Community Answer

Answered by Dr. Emily Carter, MD 🩺

High A1C levels, which indicate poor blood sugar control over time, can lead to serious health complications if left unmanaged. The timeline for when these complications arise varies depending on individual factors such as overall health, lifestyle, and how well diabetes is managed. However, here are some general insights:

  • Short-term effects: Consistently high blood sugar levels can cause immediate symptoms like fatigue, frequent urination, and increased thirst.
  • Long-term effects: Over years, high A1C levels can lead to complications such as:
    • Cardiovascular disease: Increased risk of heart attack and stroke.
    • Nerve damage (neuropathy): Tingling, numbness, or pain in the hands and feet.
    • Kidney damage (nephropathy): Reduced kidney function or kidney failure.
    • Vision problems: Diabetic retinopathy, which can lead to blindness.
    • Foot problems: Poor circulation and nerve damage can increase the risk of infections and amputations.

Prevention: Maintaining an A1C level below 7% (as recommended for most people with diabetes) can significantly reduce the risk of these complications. Regular monitoring, lifestyle changes, and adherence to prescribed treatments are key.

If you have concerns about your A1C levels, consult your healthcare provider for personalized advice.

Last updated: 1/15/2025

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