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The complete conditions for analyzing the cumulative blood sugar are requested by many doctors, especially from patients who suffer from type 2 diabetes. The cumulative blood sugar analysis is the test that gives information about blood sugar levels in order to diagnose type 2 diabetes.

Names by which cumulative blood sugar analysis is known

Also known as a three-month blood sugar test, the HbA1c test can be used to diagnose type 2 diabetes.
Also, identifying prediabetes, and analyzing the cumulative blood sugar is a test used after diabetes.
A cumulative sugar analysis or cumulative sugar test and a blood test that measures the patient’s blood sugar over the past three months, which is sometimes called the A1C blood sugar test.
It is also sometimes called the HbA1c test or glycohemoglobin test, as it measures the level of hemoglobin in the blood.
Hemoglobin is an essential part of red blood cells that delivers blood to all cells, and glucose is linked to hemoglobin inside the blood cells.
It is called a cumulative blood sugar test. The goal is to determine the connection between hemoglobin and glucose, as your high glucose level increases the rate of glucose in hemoglobin.
Also, because the test measures the amount of hemoglobin that contains glucose bound to it, the test result is also determined by the percentage of cumulative sugar in the blood.
The normal result of the cumulative blood sugar test must be less than 5.7%.

What is the importance of HbA1c test?

Many people wonder why it is important to choose the HbA1c test, or why the HbA1c test is performed. There is great importance for this test, which is represented in the following:

This planning or this test helps the doctor to prevent type 2 diabetes.
Also in the doctor’s decision to change the patient’s lifestyle in order to avoid developing type 2 diabetes.
It helps monitor diabetes, and helps the doctor make treatment decisions for the patient so that no complications occur due to the disease. If you have one of the risk factors, or geographic factors that call for diabetes, then this test must be tested.

How is the HbA1c test used to diagnose diabetes?

The HbA1c test can be done alone, or in combination with other tests, as the doctor writes it for the patient in order to diagnose type 2 diabetes or diabetes in general.
There is no need for the patient to be fasting before drawing a blood sample for the HbA1c test.
The sample can be drawn at any time of the day without any preparation from the patient, as a repeated test for this analysis must be performed another day in order to confirm the examination.
The test is used to diagnose diabetes, and there must be a second test if there are no clear symptoms on the patient that he has diabetes.
When the doctor asks you to perform a HbA1c test for diagnosis, the doctor will draw a sample of blood taken from a vein and send it from the doctor to a laboratory. This laboratory will then use approved methods to examine the blood sample.
The difference between the results of the cumulative blood sugar analysis
As for the results, the blood sugar level is normal when the test result in percentage is 5.7%.
There is a precursor to diabetes, if the result ranges between 5.7% and 6.4%.
As for the percentage from which it is confirmed that the person suffers from diabetes, the result of the cumulative blood sugar test reaches six and a half percent, or is higher.
If the cumulative blood sugar level increases, the risk of developing diabetes increases significantly.
Therefore, the HbA1c test should not be used by a doctor to diagnose type 2 diabetes, cystic fibrosis, or gestational diabetes, because the test may give incorrect results for those patients who have excluded or certain health conditions.

Can the cumulative blood sugar test be used during pregnancy?

There are some health care professionals who use the HbA1c test early in pregnancy to determine the results of pregnancy or not, and to protect women from risk factors for diabetes before pregnancy.
This is because the HbA1c test reflects the blood glucose level during the past three months, and performing the test early in pregnancy is valuable, because it will reflect the body’s sugar level before pregnancy.
However, it is not appropriate for a pregnant woman to perform this test during pregnancy, and it is preferable to use a glucose analysis test to check gestational diabetes.
The test is usually performed between 24 and 28 weeks from the beginning of pregnancy, because if the result of the test results in the woman having gestational diabetes, she must then be tested for diabetes before the tenth week after the birth of the child.
This is because the level of blood sugar remains high. The woman may have type 2 diabetes, even if her blood glucose is normal. She has a high chance of developing type 2 diabetes in the future after giving birth.
Therefore, her cumulative blood sugar must be tested continuously, for a period of three years.

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When should a pregnant woman be tested for blood sugar?

It is preferable that a fasting diabetes test be performed for every woman who wants to become pregnant, twice as a minimum, and an oral glucose test (OGTT) must be performed when diagnosing pregnancy for women, especially those who have indicators and signs of a strong possibility of having gestational diabetes. These indicators are:

Obesity.
The presence of sugar in the urine.
Previous diabetes during pregnancy.
The presence of a positive history of diabetes in the family.
Previous birth of a baby weighing more than 4 kg.
The mother’s age exceeds 25 years.
Pregnancy at a later age.
Belonging to a race known to increase the incidence of diabetes, such as Australian Aborigines, Red Indians, and Arabs.

Tips for diabetics who want to become pregnant

The journey must begin before pregnancy, and she must see a doctor so that he can begin giving her the necessary advice to plan a safe pregnancy. She must continue to control blood sugar in the pre-pregnancy stage in order to reduce the complications of diabetes on the fetus.

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Especially for the first stage of formation between the fourth week and the eighth week in order to avoid congenital malformations, early miscarriage, and multiple complications due to high blood sugar levels.

The following analyzes must be performed:

Analyze the level of creatinine in the blood and determine the percentage of albumin in the urine.
Analysis of the level of glycated hemoglobin in the blood, and the ideal level should be 6%.
Thyroid function T3, T4, TSH to rule out an increase or decrease in thyroid hormones in a patient with type 1 diabetes.

