Hubby has been diabetic for 47 years, and on insulin for 26 of them. His doctors always wanted him to have his A1C 6 or below. He has been going to our G.P. for 4 years now, and she has wanted his A1C between 7 and 8.
She explained the younger you are, that below 6 is fine, but when you get into your 70’s and 80’s it needs to be higher. Older people are more likely to get hypoglycemia, and if they don’t wake up, they can die. I know that, as one time in bed hubby’s sugar went so low I couldn’t get orange juice down him. I had to use an emergency kit, and shoot it into him. I also called 911, because he needed a drip to get his glucose up.
Today there was a question in the Diabetes Forecast magazine. It was from Chris from Vermont, and the doctor had said exactly the same as our G.P. The answer came back that a lower A1C could be associated with dangerous hypoglycemia in older individuals that can cause low blood glucose. If this happens it can cause loss of consciousness, falls, serious injuries, and heart problems. That is why a target A1C should be between 7 and 8%. This is better to balance the benefits, and risks of good blood sugar control.
I know I have written about this before, but feel that it’s good to remind people, to get their A1C balanced.