Articles, Blog

How To Lower A1C Overnight

October 12, 2019

What is the hemoglobin a1c and how can
you lower this test overnight? Based on new research you will find out the
limits and the true accuracy of this test. Are there unknown factors that can
falsely drive up the numbers which skew the relationship between the a1c values
and the average blood sugar levels. Because our doctor’s base their
treatment and their diagnosis on this critical, critical test, you need to know
all the factors that influences tests. So today you’ll get that all-important list.
But before we begin let me welcome all of you Resilient Diabetics out there
this is the channel we turn ordinary struggling diabetics into extraordinary
well controlled diabetics. If you don’t know who I am and you are brand new to
this channel I welcome you. My name is Jay Sampat and I am an insulin dependent
diabetic diagnosed a little over 6 years ago, so the proud owner of a pancreas
that has gone on a permanent and lifelong vacation. So not only am I
diabetic just like you where we will be walking that walk and talking the talk
together, but I do also have a university of Bachelor of Science degree in
Nutrition/Dietetics. And that comes in very handy in helping discuss all the
intricacies of being a diabetic. My goal is to put four years of chemistry,
biochemistry, organic chemistry, and human physiology into about a 10 minute or so
presentation, so that you know how you’re diabetic body works better than dare I
say your doctor….. I just did. The unique information presented today will only be
found here on the Resilient Diabetic. New life-changing episodes are
generally released weekly, so if you want to learn more and you want to be
notified by YouTube that a new video has been published then the only way to do
that is to first hit that SUBCRIBE button followed by the GREY
notification BELL then you have to choose turn on all notifications. And of
course if you liked what you saw and heard today please smash that LIKE
button for me. So let’s start off with what is the
hemoglobin a1c and how does it work? Your blood is full of red blood cells.
Red blood cells contain a protein called hemoglobin which basically carries
oxygen throughout your body. Blood glucose or basically sugar
travels through the blood and that ends up binding with the hemoglobin. When the
two come together they create what’s known as the hemoglobin a1c also known
as that glycosylated hemoglobin a1c. So why is this test used? Well first and
foremost, it actually doesn’t require any fasting. Two, it gives a big picture of
blood sugar levels over a period of weeks to months instead of just a single
moment in time like your fasting blood Sugars. Third, the test can be done at
any time of the day so this makes things easier for doctors to treat and to make
accurate diagnosis. Your a1c is written in percentage and gives you an idea of
how well managed your blood sugar levels are over a period of two to three months.
It is also one of the major factors used to diagnose pre-diabetes and diabetes.
An a1c below 5.7 is considered to be normal. An a1c between
5.7 to around 6.3-6.4 percent signals
prediabetes. Type two diabetes is diagnosed when an a1c is over 6.4-
6.5 percent. Your a1c goal will be specific to you and to you
and your doctor. Several factors will come into play such as your age, how
advanced the diabetes is, and other health conditions that you may have. A
common A1C goal for people with diabetes is generally less than 7%,
depending again on your doctor. Some see and a1c between seven and eight as
reasonable and beneficial for most patients with type 2 diabetes. Others
however, want a much much tighter control through both a lifestyle and diet
changes. When I was first misdiagnosed as a type-2 diabetic, my original doctors
wanted my a1c as low as possible, in the high 4’s to the low 5’s. Once I got
the right tests done to confirm the latent autoimmune attack on my pancreas
due to a severe gluten allergy attack I had. I was then re-typed as a type 1 for
all practical purposes, or a type 1.5 LADA if you like, and my new
endocrinologist wanted a much, much higher a1c. So you can see even with me,
the multiple doctors I had all wanted different targets based on the diagnosis
and/or the misdiagnosis. So what is the undeniable truth those of us with
diabetes who want to live a long and healthy life and avoid all the
complications associated with diabetes will need to keep our blood sugar
levels as normal and as stable as possible. And that is what this channel
is all about!! The first very important point I want to make is that you need to
understand that lowering your a1c levels is a gradual process, and you will find
out why. This means it can take up to three months to notice significant
changes. This value point blank contrary to what anyone has said or what
you may have read on the internet cannot be manipulated overnight. So what are
