Once you have diabetes, you have your own number-game to play for the rest of your life. You have been diagnosed as a diabetic or a prediabetic because you fell under one of the criteria shown below.

As a solo player your entire effort has to go towards keeping your readings within the allowable range. And all this for one reason – to live a long healthy and complication-free life. When it comes to blood tests, there are 2 broad parameters that you have to adhere to:

  1. Glycosylated Hemoglobin Test (A1c)- The glycosylated hemoglobin test (A1c, also called hemoglobin A1c or the glycosylated hemoglobin test) is an important blood test to determine control of your diabetes.
  2. Your daily fasting and postprandial tests

The glycosylated hemoglobin test (A1c) –  is an important blood test to diagnose diabetes or determine control of your diabetes. It provides an average blood glucose measurement over the past 3 months and is used in conjunction with home glucose monitoring to make treatment adjustments. The normal range for the A1c test is:

  • less than 5.7% for people without diabetes,
  • 5.7%-6.4% for those with pre-diabetes
  • for people with diabetes, it is 6.5% or higher. For diagnostic purposes, two separate A1c tests at 6.5% are positive for diabetes.

People with diabetes who are treated with insulin should have this test 4 times a year (every 3 months). The test may be needed more frequently when your diabetes is not well-controlled. However, the test should be performed no more often than every 6 weeks. Those who are not treated with insulin should have this test every 4 to 6 months.

Your daily fasting and postprandial (2 hours after food) tests:

  • Less than 110 mg/dl – fasting plasma glucose
  • Less than 140 mg/dl – postprandial (2 hours after food)

Anything greater than these will put you either in the prediabetic or the diabetic bracket.

Here is how your average blood sugars add up to your quarterly A1C scores:

  • If your A1c is 12.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 298
  • If your A1c is 11.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 269
  • If your A1c is 10.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 240
  • If your A1c is 9.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 212
  • If your A1c is 8.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 183
  • If your A1c is 7.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 154
  • If your A1c is 6.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 126
  • If your A1c is 5.0%: Your average mean daily plasma blood sugar is around this (mg/dl): 97

As someone playing the diabetes game, you may have an entire ecosystem in place to help you. You may have the best diabetologist, nutritionist, chef, physical trainer and a life-coach by your side most of the times guiding you and helping you do things right. But there will be those zillion crucial moments every single day where you will be all alone to decide between the right and the wrong. And in those moments it’s your mental strength and conditioned discretion that will decide whether you serve an ace or double fault.

Make the numbers count! Monitoring helps stay within the allowable range and keep diabetes complications at bay.

Compliant or Careless. You Decide!