What’s the Big Deal About Being a Number Off?

It can be tough to stay motivated about controlling your blood sugar when there is no noticeable change in how you feel on a day-today basis. And all this talk about A1Cs of 6s and 7s can leave a person with diabetes at odds: does it really matter whether your blood glucose creeps up a little?

In a word, absolutely. Leading doctors in the field explain that with each A1C percentage point, the stress on your pancreas grows by an order of magnitude. High blood sugar is a stimulus to make insulin, so if you’re making insulin but you’ve got high blood sugar – even if your sugar is just a little high – then your pancreas is being told to put out insulin all the time. If you’re putting insulin out all the time, that stress on your pancreas will cause you to lose function over time.

And though diabetes complications may come on slowly, their consequences are profound: blindness, heart attack, stroke. If people don’t keep their blood sugar tightly controlled when they are first diagnosed, they’re going to do worse down the road. For most people with diabetes, an A1C of 7 should be your bare-minimum goal.