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changes in AC1


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Hi, I'm wondering how much one can lower their AC1 number in 30 days.  Did anybody do blood work before the Whole 30 and at the end.  My AC1 is about 6.1 right now and I'm hoping to lower it to at least 5.8 in 30 days.  I know it's not a race but....Is that possible?

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It's possible, but it depends why it's 6.1 to begin with.

 

There are lots of people on the forums who are managing blood sugars, if you're after support :)

 

Is there a reason you want to get to 5.8 in 30 days?

 

Do you measure your own levels with a machine at home?

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If you can get your hands on one, there are some really good home-version tools for measuring your blood sugar and ketones. Some only do blood sugar (usually cheaper) and you may be able to get some kind of discount on buying one though a diabeties association/organisation. My one looks a bit like this: http://www.simplicityhealth.co.uk/blood-glucose-monitor-optium.asp

Some people get rid of a glucose-only one and replace it with a dual one, so you might be able to find someone with a spare one they don't need.

 

The advantage to the home tools is checking how you respond to different foods, and getting daily measurements (more if you need them). If you can avoid big spikes, you'll find overall it will stablise and go down (if it doesn't, you need to speak to a doctor, there's lots of reasons for this). After you've been measuring for awhile, you may find you barely need to anymore. Now I can pretty accurately guess my measure, before I take the test.

 

Funny things I found when measuring:

Agave nectar is worse on my blood sugar than pure sugar.

Oddly, some higher sugar fruits don't mess with my blood sugar the way I expected, like pineapple.

Everyone is different when it comes to food and blood sugar. Raw carrots make mine shoot really high, but not for long.

My blood sugar is much more stable without grains of any kind

 

I think you could quite easily get yours lower if that's your primary goal. Aim for even blood sugar, you don't need to go super-low carb to go lower, even blood sugar brings stability. Spikes lead to crashes and more spikes. I have insulin resistance, so my blood sugar is quite whacky, but I'm not diabetic. Getting enough fat makes a big difference to blood sugar too, and it makes food take longer to digest, slowing the blood sugar spikes.

 

When mine is all over the place it can go over 10. If I manage it, I'm around 6, sometimes under. Big difference.

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A1C, or glycosylated hemoglobin, is a reflection of your average overall blood glucose levels in the preceding 2-3 months; basically how well you controlled your blood glucose over that period of time... As far as I understand it, your A1C can't be changed in a month's time. Rather the sustainable changes you make today, will shown in a A1C taken in 2-3 months....

 

But.... I'm no endocrinologist! Maybe there is a way...

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  • 3 months later...

A1C is a measure of over 3-6 months time so while it can change some in 30 days it's not going to drop that fast (usually, there are always exceptions).  You'd be better clean eating at least 3 months before you check the A1C again, but I'm going to check anyway.  I have my results from my last doctor visit and can pick up a home kit for after.  I don't expect dramatic results but if I go in the right direction I am happy.

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The change in HbA1c is dependent on the turnover of red blood cells and in a human it will take about 3 months to have enough old blood cells "die" and be replaced by new ones that you can acctually see a difference in your HbA1c levels. So no, I'd wait longer if I wanted a reliable result. There is also a certain degree of variation, so to be certain you'd need to look over a longer period of time and do a couple of tests. I have had mine taken twice after one another and measured on the same machine with a difference of 0.2!

 

HbA1c is not a home test, it should be tested with proper equipment by a professional to be reliable. I am not sure how helpful it would be measuring ketones, since that depends on how diabetic you are. You could also get a false positive reading if you are going low carb during your whole30.

 

To see results after 30 days I suggest looking at blood glucose with a regular glucose meter. Measure fasting every morning for the 30 days and record your results, then measure 15 min after your meal. You will see dramatic effects of the food you eat!

 

PS If you are on insulin, reducing your HbA1c too much is not a good idea since it would mean very high doses of insulin with a high risk of hypoglycemia. Make sure you discuss it with your doctor first if that is the case.

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