Health Library · Endocrine & Metabolic

How to lower A1c

Overview

A1c reflects average blood sugar over 3 months. Lowering it 1–2 points is realistic in 3 months with meaningful changes.

Treatment

Reduce refined carbs and added sugars, walk after meals (drops post-meal spikes), strength train, lose 5–10% body weight, take metformin. GLP-1s (semaglutide, tirzepatide) drop A1c 1–2 points plus produce weight loss. SGLT2 inhibitors for kidney/heart protection.

When to book a visit

Book to review your regimen and add or intensify.

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