  • Reply Sunil Kumar Yadav June 21, 2019 at 7:32 am

    Hey Doc….My fasting sugar level is 86 …But A1c is…6.4….Am I prone to diabetic…

  • Reply irfan syed June 23, 2019 at 4:03 pm

    Hi Dr.Sten ,its amazing regarding ur info…the way u deliver ur lec is fantastic… let me ask you sir,
    1.what is cause of insulin resistance?
    2.what will be the effect if i get zero fat/oil injestion ?
    3.what is the best way to reverse diabetes besides avoiding starch base diet oe sugar intake ? ie which diet is best.
    4.what is keto diet?

  • Reply Capistrano Dentistry June 23, 2019 at 10:01 pm

    I started to follow a strict ketogenic diet six weeks ago, This week I went to have annual check up and blood work ordered, came out with A1C level is 5.7.
    I have told the family doctor I am in keto diet, but his recommendation was to decrease the suger and carbohydrates in my food.
    Now I understand the timing issue 😒.
    Thank you Doctor.

  • Reply Kyle Def June 25, 2019 at 10:50 am

    Please do a video on several tests worth doing to get a good baseline for one's health including how to interpret the results. For example, advanced lipoprotein, hs-CRP, 25OHD3, etc. This video was perfect, thank you.

  • Reply gary samples June 25, 2019 at 2:12 pm

    Question will giving a double red blood cell donation hurry my A1 C numbers

  • Reply Abhishek Tripathi June 25, 2019 at 5:43 pm

    Thanks Dr. It was useful. May I know what kind of medical test or food is recommended for my 6 yr and 11 year kids. They usually eat carbs and sugar too much and I don't know know being diabetes what kind of tests and precautions I should have for them. Gr8 work!

  • Reply bgregg55 June 25, 2019 at 6:32 pm

    It's been two years now running on fat. I'm never going back to the SAD.

  • Reply Elizabeth Randall June 26, 2019 at 1:13 am

    I do not eat carb. And sugar, but when I eat something with grease, my glucose is high next day, can you tell me why?

  • Reply Varsha Sejpal June 26, 2019 at 9:07 am


  • Reply cskatesv June 26, 2019 at 4:08 pm

    My Doctor recently put me on insulin because my A1c got up to 9, and it came down to 7 in April. I have started a low carb IF regimen. How do I safely stop taking insulin?

  • Reply Anita Vaughn June 27, 2019 at 6:42 pm

    I want to stop taking insulin so I’ve changed my diet and am exercising. I got a diabetic sore that had to heal from the inside out. My exercise is light right now because I’m not allowed to sweat. I’m excited to reverse the diabetes.

  • Reply King County June 27, 2019 at 7:11 pm

    If sugar stays in your system so long its worse than drugs.its like saying i been clean for months but im still half a dopehead.theres a conspiracy theory called agenda 21 where the system is killing people off at a more rapid rate

  • Reply venusiandesigns June 29, 2019 at 12:03 pm

    Great explanation, thank you

  • Reply Val Jalava June 29, 2019 at 2:10 pm

    My last A1C was in April I had been on keto for 2 months and was 8.4 then down to 6.6 so when I go in aug will give me a full 3 months since last A1C so hopefully I can drop it more,thanks for great video Dr.Ekberg

  • Reply Deb Stay Blessed July 3, 2019 at 12:24 am

    Thanks for the video. Question:what are good sources of protein for vegans, whole food plant based. I eat lots of beans, nuts, seeds and vegetables. Appreciate your advice 🍉🥑🍎🍒

  • Reply mtc2300 July 3, 2019 at 7:37 am

    Started with a hba1c of 50 and Metformin. 5 months later it was down to 29 and I was taken of the metformin and is still off metformin. Also lost 70 kg.

  • Reply zjunegirl July 4, 2019 at 1:05 am

    My A1C1 last time was 4.9

    My dr told me that was low 🤷🏼‍♀️😮

  • Reply Catherine Mendel July 7, 2019 at 6:45 am

    Would love to see the dr. "Berg's" do a video together! Dr. Sten Ekberg and Dr. Eric Berg!!! You guys totally ROCK! 😀

  • Reply james davidson July 9, 2019 at 2:44 pm

    please cut the lenght of your videos 30%, you will get more subs.

  • Reply Old Fashion Mommy July 10, 2019 at 12:54 am

    Please give it to me straight guys. Be honest. Dont go light on me. My glucose low blood suger labbs were 65. Which is when my docter prescribed me my glucose monitor to keep an eye on it. Then they turned around and done a a1c ( which was 6). So now I have to go bk into the docter. They seemed very concerned over the phone when they gave me my a1c results. I've been doing my glucose monitor . One day it might read 76 and the next it might read 123. I had breakfast and coffee and it read 123 that day actually. This all just started for me so I'm so frightened and confused. In fact I have to go straight bk into the docter to find out what steps are going to take concerning this. I'm afraid of what she will say. Please does anyone have advice??? This could be the answer to why I feel so horrible sometimes.

