What is A1C Test? Is it an Accurate Blood Test? – Dr.Berg

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In this video, we’re going to talk about A1C. Is the A1C test accurate?

The A1C test is a great test to do as part of your evaluation, but don’t completely rely on it. 

What is the A1C test?
If you have high sugar in your blood, and it combines with the red blood cell, it can be measured by the A1C test. If your A1C level is 6.5 or more that would be diabetes. If the A1C test score is this high, there is also a correlation with increased retinopathy. 

If you decrease this number by 1%:

• Your death rate from diabetes goes down 27%
• Microvascular complications go down 37%
• Myocardial Infarction goes down 14%

However, about 30% of the population is anemic. If you’re anemic, the A1C test will be invalid. 

Other things that could make the test invalid are:

• Sickle cell
• Iron disease 

Red blood cells die a lot sooner in a diabetic than they do in a healthy person. If you measure the red blood cells with a short period of exposure to glucose, it can dramatically affect what shows up on the A1C results. This is because the test is all about how long the red blood cells are exposed to glucose.

Better tests would be:

• Fasting glucose
• Post-meal glucose 
• HOMA-IR

If you have both high blood sugar and ketones in the morning, it could be because of the dawn phenomenon. The dawn phenomenon is due to gluconeogenesis, which means you’re making glucose from fat, ketones, and protein. This is happening because you’ve had insulin resistance for a long time. 

You don’t really need to be concerned about this. It’s just a part of the transition phase if you have had chronic insulin resistance.



Dr. Eric Berg DC Bio:
Dr. Berg, 56 years of age is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of The New Body Type Guide and other books published by KB Publishing. He has taught students nutrition as an adjunct professor at Howard University. He no longer practices, but focuses on health education through social media.

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Disclaimer:
Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.