A1c Level Intentionally Kept High in Type 1 Diabetes Majid Ali, M.D.

Majid Ali, M.D.

The blood A1c value indicates the average of blood glucose levels during the preceding 80 to 100 days. The )test value is a percentage of a blood protein that becomes “sticky” due to sugar attached to it—the higher the blood glucose (blood sugar level), the larger the percentage of sticky protein.

In healthy people, 5 to 5.5 percent of the protein called Hb is sticky with sugar (glycated (Hb) hemoglobin is the scientific term for it). In people with diabetes, a value of 6 percent or higher is generally accepted as an indication of poor diabetes control. Some doctors deliberately allow A1c level to remain high in their patients with Type 1 diabetes. In my view, this is acceptable only if all relevant dietary, nutritional, environmental, and detox remedies have failed to keep the patient in sugar balance (metabolic equilibrium) and the A1c value below 6 percent.

A1c Level Intentionally Kept High

Here is a revealing case study of a 37-year-old patient with Type 1 diabetes on insulin pump. She was receiving a daily basal dose of insulin of 18.2 units. She also administered herself a bolus dose of regular insulin with each meal, three times a day, the dose usually being two or three units at a time. She consulted me for a massive bilateral leg lymphedema which developed after an automobile accident. Here is my conversation with her:

“What was your breakfast today?”
“Piece of toast with butter and cheese.”
“Your lunch yesterday?”
“Cottage cheese and fresh peach.”
“Dinner yesterday?”
“Chicken and pasta. I put in 52 carbs, BS was 177, insulin 3.7 units of insulin.”
“What is your recent A1c?”
“Why is it so high if you are on an insulin pump?”
“Because my diabetologist wants to keep blood sugar at around 150 to 170.”
“Because I don’t feel my blood sugar dropping?”
“What do you think would happen if your blood sugar went down to 70?”

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