 Hi guys, this is Dr. Ahmed Ergin. Today, I'm going to talk to you about why is my diabetes so high? My A1C is so high. So A1C, a lot of people have confusion about what A1C is. So A1C is nothing but just average blood sugars. So if your blood sugars are high, your A1C is going to be high. Now, your A1C may be normal if you're having a lot of lows and highs because it is a average, right? It doesn't really tell you how high your blood sugars are running. It tells you the average. So if you're not taking any medications and your blood sugars are running in the 200-300 range, yes, you will have very high A1C because you're never going down. But sometimes people get started on medications and their blood sugars bounce around. By the way, when they are started on wrong medications, not necessarily the right medications, but when they are started on the wrong medication, they will have a lot of balancing back and forth between low and high and their A1C may not look too bad. And A1C may look 7, but that's not necessarily a good thing for you. So your goal is not just to bring your A1C down, but also to make sure that you prevent fluctuations. So your blood sugar should go anywhere from 80 to maximum 180 to be able to control your diabetes with a good A1C less than 7, less than 6.5, even down to 6% easily. If you are not spiking your blood sugar frequently and you do that by avoiding low blood sugars as well. So your blood sugar is high, your A1C is high. If your blood sugars are running constantly high, occasional lows may not even budget. If you're running into 400s, if you go down to 100 or 90, that's not going to do anything too much because if you are overall running high all the time, then your A1C will remain high. So the bottom line is make sure you check your blood sugar more often. You can use continuous glucose monitoring systems such as freestyle, Libre, Dexcom, Guardian, whatever you prefer, but I would suggest your best bet is to understand how your sugars are running, not just your A1C. I hope that helps and if does, please make sure you subscribe, like this video and share and we will see you in the next video guys.