1 DO & 1 DON'T for Lowering Your A1c Sustainably 👇

Understanding your A1c is crucial if you're managing diabetes or pre-diabetes. It's a blood test that does collagen supplements increase blood sugar reflects your average blood sugar levels over the past 2-3 months. High A1c levels indicate that your blood sugar has been consistently elevated, increasing your risk of serious health issues. However, lowering your A1c doesn't have to be a daunting task; it's achievable with consistent, sustainable lifestyle changes. Let's dive into one crucial "DO" and one key "DON'T" that can make a significant impact.

Why A1c Matters and Why Sustained Changes Are Key

The A1c test provides a broader view of your blood glucose control compared to day-to-day finger-prick measurements. A high A1c not only suggests persistent high blood sugar but also increases the risk of complications like nerve damage, kidney disease, and cardiovascular issues. Instead of relying on quick fixes or fad diets, sustainable methods create long-lasting habits and provide consistent positive results.

DO: Embrace a Fiber-Rich Diet

One of the most impactful things you can DO to lower your A1c is to significantly increase your intake of dietary fiber. Fiber is a powerhouse for blood sugar control. It’s the indigestible part of plant-based foods that helps slow down the absorption of sugar into the bloodstream.

How Fiber Works to Lower A1c

• Slows Sugar Absorption: Soluble fiber, found in foods like oats, beans, and apples, forms a gel-like substance in your digestive tract. This slows down the digestion of carbohydrates, leading to a steadier release of glucose into the bloodstream.
• Improves Insulin Sensitivity: Over time, a fiber-rich diet can help improve how your body responds to insulin, making it more effective at transporting sugar into cells for energy.
• Promotes Satiety: Fiber makes you feel full for longer, reducing the likelihood of overeating and helps in managing your weight, which is beneficial for controlling A1c levels.
• Regulates Blood Sugar: Studies have consistently shown that diets high in fiber are associated with lower postprandial (after-meal) blood sugar spikes. This, in turn, improves overall blood glucose management.

Practical Ways to Increase Fiber Intake

Incorporating fiber into your diet doesn’t require radical changes; here are simple actionable steps:

1. Start Your Day Right: Choose oatmeal instead of refined cereals. Add fruits and nuts for extra fiber.
2. Opt for Whole Grains: Substitute white bread, pasta, and rice with their whole-grain counterparts.
3. Eat More Legumes: Include beans, lentils, and chickpeas in your meals several times a week. They are packed with fiber and protein.
4. Embrace Fruits and Vegetables: Don't just settle for juices—eat whole fruits and vegetables with the skins (where appropriate) for more fiber.
5. Snack Smart: Instead of processed snacks, munch on nuts, seeds, or a piece of fruit.

Example of High-Fiber Meal Plan:

Meal	High-Fiber Option
Breakfast	Oatmeal with berries, chia seeds, and almonds
Lunch	Lentil soup with a whole-wheat roll
Dinner	Baked salmon with quinoa and roasted vegetables (broccoli, carrots, brussels sprouts)
Snack	Apple slices with peanut butter or a handful of mixed nuts

DON'T: Fall Into the Trap of Extreme Dieting

One of the common pitfalls that people encounter when trying to manage their blood sugar is the DON’T of extreme dieting or restrictive meal plans. While it may seem tempting to drastically cut calories or carbs in pursuit of rapid results, it can backfire significantly and may even elevate your A1c levels in the long run.

The Problem with Restrictive Diets

• Unsustainable Changes: Very restrictive diets are often difficult to maintain. You might be able to stick to it for a few weeks or months, but eventually, you're likely to revert back to old habits, undoing all your progress, and often resulting in even higher A1c levels when compared to where you began.
• Nutrient Deficiencies: Eliminating entire food groups can deprive your body of essential nutrients, leading to fatigue, weakness, and other health issues.
• Yo-Yo Effect: Extreme diets often lead to the "yo-yo effect" where you lose weight rapidly only to gain it back quickly after discontinuing the diet. These dramatic swings in weight can be harmful to your overall health and blood sugar control.
• Stress and Anxiety: Feeling restricted can lead to stress and anxiety which, ironically, might elevate blood sugar levels because stress hormones can impact glucose metabolism.
• Cravings and Overeating: The extreme restriction usually results in intense cravings, often leading to binge eating episodes, which negatively impact blood sugar levels.
• Disrupted Metabolism: Drastic calorie reductions can actually slow down your metabolism making long term weight management more difficult.

Why Balance is Key

A balanced approach is more sustainable and healthier for lowering your A1c:

1. Focus on Whole Foods: Rather than focusing on what not to eat, concentrate on eating whole, unprocessed foods rich in nutrients and fiber.
2. Portion Control: Watch your portions instead of trying to drastically reduce blood sugar level 6.0 fasting what you eat, focusing on reducing your meal sizes gradually.
3. Incorporate Healthy Fats: Don’t shy away from healthy fats found in avocados, nuts, and olive oil as these support healthy metabolism.
4. Balance Carbs: Choose complex carbs over refined ones, being mindful of your carb portions, as these lead to more stable blood sugar levels.
5. Listen to Your Body: Pay attention to hunger and fullness cues instead of following strict, inflexible diet rules.

Example of a Sustainable Meal Plan

Time	Approach	Example
Breakfast	Balanced: Whole grains, protein, fruit	1 cup oatmeal with 1/2 cup mixed berries and 10 almonds
Lunch	Variety: Legumes, vegetables, protein	Chicken salad with 1 slice whole wheat bread and a mixed greens salad with lentils
Dinner	Focus on Fiber: Vegetables, lean protein, complex carbohydrates	Baked Salmon with 1 cup roasted vegetables and 1/2 cup quinoa
Snacks	Smart Choices: Nuts, fruits, yogurt	1 cup of Greek yogurt and 1 small apple

The Bottom Line

Lowering your A1c sustainably is about adopting a balanced, holistic approach rather than resorting to drastic measures. By focusing on increasing fiber intake and avoiding extreme diets, you can make significant strides in managing your blood sugar levels, leading to long-term health and is glucose the same as blood sugar well-being. Small consistent changes, are far more effective and long lasting. Remember, it's not a sprint, it’s a marathon!

Welcome to the channel! This is a part of a series of videos covering practice MCQs for the Canadian CDE Exam. In this video, we cover the topic of HYPOGLYCEMIA. If you found this video helpful please give it a LIKE and SUBSCRIBE FOR MORE PRACTICE QUESTIONS NEED MORE PRACTICE MCQs? Check out this book: CANADIAN CERTIFIED DIABETES EDUCATOR EXAM PRACTICE MCQs Available on AMAZON, CLICK HERE: Follow us on social media for tips, practice questions and updates: FACEBOOK TWITTER: @CDEexamtips References: 2018 Diabetes Canada CPG. Chapter 14. Hypoglycemia [Last accessed: Dec 29,2021] Hypoglycemia low blood sugar in adults [Last accessed: Dec 29,2021] DISCLAIMER: Every effort has been made to ensure the content presented in the videos is accurate. This channel assumes no responsibility or liability for any errors, inaccuracies or omissions in the content. Questions and cases presented in no way represent questions on the actual exam. Our content is to supplement your learning and prompt you for further studying. Videos posted are for INFORMATION PURPOSES ONLY and does not replace professional advice.