the unknown limitations of this test and where can things go wrong? Because the
a1c is used as the benchmark for diagnosis and treatment, progress has
been made over the years in standardizing and improving the accuracy
of this test. The first thing you should know is that the results from non
certified labs may not be as reliable. Depending on the machine a single a1c
test can have up to a .5% margin of error. Which means the true
value might be 0.5% higher or lower than the measured a1c value. For example, if a
lab report shows an a1c of 8.0 percent the actual a1c value might range from
7.5 to 8.5%. And I will actually give you a personal example. Now I personally use
two different labs, one through my doctor and my health care insurance program, and
a separate private lab I frequent to all of my tests done, all my health
markers done, including my a1c. Within one week of each other one test gave me an
a1c of 5.7 and the other a 5.3. So the second important point I want to make is
to look at the overall trend over time. Do not obsess over the specific numbers,
that will drive you crazy. The relationship between a1c values and
average blood sugar levels can also vary markedly from person to person. In
studies using continuous glucose monitors 24/7 blood sugar levels can be
compared to a measured a1c result. The studies reveal considerable variation
from person to person. For instance an 8.0 a1c value in one person could
reflect an average blood sugar of around 140 milligrams of deciliter. Well in
another it could be 220 milligrams of deciliter. This variation relates to the
individual differences in how our red blood cells and red blood sugars bind or
the lifespan of red blood cells. The main problem is that there’s actually a wide
variation in how long red blood cells survive in different people. What has the
latest research found? The lifetime of a hemoglobin cell for diabetics
turnover in as few as 81 days, while they live as long as a hundred and forty six
days in non diabetics. This proves the assumption that everyone’s red blood
cells live for three months is not quite accurate, and second, the hemoglobin a1c
can’t be relied upon as a quote-unquote absolute perfect blood sugar marker. In
persons with normal blood sugars hemoglobin will be around a lot longer.
Which means it will accumulate more sugar.
This will skew and show higher a1c test results, but it doesn’t mean that person
had too much sugar in their blood. It just means their hemoglobin live longer
thus accumulated more sugars. What else would need to be considered when
factoring in test results. Certain types of untreated anaemia scan falsely raise
your a1c test members. Anemia is caused by the lack of iron, vitamin B12
and folate. Your body needs the vitamin and minerals to create new
healthy red blood cells to replace the older dying ones. If your body isn’t
making new red blood cells that means you have more older ones around, and
they’re floating around which includes ones that are already picked up more
glucose. Now that we know some basics on the test and what can influence the test,
let’s talk about the major internal factors that will impede if not hinder
all the steps you may correctly take in trying to improve your a1c. In previous
life-altering episodes we talked about the known causes of diabetes. Which is
the build-up of fats inside the muscle inside the liver and up and around the
internal organs. This fat then creates insulin resistance which becomes a
driver of beta cell failure resulting in continuous hyperglycemia or high blood
sugars. So another way of explaining this very, very important physiological
process is the high amounts of fats floating in the blood are actually
coming from excessive carbs that are being consumed. It is that our livers
that are converting these excessive carbs into triglycerides. The
triglycerides then create resistance for insulin which then creates high
circulating insulin levels. Years of the pancreas beta cells having to pump out
ever-increasing more, and higher and higher amounts of insulin then just basically
burns out the pancreas, it gets worn out and tired. But another important point to
factor in is that all this occurs over years sometimes decades preceding a
diagnosis. So what do recent studies show? Beta cell function may decline on average
of 5% per year in people with uncontrolled diabetes. Even though this
decline in beta cell function starts several years before the diagnosis of
type 2 diabetes the trajectory of damage generally changes dramatically two years
before diagnosis, reflecting what’s known as acute beta cell decomposition. So by
the time of diagnosis 50% of beta cell functioning has already been lost
for many, many diabetics. So what does this physiological process have to do
with the A1C? Well what took years and decades to
