This past spring, after 18 months of great success on the keto diet, I tested my fasting blood sugar on my home glucose monitor for the first time in many months. The result shocked me. I had purchased the device, which also tests ketones, when I was diagnosed with pre-diabetes in the fall of As I embarked on low-carb keto eating, I tested my blood regularly. Soon my fasting blood sugar was once again in the healthy range. I was in optimal ketosis day after day. Not only that, I lost 10 lbs 5 kg and felt fantastic — full of energy with no hunger or cravings. I put the meter away and got on with my happy, healthy keto life. When my doctor ordered some lab tests this spring, I brought the meter out again.
HbA1c: a review of analytical and clinical aspects. HbA1c is a very important measurement of your metabolic health that should ideally be taken regularly — perhaps once a year — by your doctor. There may be an even better way to assess metabolic health and insulin sensitivity. Subjects also received nutritional counseling and medication adjustment every two weeks. What makes HbA1c so effective is that it actually reflects blood sugar concentrations over the previous weeks. Scandinavian Cardiovascular Journal Carbohydrate restriction as the default treatment for type 2 diabetes and metabolic syndrome [overview article; ungraded]. High-Fat Diets: Prevention for Diabetes? And it has a direct bearing on our glucose levels. Insulin production is low but not so low that she has to use insulin. To have the greatest effect on lowering your HbA1c levels multiple interventions should be implemented. Note that this is not the same as diabetic ketoacidosis and is completely safe and healthy.
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Have you recently had an HbA1c blood test? It is quite likely that at least once a year you will have one. This guide will help you interpret your HbA1c results, and explain why HbA1c is an important way to measure metabolic health. Hemoglobin A1c HbA1c, or sometimes just called an A1c is a way to assess your average blood glucose levels. It differs from a fasting glucose measurement in that fasting glucose is a snapshot of your blood glucose level at that one moment in time, when you first wake up in the morning before eating. The HbA1c, however, is a longer-term measurement that reflects your average blood sugar over the previous two to three months. It can measure this longer time frame because hemoglobin, which transports oxygen in your blood, is a protein that glucose sticks to over time. The more sugar in your blood, the more it sticks to the hemoglobin. So rather than measuring the amount of glucose in a drop of blood, HbA1c measures the percentage of glucose stuck to the hemoglobin in your blood, or in medical terms, the percentage of glycation of the hemoglobin.