There was a recent tweet about an A1c. And to generalize, for the most part, as far as I can tell, in the ODC, we’re all pretty OCD about our A1c’s. We want them lower, we want them in range, we want them better than they are.
Serveral years ago, I believe that it was Team Type 1 that launched the “Strive for 6.5” campaign. An A1c of 6.5 sounded glorious seeing as how my lowest A1c at the time was 7.8 and it had only happened because I was constantly bouncing from low to high. But an appropriate range for A1c’s has never been discussed between me and my doctor. I think this is because seeing me below my current 6.7 is a ways off, I’m not in danger of having an A1c that’s “too low” any time soon. But what is too low?
I can remember in high school, one of my friends had an A1c of 5.8…I was telling the school nurses of this (13 years ago) and they said that’s impossible, that’s too low. It turns out that an A1c of 5.8 is equivalent to averaging 107 for a 3 month period (which I’ve heard is more accurate to a 6 week period but I guess that’s for another post).
So again, what is too low?
The A1c that was tweeted today was 4.8. That too me, in an instant was to low. A little research showed me that an A1c of 4.8 was equivalent to a 74.
Now everyone is different. I understand that, one person’s low might be another person’s normal and vice versa…but some basic thought put into this to me says there must be a lot of numbers in the 50-60s range to even out a number that may be a little higher, like in the 100s in order to get an A1c of 4.8.
This immediately made me ponder the effects of running numbers like those, the biggest concern being the desensitization to low blood sugars which can easily cause bigger issues down the line.
So that leads us back to, what’s an acceptable A1c range, and is it valid to say “acceptable” when each and every person is different?