disrupt the body will also take time to unwind and to heal. Again, one must put
things into perspective and be patient with a1c changes. Knowing this the
correct tests need to be done to determine pancreatic functioning over
time. The two tests that are important as I’ve mentioned before is the C-Peptide
test which is used to monitor insulin production in the body, and the second
test which was critical for me, which is known as the GAD antibody test. This
test will help determine if one is a type 1, or as many now call a type of
1.5 LADA diabetic such as myself over a type 2 diabetic. The antibody test shows
if the body is actually attacked its own pancreas rather than what’s happening in
a type 2 diabetic where burnout occurs. So two things have to occur for your
A1Cs to move and move in the right direction, so the body’s able to
start healing itself. First, if you’re a type 2 diabetic your beta cells need
rest which allows them to re-establish themselves over time. Two, the removal of
all those triglycerides, the fats that have been stored up in the muscle the
liver and around the organs, they have to be reversed and removed. And how do we do that? It’s first done through our diet. Carbs, especially a densely packed carbs
both good and bad have to be limited. If you’ve been following me and I know you
are, and I know you are subscribed, you already know the details of this all
important point. You know how to initiate the game plan. Second, exercise. Now here’s something very critical to understand. Upon diagnosis one has to account for
the impaired pancreatic functioning as we have just discussed, thus low insulin
output. Exercise what has to remember is a stressor, depending on the exercise, the
duration, and the intensity. Meaning, the body will release stress hormones
driving up blood glucose thus the need for insulin to bring those numbers back
down. But as you know now, because there’s still some significant
resistance and poor insulin production exercise initially may work against you,
thus raising your a1c levels. This is why it’s critical to have a doctor
especially an endocrinologist by your side when lifestyle changes occur.
Because what may happen initially is the need for insulin therapy. So insulin
usually a basal insulin is given which allows for both glucose control and at
the same time for beta cells to rest. Which then it can over time come back
stronger and better for a type-2 diabetic.
What is the important take-home message. If one is going to start an exercise
program at first keep it to very light moderate easy gentle brisk walks if
possible. The other known factors that will influence your a1c levels? First,
your ability to manage stress. Just like exercise your body will pump out stress
hormones. But unlike exercise where it’s isolated to a short time frame, stress
will have your body produced these very negative catabolic hormones all day long,
thus continuous high blood sugar levels. Second, sleep and not getting good sleep
again will absolutely hinder your progress. You have to learn to stick to a
schedule or routine. Eating too much or too often can raise your blood sugar
levels or cause them to fall excessively thus putting more pressure on your
pancreas. What I do is I eat basically the same things, and around the same time
each and every day. This makes things much easier to control my blood sugars.
Also weight-loss, since everyone has different structures, weight-loss is
specific to you as an individual. A simple weight reduction of even five to
seven percent may be enough to lower the pressure put on the pancreas, thus better
output of insulin for greater blood sugar control and a well controlled a1c
over time. I’ll create a very important playlist for you on more videos related
to blood sugar control and the foods we as diabetics can eat or drink. In the
list start with Vegetables For Diabetics: Top 3 Picks. What are the best vegetables
for diabetics? I’ll not only give you my three top picks, but more importantly the
criteria used to determine that list. Specific videos on bananas and
watermelon. Can we fruits as diabetics? What about
those quote unquote healthy carbs are experts they are good for us like oats
and sweet potatoes. You will now know what my everyday staple of carbohydrate
sources are, that they easily keep my sugars low and a controlled a1c in around the
mid to low 5s, but most importantly aids in keeping me strong and energetic
all day long. If you’re on a desktop or laptop, use your mouse to click that box.
If you’re in your mobile device tap that with your fingers. The first is the link
to SUBSCRIBE to this all-important life changing channel. The second is the link
to the playlist mentioned on foods. So I want you to have a great and productive
day and we’ll see you soon with another new episode which I’ve said are always
released weekly.
Bye for now….

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