Carbohydrate Counting Page 13
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48Basal-Bolus Insulin and Carbohydrate Counting
What is my A1C?
A1C is also called glycosolated hemoglobin. A1C shows the 3 month
average blood sugar level before the test was taken. You do not have
to fast before this test.
When your A1C result is less than 7%, you decrease your risk of
complications.
The A1C is not the same as your blood sugar results.
The Canadian Diabetes Association recommends an A1C target of 7.0%
or less for most adults.
What does the diabetes research tell us?
Research done in both type 1 diabetes and type 2 diabetes has shown us
that blood sugar control matters – a lot!
In Type 1 diabetes, The Diabetes Control and Complications Trial (DCCT)
and its long term follow up study Epidemiology of Diabetes Interventions
Trial (EDIC), proved that good blood sugar control:
• Reduces the risk of eye disease (retinopathy) by 76%.
• Each 1% reduction in A1C lowers the risk for chronic complications
(eye, kidney and nerve disease) of diabetes by 45%.
In Type 2 diabetes, the United Kingdom Prospective Diabetes Study
(UKPDS), the largest clinical research study of diabetes ever done,
proved that achieving both good blood sugar control and good blood
pressure control:
• Reduces the risk of heart disease, stroke and death.
• Each 1% reduction in A1C lowers the risk for chronic complications
(eye, kidney and nerve) of diabetes by 35%.
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