Why Is My A1c High On Keto

Why Is My A1c High On Keto – Blood glucose (also called blood sugar) is the primary indicator for determining diabetes risk. The higher the blood sugar, the higher the risk factors. But blood sugar is not the only indicator of diabetes. As blood glucose levels rise, so does the risk for many other life-threatening conditions, most notably heart disease.

The best way to reduce your risk is to keep your blood sugar in the normal range. Wondering what your target blood sugar level is? The answer is controversial. The American Diabetes Association (ADA) defines certain levels as “normal blood sugar levels,” but the ADA’s “normal” does not necessarily mean “optimal.”

Why Is My A1c High On Keto

Why Is My A1c High On Keto

Moreover, measuring blood glucose is not the only (or even the best) way to assess metabolic health (ideal levels of blood sugar, triglycerides, high-density lipoprotein (HDL) cholesterol, blood pressure, and waist circumference; more on this later.) This article helps clear things up. You will learn all about blood glucose: the basics, measurement, management and what levels are considered healthy.

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Glucose, as you probably know, is a form of sugar. Alternatively, you can call glucose by another, polysyllabic name: carbohydrate. Yes, when you eat starchy carbohydrates or sugar, you are eating glucose. Then this glucose passes through the intestines and enters the bloodstream.

Blood glucose, therefore, simply refers to the sugar molecules (C 6 H 12 O 6) floating in your veins and arteries.

Glucose in the blood is necessary for survival. Your red blood cells, for example, cannot use any other fuel. Your brain also sucks up glucose like a vacuum cleaner – about 120 grams a day. (However, only 30 grams per day if in ketosis).

Carbohydrates, however, are not necessary for survival. When glucose is low (for example, fasting), blood sugar does not drop to zero. Instead, to keep glucose levels high, your body activates two glucose backup mechanisms:

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Since the 1950s, the rate of diabetes in the US has increased more than sevenfold. The driver of this epidemic is the dramatic increase in sugar consumption.

However, it’s a bit more nuanced than more sugar in the diet = high blood sugar = diabetes. We need to talk about insulin.

You see, when you eat a meal, your blood sugar rises, and a hormone, insulin, comes along to get that sugar out of your blood and safely into your cells. Like a good blood sugar boss, insulin protects your blood vessels from the dangers of hyperglycemia and high blood sugar.

Why Is My A1c High On Keto

But when sugar constantly enters the body (think daily big gulps), the boss gets tired. And when the boss gets tired, it can no longer do its job.

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This is called insulin resistance – the inability of insulin to efficiently store blood sugar in muscle and liver cells. In a state of insulin resistance, blood sugar stays too high for too long. This is how type 2 diabetes begins.

In addition to diabetes, insulin resistance is at the root of many other chronic diseases: heart disease, cancer, Alzheimer’s disease, you name it. In fact, some researchers now view Alzheimer’s disease as a case of insulin resistance in the brain.

Both fasting blood sugar and postprandial blood glucose are simple home blood tests, provided you have a glucose meter. Just prick your finger, insert the test strip and record the result. If you have a blood glucose and ketone meter, you can track your results over time using a free app.

Taking a blood sugar test is an ideal way to find out the effects of different foods on your body. Simply take a baseline reading (at least 3 hours after your last meal), eat a specific food, and then test 1 or 2 hours after eating. You might be surprised which foods raise (or don’t raise) your blood sugar. Check out this guide to testing your bioindividuality and find out which foods raise your glucose levels so you can avoid them.

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That’s the question, isn’t it? For starters, here’s how the ADA classifies diabetes risk for “fasting blood glucose (FBG) and HbA1c”

But “normal” does not necessarily mean “optimal”. Example: A large observational study that followed 46,578 non-diabetic people for seven years found that those with an FBG of 95 to 99 mg/dl (5.3 to 5.5 mmol/L)—considered normal—had 2, 33 times more likely to develop diabetes than those with FBG below 85 mg/dl (4.7 mmol/L.)

So for fasting blood glucose, somewhere below 85 mg/dl (4.7 mmol/L) seems best. But what about after eating?

Why Is My A1c High On Keto

As a general rule: the smaller and shorter the spike in blood sugar, the better. As a practical matter, try to keep blood sugar spikes below 30 mg/dL from baseline one hour after a meal. (If your baseline is 85 mg/dl (4.7 mmol/L), you don’t want to go over 115 mg/dl. (6.4 mmol/L)) And three hours after eating, you should be back close to your baseline . This means insulin – your blood sugar boss – is doing its job.

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A quick warning about measuring fasting blood sugar and postprandial blood glucose: they are not the most reliable measures of metabolic health. Stress, for example, can cause the liver to release a significant amount of glucose into the bloodstream – so if you’re nervous before the test, this could affect the results. Poor sleep could have a similar effect. And then there’s the “dawn effect,” the natural early-morning release of cortisol—which raises glucose—to get your body ready to get up. Therefore, it is best to wait an hour or more after waking up to measure fasting blood glucose, and longer for people with insulin resistance.

Therefore, in addition to measuring the blood glucose level, HbA1c (average blood glucose level over 2-3 months) and insulin level should be measured. Remember, insulin is your blood sugar boss. Therefore, looking at the insulin response after an oral glucose tolerance test (OGTT) can give real insight into your metabolic flexibility. Often, a hyperinsulinemic (high insulin) response to glucose is a precursor to type 2 diabetes.

Glucose and ketones tend to be inversely related. As glucose rises, ketones fall. But blood sugar responds more quickly to the introduction of food than ketones, which is why measuring glucose on a ketogenic diet is so important in eliminating foods that will adversely affect ketosis.

If you don’t track your blood glucose, now is the time to start charting your blood sugar and recording your results. Together with other tests, it gives you an important picture of your metabolic health.

Understanding Hba1c — The Long Term Blood Sugar — Diet Doctor

Optimal fasting blood sugar ranges are probably between 70 mg/dl and 85 mg/dl (3.9 and 4.7 mmol/L). Higher, and the risk of diabetes increases. Go low and you risk a low blood sugar condition called hypoglycemia.

Measuring blood glucose is simple. You only need a glucometer (glucose meter) and test strips. It’s a great tool for identifying foods that cause your body to have an elevated blood sugar response so you can adjust your diet accordingly.

To keep your blood sugar under control and close to your target level, be sure to exercise, sleep, and avoid excessive carbohydrate consumption. To really kick it up a notch, consider keto or intermittent fasting. All of these strategies enhance the action of insulin, which in turn improves your blood sugar response. As always, before making dramatic changes to your diet and lifestyle for weight loss or other reasons, it’s important to talk to your doctor, especially if you have a higher risk of cardiovascular disease and heart attack.

Why Is My A1c High On Keto

Watch this video with Thomas DeLauer for more information on insulin resistance. Also, measure your GKI, which gives a better bird’s-eye view of metabolic health.

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Why Is My A1c High On Keto


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