HbA1c level is high


Hi, My name is Santosh, I got my blood test done last week and found that my HbA1c level is 10. I wanted to know what does it indicate and what kind of dietary changes required to bring it down?

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HbA1c or Glycosylated hemoglobin is the amount of blood glucose (sugar) attached to the haemoglobin (Hemoglobin is the part of your red blood cells that carries oxygen from your lungs to the rest of your body).

Whenever the blood sugar rises beyond healthy levels, the sugar molecule attaches itself to the Haemoglobin and over a few months, the number of times your sugar has risen above normal levels is measured by this reading. Thus in your case, it shows the average plasma glucose in your bloodstream over the period of the last 2-3 months which has been high.

HbA1c is recommended for diabetic patients, the HbA1c level is crucial, as the higher it is, the greater the risk of diabetic complications. An HbA1c test is used to check for diabetes or prediabetes in adults.

If you already have diabetes, an HbA1c test can help monitor your condition and glucose levels. In general, the range for HbA1c is indicated as: 

Normal- Less than 5.7 %

Pre Diabetes- 5.7% to 6.4%

Diabetes- 6.4% or greater

What is the Solution?

It is all about maintaining a good balance among your diet, medication and activity level. Any diabetic patient would know the importance of eating right. But it is also important to maintain a healthier lifestyle in other aspects, such as, regular workout, following proper medication as prescribed, keeping the blood pressure under control at all times.

You should avoid all processed and fried foods.as they impact the insulin negatively. Choose a high fiber diet that includes whole grains, legumes, vegetables, raw fruits, and nuts., because fiber prevents sugar rush. Eating a balanced meal of complex carbohydrates, protein, and healthy fats would help you to maintain your HbA1c levels. Cut down the intake of sugar and sugary food items. Incorporate Oats, whole wheat products, brown rice, kala chana, chickpeas,  rajma, lobia, whole pulses, vegetables and raw fruits. Avoid potato, colocasia, carrot, mango, banana, litchi, grapes, cheeku, etc as they release simple sugars in the blood

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