DM "TYPE2"

Articles ยท Your numbers

Your A1C, explained like a coach would.

Of every number on your lab report, one decides the conversation: your A1C. Here is what it measures, the ranges that matter, and how a real client of mine moved hers from 9.1 to 7.2.

What A1C actually is

A1C, also written HbA1c, is the percentage of your red blood cells that have sugar stuck to them. Because those cells live about three months, your A1C is your average blood sugar over the last three months, not just the morning you fasted for the test.

That is why it matters more than a single glucose reading. A fasting number can look fine because you behaved for two days before the blood draw. Your A1C remembers the whole quarter.

The ranges that matter

Under 5.7Normal range. No diabetes. The goal for prevention.
5.7 to 6.4Prediabetes. The warning zone. This is the cheapest place to change the story, before medication enters it.
6.5 and upDiabetes. The diagnosis line. Above it, the work is bringing it down, step by step, with your doctor in the loop.
Under 6.5, heldRemission. Below 6.5 for at least three months without glucose lowering medication. Held is the word that counts.

A real example: 9.1 down to 7.2

Neha, a client of mine, came in with an A1C of 9.1. In average glucose terms that is roughly 214 mg/dL, day and night, for three months. She brought it down to 7.2, roughly 160 mg/dL. Same person, same life, different daily system.

A drop like that is not a detox. It is months of unglamorous days stacked in the right order.

Her story, and the other results clients have agreed to share, are on the results page. Note what her number did not do: it did not teleport. A1C moves at the speed of red blood cells, which is why I test it quarterly, not weekly.

The other numbers I watch

A1C is the headline, but it is not the whole report. Every quarter I also look at fasting glucose and insulin sensitivity with my clients. Every month, through body scanning, we track the composition behind the weight: visceral fat, lean muscle mass, water percentage and body fat percentage. Two people can weigh the same and be heading in opposite directions. The scan tells you which one you are.

What to do with your number

Know it. If you do not know your current A1C, that is the first fix, before any program, mine or anyone's. If you do know it and you do not like where it sits, the next step is a conversation about the daily system that produced it. That is the work I do, in Brampton in person and online anywhere.

Tesh, founder and coach at Type2

Meet your coach

I'm Tesh. I'm the coach.

I put my own type 2 diabetes into remission, going from 240 to 175 lbs. Now I coach people through the same plan: in person in Brampton, and online, worldwide. When you join Type2, you work with me directly. Not a team. Not an app.

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