Tuesday, 15 December 2020
Written by Dr. Kelsey E. Simmons
What is an A1c anyway? Besides being something that your doctor checks at most office visits, A1c is literally the amount of glucose attached to the red blood cells in your body. The more glucose in your blood, the more red blood cells have glucose attached to them. The A1c value is the percentage of red blood cells in your body that have glucose attached to them.
What does that information tell us? A lot of things. First, it gives us an idea of what your average blood sugar has been over the last few months. People without diabetes often have an average blood sugar less than 100. People who are at increased risk of diabetes, or have prediabetes, have an A1c value of 5.7 to 6.4. This means people with prediabetes have an average blood sugar of 126 to 140. People who have diabetes have an A1c value of 6.5 or higher. This means people who have diabetes often have a blood sugar greater than 140. The higher your A1c, the higher your average blood sugar. If your A1c is 9.0, your average blood sugar is 212. If your A1c is 10, your average blood sugar is 240. Having an A1c of 9.0 or higher means that on average, your blood sugar is almost twice as high as people who don’t have diabetes.
Why does it matter? Over time, diabetes causes a lot of problems in your body. The longer your blood sugar is above what is considered normal, the higher your risk of developing permanent, irreversible damage from diabetes. Uncontrolled diabetes can lead to skin infections, blindness, glaucoma, cataracts, nerve damage and loss of sensation in the feet, as well as kidney damage which may lead to dialysis. When uncontrolled diabetes is present with high blood pressure and high cholesterol, the risk of heart attack and stroke also increases. All of these problems can be avoided with keeping blood sugar as close to normal as possible.
How else does A1c help us? For one thing, it helps us determine if the treatment we put you on is working. Every time a medication is added, we should expect to see some level of improvement in the A1c. If we are trying lots of different medications and your A1c isn’t changing, it could be the medications. Testing the A1c helps us determine if your treatment plan is right for you. It also helps us determine if your blood sugar meter is correct. If you are checking your blood sugar at home and getting lots of low numbers or lots of normal numbers but your A1c is very high, it may be time to purchase a new meter.
What should my A1c be? Your target is your own. You are unique and your goal A1c is as unique as you are. Work with your doctor to understand your health and develop a goal A1c that is safe
Kelsey Simmons, D.O., is a family medicine physician who completed a fellowship in diabetes at Duke/Southern Regional AHEC in Fayetteville. She provides care at Southeastern Health’s Southeastern Medical Clinic Gray’s Creek.
Tuesday, 15 December 2020
Written by Keyuri Parab
Fort Bragg invited community members to assist the Engineering Division of the Directorate of Public Works in planting the next generation of Tulip Poplar trees at the Bastogne Gables Park on post Dec. 9 to kick off a series of monthly events leading up to Arbor Day in April 2021.
“Planting trees is a generational opportunity,” said Brian Vesely, registered architect with the DPW and Arbor Board chair. “It is an investment that will continue to make Fort Bragg a better place to live and work.”
In an initiative to be great stewards of the environment, 40 Tulip Poplar trees were planted. Tulip Poplars are large, upright and fast-growing trees with big flowers similar to a magnolia, producing yellow leaves in the fall.
At the event, DPW senior wildlife biologist Erich Hoffman demonstrated to the volunteers how to properly plant a tree.
“When you take the tree out of the pot, you see the roots are pressed against the soil, break the roots up to stabilize root growth because much moisture on the tree can cause some damage, it’s a little bit of a process,” Hoffman said. Mixing the amendment and the soil together helps to ensure there is extra room to grow. Always make sure when you look up the tree that it is straight, so it can grow properly, he said.
Hoffman instructed that adding mulch helps keep the moisture in the dry seasons and emphasized the importance of the first year of the tree’s survival.
“If you can get the tree to survive for the first year, it has a higher chance of survival afterwards,” Hoffman said.
Fort Bragg will host five other events, one each month, leading up to Arbor Day in April 2021. Each event offers the opportunity for volunteers to plant trees in designated areas throughout the installation, said Elvia Kelly, spokeswoman for Fort Bragg Garrison Public Affairs Office.
The other events will be similar to the kick-off, where volunteers will bring their own gloves, and DPW will provide the trees, shovels and other needed materials.
“The intent is to ensure Fort Bragg’s natural infrastructure, trees and vegetation are here for future generations to enjoy and is a highlight of the installation,” Kelly said.
The post will continue to manage and take care of its infrastructure and environment because it promotes readiness and a sense of community, she said.
Pictured: Volunteers help workers from Fort Bragg's Directorate of Public Works plant Tulip Poplar trees on post to kick off a six-month initiative leading up to Arbor Day 2021.