  • Reply Old Fashion Mommy July 10, 2019 at 1:00 am

    Another real question here is what is the world putting into our foods that we dont know about that causeing people to get sick like this? I know it could ourselves…..but I often wonder is there other problems causeing it in the world also 😕😕😕never know guys… whatcha what you eat and snatch. I'm sure going to make some changes

  • Reply Eileen Reed July 10, 2019 at 10:05 am

    Thank you so much for this video, it really helped me understand things. I got my blood results yesterday after 2/ 3 months of cutting out added sugar and eating mostly plant based food. My results were good perfectly normal, but I was disappointed because I had hoped they would have been even better, now I understand. Thank you.

  • Reply ibberman July 11, 2019 at 2:19 am

    This is great info, I just wish I had not wasted so many years listening to the doctors I would see.
    Eight years ago I really started to get worried when my fasting tests were in the 120's. My wife and I said to the doctor that this is not right, but was told not to worry, as it was only 124, and not 126 yet. This was at UC Davis in Ca.
    I then started Metformin myself, buying it online, and eventually got in prescribed because I was already on it, and it did help.
    I cut out bread and carbs, and my A1C has been around 6.4 ever since, and I am being praised by the MD. that it is great and I don't have Diabetes. Twice a Doctor has suggested that I should stop the Metformin, because I am doing so well.
    I was under the impression everything was great for the last several years. Now I realize, with your video, this is not great at all. I estimate my sugar has been too high for the last 15-20 years, and no Doctor ever brought it up.
    It's criminal, what these so-called Doctors are doing.

  • Reply Delray July 11, 2019 at 1:17 pm

    Love the teaching , thank you!

  • Reply Wagner Lopes July 11, 2019 at 5:59 pm

    Very direct and clear explanation! Thank you!

  • Reply mtmmase3333333 July 12, 2019 at 5:06 pm

    I lost 30 pounds just eating once a day my HbA1c only went down to 6.0 from 6.4

  • Reply GRAPHIXOLOGY July 13, 2019 at 12:46 am

    Thank you for explaining this so clearly.

  • Reply K. Rogers July 15, 2019 at 4:50 pm

    Great overview for a novice to the subject. Thank you for posting this.

  • Reply Sheila Nagels July 15, 2019 at 9:12 pm

    Your one of best dr I have been blessed to have come across your changing lives 🙏Why is it no one ever teaches those of us this that are sick with this stuff ? But just say oh you have this here’s the meds see you in a year ! Sad that none of them are putting the learning to the front line of all this stuff ! Thank you so much 😊

  • Reply James King July 16, 2019 at 1:49 am

    Thank you for your excellent explanation of A1C and what it means and how it is helpful with correcting dietary problems.

  • Reply michael p July 16, 2019 at 7:28 pm

    Excellent presentation. It may be advanced for many but I find it an interesting topic, if you could address the fact that a glucose under 100 with medication is still diabetes. The Doctor can move the extra glucose into the liver, into the pancreas, into the obesity of the body, so everyone pats themselves on the back. But they've just made the diabetes worse and "normal" blood glucose is not the only measurement of disease management.

  • Reply Ally Mantikas July 19, 2019 at 4:08 pm

    My a1c is 5.2 I was diagnosed in the past with reactive hypoglycemia. Should I worry about it with an a1c of 5.2 ?

  • Reply ravi 200124 July 20, 2019 at 3:28 pm


  • Reply BlackBeard Papa July 22, 2019 at 6:56 am

    Doc, I've been following your videos and i went from a blood sugar of over 200 to now an average of 115. Just amazing. And I am fasting intermittently. Great stuff!!!

  • Reply Vickiet253 July 23, 2019 at 8:04 pm

    Thank you very much for explaining this. I've been told by medical staff that as long as you're A1C is at 7 you're good, no need to go lower than that. Just did not seem right, why wouldn't you want to be lower if someone who isn't diabetic would have a much lower A1C? Appreciate knowing to not be discouraged if the number doesn't go down as fast as we'd like. Thanks~

  • Reply M M July 29, 2019 at 5:46 pm

    Mine was 5.6 in Feb and I wasn't happy at being pre-pre-diabetes. On keto since March 21st and have cut out dairy except for butter and ghee (lowest amounts of casein), as I suspect I have Hashimotos, TSH was 7.2 and came down to 5.4 with supplements. Realised the deeper reason for lack of nutrition was the dairy. So now I know that if I retest for HBA1C it may still appear relatively high. Very good and nuanced information Dr. Ekberg. Thank you…

  • Reply YK Chan July 31, 2019 at 2:58 pm

    I need help confused in cross reference regarding diabetic.

    (1) Is blood sugar a lament term for blood glucose? Glucose but sugar is the only form exists in blood?

    (2) do liver fat and body fat convert into glucose? if otherwise what is that ? Ketone?

  • Reply The Dude August 1, 2019 at 3:37 am

    I get hypoglycemic symptoms if my blood sugar is anything below 95. Why is that? I'll also go to bed at 95 and wake up at 103 to 114.

