A1c levels 142 - 145

by Kathleen
(Lake Worth zzfl)

QUESTION: Hello,

I went to bed last night and my a1c was 142. I woke up this morning and it was 145.

I feel funny my eyes have been blurred for a few days, Why is this happening? Sometimes its's normal but than it makes a turn.

Why is that? Please help me understand?

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Dec 10, 2016
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A1c levels 142 - 145 with blurred eyes
by: Dr.Albana

Hello Kathleen,

I read your message and understood your problem.

It seems you are referring to your blood glucose levels, as A1C is typically measured as a percentage and reflects average blood sugar levels over the past 2–3 months.

A blood glucose level of 142-145 mg/dL is considered moderately elevated.

Your morning blood sugar levels may be slightly higher due to several reasons:

Dawn Phenomenon: A natural rise in blood sugar as the body prepares to wake up.

Somogyi Effect: Rebound hyperglycemia after a low blood sugar episode during the night.

Inadequate Insulin/Medication: Your body may need adjustments in medication or insulin.

Diet and Lifestyle: Evening meals or snacks high in carbohydrates can influence morning levels.
With regards to your problems with blurred vision, there are two main factors that explain that:

1. High Blood Sugar: Consistently high blood sugar levels can cause fluid to move into and out of the eye's lens, leading to swelling and changes in vision.

2. Fluctuating Levels: Rapid changes in blood sugar can affect the eye's ability to focus.

So, it is very important to keep track of your blood sugar levels at different times of the day, especially before meals and bedtime.

It is very important to make some adjustments to your diabetes diet plan. To fulfil your needs, I highly recommend that you sit down and discuss these adjustments with your caring doctor.

Keep in mind that proper hydration helps maintain blood sugar levels and overall health.

I also highly recommend that you visit an ophthalmologist regularly to monitor your eye health, especially if you have diabetes.

If your vision remains blurred or worsens, or if you feel unwell, seek medical attention immediately.

If you are not diabetic, then further tests are needed to rule out/determine if you have diabetes or not:

fasting blood glucose
glucose tolerance test
HBA1C test

After getting the results and analyzing them, we can discuss a proper management plan.

I hope this is helpful.

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