Lowering HbA1c

So you’ve had a blood test and the doctor has told you your HbA1c is high. 

You have either been given drugs like metformin to manage it, or you may have been told that you need to change your diet and lifestyle to reduce it (or both).

You do need to reduce it! You are on the path to Type 2 diabetes and a life of insulin injections, constant blood glucose monitoring, and most probably getting fat (from the extra insulin).

How is HbA1c measured? HbA1c was previously measured in the DCCT (Diabetes Control and Complications Trial) unit of percentage (%), but in 2009, changed to the IFCC (International Federation of Clinical Chemistry) unit of millimoles per mol (mmol/mol). This was to make the unit of measure standard worldwide.

The hemoglobin A1c (HbA1c) test measures the amount of blood sugar (glucose) attached to your hemoglobin. Hemoglobin is the part of your red blood cells that carries oxygen from your lungs to the rest of your body.

The HbA1c blood test is used to find out if you have diabetes or prediabetes. It’s also used to check how well-controlled your diabetes is if you have it.

A blood cell lasts for two to three months, so the HbA1c test shows the average of your blood glucose levels over this length of time.

A result of 40 mmol/mol or lower is normal for people without diabetes.

If your result is between 41 and 49, you have prediabetes.

If your result is 50 or higher, you have diabetes.

What is happening is your insulin receptors are not responding to the insulin, (known as insulin resistance). Therefore the glucose remains circulating in the blood instead of being taken into the cells (of the muscle). It then sticks to the circulating red blood cells and hence the higher HbA1c level. 

What also happens is the insulin tries to get the liver to take in the glucose which it can do until it reaches saturation. Liver glycogen is the storage form of glucose and is used to fuel the brain. 

Once the liver stores are full it doesn’t want any more glucose, but the insulin keeps trying to get the liver to take in more. In response the liver starts repackaging the glucose into fat molecules and sending it to be stored in fat cells, hence the easy weight gain that people often experience when insulin metabolism is impaired.  

I can fix this for you.

Reverse insulin resistance

Return HbA1c to healthy levels

Learn the right way to eat for a healthy metabolism

Reduce uric acid levels

Improve kidney function

Improve liver health

Lose the excess body fat

I will design a menu plan that achieves all of the above and I check in with you regularly to make sure you are following it and to make any necessary changes.

We work together until you have normal healthy HbA1c

There is a one-time fee for this program, and we work together for as long as it takes for you to get your HbA1c to normal. 

If you don’t do anything then over time, high blood glucose levels can damage the body’s organs. Possible long-term effects include damage to large (macrovascular) and small (microvascular) blood vessels, which can lead to heart attack, stroke, and problems with the kidneys, eyes, gums, feet and nerves.

The one-time fee (investment) for getting you back to healthy is $2900 USD ($4900 NZD). As stated, this is open ended until you are back at normal blood glucose levels. 

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