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My A1c Is 7.1 But My Glucose Level On My Lab Work Is Normal Why Is That

A DiabetesTeam Member asked a question 💭
Colorado Springs, CO

They say im type two is that possible

October 4
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A DiabetesTeam Member

@A DiabetesTeam Member an A1C test provides your "average" glucose level for 24 hours a day for the last 90 days - that is equivalent of 129,600 individual tests taken 1 minute apart

A single lab test will either be a Fasting Test - single value after fasting for 8 or 12 hours with a value of less than 7.0 mmols or 126 points OR a Random Test that gives a glucose reading at the time the blood was drawn of less than 11.0 mmols or 200 points (which would be a reading you would get after ingesting 100 grams of glucose which would even be seen in Non-Diabetics would be considered "Normal"

That is one test compared to the equivalent of 129,600 tests so could that "one" be normal? Sure, could hundreds of them be normal? Sure, when taken in isolation

If your A1C is 7.1% and another A1C is taken about 90 days later also gives you an A1C level of 6.5% or higher then that would result in the clinical diagnosis of Type 2

Comparing a single Fasting or Random Test to an A1C test is like comparing Apples to Elephants - not the same thing

Everybody on this website has at least "some" Normal blood sugar levels everyday - and if that's when they happen to test, that single test could be a "non-diabetic blood sugar level" which is Not the same as being "non-diabetic"

At 7.1% that is "need to be medicated Type 2"

October 4
A DiabetesTeam Member

Yes, it is possible to have a normal glucose level on a single lab test but still have an A1c level that indicates type 2 diabetes. Here are some key points:

- A1c Test: This measures your average blood glucose levels over the past two to three months. An A1c level of 6.5% or higher indicates diabetes
- Glucose Level: A Show Full Answer

Yes, it is possible to have a normal glucose level on a single lab test but still have an A1c level that indicates type 2 diabetes. Here are some key points:

- A1c Test: This measures your average blood glucose levels over the past two to three months. An A1c level of 6.5% or higher indicates diabetes.
- Glucose Level: A single blood glucose test can show normal levels at that moment, but it doesn't reflect long-term glucose control.

Your A1c level of 7.1% suggests that your average blood sugar has been higher over the past few months, which is consistent with a diagnosis of type 2 diabetes. Always consult your healthcare provider for personalized advice.

October 4

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