Normal cumulative blood sugar level for a pregnant woman

A pregnant woman’s cumulative blood sugar levels differ before pregnancy, or from their levels after birth, but there are normal levels of cumulative blood sugar during pregnancy, where:

During the first three months of pregnancy, the rate must exceed 6.1 percent, so that the fetus does not suffer from congenital malformations.
Starting from the fourth month until the ninth month, the cumulative blood sugar analysis should give a result lower than the real reading, as the blood sugar level is high.
However, it is within normal, and it does not depend on the cumulative blood sugar level in order to evaluate the condition of the pregnant woman.
The sugar level must be monitored daily before and after food.

Complications of gestational diabetes on the mother and fetus

1- Risks to the mother

Increasing the rate of caesarean sections.
High blood pressure in pregnancy.
Increased amniotic fluid.
Type 2 diabetes.

2- Risks to the fetus and newborn

Death in the mother’s womb.
Increased size of the fetus.
Premature birth.
Congenital malformations.

3- Risks affecting newborns

The incidence of jaundice and its increase in its rate.
Low blood sugar.
Increased number of red blood cells.
Low levels of calcium in the blood.
Death.

Therefore, a mother with high blood sugar must be taken care of before pregnancy, and the doctor should constantly follow up with her to ensure that her pregnancy survives and passes safely.

Are the results of a HbA1c test different from the results of a blood glucose test?

There are some people whose blood glucose levels show that they have diabetes even though the HbA1c test does not show the same result.
The opposite can also happen, because the HbA1c test may indicate that patients have diabetes even though this was not shown on the blood sugar test.
Because of these differences in test results, health professionals or doctors decide before making a final diagnosis for a patient, they estimate these tests, often about people who have different test results.
This is at an early stage of the disease when blood glucose levels are high enough to show up on all tests. In this case, doctors may choose to follow the person closely and repeat the test in several months.

The number of times the patient is required to analyze the cumulative blood sugar

The number of times the HbA1c test is performed depends on the type of diabetes that the patient suffers from, as well as the treatment plans taken from the doctor, and also the way the patient manages his blood sugar, because it is done as follows:

The test is performed once a year, when the patient has symptoms of pre-diabetes.
Twice a year if the patient has type 2 diabetes and does not use insulin, and the blood sugar level is slightly low.
Four times a year, if the patient has type 1 diabetes.
Four times a year if the patient has type 2 diabetes, is using insulin, diabetes management, or the patient is having trouble maintaining blood sugar levels.
Repeat or more frequent A1c tests may be needed if the doctor wants to change the patient’s diabetes treatment plan, or if the patient starts taking diabetes medications.

Complete conditions for analyzing cumulative blood sugar

There are no conditions for a complete HbA1c analysis or what is known as the patient’s preparations for a HbA1c test, as HbA1c is a simple blood test, and the patient can pass it without any problem, according to the condition he or she is carried out by the doctor. All consulting.

How to perform a sugar analysis

The laboratory specialist draws a blood sample through intravenous injection.
The sample is then sent to the relevant laboratory.
The patient can do very normal activities that day.

Some things that affect the accuracy of the cumulative blood sugar analysis

It is necessary to note that misreading the analysis may affect the cause of some cases, such as:

When a patient experiences severe bleeding, this affects the hemoglobin reserve in the blood, to the point that this makes the test result contrary to reality.
If the level of iron in the blood is very low, this also means that there is an error in the result of the blood sugar test in relation to the true reading.
People with the common type of diabetes called A1C.
If you have another, less common type, it may affect the test result more or less.
Low hemoglobin in the blood, in people of the Mediterranean region, in Africans, and in people of East Asia.
Whereas, if it is proven that these types are present in the patient, a glycated hemoglobin test must be performed in a more specialized laboratory in order to compare the test result with the results of the cumulative sugar.
It is compared because it differs from one laboratory to another, so the patient must be taken into consideration when changing the treating physician, or when changing the laboratory in which the test is performed.

Diseases that cause an increase in the blood sugar test result

There are some diseases that cause an increase in the level or result of the cumulative blood sugar analysis, including:

Kidney failure disease.
When the patient abuses kohl, especially chronic abuse.
High level of triglycerides in the blood.

Diseases that cause a decrease in the results of the cumulative blood sugar analysis

There are some diseases that cause a lower result, or give lower numbers than they are, such as:

Acute chronic blood loss.
Sickle cell anemia.
Mediterranean anemia.

Symptoms of high blood sugar

There are some other symptoms that accompany high blood sugar, including:

Blurred vision.
headache.
Increased feeling of thirst.
Frequent urination.
Exhaustion.
Weight loss.

Treating cumulative diabetes with natural herbs

In addition to the medications given by the doctor, and in addition to the patient adhering to a specific diet that is specific to this disease, there are also treatments for cumulative diabetes through the use of herbs.
Recently, studies have increased on some plants that some doctors believe are effective in lowering blood sugar levels.
The patient must stop the treatments used by following up with the doctor who is monitoring his condition before he starts taking herbs, because there are some herbal plants that increase the effectiveness of diabetes medications, including insulin.
As this causes the blood sugar level to drop significantly, which causes serious complications for some herbs that are believed to have a lowering effect on the blood sugar level, such as cinnamon, aloe vera, fenugreek, okra, karela, or bitter gourd, ginger, raspberries, And grapes.