How Long Does It Take For A1c To Go Down?

How Long Does It Take For A1c To Go Down?


How long does it take for A1c to come
down? When people start working on lowering their blood sugar they want to
see changes overnight. So we’re going to talk about how quickly you can expect
A1c to start coming down. Coming right up So quick recap on A1c. Hemoglobin is a
protein in your red blood cell that the more sugar you have in the blood the
more of it sticks to the hemoglobin in the red blood cell and we measure a
percentage which is the number that we see on A1c so that’s the mechanism but
how quickly the numbers change depend then on how long the red blood cell
lives. The beauty of the test is it measures an average over about three to
four months of the lifespan of the red blood cells so I went looking and the
only information that I could find on how long a red blood cell lives said
that it’s about a hundred and twenty days. So for this example we’re going to
use a hundred twenty days or four months for our calculations to understand so if
a red blood cell lives for four months then that’s going to influence how
quickly this changes because it’s an average over four months. We’re going to
assume a starting point of a blood sugar at 200 which means if you maintain a
blood sugar of 200 for awhile you’re gonna have a measured A1c of eight point six and then we’re going to assume that you’re gonna drop it down to ninety and
someone who has had a blood sugar of ninety for quite a while it’s gonna have
an A1c of four point eight so the fastest this could possibly happen would
be four months because if you could theoretically if this isn’t gonna happen
but let’s say that you went on an all-out keto diet and intermittent
fasting and somehow you managed to drop your blood sugar overnight from 200 all
the way down to 90 it would still take four months for your
A1c to go from eight point six to four point eight so that’s the absolute
fastest that you can do it the only way that it would happen faster would be if
your red blood cells don’t live as long if your red blood cells live for two
months then you could pull this off in two months provided you could drop your
blood sugar overnight okay that’s not gonna happen but this is going to be
different for different people so just keep in mind what the mechanism is and
there’s going to be individual variances so we’re to look at a time period in
months so we start at time zero and then for every month we’re going to look at
how this changes so let’s assume for this example that we can drop the blood
sugar by 8 percent per week so we start off at 200 and the next week it’s 8%
lower and then it’s 7 and a half and then it’s a little lower so after a
month you’re dropping at 7% per week after 2 months you’re dropping at 6% and
we’re just assuming that it’s easier to get the changes to happen quickly in the
beginning because you have such a large number to work off of the corresponding
number then if we start at 200 then after one month dropping by about 8% and
down to 7 per week you would have an average blood sugar of 146 so again some
people could do this a whole lot faster but assuming that you’re really insulin
resistant and you’re not ready to go into full-blown long multi-day fasts
right away then these could probably be realistic numbers again some people will
go faster some people go slower then after 2 months your blood sugar would be
111 after 3 months it would be 90 so at this rate it would take you three months
to hit your target blood sugar of 90 so let’s look at what happens with the a1c
so if you maintain 200 then you get an A1c of 8.6 that means that the new
red blood cells that are born at that level they’re gonna eventually end up
with an A1c of 8.6 the blood cells that are born at the
level of 146 they’re going to end up with an A1c of 6.7 and so forth but this
blood cell is going to be measured together with a bunch of older blood
cells that were swimming around in a much higher glucose concentration so by
the time we measure the a1c if we measure it initially and it’s 8.6 and
then we measure it a month later it’s only gonna have dropped to 8.3 because
this new red blood cell here it’s gonna be mixed up with three-quarters of blood
cells that live before we started this procedure before we started changing a
lifestyle even if we can drop our blood sugar to our ideal in about three months
it’s going to take a full seven months before we hit the 4.8 that corresponds
to our new blood sugar level at ninety so I just wanted to show people this to
give them a realistic expectation so that you don’t go running off and after
after two months and saying oh my my blood sugar is so low my A1c is still
high why isn’t this working it is working but that’s the the mechanism of
A1c that the value of they want to see is that it measures your average but the
drawback is that because the blood cell lives for four months it’s going to take
a while okay you’re not going to see the full effect in the A1c value until four
months after you have hit your desired level and at the end it’s going to
change faster in the beginning and then toward the end here it’s going to be
relatively slow so even though you hit a five point two here in month five you’re
still going to be two months off of hitting that that 4.8 A1c that
corresponds to that low blood sugar so today it’s really easy because you don’t
have to order an expensive blood test you can buy a little gadget for 20 bucks
and then you can buy the strips that are probably maybe a dollar or two each so
you could check this yourself but don’t waste your strips and check it every day
because it will be a waste of time I saw a search term on Google that was how do
I change my A1c overnight and I had to laugh because the answer is you don’t
okay there’s no point in measuring this every day
measure it every couple of weeks maybe but you’re not still not going to see
too much changes so if you’re curious go ahead and measure but realize the
timeframe that we’re talking about so if you have tried this if you have
experience with this please share your results I’d love to know some people can
do it faster some may take even longer just realize that it is a process and it
doesn’t really matter how long it takes as long as you do the right things you
will get healthier so please share this video there’s lots of people that need
to know good information about health so share it and help them get healthy as
well thanks for watching

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