  • Reply scott johnson August 4, 2019 at 10:37 pm

    I use the freestyle libre for checking my blood sugars. One of the really nice things is you can see your average for different periods of the day (12am-6am, 6am-12pm, 12pm-6pm 6pm-12am). Currently, my averages are (in the same order as time slots): 88, 105, 114, 125 (so a 108 average overall). But I have been doing the low carb for less than a week (the current view is for the last 7 days). So once I have been on the low carb for longer, my higher averages should decrease. It's nice since once I'm at that point, I can see if I need to do more for certain times of the day to bring the average down if it's a bit high. I believe these averages are much more accurate than what you would get from normal meters where you poke your finger since this monitors your levels every minute vs. you poking your finger before + after meals. I can also set a target range (currently 70-140) and see the percentage of being below, on, or above target. The goal is to keep any spikes below 140.

    On the small chance a CF patient reads this, I have CFRD and am attempting this. So hopefully my results will give you some hope for controlling your blood sugar without all the medication!

  • Reply J J August 6, 2019 at 1:23 am

    Excellent explanation as usual, Dr. Ekberg! Very much appreciated! Now there are many explaining correct nutrition but you are stand out – your explanations are very scientific, well explained and thus very persuasive! After many years of procrastination, after watching your videos, I changed my nutrition and I see positive changes right away. You made great positive impact on my health!

  • Reply MilliePat August 6, 2019 at 11:28 am

    My doctors said I had diabetes with an A1c level of 4.5 and blood glucose of 100, so she placed me on Metformin. The could only take the pills for two weeks before they began making me sick. Next, she said that I had metabolism problems and placed me another drug to prevent diabetes which also made me sick. What is the lowest number for HbA1c?

  • Reply Erin Meany August 8, 2019 at 2:59 pm

    After getting an A1C result of 4.3 and my doctor saying it was fine( I eat a very unhealthy diet, my A1C should not have been that low) I started monitoring, what I found that I wake up around 90-95 and shoot up to 150 after eating, but 30-45 minutes later I’m around 70 or lower. I still can’t get a Doctor to take me seriously

  • Reply Efaz Ahmed August 10, 2019 at 9:59 pm

    Excellent video doc! My hba1c came 6 last week I’m 28 years old. Now I got one of those accu cheks. And my findings are that only in the morning I’m getting 5-7-6.2. Rest of the day after meal the highest is 7. Am I missing something? Pls help

  • Reply Kathy Woodruff August 16, 2019 at 9:11 pm

    Went to doctor 2 days ago…my A1C was 15.5 and my blood sugar was 536. Nurse gave me an insulin shot and Dr prescribed Junuvia which I've taken twice. Insulin helped with the dizziness and unsteady walk. I go back to doctor Monday. I am so loss as what I need to do other than change my diet…

  • Reply Tom Swinburn August 19, 2019 at 11:00 am

    I expect many will look at Dr. Ekberg and think "he looks like an athlete. What could he possibly know about my situation?" Well, he was an athlete, an Olympic athlete in fact. But he shares similar views with many other Youtube Docs, and they are having a HUGE impact on the health of hundreds of thousands if not millions. For myself I've lost 60+ pounds in the past 5 months and gone from taking 40 units of insulin a day to none. One 5mg oral diabetic medication and my sugars are by FAR the best I've ever seen. Very tightly controlled range. In addition my blood pressure is the best it's been in my adult life. (and I'm 71) All blood markers show marked improvements. Lastly I FEEL better than I have in years. Decades even. So if you're on the fence KNOW that untold numbers have gotten their LIVES back following his advice or Dr. Fung's or Dr. Ken Berry. What Dr. Ekberg says is gospel. 5 months in I haven't yet "beat" diabetes. But off insulin with an average 90 sugar with one tiny pill means I'm well on my way. Make no mistake. This is a lifestyle change. Never again will I eat processed foods or white starches. But a few days in, sans the sugar and carbs your hunger abates. No more cravings. Anybody can win that battle for three to seven days. Then you're home free. LISTEN to this man and do what he says. You'll thank YOURSELF in addition to him.

  • Reply Nigel Tudor August 21, 2019 at 10:39 pm

    Thanks for this informative video. I’m getting to grips with low carb diet to better control my blood sugars. This has helped me understand the numbers more so, again, thanks

  • Reply Cecilia gao August 22, 2019 at 1:13 pm

    El médico me dijo que soy PreDiabética HbA1c 5.8, Glucosa 102 (70-110) pero mis Triglicéridos son 56 (50-200), por lo que entiendo estos suben si abusamos de HC, podría aclararme esto. Gracias Dr.

  • Reply Gina Dawn August 23, 2019 at 8:30 pm

    Q: Are these peaks & troughs in the graph, Deviations ? as it would appear they are more important to define the damage being sustained from T2Diabetes, than just an 3 monthly HbA1C reading?

  • Reply Erin Nordlee August 26, 2019 at 3:36 am

    I love your video. I was recently diagnosed with prediabetes with an A1C 5.9
    I started the clean keto dieting but I have arthritis in my spine and I take Tylenol 1 does this effect my prediabetes?

  • Reply ROBERT DAVIS August 26, 2019 at 12:32 pm

    Never have I had the problem of big fluctuations, mine was high when 1st wake-up every morning which was low 100's. But finally after tremendous discipline 77 this morning.

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